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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Del Hur Industries, Inc. <br />M-2000-039 <br />McKenna Limestone Quarry <br />April 18, 2004 <br />RECE9VED <br />APR ~ 2 ?004 <br />Division of Minerals & Geology <br />$281.00 (Due on or before your anniversary date) <br />Huerfano <br />According to C.R.S. 34-32.5-116 or C.R.S_. 34-32-116 each year, on the anniversary date ofthe-permit, an operator <br />- '--- <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 rennrt and annual report maw to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Rick Hurworth <br />Permittee Name: Del Hur Industries, Inc. <br />Address: P.O. Box 883 <br />Hermiston, OR 97838 <br />Phone Number: (541) 567-8693 <br />Fax Number: (541) 567-8706 <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 />~~ <br />ignature of Corporate ~ficer, Owner, or Designee <br />~~~. ~I <br />Date <br />