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COLORADO DIVISION OF MINERALS AND GEOLOG • <br />COAL PROGRAM <br />Civil Penalty Worksheet <br />I. Identification II. Action <br />Permittee/Operator TW 1 u RA1ES ~ NV t:STt+le rstPenalty Assessed <br />Permit No. C-g3 -OS$ Proposed Amount <br /> <br />Yes No <br />OV CO No. C' ~~' 00$ Source of Information or Assessment <br />Date of Issuance ~I~9 /9~ Operator/Permittee Division <br />Type of Violation <br />Administrative x <br />Performance Std. <br />Permit Condition <br />III. Mandatory Penalties <br />Cessation Order <br />Failure to Abate 5750.00 - S5,000.00/day x days <br />Mining without a Permit <br />IV. Penalty Calculation Criteria -Rule 5.04.6 <br />Category <br />Comments <br />A. History <br />NOVs past 12 months x S50.00 <br />COs past 12 months x 5250.00 <br />B. Seriousness <br />Severe 51,500 S1,750 <br />Significant 51,000 51,250 <br />Low/Moderate S250 5500 S750 <br />Insignificant SO <br />Administrative <br />C. Fault <br />Intentional S1,000 51,250 51,500 <br />Negligence 5250 S500 S750 <br />Unavoidable SO <br />D. Number of Davs Penalty Assessed <br />E. Good Faith (May not exceed S1,250.00) <br />Credit -Extraordinary Effort <br />Credit -Rapid Compliance <br />Total <br />Signature <br />Name Printed <br />Assessment Officer <br />Date <br />m:lcoal\shere\f orms\cp w <br />