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Your City <br /> Louisville <br /> Your State <br /> CO <br /> Your Zip Code <br /> Maximum of 10 digits. (Example)80202 <br /> 800271047 <br /> Email Address <br /> Enter a valid email address in this field to receive a confirmation e-mail. <br /> dcb1995@comcast.net <br /> Your Phone Number* (') <br /> Used only to follow up. <br /> 3036658543 <br /> Extension <br /> Alternate Phone Number(?) <br /> Used only to follow up. <br /> Alternate Phone Extension <br /> Connection to Operation <br /> Select all that apply <br /> Land Owner of affected land Structure Owner within 200' of affected land <br /> Mineral Owner Nearby Resident <br /> Adjacent Land Owner �. Concerned Citizen <br /> Government Agency Other periodic consumer of Boulder water <br /> DESCRIPTION OF COMMENT OR OBJECTION <br /> You are providing a comment or objection to the public record of a permitting action currently under review by the Division of <br /> Reclamation, Mining and Safety.This form is not intended for reporting of possible violations or illegal activity. Please be as specific <br /> as possible. <br /> Comment/Objection Narrative* <br /> I object to the duration and geographic extent of this permit request. No agency can predict circumstances for <br /> fifty years into the future;the duration of this request is unreasonable.The expansion of the area in question <br /> seems excessive given past performance of the operator and changes dramatically the nature of waste <br /> management required to comply with contamination limits;the requestor has not demonstrated they can <br /> manage waste contamination from underground mining. I am affected to the extent that I rely on City of Boulder <br /> professional services who use water in treatments. <br /> Permitting Action Comment/Objection is Regarding <br /> New Permit • Change to Existing Permit <br /> Permit Number* (?) <br /> Enter a valid permit number <br /> M1977410 <br /> Revision Type and Sequence <br /> Conversion application from a 110(2)permit to a 112d-3 <br /> designated mining operation permit <br />