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~LSION OF MINEID ILAtIDt RECLAFIAFI~ 1 t. III IIIIIIIIIIIIIIII <br />COAL PROGRAi4 DEC 0 y ~gg~ <br />Civil Penalty Worksheet Mined Lanq <br />Rec1a~.~~_I3iViSior <br />I. Identification <br />Pennittee/Operator Sr'u•cv-scf~"~iJ,r~L"a <br />Permit tlo. C~' -~/-r ?.:'_' ~ <br />NOVlCO plo. ~~ ~'l~•"rli <br />Date of Issuance //Uy,,sJ- f_ ,~ /;°i/ <br />Type of Violation <br />Adnrlnlstratlve <br />Performance Std. iC <br />Permit Condition <br />II. Action <br />Penalty Assessed L /Yes ~ No <br />Proposed Amount <br />Source of information or assesvnent <br />Operator/Permittee <br />Division <br />III. Mandatory Penalties <br />Cessation Order <br />Failure to Abate $750.00 - $5,000.001day X days <br />Mining Without a Permit <br />IV. Penalty Calculation Criteria - <br />Category Rule 5.04.G <br />Comments <br />A. II I s lor.y <br /> n NOV's past 12 months x $50.00 <br /> CO's past 12 months x $250.00 <br />6. Seriousness <br /> Severe $1,500 $1,750 <br /> Significant $1,000 $1,250 <br /> Low/Moderate $250 $500 $750 <br /> Insignificant $0 <br /> Administrative $ <br />C. Fault ~~// <br /> Intentional $1,000 <br />Negligence $250 $1,250 <br />$500 $1,500 <br />$750 <br />f~, ~~~ yFn/:,. ~~ ~cu~ <br />~ <br />~~~ ~~P <br /> P <br />,nq~Pr~.t ,a.. /f ~PSf~'nrillll o~ <br /> Unavoidable $0 ~~,,,n ~/ rn ~„ irf t~r° /E'~ <br />fyy t~i/PI'.'frr~ ^{ <br /> / <br />D. Number of Davs Penalty Assessed <br />E. Good Faith (may not exceed $1,250.00) 7 fit' H.~s S/,Iv~"//i1/ :~ ~l~Ys ,:ll"' <br />Credit - Extraordinary Effort ;y'~?i' urS Issuiz~ <br />jCredlt - Rapid Compl~ ~,/Q^ <br />------- TOTAL ~ 1 h . ~, ,"~ <br />_,; ~ -, <br />•1!, e,.,- ~' !~~"f ~"" Assessment Officer <br />51gnaturd <br />~ ~ <br />/r4 ~ r /1; •L, ~P~i Date i 7X~~ ~l, ~ %~i'~ <br />Name PPinted ~ <br />4672E <br />