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7/11/22, 12:51 PM Annual Report ePermitting Signup <br /> Annual Report ePermitting Signup <br /> COLORADO <br /> Division of Reclamation,, <br /> t� <br /> ' Mining and Safety <br /> D partim nt of Natural resources <br /> Please complete this form to create a new ePermitting account for submittal of annual <br /> reports and fees. You will receive an email with your login information within two business <br /> days. This form is for new ePermitting account activation. If you have already enrolled in <br /> ePermitting, you should not complete this form. <br /> Name of Permittee or NOI Holder: <br /> Sean Muller <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Street Address: <br /> 4415 Caribou Road <br /> https:Hdocs.google.com/forms/d/1 lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNh 1 X3ETAU7G 1 yC9POUBdXt6OnEJ... 1/4 <br />