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10/19/2020 Coal Program ePermitting Signup-Google Forms <br /> Permit Number(s) (ie C-1981-353, X-2016-321-23): <br /> ................................................................................................................................................................................ <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Pollock <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Daniel <br /> ................................................................................................................................................................................ <br /> Email address of account administrator: * <br /> The account administrator is responsible for providing the Division with a current email address for ePermitting <br /> correspondence. Please contact the Division if an existing administrator email requires updating. <br /> Dpollock@nedmining.com <br /> ................................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 kFaOUGYvnegHl8rVn6BXL7_wkTUQtHPvUij8w6F_MaE/edit#response=ACYDBNj-YgsFHaM8lxJJRgzoTscc4bOHZ... 3/4 <br />