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~• <br />C~ RADO DIVISION OF MINERALS AND G~LOGY <br />COAL PROGRAM <br />Civil Penalty Worksheet <br />I. Identification II. Action <br />l <br />Permittee/Operator 1 W ET/T`(jM /LE spy Penalty Assessed Ye/s No <br />Permit No. ~C - $~ - p Sfo Proposed Amount ~O S~ <br />NOV/J~No. C -~} ~ -() /~ Source of Information or Assessment <br />Date of Issuance ',j ZZ -9(p Operator/Permittee <br />Type of Violation <br />Administrative <br />Performance Std. <br />Permit Condition <br />III. Mandatory Penalties <br />Division <br />Cessation Order <br />Failure to Abate 5750.00 - 55,000.00/day x days <br />Mining without a Permit <br />IV. Penalri Calculation Criteria -Rule 5.04.6 <br />' Category Comments <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 />Low/MOderate <br />Insignificant <br />Administrative <br />C. Fault <br />Intentional <br />Negligence <br />Unavoidable <br />51,500 S1,750 <br />51,000 51,250 <br />S250 S500 5750 <br />SO <br />51,000 51,250 51,500 <br />S250 5500 750 <br />SO <br />D. Number of Davs Penalri Assessed <br />E. Good Faith (May not exceed 51,250.001 <br />Credit -Extraordinary Effort /~~Q" <br />Credit -Rapid Compliance <br />SEA ~rr,4t°NM~.vr. <br />Total Yj ~ ~~0, O~ <br />~~~ Assessment Officer <br />Signature <br />LO~~OU~'P~ Date O Cl~~ <br />Name Prin d <br />m:leoallehere\f ormc\cp w <br />