ENFORCE22474

• Permit No: C1980006
• IBM Index Class Name: Enforcement
• Doc Date: 4/23/1986
• Doc Name: NOTICE OF PROPOSED AMOUNT OF CIVIL PENALTY REQUEST FOR CONFERENCE
• Violation No.: CV1986022
• Media Type: D
• Archive: No

MINED LAND RECLAMATION DIVISION
CERTIFICATE OF SERVICE
PERMIT N0. C-006-80
C.O. NO.
N.O.V. N0. C-86-022
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 XX b * by depositing a true
copy thereof first c ass postage prepaid in the Unite States mails at Denver,
Colorado, addressed to the operator at the address above, on April 23 ,
19~.
ignature o erson erve
if personal service
Print Name and Title
Certified Mail No. P 169 876 259
Return Recei t Requested
igna e
Michael S. Savage, Assessment Officer
Print Name and Title
* ---- Check applicable method of service.
REQUEST FOR CONFERENCE
The operator above described fiereby 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