ENFORCE20896

• Permit No: C1984065
• IBM Index Class Name: Enforcement
• Doc Date: 6/22/1988
• Doc Name: NOTICE OF PROPOSED AMOUNT OF CIVIL PENALTY REQUEST FOR CONFERENCE
• Violation No.: CV1988027
• Media Type: D
• Archive: No

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MINED LAND RECLAMATION DIVISION
CERTIFICATE OF SERVICE
PERMIT N0. C-84-065
C.O. N0.
N.O.V. N0. C-88-027
I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT
OF CIVIL PENALTY on the operator therein described by _(a)* personal service
upon the operator or its representative at ,
Colorado on 19 or ~~__ * by depositing a true
copy thereo first c ass postage prepaid in the United States mails at Denver,
Colorado, addressed to the operator at the address above, on ,lima 77 ,
19 88.
ignature o erson erve
if personal service
Print Name and Tit e
Certified Mail No. P 765 476 173
Return Receipt R,queste
igna ure
A ssment Officer
Print Name and it e
* ---- Check applicable method of service.
REQUEST FOR CONFERENCE
The operator above described hereby requests an assessment or settlement
conference as permitted by C.R.S. 34-33-123(8}.
Operator
(5/85)
By
Signature
Date , 19
Doc. No. 251