2016-05-05_ENFORCEMENT - M1977094

• Permit No: M1977094
• IBM Index Class Name: Enforcement
• Doc Date: 5/5/2016
• Doc Name: Consent Agenda Summary Form
• From: DRMS
• To: Morgan Sand and Gravel Inc.
• Email Name: ECS
• Media Type: D
• Archive: No

M1977-094
Consent Agenda Form
May 5, 2016
Page 3 of 3
Operator's Notarized Signature: As an authorized representative of the Permittee, I hereby attest
that the Permittee 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 , 2016.
Greg Westoff
(Operator and authorized representative of Morgan Sand and Gravel Inc.)
Signature:
Title:
State of )
) ss.
County of )
The foregoing instrument was acknowledged before me this day of April, 2016,
by as of
Notary Public
My Commission Expires:
SIGNATURES MUST BE IN BLUE INK