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7/12/24,3:24 PM Annual Report ePermitting Signup <br /> Annual Report ePermitting Signup <br /> Email * <br /> jerrycarson5a@gmai1.com <br /> COLORADO <br /> Division of Reclamation, <br /> t� <br /> ' Mixing and Safety <br /> Department of Natural resources <br /> Please complete this form to create a new ePermitting account for submittal of annual reports <br /> and fees. You will receive an email with your login information within two business days. This <br /> form is for new ePermitting account activation. If you have already enrolled in ePermitting, you <br /> should not complete this form. <br /> Name of Permittee or N01 Holder: <br /> M-1988-090 <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNhd_RAACK5V2zlcQjiKMe9KLI Fxf3j... 1/4 <br />