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<br />Civil Penalty Worksheet <br />I. Identification /~ II. Action <br />Permittee/Operator /~ r~;.pvt /i (plc/CO Penalty Assessed ~ Yes No <br />P mit No. l ~d Z ,,-/QJ"w~~A~'~/ Proposed Amount <~~7JrOt ~~ <br />NOV O No. t^-9Y-'U`(/Py~ Source of Information or Assessment <br />Date of Issuance 3' ~'97 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 days <br />Mining without a Permit <br />IV. Penalty Calculation Criteria -Rule 5.04.6 <br />Comments <br />A. Histo <br />NOVs past 12 months x S50.00 <br />COs past 12 months x S250.00 <br />B. Seriousness <br />Severe <br />Significant <br />Low/Moderate <br />Insignificant <br />Administrative <br />C. Fault <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />COAL PROGRAM <br />51,500 51,750 <br />1,000 1,250 <br />250 500 <br />0 <br />S750 <br />Intentional 51,000 51,250 51,500 <br />Negligence 250 500 <br />Unavoidable 0 <br />D. Number of Davs Penalri Assessed <br />L <br />- <br />E. Good Faith (May not exceed 51,250.00) <br />Credit -Extraordinary Effort ~/ <br />Credit -Rapid Compliance <br />SL~~ /9-TTIPC(f~ <br />Total <br />/~t=.fLi(~~~//'" /rs.~i/~F/ Assessment Officer <br />S' ature ,,~ /~ / <br />Q/Y~/ ' Q°ul/ psi Date ( Z'7 - 9C< <br />Name P nted <br />'j So, <br />m:lcoallshere\fo rmslcp w <br />