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iii iiiiiiiiiiiiiiu <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-81-041 <br />RF~~~~~© <br />f ~B 22 1995 <br />N.0 V NO :. C-95 001 Dl V I SI BnurN~~~Brd~S~Ggp/o9Y <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 February 8, 1995. <br />Certified Mail <br />Return Receipt <br />Signature of Person Served <br />if personal service <br />nt Name and Title <br />296 608 650 <br />ed _ <br />ure) <br />David A6'Berrv <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 />it/fiw'12 ~ 6 /W LCYI ~ ~ ~17~/k <br />Operator <br />/ (Signature) <br />Date 2 ~~ ~ <br />19 qS" <br />DAB/bjw <br />1429E <br />