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10/29/2019 Coal Program ePermitting Signup-Google Forms <br /> r-rc�c�rdill ePermitting Slgnup <br /> QUESTIONS RESPONSES <br /> 10 responses <br /> SUMMARY <br /> Accepting responses <br /> 4 of 10 > ■ <br /> Responses cannot be edited <br /> Coal Permit ePermittingSignup <br /> COLORADO <br /> Division of Reclamation, <br /> Tu Mining and Safety <br /> p r#tmcnt of Natural Resou-rces <br /> Please complete this form to create a new ePermitting account to access ePermitting forms. <br /> You will receive an email with your login information within two business days. This form is for <br /> new ePermitting account activation. If you have already enrolled in ePermitting,you should not <br /> complete this form. <br /> Name of Permittee: <br /> Hayden Gulch Terminal,LLC <br /> .................................................... .................. ................................................................................................................ <br /> Street Address: <br /> 29515 Routt County Roaad 27 <br /> .......... <br /> https://docs.google.com/forms/d/1 kFaOUGYvnegHl8rVn6BXL7_wkTUQtHPvUij8w6F_MaE/edit#response=ACYDBNizMmY5nZn3A5XSLOSc6Nzpa4C... 1/3 <br />