Laserfiche WebLink
iii iiiiiiiiiiiiiiii <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-69-074 <br />C.O. NO.: N/A <br />N.O.V. NO.: C-93-152 <br />J.'., ' <br />~.~ <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 mails at Denver, <br />Colorado, addressed to the operator at the address above, on December 31, 1993. <br />Signature of Person Served <br />if personal service <br />Print Name and Title <br />Certified Mail No.: P 296 525 809 <br />Return Receipt R nested <br />(Signature) <br />David' A. Berry <br />Senior Environmental Protection Specialist_ <br />Print Name and Title <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(8). <br /> <br />Operator <br />(Signature) <br />Date ~ _ T 19~ <br />DAB/scm <br />9606E <br />