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1/8/2021 Annual Report ePermitting Signup-Google Forms <br /> Permit/NOI Numbers (ie M-1987-189, P-2016-026): <br /> ................................................................................................................................................................................ <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> mittasch <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Richard <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 /> rmittasch@optonline.net <br /> ................................................................................................................................................................................ <br /> Name(s) and Permit Number(s) of any additional person(s) to notify on annual report/map/fee <br /> due date(s): <br /> Daniel Pollock <br /> Email address(es) of additional person(s) to notify on annual report/map/fee due date(s): <br /> DPollock@nedmining.com <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit?urlBuilderpomain=state.co.us#response=ACYDBNglAtP... 3/4 <br />