Laserfiche WebLink
<br />STATE OF COLORADO : <br />~II;~ED LAND RI::CLA~ZATIUN BOARD <br />PARTl' STATUS REQUEST FORni <br />In the matter of File No. h1_Z000-11 ~ pe~t/Permit Amendment Application. <br />Name of Operator/Applicant and Site: Roaring Fork Resources, Mamm Creek <br />Garfield Count , Colorado <br />xx I request that I be named as a party <br />_ I request that I riot be named as a parry <br />_ I request to be withdrawn from parry status <br />I understand that if I am not a party, my statements of concern or objection to this <br />application will not be considered during the review of the application, but I may address <br />the Beard on this matter at the final hearing, and may present my concerns as an <br />interested member of the public. <br />For people who do not wish to become parties in this matter, information on permit <br />application status can be requested from the Division of Minerals and Geology. <br />Citv of Rifle, c/o City Manager <br />Printed Name <br />P.0. Box 1908 <br />Address <br />Rifle. CO 81650 <br />City, State <br />Zip Code <br />E-Mail Address <br />Signarure c'ty M a er <br />Home Phone <br />( 970 625 _ 2121 <br />Work Phone ~ <br />(970 1 625 - 3210 <br />FAX # <br />With a copy to: <br />Leavenworth & Karp, P.C. <br />P.0. Drawer 2030 <br />Glen ood Spring CO 81602 <br />(970 945-2261 s(t)/ (970) 945-7336 (f) <br />Date (a-13-o0 <br />If you are requesting to be named as a party, please briefly describe below: <br />1. how you maybe affected or aggrieved by the Board's decision in the matter referenced above, <br />2. your opposition to the matter, including a specific description of the issues that you feel need <br />to be addressed at the final hearing. (You may attach a written statement to this form instead <br />of using the space below.) <br />e see enclosed letter. <br />