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<br /> <br /> <br />C~RADO DIVISION OF MINERALS ANDLOGY <br />COAL PROGRAM <br />Civil Penalty Worksheet <br />I. Identification /~ <br />1 <br />Permittee/Operator /(,0 <br />Permit No. C. - <br />NOV/CO No. ~ -/ny-~Z9 <br />Date of Issuance /~/$~9~ <br />Type of Violation <br />Administrative <br />Performance Std. <br />Permit Condition <br />II. Ac ion <br />Penalty Assessed ~ Yes No <br />Proposed Amount ~ SD. o~ <br />Source of Information or Assessment <br />Operator/Permittee Division <br />III. Mandatory Penalties <br />Cessation Order <br />Failure to Abate 5750.00 - 55,000.00/day x <br />Mining without a Permit <br />IV. Penalri Calculation Criteria -Rule 5.04.6 <br />Category <br />A. History <br />NOVs past 12 months x 550.00 <br />COs past 12 months x S250.00 <br />B. Seriousness <br />Severe S1,500 S1,750 <br />Significant 51,000 S1, <br />Low/Moderate 5250 5500 5750 <br />Insignificant SO <br />Administrative <br />C. Fault <br />days <br />Comments <br />5~~ f~T(i4Ct~~D <br />Intentional 51,000 51,250 S1 <br />Negligence S250 5500 5750 <br />Unavoidable 50 <br />D. Number of Davs Penalri Assessed <br />E. Good Faith (May not exceed S1,250.00) <br />Credit -Extraordinary Effort ~/ <br />Credit -Rapid Compliance <br />iiW~fi //~( ~~~_ Assessment Officer <br />ignatur <br />Ld/iv~~7lffj Date _ (I~I~l9`I <br />Name rinted <br />~~~ <br />~Jr~ <br />Total ~ ~~ S~ • ~ ~ <br />m:lcoellsherellarms\cpw <br />