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M <br />Operator's Notarized Signature: <br />STAFF SUMMARY FORM FOR CONSENT AGENDA ITEMS <br />Robins Rock Pit, Permit No. M- 2009 -053 <br />As an authorized representative of the Operator, I hereby <br />attest that the Operator concedes to the above described violation and agrees to comply with <br />the Cease and Desist Order, Corrective Action, and Civil Penalty proposed in this STAFF <br />SUMMARY FORM FOR CONSENT AGENDA ITEMS. <br />Signed and dated this �_ day of G`- 2014. <br />Robins Construction, LLLP <br />(Operator) <br />Sign atu re: 4t <br />Title: /2 <br />State of C— 6 10 Y o` � O ) <br />County of L o V� t- Z-0 S <br />ST <br />The foregoing instrument was acknowledged before me this day of A a 2014, <br />by Pobi!l5 as �a- e�AVOL I ParTn-tYof 966iKI Cohsr Acrj'evn j.LL %c7 <br />r <br />Ec-,t <br />MAROS Notary Public <br />�Q . o�ARY <br />O <br />My Commission Expires: _ D 15 <br />a <br />PUB O <br />,q 7,E pF GOv Aes SIGNATURES MUST BE IN BLUE INK <br />Gom�•8 2�1y <br />MFee��aN <br />