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7/31/25, 11:31 AM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> Email <br /> nataliesarff55@gmail.com <br /> C 0 L 0 R A D 0 <br /> 41 Division of Reclamation,, <br /> TM <br /> � Mining a� 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 /> Highbury <br /> ........................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu 1_DFtS5wVH IfoeUraQePxvehJJac/edit#response=ACYDBN ioGd ICkaJ fjsSfPh87EbQEgjsOnlx... 1/3 <br />