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10/14/25)8:37 AM ePermitting Sign-up for New Applications and Annual Reporting <br /> Currently held Permit/N01 Numbers (ie M1987189, P2016026) <br /> P2022004, P2008050 <br /> ....................................................................................................... <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Strack <br /> _............................................................................................................................................................................ <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Tim <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 /> tim.strack@americangypsum.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 /> Logan Cabi, Brian Ewert <br /> _............................................................................................................................................................................ <br /> Email address(es) of additional person(s) to notify on annual report/map/fee due date(s): <br /> logan.cabi@americangypsum.com, bewert@eaglematerials.com <br /> _............................................................................................................................................................................................................. <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNjoRmplhKljoOI8AfUTt6PWpYDSrLth... 3/4 <br />