2017-04-28_REPORT - M2007067

• Permit No: M2007067
• IBM Index Class Name: Report
• Doc Date: 4/28/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Marathon Oil Company
• Annual Report Year: 2017
• Media Type: D
• Archive: No

Page 5 of 5

Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have
information on record). If this information is blank or not current , please type or print current contact information:

Permittee Contact:

Martin Stuart
Permittee Company:

Marathon Oil Company
Address:

1501 Stampede Ave
Cody, WY 82414

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:

Brandon Danforth
Company:

Cordilleran Compliance Services
Address:

826 21-1/2 Road
Grand Junction, CO 81501

Phone Number:

[phone]
Fax Number: [phone]
Email Address:
Inspection Contact:

Dustin Snow
Company:

Marathon Oil Company
Address:

, 00000

Phone Number:

[phone]
Fax Number:
Email Address: [e-mail]

I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.

Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date
M-AF-01