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1/17/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNg5KaPxyyggK-LGIohh-IpN0ItehhOY…1/3 <br />178 responses <br />Accepting responsesSUMMARYINDIVIDUAL <br />of 178 <br />Responses cannot be edited <br />Annual Repor t ePermitting Signup <br />Please complete this form to create an ePermitting account for submittal of annual reports <br />and fees. You will receive an email with your login information within one business day. <br />Pinon Ridge Mining LLC <br />31161 Highway 90, P O Box 825 <br />Nucla <br />CO <br />174 <br />Name of Permittee or NOI Holder: * <br />Street Address: * <br />City: * <br />State: * <br />Annual Report ePermitting Signup <br />QUESTIONS RESPONSES 178