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6/27/22, 10:28 AM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> COLORADO <br /> All Division f R lar�ati n, <br /> t� <br /> C-..akd <br /> Mining and Safety <br /> Department of Natural resources <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 <br /> administrator on existing ePermitting accounts. You will receive an email confirming your <br /> changes within two business days. <br /> Name of Permittee or NOI Holder: <br /> Lewis Energy Lands, L.L.C. <br /> Permit/NOI Numbers (ie M-1987-189, P-2016-026): <br /> M-2005-012 <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHI foe UraQePxvehJJac/edit#response=ACYDBNhuakQSAKJGvJUKvcrG5wcUYFj... 1/3 <br />