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COLORADO DIVISION OF MINERALS AND GEOLOGY <br />COAL PROGRAM <br />Civil PeneHy Worksheet <br />I. Identification <br />II. Action <br />Permittee/Operator o ~, rte ~a ~ e ~~~ T~..dA. Penalty Assessed <br />Permit No. C - R ~- (>~~5 Proposed Amount <br />Yes No <br />1S'lor'o, o~ <br />NOV/CO No. ~- ~ "~ - O 1'],r Source of Information or Assessment <br />Date of Issuance (} S ~T S Operator/Permittee ~ Division <br />Type of Violation <br />Administrative <br />Performance Std. ~_ <br />Permit Condition ~_ <br />III. Mandatory Penalties <br />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 <br />Significant <br />LowlModerate <br />Insignificant <br />Administrative <br />C. Foul[ <br />Intentional <br />Negligence <br />Unavoidable <br />51,500 51,750 <br />51,000 51,250 <br />5250 500 <br />SO <br />5750 <br />51,000 51,250 51,500 <br />5250 5~0 5750 <br />SO <br />D. Number of Davs Penalri Assessed <br />E. Good Faith (May not exceed 51,250.00) ^ ~~ <br />Credit -Extraordinary Effort /V <br />Credit -Rapid Compliance <br />Comments <br />S~'t ~- TT.4~ if F-o <br />~~~ <br />-~' s~° <br />~~o~ <br />Total -!' ~~ s~ ' ~~ <br />~~rt,~~> i~~ .%C(E~~r/ Assessment Officer <br />Signature //~~ {~~~ u 4 <br />LQ/y~V /(O~!/~ Date ~~[ ~/ <br />Name Pr' ted <br />days <br />m:\coel\share\f ormslcpw <br />