2018-01-26_GENERAL DOCUMENTS - M2007067

• Permit No: M2007067
• IBM Index Class Name: General Documents
• Doc Date: 1/26/2018
• Doc Name Note: Request for S.O.
• Doc Name: Correspondence
• From: DRMS
• To: Marathon Oil Company c/o Caerus Oil and Gas LLC
• Email Name: ACY
• Email Name: GRM
• Email Name: BJC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215 CC E O RA D
pI1r1 $ION OF
Denver, Colorado 80203 RECLAMATION
Phone: [phone] MINING
FAX- [phone] —&—
SAF ETY
APPLICATION FORM
FOR TRANSFER OF MINERAL PERMIT AND
SUCCESSION OF OPERATORS
ADMINISTRATIVE INFORMATION
Permit Information
Permit Number:
Operation Name:
Permittee Information
Contact Person:
Company Name:
Street Address:
City:
State: Zip:
Phone: ( )
Email (optional):
Prospective Successor Information
Contact Person:
Company Name:
Street Address:
City:
State: Zip:
Phone: ( )
Email (optional):
Office of Office of
Mined land Reclamation Denver • Grand Junction • Durango Active and
Inactive Mines