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1/27/25Y 12:09 PM ePermitting Signup for New Applications and Annual Reporting <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Ed <br /> ..................................................................................................................................................................... <br /> Email address of account administrator: <br /> The account administrator is responsible for providing the Division with a current email address for <br /> ePermitting correspondence. Please contact the Division if an existing administrator email requires <br /> updating. <br /> eseymour@qb-energy.com <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 /> _............................................................................................................................................................................ <br /> Email address(es) of additional person(s) to notify on annual report/map/fee due date(s): <br /> _............................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsKSGkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgrHtNgGiWAkPI-OpMWgOsdQcYW... 3/4 <br />