2024-02-27_PERMIT FILE - M1988090

• Permit No: M1988090
• IBM Index Class Name: Permit File
• Doc Date: 2/27/2024
• Doc Name: Consent Agenda Summary Form
• From: DRMS
• To: Jerry Carson - GRC Consulting, Inc
• Email Name: RAR
• Email Name: JLE
• Email Name: GRM
• Media Type: D
• Archive: No

Deer Trail Pit Consent Agreement
Page 3 of 3
February 28,2024
Operator to comply by the Board Order due date shall result in the suspended portions of the civil
penalty, $5,800 becoming effective and due.
Operator's Notarized Signature:
As an authorized representative of the Applicant, I hereby attest that the Operator concedes to the above
described violation and agrees to comply with the Corrective Action and Civil Penalty proposed in this
STAFF SUMMARY FORM FOR CONSENT AGENDA ITEMS.
Signed and dated this day of 12024.
(Applicant)
Signature:
Title:
State of
County of
The foregoing instrument was acknowledged before me this day of 12024,
by as of
Notary Public
My Commission Expires:
SIGNATURES MUST BE IN BLUE INK