2015-06-25_ENFORCEMENT - M1980244 ‎(2)‎

• Permit No: M1980244
• IBM Index Class Name: ENFORCEMENT
• Doc Date: 6/25/2015
• Doc Name: Receipt of Payment
• From: Cripple Creek & Victor Gold Mining
• To: DRMS
• Violation No.: MV2015005
• Media Type: D
• Archive: No

M-1998-101
Tony J. Beltramo and Sons, Inc.
June 25, 2015
Page 3 of 3
Operator(s) Signature:
As an authorized representative of the Operator, I hereby attest that the Operator concedes to the above
described violation and agrees to comply with the cease-and-desist order, corrective action, and civil
penalty proposed in this STAFF SUMMARY FORM FOR CONSENT AGENDA ITEMS.
Signed and dated this day of 52015.
Tony J. Beltramo and Sons, Inc.
(Operator)
Signature:
Title:
State of
County of
The foregoing instrument was acknowledged before me this day of 12015,
by
as of
Notary Public
My Commission Expires:
SIGNATURES MUST BE IN BLUE INK