REP00028 ‎(3)‎

ANNUAL FEE and REPORT REOiiEST RECEIVE®
PERMITTEE NAME: Reams Construction Co. AUG 2 5 2003
PERMIT NO.: M-1993-031 Division of Minerals and Geology
OPERATION NAME: Tomcat
ANNIVERSARY DATE: September 2,2003
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Montrose
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
_ shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form_ Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Earl B. Reams, II
Permittee Name: Reams Construction Co.
Address: 28490 Hwy 141
P.O. Box 106
Naturita, CO 81422
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner,or Designee
S"-/q- 03
Date
M TERMMMASTERDOCUMENTSW-AF-01