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8/19/25, 10:33 AM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> Email <br /> shaggstrom@apc.us.com <br /> COLORADO <br /> Division of ReclamationLIF <br /> TM <br /> * Mining and Safety <br /> Department of Natural Resou-rces <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 /> Fremont Paving & Redi-Mix <br /> https://docs.google.com/forms/d/1 QY6C6w26MyQoAmu 1_DFtSSwVHIfoeU raQePxvehJJac/edit#response=ACYDBNhkDAovKypVi9jauVGc3aCd RAIV... 1/3 <br />