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Your City <br /> Nederland <br /> Your State <br /> CO <br /> Your Zip Code <br /> Maximum of 10 digits. (Example)80202 <br /> 80466 <br /> Email Address <br /> Enter a valid email address in this field to receive a confirmation e-mail. <br /> valexa10@gmail.com <br /> Your Phone Number* (') <br /> Used only to follow up. <br /> 7203782777 <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 <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'm a cancer survivor poisoned by polluted well water and it cost me over$150,000 of my own money after <br /> insurance to survive cancer that was caused by foreign chemicals(PFAS)being dumped into the water aquifer. <br /> My only option has been to pay off the medical debt with a HELOC tied to my house. I'm grateful that I own <br /> property in Boulder County and that I had this option,as many don't. Please don't let this happen to anyone <br /> else in Boulder County. I survived but it has ruined by financial life and my physical health. Due to this <br /> happening, I will never be able to afford to retire and I definitely have a slim chance of being able to afford to <br /> even stay in my beloved state(Colorado)when I retire, because of how it has crushed me financially. PLEASE <br /> don't allow more mining in that area. <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 /> I <br />