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STATE OF COLORADO <br />OI~ION OF MINED LAND RECLAMATION <br />COAL PROGRAM <br />Civil Penalty Worksheet <br />I. Identification <br />Perms ttee/Operator /QiY. S~l~e~cf C~4/~~ <br />Permit No. C'~l-O/5 <br />NOVlCO No. f-yl'O~~I <br />Date of Issuance 9/aY/Ql <br />Type of Violation <br />Administrative <br />Performance Std. <br />Permit Condition <br />II. Action <br />Penalty Assessed / Yes No <br />Proposed Amount ~ 65J•0~ <br />Source of information or assessment <br />Operator/Permtttee <br />Dtv151on / <br />III. Mandatory Penalties <br />Cessation Order <br />~v(~ Failure to Abate $750.00 - $5,000.00/day X _ days <br />Mining Without a Permit <br />IV. Penalty Calculation Criteria - Rule 5.04.6 <br />Cateaorv Comments <br />A. History <br />3 NOV's past 12 months x $50.00 . ~IS(~,00 <br />CO's past 12 months x $250.00 <br />B. Seriousness <br />Severe $1,500 $1,750 <br />Significant $1,000 $1,250 <br />Low/Moderate $250 500 $750 ~$OO • ~ l) <br />Insignificant $0 <br />Administrative $ <br />C. Fault <br />Intentional <br />Negligence <br />Unavoidable <br />$1,000 $1,250 <br />$250 $500 <br />$1,500 _ ~ 0 0 ~ <br />$750 <br />D. Number of Davs Penalty Assessed <br /> <br />E. Good Faith (may not exceed $1,250.00) <br />Credit - Extraordinary Effort ~1 m ? <br />Credit - ~p/~mpliance <br />TOTAL 650.0 (7 <br />Assessment Officer <br />SiCr" grla~ure <br />l/ („_~ ~irrr, Date ~J/2y~u~ <br />Name rinted <br />4672E <br />