2019-11-21_GENERAL DOCUMENTS - M1977410

• Permit No: M1977410
• IBM Index Class Name: General Documents
• Doc Date: 11/21/2019
• Doc Name: Epermitting Administrator Change Form
• From: Calais Resources Colorado, Inc.
• To: DRMS
• Media Type: D
• Archive: No

11/21/2019 Annual Report ePermitting Change Form-Google Forms
Name of Permittee or NOI Holder:
Thomas S. Hendricks
Permit/NOI Numbers (ie M-1 987-189) P-2016-026):
M-1977-410
ePermit Number:
512345
........................................................................................................................................
Last Name of individual who will act as account administrator for the
ePermitting account:
Greer
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First Name of individual who will act as account administrator for the
ePermitting account:
Briana
Email address of account administrator:
The account administrator is responsible for providing the Division with a current email address for
ePermitting correspondence. Please contact the Division if an existing administrator email requires
updating.
[e-mail]
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