REP14450

• Permit No: M1978314
• IBM Index Class Name: Report
• Doc Date: 11/20/2003
• Doc Name: Annual Fee/Report Notice
• From: Frank W Hewes
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

Frank W Hewes
M-1978-314
Hewes Pit
November 22, 2003
~rov 2 0 2003
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~ECEi~'ED
division of Minerals and Geolvo~~
$281.00 (Due on or before your anniversary date)
Routt
_, _~,~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-sbow`ing-the=extent of`current disturbances-to-affected-I£nd,l' -`-=-
reclamation accomplished [o date and during [he preceding year, new disturbances that are anticipated [o occur i
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 ynnr revised written annual rennrt and anneal reppTt mad 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: Nathan W. Hewes
Permittee Name: Frank W Hewes
Address: C/O Hewes & Hewes, Inc.
Box E
Toponas, CO 80479
Phone Number: [phone]
Fax Number: ~ - - -- - - - -- -- "- - -
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.
lam"- ~''
Signature of Corporate Officer, Owner, or Designee
l~-lr-o3
Date
M:NERM 171MASTE RDOCUMENTSVN-AF-01