Laserfiche WebLink
~~ <br />DIVISION OF MINERALS AND GEOLOGY <br />CERTIFICATE OF SERVICE ~Cr.~/V_ <br />PERMIT NO.: C-81-044 J ` ~~ <br />APR 181994 <br />C.0. NO.: N/A <br />N.O.V. NO.: C-94-003 "''~`~~,~` <br />i~ i~ <br />~ O` .~o„ <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 P,pril 7, 1994. <br />Certified Mail No.: P lag>166 459 <br />Return Receipt Regue.sf; d' <br />Signature of Person Served <br />if personal service <br />Print Name and Title Print Nafne an 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 />Operator <br />By f <br />(Signature> <br />Date~// 19~ <br />DAB/bjw <br />0168E <br />