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0 <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />COAL PROGRAM - <br />Civil Penalty Worksheet <br />?q`r - ~. <br />1. Identification <br />Permittee/Operator <br />Permit No. <br />OV/CO No. <br />Date of Issuance <br />Type of Violation <br />11. Ac ion <br />Penalty Assessed ~ Yes No <br />Proposed Amount ~ 2 ZOO • oa <br />Source of Information or Assessment <br />Operator/Permittee ~ Division <br />C- 9y-~c~ <br />Administrative <br />Performance Std. x <br />Permit Condition X <br />III. Mandatory Penalties <br />Cessation Order <br />Failure to Abate S750.00 - S5,000.00/day x days <br />Mining without a Permit <br />IV. Penalri Calculation Criteria -Rule 5.04.6 <br />Category Comments <br />A. Histo SEE ,q-rr,4-~y>c o <br />u/ NOVs past 12 months x 550.00 .$2 ~~ <br />~r COs past 12 months x 5250.00 <br />B. Seriousness <br />Severe S 25 S1,750 ,$'~Oo~ <br />Significant 1,000 1,250 <br />Low/Moderate 0 500 5750 <br />Insignificant 0 <br />Administrative <br />C. Fault <br />Intentional 1,000 S1,250 51,500 ,~ ~~~~ <br />Negligence 500 750 <br />Unavoidable 0 <br />D. Number of Davs Penalty Assessed <br />E. Good Faith IMay not exceed 51,250.001 ~ <br />Credit -Extraordinary Effort <br />Credit -Rapid Compliance <br />Total ~ ~~~~' 00 <br />Assessment Officer <br />Signature ~ ~/ <br />LGr/'Y /~Ou(/PG1 Date ~-~y~9/ <br />Name Pri ted <br />m:\coel \ she ra\to rms\cp w <br />