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,. <br />SIAf'E DF COLORADO <br />,~ ~~ ~SION OF MINED LAND RECLAMATI01• <br />COAL PROGRAM <br />Civil Penalty Worksheet <br />I. Identification <br />Permlttee/Operator G D L1 C C <br />Permit No. C-g(-O3s~ <br />NOV/CO No. C~ y~.-aOz <br />Oate of Issuance oS-~L:-R,2 <br />Type of Violation <br />Administrative <br />Performance Std. l,,,~,_ <br />Permit Condition <br />II. Ac ion <br />Penalty Assessed ~i/Yes ___, No <br />Proposed Amount <br />Source of information or assessment <br />Operator/Permlttee <br />Division <br />III. Mandatory Penalties <br />Cessation Order <br />Failure to Abate ;750.00 - ;5,000,00/day X -_, days <br />Mining Without a Permit <br />IV. Penalty Calculation Criteria - Ruie 5.04.6 <br />Cateaorv Comments <br />A. History <br />`~_ NOY's past 12 months z ;50.00 /V~~ ~-Y•2'D°d .$'~a' °"~ <br />CO's past 12 months x ;250.00 iss~af 9Y7/Qz <br />B. 5ertousness <br />Severe ;1,500 31,750 SPe q~G<~~ <br />S1gn1f1cant ;1,000 ;1,250 p°9 ~ <br />low/Moderate 3250 $500 5750 ,~,5 ~~•DO <br />Insignificant ;0 <br />Administrative 5 <br />C. Fault <br />Intentional ;1,000 51,250 ;1,500 <br />Negligence ;250 3500 3750 ~ S <br />Unavoidable 50 pp` ~ <br />D. Numher of Davs Penalty Assesse <br />E, Good Faith <may not exceed ;1,250.00) <br />Credit - Extraordinary Effort <br />~- <br />Credit - Rapid Compliance <br />Assessment Officer <br />Lar L. /~ . (i~au~Prt Date cS~a~~ ~~ <br />Name Pr~j nted <br />4672E <br />_ ,Z fo, a~ <br />~Q o, o p <br /> <br />