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Florence Sand&Gravel Pit Consent Agreement <br /> Page 3 of 3 <br /> March 6,2024 <br /> Operator's Notarized Signature: <br /> As an authorized representative of the Applicant, I hereby attest that the Operator concedes to the above <br /> described violation and agrees to comply with the Corrective Action and Civil Penalty proposed in this <br /> STAFF SUMMARY FORM FOR CONSENT AGENDA ITEMS. <br /> Signed and dated this I ! day of ( `&rc,L ,2024. <br /> LnelS 11on (c ntrt�1 .LCL <br /> (Applicant)1/4-) <br /> Signature: �. <br /> Title: Co r / c. Scc re..1-407/ <br /> State of �9 1 o r.,,[0 <br /> County of <br /> The foregoing instrument was acknowledged before me this 11 day of Aft,1 ,2024, <br /> by Zac, �S.. s as Kr(.r•.lc- SccrrLyf Ian C r+t <br /> liriarakaNhAirdWribralrillbribradr <br /> SHARON KAYE TURNER ► Notary Pu lic <br /> I NOTARY PUBLIC-STATE OF COLORADO <br /> NOTARY ID 2017401604 <br /> I MY COMMISSION EXPIRES APR 17,2025 <br /> My Commission Expires: 4/17)25-- <br /> SIGNATURES <br /> /1725SIGNATURES MUST BE IN BLUE INK <br />