Laserfiche WebLink
_ 1Bi26/2060 lE:?9 X03'56'255 EC GALLAGHER I ORKIN PAGE 02 <br />• • <br />STATE OF COLORADO <br />MINED LAND RECLAMATION BOARD <br />PARTY STATUS FORM <br />In the matter of File No. M- Z°~ a8o , PermitlPertnit Amendment Application. <br />Name of Operator/Applicant and Site: ~iQheer grid C°m~y~, I o <br />1 request that i be named as a party <br />I request that I not be named as a party <br />Ltd <br />_x Xrequest I be withdrawn from patty status <br />I wish ro address the Board at the formal <br />hearing, if held, as a non-party <br />I understand that T have party status <br />(please note that if all objecting parties withdraw rin or to the date set for the Diti~sion's recommendation for <br />appror•al or denial, there may not be an oppot'tunity for any person to address the Board on any issues related <br />to the application. Tf all objecting parties withdraw their objection after the above referenced date, the Board <br />may still hold a formal hearing, however the Board is not obligated to consider any issues raised by a party that <br />has withdrawn.} <br />Regardless of a party status, the Division though fully considers each issue submitted in writin¢ to the Division and <br />provides a response to those issues in the Division's "Rationale For Recommendation ". The "Rarionale" is available to <br />any person by contacting the Division. For persons who do not wish to become a party or withdraw as a parry in this <br />matter, please contac[ the Division for tnfotmation on application status. <br />(Please provide the following Information if you have or wish to have parry status, [hank yeti.) <br /> <br />Printzd Name <br />ZcZ9 Sou~'~~I FLtivRQ,c~ S~reef <br />address <br />AL1rOrA ~ eo~orac~o ~OOI<{ <br />City, State Zip Code <br />Home Phonz # <br />( ) ~AMt= <br />Vl'ork Phonc # <br />(.~~l~~o-3gs <br />FAX # <br />2~ ~~r~bcv . 2CJO~ <br />Dar <br />If you are not now a party and you wish to be named as a patty. please provide the following <br />• How you may be affected or aggrieved by the Board"s decisten if the Board decides to approve the application <br />(Please attach additional pages if needed) <br />• Please explain your opposition to the matter, includins a specific description of the issues that you feel need to be <br />addressed at the Formal Boazd Hearing and wh.:. <br />(Please attach additional pages if needcdi <br />