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STATE OF COLORADO <br /> DIVISION!OF RECLAMATION,MININr- Akin enre'ry <br /> Department of Natural Resources <br /> C O L O R A D O <br /> 1313 Sherman St,Room 215 <br /> M1980-047 SO01 DIVISION OF <br /> Denver,Colorado 80203 — RECLAMATION <br /> Phone:(303)866-3567 /Complied! :Violations MINING <br /> FAX:(303)832-8106 3 Minor Infractions ACYlthmQxtfawa _&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS RECENEa <br /> ADMINISTRATIVE INFORMATION JUL 0 7 2021 <br /> DIVISION OF RRCI.AMATK <br /> MINING S SAFETY <br /> Permit Information <br /> Permit Number: M-1980-047 <br /> Operation Name: Colony Shale Oil Project <br /> Permittee Information <br /> Contact Person: Dewey Chalos <br /> Company Name: Exxon Mobil Corporation c/o XTO Energy Inc. <br /> Street Address: 110 W. 7th Street <br /> city: Fort Worth <br /> State: Texas Zip: 76102 <br /> Phone: ($17 ) 885-2362 <br /> Email (optional): Dewey.Chalos@exxonmobil.com <br /> Prospective Successor Information <br /> Contact Person: Dave Bowers <br /> Company Name: Caerus Cross Timbers LLC <br /> Street Address: 143 Diamond Avenue <br /> city: Parachute <br /> State. Colorado Zip: 81635 <br /> Phone: (970 ) 285- 2900 <br /> Email(optional): Dbowers@caerusoilandgas.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />