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fklp * Wr <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: J4Marathon Oil Company W-WVW <br />PERMIT NO.: ?M-2007-067 ? JUN 0 ] 2010 <br />OPERATION NAME: Circle Dot Quarry 1)iv"r' 0' iimc4mailan <br />ANNIVERSARY DATE: June 4, 2010 Wing +nd , <br />ANNUAL FEE DUE: . $323.00 (Due on or before your anniversary date) <br />COUNTY: 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 vour 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, resort, and associated <br />man. If no new disturbances or reclamation have occurred during the Previous year and no new changes to <br />the Previous vear's map are necessary, then no new maw 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 />iM -1 lGe_ _ S v e_k <br />Permittee Name: Marathon Oil Company <br />Address: 743 Horizon Ct Ste 220 <br />Grand Junction, CO 81501 <br />- <br />Phone Number: -(367) 65:7 168i <br />Fax Number: <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