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MINED LAND RECLAMATION DIVISION <br />RTIFIC,4TE Of SERVICE <br />PERMIT NO.: C-82-055 <br />C.O. NO.: None <br />N.O.V. NO.: C-92-016 <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 August 27, 1992. <br />Certified Mail No.: P 860 170 914 <br />Return Receipt Requested-, <br />,. <br />~~' ~- <br />.' i <br />Signature of Person Ser~ded (Skgriat[ire) <br />if personal service <br />David berry, Senior Reclamation Specialist <br />Print Name and Title Print Name and Title <br />* ---- Check applicable method of service. <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 />E_v <br />(Signature) <br />Date <br />DAB/yjb <br />19 <br />4647E <br />