ENFORCE21129

• Permit No: C1984063
• IBM Index Class Name: Enforcement
• Doc Date: 6/21/1996
• Doc Name: NOTICE OF PROPOSED AMOUNT OF CIVIL PENALTY REQUEST FOR CONFERENCE
• Violation No.: CV1996014
• Media Type: D
• Archive: No

D~SION OF NIIIVERAI..S AND GEOI~GY
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CERTIFICATE OF SERVICE
Permit No. C-84-063
NOV No. C-96-014
I hereby certify that I served a copy of the foregoing NOTICE AND ORDER TO PAY FIXED PENALTY
on July 18, 1996, by depositing a true copy thereof, first class postage prepaid, in the United States
mail, to the operator at the address above, on July 18, 1996.
Signature of Person Served
if Personal Service
Name and Title
Certified Mail No.: Z 416 942 516
Return Receipt Requeste~j.~
Signature
Name: DAVID A. 13FaSR't
Title: Assessment Officer
REQUEST FOR CONFERENCE
The operator above described hereby requests an assessment or settlement conference as permitted by
C.R.S. 34-33-123(8).
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