2017-08-18_REPORT - M2001002

• Permit No: M2001002
• IBM Index Class Name: REPORT
• Doc Date: 8/18/2017
• Doc Name: Annual Fee/Report/Map
• From: Reams Construction Co.
• To: DRMS
• Annual Report Year: 2016
• Email Name: DMC
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have
information on record). If this information is blank or not current,please type or print current contact information:
Permittee Contact: John Reams
Permittee Company: Reams Construction Co.
Address: 31527 Hwy 141
P O Box 106
Naturita, CO 81422
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: John Reams
Company: Reams Construction Co
Address: 31527 Hwy 141
P O Box 106
Naturita, CO 81422
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: John Reams
Company: Reams Construction Co
Address: 31527 Hwy 141
P O Box 106
Naturita, CO 81422
Phone Number: [phone]
Fax Number:
Email Address:
I,the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
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Signature of Wrmittee, Cor orat Officer,Owner,or Documented Designee Date
M-AF-01