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DIVISION OF RECLAMATION, MINING AND SAFETY <br />CERTIFICATE OF SERVICE <br />Permit No. C-1981-035 <br />NOV No. CV -2015-001 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED CIVIL PENALTY on GCC <br />Energy, LLC by depositing a true copy thereof, first class postage prepaid, in the United States mail, to the <br />operator at the address above, on June 4, 2015. <br />Signature of Person Served <br />if Personal Service <br />Certified Mail No.: 7010 1060 0001 0936 0734 <br />Return Receipt Requested <br />Signature <br />Name: Daniel I. Hernandez <br />Name and Title Title: Assessment Officer <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement conference as permitted by <br />C.R.S. 34-33-123(8). <br />GCC Energy, LLC <br />Operator <br />By <br />(Signature) <br />Date <br />