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. C -95- o~ ~ <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />COAL PROGRAM <br />Civil Penalty Worksheet <br />I. Identification <br />Permittee/Operator <br />W4 ~ <br />Permit No. Z -O,5(p <br />C ~ <br />NOV/CO No. p <br />C <br />~/S~D/~ <br /> <br />Date of Issuance ,/ <br />/ <br />y -off 7~ 9J <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 <br />Mining without a Permit <br />II. c ion <br />Penalty Assessed Yes No <br />Proposed Amount ~.~~0 ~' <br />Source of Information or Assessment <br />Operator/Permittee <br />days <br />Division V <br />IV. <br />' Penalri Calculation Criteria -Rule 5.04.6 <br />Category <br />Comments <br />A. History SEE ~g~/gClf~~ <br /> ~ NOVs past 12 months x S50.00 <br /> COs past 12 months x 5250.00 -~c7 <br />B. Seriousness <br /> Severe 51,500 S1,750 ~~~pp <br /> Significant (1,000 51,250 <br /> Low/Moderate ~S2 0 5500 5750 <br /> Insignificant SO <br /> Administrative <br />C. Fault ~ /~~~ <br /> Intentional (51,0 51,250 S1,500 <br />~ <br /> 5250 S500 5750 <br />Negligence <br /> Unavoidable SO <br />D. Number of Davs Penalri Assessed <br />E. Good Faith (May not exceed 51,250.00) ~~' <br /> Credit -Extraordinary Effort <br /> Credit -Rapid Compliance <br /> Total ~ ~~'~'~ ~ ~~ <br />// - L~-v"'w Assessment Officer <br />Si ' ature <br />G ll~"Y ~/ ~ `1 fl4~PGr Date ~ ~j - /~f <br />Name Pri ed <br />m:lcoel\c here\f orrnc\cp w <br />