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(1) Appellant's name and address (§ 215.2), with a telephone number, if available; <br />(2) Signature or other verification of authorship upon request (a scanned signature for electronic <br />mail may be filed with the appeal); <br />(3) When multiple names are listed on an appeal, identification of the lead appellant (§ 215.2) <br />and verification of the identity of the lead appellant upon request; <br />(4) The name of the project or activity for which the decision was made, the name and title of the <br />Responsible Official, and [he date of the decision; <br />(5) The regulation under which the appeal is being filed, when there is an option to appeal under <br />either this part or part 251> subpart C (§ 215.11(d)); <br />(6) Any specific change(s) in the decision that the appellant seeks and rationale for those <br />changes; <br />(7) Any portion(s) of the decision with which the appellant disagrees, and explanation for the <br />disagreement; <br />(8) Why the appellant believes the Responsible Official's decision failed to consider the <br />substantive comments; and <br />(9) How the appellant believes the decision specifically violates law, regulation, or policy. <br />Notices of Appeal that do not meet the requirements of 36 CFR 215.14 will be dismissed. <br />Contact Person <br />For additional information concerning this decision or the Forest Service appeal process, contact <br />Liane Mattson, Leasable Minerals Program Leader, Grand Mesa-Uncompahgre-Gunnison <br />National Forests, 2250 Highway 50, Delta, CO 81416. Telephone (970) 874-6697. Electronic <br />mail: Imattson @ fs.fed.us. <br />~~~ ~~~ 3 ~ I o ~ 0l0 <br />CHARLES S. RICHMOND [DATE] <br />Forest Supervisor <br />Grand Mesa-Uncompahgre-Gunnison National Forests <br />The U.S. Department of Agriculture (USDA) prohibits discrimination in all its <br />programs and activities on the basis of race, color, national origin, gender, religion. <br />age, disability, political beliefs, sexual orientation, or marital or family status. (Not all <br />prohibited bases apply to all programs.) Persons with disabilities who require <br />alternative means for communication of program information (Braille, large print, <br />audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice <br />and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil <br />Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, <br />Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an <br />equal opportunity provider and employer. <br />10 <br />