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2025-03-31_GENERAL DOCUMENTS - M2006054
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2025-03-31_GENERAL DOCUMENTS - M2006054
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Last modified
3/31/2025 11:32:30 AM
Creation date
3/31/2025 11:26:17 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2006054
IBM Index Class Name
General Documents
Doc Date
3/31/2025
Doc Name
Epermitting Administrator Change Form
From
Mid-States Materials, LLC
To
DRMS
Media Type
D
Archive
No
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3/31/25, 11:26 AM ePermitting Signup for New Applications and Annual Reporting <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Nicholas <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 /> njackson@bettisasphalt.com <br /> Name(s) and Permit Number(s) of any additional person(s) to notify on annual report/map/fee <br /> due date(s): <br /> Cole Andersen- M2006054 <br /> Email address(es) of additional person(s) to notify on annual report/map/fee due date(s): <br /> candersen@bettisasphalt.com <br /> ............................................................................................................................................................................. <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUgGtgfeXDsKSGkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNio514o9DbIPp9cAz2003ZnmOBf1 kx... 3/4 <br />
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