_ENFORCEMENT - C1981017 ‎(16)‎

• Permit No: C1981017
• IBM Index Class Name: Enforcement
• Doc Name: Bid Documents ‎(IMP)‎ CV-89-032
• Violation No.: C-89-032
• Media Type: D
• Archive: No

WBC
MINED LAND RECLAMATION DIVISION
CERTIFICATE OF SERVICE
PERMIT NO. C-81-017
C.O. NO.
N.O.V. NO. C-8q-032
I hereby certify that I served a copy of the foregoing NOTICE OF PROPOSED AMOUNT
OF CIVIL PENALTY on the operator therein described by (a)* personal service
upon the operator or its representative at ,
Colorado on , 19 , or * by depositing a true
copy thereof first class postage prepaid in the n1teU
States mails at Denver,
Colorado, addressed to the operator at the address above, on nPrPmhar 91 ,
19 -
Certified Mail No. P 767 447 543
Return Rece' t equested
Signature of Person Served (Signatitre)
if personal service
Michael S. Savage, Assessment Officer
Print Name and Title Print Name and Title
* ---- Check applicable method of service.
REQUEST FOR CONFERENCE
The operator above described hereby requests an assessment or settlement
conference as permitted by C.R.S. 34-33-123(8).
Operator
By
Signature
Date 19
(5/85)
Doc. No. 251