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<br />S1FTE OF COLORADO
<br />DIVISIOFI Ill' MINERALS AND GEOLOGY
<br />r:OAL PROGRAM
<br />Civil Penalty Worksheet
<br />I. Identification
<br />Penns ttee/Operator r~~c Cf.Jo,Q
<br />Permit No. ~-~'l-O`f/
<br />Date of Issuance _Q~/S ~~j'3
<br />Type of Violation ~('rp/oj~Z
<br />Administrative
<br />Performance Std. y
<br />Permit Condition
<br />III. Mandatory Penalt_tes
<br />'Cessation Order
<br />II. Action
<br />Penalty Assessed ~_Yes No
<br />Proposed Amount ~/(~p~
<br />Source of information or assessment
<br />Operator/Perrnittee
<br />Division //
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<br />Wrf~rn /S =coal ~r,2~cP ~c//vL~,.t~
<br />iece!/~ f- L~ n/D
<br />Failure to Abate $750.00 - $5,000.00/day X days
<br />IQining Without a Permit
<br />IV. Penalty Calculation Criteria -Rule 5.04.E
<br />Category _ Comments
<br />A. H15t0~ q~-3G/9a-37 42-3b/ ~i3-c~fn..d ,~'~S~Joo
<br />~j,'v-e_ NOV's past 12 months x $50.00 4~^cS kewc ...eC 1~., par~i a.~f
<br />V a,-~ aLC Ptnf c..CC u~~~af f.•r.2rC~
<br />CO's past 12 months x 5250.00
<br />B. Seriousness
<br />Severe 51,',.00 $1,750
<br />Significant $1,00 $1,25J
<br />Low/14oderate 5250 $500 $750
<br />Insignificant $0
<br />Administrative $ '
<br />C. Fault
<br />Intentional $1,000 $1,250 $1,500
<br />Negligence 5250 $500 $750
<br />Unavoidable 50
<br />D. Number of Days Penalty Assessed Ol~.e-
<br />E. Good Faitlr (may not exceed 51,250.00)
<br />Credit - Extraordinarl~ EI'f t-~^=-
<br />Credit -Rapid Complianr. -~^'-
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<br />/ // TOTAL
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<br />Assessment Of'icer• u oFc:h:/e~..~-
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<br />2CG2 /21 ~ l~'l/~v_l_~'_7~_ Date(~~IhPC_/~j/9S? x' I- svFrt,,s h;..c.
<br />Iiar~re Printed ~
<br />Doc No. 4672E
<br />-Tot~.e -~ /000 °°
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