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Si111 E CF COLi)RAU~ <br />~ ~. DIVISION OF ~M[NI:D LAND RECLP.14P,iI0N <br />C0~4L PROGRAM <br />Civil Penalty Worksheet <br />I. Identification <br />Permittee/Operator p¢1'~ i1~,~~. <br />Permit No. C-BU-oUl __ <br />NOV/CO No. G-`13- oZY___ <br />Date of Issuance 4~5~9~ ___ <br />Type of Violation __ <br />Administrative ___. <br />Performance Std. _k_ _ <br />Permit Condition ~___ <br />II. Acticn <br />Penalty Assessed ~_Yr.s __ No <br />Proposed Amount I,~S `~~ _ <br />Source of information or assessment: <br />Operator/Permittee <br />Division <br />III. Mandatory Penalties <br />N/} Cessation Order <br />NA Failure to Abate $750.00 ~• $5,000.00lday X days <br />N/_ Mining Without a Permit <br />IV. Penalty Calculation Criteria - Rdle 5.04.6 <br />Category Comments <br />A. History <br />_~ NOV's past 12 months x $50.00 <br />V CO's past 12 months x $250.00 <br />B. Seriousness <br />Severe $1,500 $1,750 <br />Significant ~_0~ $1,25U <br />Low/Moderate $250 $500 <br />InslgniPlcant $0 <br />Administrative $ <br />C. Fault <br />~vidP~,t ;H ~~I' c,r~ 5~~e PH~~as ltiA~,~~t <br />Slynr~~iCCN~ troSwh pn S~D~rc~ Grtc,S, <br />$15U LHrSc y.,ll; •; -,,,,/ ~cCVrrr~1 ~~,..~ nul;~~ <br />.J PN~. 145 ~c tv~ jN+n~•~a ~~.I. <br />J ~,F;,M 1 <br />Intentional $1,000 $1,250 $1,500 <br />Negligence $250 $500 750 <br />Unavoidable $0 <br />D. Number of Davs Penalty Assessed <br />lUJ E:~~uIPlNiP p~, INir,~l'i~..~hl /i~MCt>~^QIi.N~{ <br />Tk ~~IE' j ho,.~e~ar tro5~~`'' ~-~( tht l <br />mi~~jr~4.,J~+ ob<ef,,r~1 rl~~ltt'~.~rs <br />~,P~~~..~~F rur5~a~~uble ~r51;~e+,rc, <br />E. Good Faith (may not exceed $1,250.00) <br />Credit - Extraordinary Effort ~0 r~i~ev' "~ M~7 f,~^P <br />Credit - Rapid Compliance <br />1,~7s ~ <br />-~ ~ _ ___ TOTAL <br />Assessment Offtc~ar <br />n <br />4672E <br />Date, ~ 22 9.3-_--- <br /> <br />