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Page 5 of 5 <br /> <br />Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have <br />information on record). If this information is blank or not current , please type or print current contact information: <br /> <br />Permittee Contact: <br /> <br />Martin Stuart <br />Permittee Company: <br /> <br />Marathon Oil Company <br />Address: <br /> <br /> <br /> <br />1501 Stampede Ave <br />Cody, WY 82414 <br /> <br />Phone Number: <br /> <br />(307) 527-2081 <br />Fax Number: (307) 527-2003 <br />Email Address: Mstuart@maranthonoil.com <br />Permitting Contact: <br /> <br />Brandon Danforth <br />Company: <br /> <br />Cordilleran Compliance Services <br />Address: <br /> <br /> <br /> <br />826 21-1/2 Road <br />Grand Junction, CO 81501 <br /> <br />Phone Number: <br /> <br />(970) 263-7800 <br />Fax Number: (970) 263-7456 <br />Email Address: <br />Inspection Contact: <br /> <br />Dustin Snow <br />Company: <br /> <br />Marathon Oil Company <br />Address: <br /> <br /> <br /> <br /> <br />, 00000 <br /> <br />Phone Number: <br /> <br />(970) 285-9180 <br />Fax Number: <br />Email Address: Dsnow@marathonoil.com <br /> <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in accordance with the Division approved mining and reclamation plans. <br /> <br /> <br /> <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />M-AF-01