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COLORADO DIVISION OF MINERALS AND GEOLOGY <br />COAL PROGRAM <br />Civil Penalty Worksheet <br />I. Identification <br />Permittee/Operator <br />Permit No. <br />NOV/CO No. <br />Date oflssuance <br />Type of Violation <br />l~owi2 ~PSo.tn;PSl_fic( <br />C~Q7- 0O5 <br />6~ S-Q7 <br />Administrative <br />Performance Std. _~~ <br />Permit Condition <br />III. Mandatory Penalties <br />Cessation Order <br />Failure to Abate 5750.00 - S5,000.00/day x <br />Mining without a Permit <br />days <br />No <br />Division <br />IV. Penalrv Calculation Criteria -Rule 5.04.6 <br />' Category Comments <br />A. History <br />S~ ~~~ti~P4~, <br />NOVs past 12 months x 550.00 <br />COs past 12 months x 5250.00 <br />B. Seriousness <br />Severe Sy5QD_ 51,750 <br />Significant 51,000 51,250 <br />Low/Moderate S250 5500 S750 <br />Insignificant 50 <br />Administrative <br />C. Fault <br />Intentional 51,000 S1,250 S 500 <br />Negligence S250 5500 5750 <br />Unavoidable SO <br />D. Number of Davs Penalty Assessed <br />E. Good Faith (May not exceed S1,250.00i <br />Credit -Extraordinary Effort ~~ <br />Credit -Rapid Compliance <br />Total ~7t7 ~, Da <br />!/LG~ ~Ei2C~:T!^'r/ Assessment Officer <br />r <br />~~ <br />Signature <br />LQ ~~~JU~Prz Date ~- ~ 7- rf 7 <br />Name Print d <br />II. Ac ion <br />Penalty Assessed ~ Yes <br />Proposed Amount <br />Source of Information or Assessment <br />Operator/Permittee <br />m:\coel\sha re\f o rms\cp w <br />