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r <br /> STATE OF COLORADO <br /> DIVISION OF MINED LAND RECLAMATION <br /> COAL PROGRAM <br /> Civil Penalt- ;.,rksheet <br /> 1. Identification 11.r , Action <br /> Permittee/Operator � <br /> Penalty Assessed X _Yes No <br /> Permit No. _ x� -�>>'7 Proposed Amount <.3-1> 00 <br /> (IgDT0 No. C- Source of Informatior -or assessment <br /> Date of Issuance ,o/zq Operator/Permittee <br /> Type of Violation Admin. Division[_ <br /> Performance Std. ;r <br /> Permit Condition <br /> III. Mandatory Penalties <br /> Cessation Order <br /> t4 & Failure to Abate $750.00- $5000.00/day X days <br /> NJq Mining Without a Permit <br /> IV. Penalty Calculation Criteria - Rule 5.04.6 <br /> Category Comments <br /> A. History, <br /> _0 OV's past 12 months x $50.00 No cYt-'1C V-1J <br /> 0_CO's past 12 months x $250.00 <br /> B. Seriousness <br /> Severe $1,500 $1 ,750 ��+►cam w.-� �s�in,�� ��, c'- Q:c'►'l <br /> =5l i o���� U_ <br /> Significant $1,000 $1 ,250 wel <br /> Low/Moderate $250 ' $500 $750 vvki'�1�`-�, `' � <br /> C <br /> Insignificant $0 <br /> 1 1 <br /> Adminstrative $ <br /> C. Fault <br /> Reckless/Intentional $1 ,000 $1 ,250 $1 ,500 gfe vCiZ_ <br /> Negligence <br /> $25� $500 $750 <br /> Unavoidable $0 fi �� �r•�t�-Ed �- <br /> rc.c•v`*,' T1 s '�s i��.t2_1� <br /> ��bv1,oL,a�` c i lticZ �2 v y p c�C. I'd <br /> cA2 , <br /> D. Number of Days Penalty Assessed — 1 '" l v� �t1 _,v:z:��cv�c�l c-"(g _ •wi-o <br /> E. Good Faith* ($0 - $1 ,250 Reduction) Tr� � �L�d �" 5u `' � ►��y <br /> Credit - Extraordinary Effort I <br /> l0-co - cectd t J-tg. Pry. ,&,,+vac>r-rA+vcc <br /> Credit - Rapid Compliance -� �c�� Iwl V"ctCIA?— isp. <br /> *Note maximum good faith reduction cannot exceed $1 ,250.00 <br /> TOTAL`�'�SO • �G <br /> e, Assessment Officer <br /> Signature <br /> MICHAt-'L, 5 !�o4►'AC-- — Date li�Z1��(. <br /> Name printed Doc. No. 8417 <br />