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COLORADO DIVISION OF MINERALS AND GEOLOGY <br /> COAL PROGRAM <br /> Civil Penalty Worksheet <br /> I. Identification II. Action <br /> Permittee/Operator M;�-�'���,� p� Penalty Assessed Yes No <br /> Permit No. Proposed Amount <br /> NOV 0 N . �- �"�� r(, Source of Information or Assessment <br /> Date of Issuance N om-.I,,,_ 29 In-k Operator/Permittee Division <br /> Type of Violation <br /> Administrative <br /> Performance Std. <br /> Permit Condition <br /> III. Mandatory Penalties <br /> Cessation Order <br /> Failure to Abate $750.00 - $5,000.00/day x days <br /> Mining without a Permit <br /> IV. Penalty Calculation Criteria - Rule 5.04.6 <br /> Category Comments <br /> A. History <br /> NOVs past 12 months x $50.00 <br /> COs past 12 months x $250.00 <br /> B. Seriousness <br /> Severe $1,500 $1,750 <br /> Significant 1,000 1,250 <br /> Low/Moderate 250 500 $750 <br /> Insignificant 0 <br /> Administrative <br /> C. Fault <br /> Intentional $1,000 $1,250 $1,500 <br /> Negligence 250 500 750 <br /> Unavoidable 0 <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 <br /> Total <br /> Assessment Officer <br /> Signature <br /> Date <br /> Name Printed <br /> m:\coa1\share\forms\cPw <br />