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12/10/2019 Annual Report ePermitting Signup-Google Forms <br /> QUESTIONS RESPONSES 11098 <br /> 1 ,098 responses <br /> SUMMARY INDIVIF'I I A I Accepting responses • <br /> 1098 of 1098 � ■ <br /> Responses cannot be edited <br /> Annual Report ePermitting Signup <br /> Required <br /> C 0 L 0 R A D 0 <br /> Division cif F eclamation, <br /> 10 V <br /> YM I�iining and Safty <br /> Dcpartrncnt of Natural Resources <br /> Please complete this form to create a new ePermitting account for <br /> submittal of annual reports and fees. You will receive an email with <br /> your login information within two business days. This form is for <br /> new ePermitting account activation. If you have already enrolled in <br /> ePermitting, you should not complete this form. <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNimRz4YelCvt1 nRf3F9vqrGLJy6Q9k... 1/5 <br />