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<br />ANNUAL REPORT <br />PERMITTEE NAME: Exxon Company, U.S.A. <br />PERMIT NO.: M-80-047 <br />OPERATION NAME: Colony Shale Oil Project <br />ANNIVERSARY DATE: November Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Garfield <br />• iiiiiiiiiiiiiiiiiii <br />999 <br />-~EGE~VE~ <br />„ ,~~o <br />i tlimecaM g~eow9Y <br />9~t99C! <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Plea3e attBCh VOUr reViSed 8tlnual report m8p 8nd Wrlttell report t0 thlS ennUel <br />report. Please note that an adequately labeled map that clearly delineates and includes the above <br />elements may suffrce for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Brent D. Patterson Company: Exxon Company,,_U.S.A. <br />Address: P.O. Box 2180. Room 3629EB Phone No. (713 )656-1240 <br />City, State ZIP: Houston. TX 77252-2180 Fax No.: (713)656-6677 <br />If there aze additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />/S~ /.~.G*~~-- ~o~z7/99 <br />Signature of Corporate Officer, or Owner Date <br />