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iiiiiiiiiiiniiiiii <br />999 <br />STATE OF COLORADO <br />DIVISION OF MINED LAND RECLAMATION <br />COAL PROGRAM <br />Civil Penalt Worksheet <br />entt ica ion c ion <br />Permittee/Operator~~n~l ~'~~~fiRS <br />Permit No. C-(lnl- R'J <br />Date of Issuance ~ Sty <br />Type of Violation Admin. )C <br />Performance Std. <br />Permit Condition <br />III. Mandatory Penalties <br />,_7,. Cessation Order <br />N P Failure to Abate $750.00- $5000.00/day X _ days <br />N /~ Mining Without a Permit <br />IV. Penalty Calculation Criteria - Rule 5.04.6 <br />Category Comments <br />A. History <br />- O - NOV's past 12 months x $50.00 <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 <br />Insignificant $0 <br />Adminstrative $-p- <br />C. Fault <br />Reckless/Intentional $1,000 $1,250 <br />Negligence $250 $500 <br />Unavoidable $0 <br />Penalty Asses°.ed k Yes Nn <br />Source of Information for assessmer <br />Operator/Permittee_ <br />Divisio n <br />/o`.,tth{:,t<7~ y~al~/e..-/r aru/i~~u's•~~~v+~e.d <br />se/~-)„~ ~oz ~,fuvz~ ~ y a~c.~ u dna „t lsfvn f~ tea. <br />'v!D/Gt-("[~y+ . ~{~ ~lv+SlGhx pV//f ~~ 'l/a 7`" <br />Y'L~ /rc.,v . <br />$750 <br />$1 , 500 T/u. ~~'+u.+4'Y w.x-5 , cU~ n~~« .^~ <br />$750 "~ hw a,..>c/ 10 -l~l.•,,,..~ tG~ <br />reMy,- !s . <br />D. Number of Davs Penalty Assessed - / " <br />E. Good Faith* ($0 - $1,250 Reduction) Nony /Kd~~d ~'-~ t/~.=5 f"'"'~ <br />Credit - Extraordinary Effort <br />Credit - Rapid Compliance <br />*Note maximum good faith reduction cannot exceed $1,250.00 <br />~J / TOTAL ~' ZSO - c~ <br />~~./C«y`'~~"~-~~~ Assessment Officer <br />Signature <br />/!/~CNAcrJ `3 ~.A-V.4~,~ Date ,</pi-,.//4, / .,F, <br />T-, <br />Name printed <br />Doc. No. 8417 <br />