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5/1/25,8:55AM ePermitting Sign up for New Applications and Annual Reporting <br /> ePermitting Signup for New Applications and <br /> Annual Reporting <br /> Email * <br /> shane@dirtguyslIc.com <br /> ............................................................................................................................................................................. <br /> 10C 0 L 0 R A D 0 <br /> -'aw Division of Reclamation, <br /> t� <br /> Mining and Safety <br /> Department of Natural Resources <br /> Please complete this form to create a new ePermitting account for submittal of new permit <br /> applications and/or materials for existing permits (annual reports, revision applications, and <br /> fees). You will receive an email with your login information within two business days. This form <br /> is for new ePermitting account activation. If you have already enrolled in ePermitting,you should <br /> not complete this form. <br /> Name of Permit Applicant, or existing Permittee or N01 Holder: <br /> Shane Cooper <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUgGtgfeXDsKSGkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNiHBZgcadgkPLDQyj9mtdpmrsmy7v5... 1/4 <br />