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1/29/25Y 5:51 PM ePermitting Administrator Change Form <br /> Permit/N01 Numbers (ie M-1987-189) P-2016-026): <br /> M2022030 M2003037 M 1977023 MI 977098 MI 977132 M 1977205 M 1978287 MI 978349 M 1979205 <br /> MI 980136 M 1981014 M 1983142 MI 986002 MI 988037 M 1991136 M 1994005 M 1994097 M 1995036 <br /> M1998014 M2000113 M2001100 M2001113 M2005021 M2005075 M2006018 M2010058 M2012050 <br /> M2002114 M 1996082 M 1990021 M 1980022 <br /> ...................I ........................ ........................................ .............. ........................................................................................................................................................................................................... <br /> ePermit Number: <br /> 821986 <br /> -........................................................................................................................................................................... <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Bartuska <br /> _............................................................................................................................................................................ <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Tyra <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 /> tyra.bartuska@unitedco.com <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 970-697-7886 <br /> -............................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHifoeUraQePxvehJJac/edit#response=ACYDBNgOQpJcVreaKh3uCtyk015OLvp5... 2/4 <br />