Laserfiche WebLink
<br />MINED LAND RECLAMATION DIYISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: Cj~~7-C1C( <br />C.O. NO.: N //} <br />N.O.V. NO.: L'--q3-C-2c: <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 _ _ (a)*-pe^so^a~ ~prvice <br />u ati-ve-at ''~l ~-..do <br />r ,~ (b) y eposi ing a rue copy ttiereef <br />firs c ass pos age prepaidin the ni ed States mails at Denver, Colorado, <br />addressed to the operator at the address above, an y 17 195. <br />i / ~. <br />Cer't3fied Mail No.: ~ <br />Rewrn Receipt Reques ems" <br />~gnuture o er~on ,,erne ignaa:rz, <br />if personal service <br />ri n ame an i u e r n mne an i e <br />---- Check aFpl:caS',2 method cf service. <br />REQUEST FOR CONhERENC"c <br />The operator above described hereby requests an assessment or settlement <br />conference as permitted by C.R.S. 34-33-i23(oj. <br />Cperatcr <br />8y <br />igna re <br />Date 19 <br />05 /90 <br />0311 (f) <br />