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6/2/2021 Annual Report ePermitting Change Form-Google Forms <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 /> kimberly.dennis@lafargeholcim.com <br /> Telephone: <br /> 214-213-7859 <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 /> Jeremy Pritchett (M-1973-007-SG, M-1973-021), Andre Laroche (M-1973-007-SG, M-1973-021, M-1977-141, M- <br /> 1977-436, M-1989-029, M-1989-120, M-1992-069, M-1994-027, M-1994-093, M-1997-014, M-1999-034, M- <br /> 1999-098, M-2000-087, M-2001-016, M-2004-031, M-2004-044, M-2004-051, M-2016-054, M-2020-058, M- <br /> 1991-035) <br /> Email address(es) of additional person(s) to notify on annual report/map/fee due date(s): <br /> jeremy.pritchett@lafargeholcim.com and andre.laroche@aggregate-us.com <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit?urlBuilderpomain=state.co.us#response=ACYDBNic... 3/4 <br />