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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />iw * R PS <br />ANNUAL FEE and REPORT RRjEOUEST <br />Marathon Oil Company <br />M-2007-067 <br />Circle Dot Quarry <br />June 4, 2009 <br />CErVL/ MAY 21 2009 <br />Divisio" of RecL-sna iow, <br />-P/ (?Aiwg and Safety <br />$323.00 (Due on or before your anniversary date) <br />Garfield <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall 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 to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report may to this form The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />man. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />?1 -1-F-he L5 -e- 2- 2_(+ <br />Permittee Name: Marathon Oil Company <br />Address: 743 Horizon Ct Ste 220 <br />Grand Junction, CO 81501 <br />Phone Number: (30g- <br />Fax Number: <br />-7 b ` ?) t{ty"' - 4?- 7--2 S <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />Date