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6/27/24, 12:45 PM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> Email * <br /> bryan.jorgensen@kilgorecompanies.com <br /> ............................................................................................................................................................................. <br /> l <br /> COLORADO <br /> Alt <br /> Division f Reclamation,, <br /> 10-,ad <br /> Mixing 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 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 /> Elam Construction, Inc <br /> ............................... ........................................................................................................................... <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmul_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNgNblAiDckZ-XVPbBW-zTnZ2PK... 1/3 <br />