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,~ <br />~ STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver. CO 80203 <br />303 866-3567 <br />Fa x: 303 832-Bt06 <br />MINED LAND RECLAMATION DIVISION <br />~F ~~r0 <br />ti~~g7p <br />vie' o <br />•'a ~.:'~ <br />~ le'!6 ~ <br />Roy Romer. <br />Govemar <br />Faetl R. Santa. <br />Division Director <br />CERiiFIC,4TE OF SERVICE <br />PERMIT NO.: C-31-015 <br />C.O. NO.: <br />N.O.V. NO.: C-91-024 <br />I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT <br />OF CIVIL PENALTY on the operator therein described by depositing a true copy <br />thereof first class postage prepaid in the United States rails at Denver, <br />Ulorado, addressed to the operator at the address above, on October 24, 1391. <br />Certified M ~-~ .: P 42i ^:SO 376 <br />R2 turn e •2gcested <br />Signature of Person Served G -' ~~ (Signature) <br />if personal service <br />David A. berry <br />Print Name and Title Senier Reclamati n Specialist <br />---- Check applicable method of service. <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-123(3). <br />Operator <br />DAB/eke/3956F <br />By <br />Date <br />(Signature <br />19 <br />