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COLORADO DIVISION OF MINERALS AND GEOLOGY <br />COAL PROGRAM <br />Civil Pendty Worksheet <br />I. Identification <br />Permittee/Operator <br />Permit No. <br />NOV/CO No. <br />Date oflssuance <br />Type of Violation <br />/ f~ <br />~tWGx <br />t, - fl2 -oSio <br />C-96-oa3 <br />3-7-9(0 <br />Administrative <br />Performance Std. <br />Permit Condition <br />III. Mandatory Penalties <br />V <br />Cessation Order <br />Failure to Abate S750.00 - S5,000.00/day x <br />Mining without a Permk <br />IV. Penalty Calculation Criteria -Rule 5.04.6 <br />II. Aciion <br />Penalty Assessed !//Yes No <br />Proposed Amount O 0~~ <br />Source of Information or Assessment <br />Operator/Permittee <br />days <br />Division <br />' Category Comments <br />A. Him s'~'E /Q-7TffGff~'16.fi'T <br />NOVs past 12 months x S50.00 <br />.~ COs past 12 months x 5250.00 ,~~ ~ <br />B. Seriousness <br />Severe 51,500 51,750 <br />Significant 510 51,250 <br />Low/Moderate 50 5500 5750 <br />Insignficant 0 <br />Administrative <br />C. Fault <br />Intentional S S1,250 51,500 <br />Negligence 5250 S500 S750 <br />Unavoidable <br />D. Number of Davs Penalty Assessed <br />E. Good Faith (May not exceed 51,250.00) ,~y/~e <br />Credit -Extraordinary Effort Yr//I <br />Credit -Rapid Compliance <br />~^ Assessment Officer <br />S nature <br />/~-~~~y ~ou lt't'R Date ~ ~~ /~ <br />Name Prin ed <br />~~s~ <br />~~5~ <br />~ ~o o °~ <br />Total <br />m:\coal\ohare\form~\cpw <br />