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1/5/23,2:39 PM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> Email * <br /> ben@lewicki.biz <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> C 0 L 0 R A D 0 <br /> AIR 10-.,da Division of Reclamation, <br /> 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 /> Benjamin Miller <br /> ...................................................................................................................................................................................................................................................................................................................................... <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHI foe UraQePxvehJJac/edit#response=ACYDBNiI7bi5egWFY_Txp_MbMm-8_UW... 1/3 <br />