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<br />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 of Issuance <br />Type of Violation <br />II. Action <br />Penalty Assessed _X Yes No <br />Proposed Amount _[~7Sy <br />Source of Information or Assessment <br />Operator/Permittee Division ~c <br />LtiOf/S EmO~- ~JY~ <br />-~ <br />G-SI-oNy <br />C-94- 003 <br />3~3r/9'i <br />Administrative X <br />Performance Std. x <br />Permit Condition ~` <br />III. Mandatory Penalties <br />d~4 Cessation Order <br />Failure to Abate 5750.00 - 55,000.00/day x <br />Mining without a Permit <br />IV. Penalri Calculation Criteria -Rule 5.04.6 <br />Category <br />A. History <br />_ _ ~. NOVs past 12 months x 550.00 <br />$' COs past 12 months x 5250.00 <br />B. Seriousness <br />Severe 51,500 <br />Significant 1,000 <br />Low/Moderate 250 <br />Insignificant 0 <br />Administrative <br />C. Fault <br />Intentional S1,00 <br />Negligence 250 <br />Unavoidable 0 <br />S 1,750 <br />1, 250 <br />500 <br />Comments <br />Flo a/~Aemt aa11t1~~ iw+m~~~..~r <br />~r,r/YN~ ~pwYN~ ~y,~X~ <br />750 i w`(jtAcs 1k DW(i i ab.~rfiy <br />2nNl'Ivw..~~-1 ~r.r~7, <br />~n /y do r'i e,.~ <br />MAN" /`r <br />'fD tisy55 <br />'~Ftn t+„~~vr i2i O~~Y~"'E} '~o a55c55~ ~hlwtv°'Y t <br />51,250 51,500 'r <br />500 750 '/t-o. s~-'~t~'^a„~ (e5 c./rl~ ,itno.rPO,.e/ <br />D. Number of Davs Penalri Assessed <br />E. Good Faith (May not exceed 51,250.001 <br />Credit - Extral <br />Credit -Rapid <br />N~ <br />bi a ~,~~R/~ q~e..~ 1o Co/e/ <br />m~.j <br />m~sca vhw+i+ori~t~, \..l.e'Ite,r 1w, wc~-..~.1 <br />mor~fiuf~ rtvr35;~• „vHy ~r1~f„1 av ,n•Sr~9Y•,~ <br />~5 wig ~! {. b~ r rer..vt~ ,~ilt3 (`-r.~~+v•~1y°I~ <br />~c~ rr35 o/I <br />~`e"^ rcre~~t dtf~•1•a Sor.i};v,~ 1. ary rrr/•,1 <br />Total ~/ _ 75` lJ <br />Assessment Officer <br />Date 4 4 `1N <br />days <br />m:lcoal\shere\f orms\cpw <br />