By Orla Ryan
In Prestea, Ghana
The mine as viewed from the end of Prestea high street
The daily blasts from Bogoso Gold's surface mine shake hospital administrator's Emma Thompson's office.
"Because of the shaking, they have to put off equipment when they are going to blast," Ms Thompson says.
"The damage to the building is physical, you can see the cracks."
Jutting into the heart of the town and overlooked by the hospital, the mine's presence has forced the relocation of the police station, the post office and the town's only fuel station.
Surface mining in the township has ignited tensions between the company - owned by US-based Golden Star Resources - and the 60,000 residents of Prestea, a small town in western Ghana in the heart of the country's gold belt.
"It has left so many buildings cracked, personal belongings, TVs, fridges, they were all destroyed," says Kwesi Blay of the Prestea Concerned Residents Association, which argues that the town should be resettled.
Mining companies often have acrimonious relationships with the communities in which they operate, but Bogoso's failure to conform to the terms of its mining permit have forced Ghana's Environmental Protection Agency to act.
Many illegal miners live in shanty towns near Prestea
In September, it ordered Bogoso Gold to stop mining until it had moved the police station, built a bypass road and put a fence around the mining site, work which the company had promised to do earlier in the year.
"When you move close to a settlement, you are bound to get problems," the Environmental Protection Agency's spokesman William Abaidoo says.
"When you are blasting, the noise and vibration alone creates some panic."
The mine was shut for just over a month and work is now set to continue until June or July next year, while Bogoso has plans to mine for gold elsewhere on its 85-km-long concession on the Ashanti gold trend.
Bogoso acting general manager Bruce Higson-Smith says some community activists have exaggerated the effects of the blasting and insists that community anger is lessening as Bogoso "adjusted the blasting pattern to reduce noise and vibration".
He promises compensation for damage, but says that many claims are opportunistic.
"There are a number of people taking advantage," he says.
The anger ignited by Bogoso's presence is partly linked to the loss of hundreds of jobs when Bogoso entered a joint venture with troubled local firm Prestea Gold Resources in 2002.
Bogoso Gold is eager to protect its assets
With few other jobs available locally, about 5,000 illegal miners work on Bogoso's concession, a fact that angers the company.
For residents who have always opposed surface mining in Prestea, the issue is their vulnerability at the hands of investors.
"It is a political issue how the concession was given to them," says Ms Thompson.
"We have no idea."
If Bogoso had conformed to the terms of its permit, then problems would not have arisen, according to the Environmental Protection Agency.
Bogoso, which is already preparing environmental plans for its work elsewhere on the concession, is learning a lesson, the agency's William Abaidoo says.