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10/31/22,5:45 PM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> C 0 L 0 R A D 0 <br /> Division f Reclamation,, <br /> Ali& <br /> ID Mining and Safety <br /> Department of Natural Resources <br /> Please complete this form to update the ePermitting Administrator for submittal of annual <br /> reports and fees. This form is for changing the name and/or email address of the administrator <br /> on existing ePermitting accounts. You will receive an email confirming your changes within two <br /> business days. <br /> Name of Permittee or N01 Holder: <br /> Costilla County <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Permit/N01 Numbers (ie M-1987-189, P-2016-026): <br /> M-1999-024 <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNiMZxI_Wp3y1 U6-01 FOuv9RZ1 yj... 1/3 <br />