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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver, CO 80203 <br />303 666-3567 <br />RA x. 303 832.8106 <br />MINED LAND RECLAMATION DI`/ISION <br />CERTIFICATE OF SERVICE <br />PERMIT NO.: C-31-015 <br />C.O. NG.: <br />N.O.V. NO.: C-91-024 <br />OF CO/-0 <br />~4' _~y <br />Nc j.~] . p <br />•.: ~) y.0 <br />ra 76 ~ <br />Roy Romer. <br />Governor <br />Fred R Banta, <br />Division Direnor <br />T 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 Unitzd States mails at Denver, <br />Colorado, addressed to the operator at the address ahoy=, on Octcb?~ 2a, 1991. <br />Certified M '-~ .: P 42i 450 376 <br />Return~~ ,equestzd <br />/ i~ <br />Signature of Person Served G. ' ~ ~~ (Signature) <br />if personal service <br />David A. Berry <br />Print Name and Title Senior Reclamati n Specialist <br />* ---- Check applicable method of service. .- <br />REQUEST FOR CONFERENCE <br />The operator above described hereby requests an assessment or settlement <br />confzrence as permitted by C.R.S. 34-33-123(8). <br />Operator <br />By <br />Da*_e <br />gnature) <br />19 <br />DAB/eke/8956F <br />