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Your City <br /> Lafayette <br /> Your State <br /> CO <br /> Your Zip Code <br /> Maximum of 10 digits. (Example)80202 <br /> 80026 <br /> Email Address <br /> Enter a valid email address in this field to receive a confirmation e-mail. <br /> kimberly.jacobus@gmail.com <br /> Your Phone Number* (') <br /> Used only to follow up. <br /> 8135412485 <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 /> Increasing the size and scope of the Cross Gold Mine in Nederland(Caribou)would negatively affect local <br /> citizens,land owners,and residents.The increase in permit area would would mean more polluting effects from <br /> the mine's operations. Please do not grant this reclamation permit to Grand Island Resources.The company <br /> has a history of violations regarding water quality, including polluting drinking water with toxic heavy meatls. <br /> Grand Island Resources does not have a good relationship with the town of Ned;clearly they only care about <br /> their profits,and not the local community. <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 /> CN1 -from 110(2)permit to 112d-3 permit <br /> I <br />