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9/30/2019 Annual Report ePermitting Signup-Google Forms <br /> 4nnual Report ePermitting <br /> QUESTIONS RESPONSES 1,074 <br /> 1,074 responses <br /> SUMMARY Accepting responses • <br /> -mob.. <br /> 1074 of 1074 ■ <br /> Responses cannot be edited <br /> Annual Report ePermitting Signup <br /> Required <br /> COLORADO <br /> I iiin of latio , <br /> irm Mining and Safety <br /> Department of Natural Rcsou-rces <br /> Please complete this form to create a new ePermitting account for submittal of annual reports <br /> and fees. You will receive an email with your login information within two business days. This <br /> form is for new ePermitting account activation. If you have already enrolled in ePermitting, you <br /> should not complete thi-q form. <br /> Name of Permittee or NOI Holder: <br /> Deep Cut,LLC <br /> ........................................................................................................................................................................................................................ <br /> Street Address: * <br /> 20330 County Road CC <br /> ................................................................................................. <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNjeg34GXBZNsl—lHmYxG9wwlKrfgY... 1/3 <br />