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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />A1'~]'QUAL FE~ and REP <br />ORT REQUEST <br />Del Hur Industries, Inc. <br />`~M-2000-039 <br />McKenna Limestone Quarry <br />Apri118, 2008 <br />$$323.00 (Due on or before your anniversary date) <br />Huerfano <br />~ ~, <br />r~ 1 ~~, <br />_ , , <br />o MAR 2 ~ Z00~ <br />~v gory o; arc 8 <br />Mrnto9 and ~a ~`on. <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 man to this form The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />mau. If no new disturbances or reclamation have occurred Burin the previous vear and no new changes to <br />the previous year's map are necessary, then no new map 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: 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 />Owner, or Designee <br />~/l ~ lO S <br />Date <br />