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- iii iiiiiniiiiuiii <br />_ sss <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />COAL PROGRAM <br />Civil Penalty Worksheet <br />I. Identification [I. Action <br />Pennittee/Operator ,c`i'GrCCc~~ ~Oµ~rv penalty Assessed _~Yes No <br />Permit No. ~-~~-1754__ Proposed Amount <br />NOV/CO No. ~_ q3-0 ~~ Source of information or assessment <br />Date of Issuance y -L9~`13 _ Operator/Permittee <br />Type of Violation _ Division ~_ <br />Administrative _____ <br />Performance Std. X __ <br />Permit Condition X <br />III. Mandatory Penalties <br />_ Cessation Order <br />_ Failure to Abate $750.00 - $5,000.00/day X __ days <br />t4ining Without a Permit <br />IV. Penalty Calculation Criteria - Rule 5.04.6 <br />_ Category Comme <br />A. History <br />d NOV's past 12 months x $50.00 <br />CO's past 12 months x 5250.00 <br />B. Seriousness <br />Severe $1,500 <br />Significant $1,000 <br />Low/Moderate $250 <br />Insignificant EO <br />Administrative $ <br />C. Fault <br />Intentional $1,000 <br />Negligence $250 <br />Unavoidable $0 <br />$1,750 /Vp Pvic~pnre of G74`Wri~Q o/~ <br />$1,250 poY-e~fia~~~trna~e~ wPS n~%w~~4 <br />5500 $750 !%n ~ra fi/P,~/k sfsLrra~~y u-i fi%j <br />$1,250 $1,50o ThP t~asy fit ~-a-f e~,~/e„-~Yy <br />$500 $750 j-I-ortep7 !R`i~A~bHa/~ ~j/ -f-~P <br />operattr', <br />D. Number of Days Penalty Assessed <br />E. Good Faith (may not exceed $1,250.00) <br />Credit - Extraordinary Effort ~~ //'' <br />Credit - Rapid Compliance /V./4, <br />AL <br />/~~~-l~_L~,,;j _ Assessment Officer <br />~gnature --ssue~ <br />_L~L ~_~r1LS2_____ Date 5 -~~_~_ <br />Name Pr nted <br />op <br />Doc No. 4672E <br />