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SIPTE OF COLORADO
<br /> DIVISION OF MINERALS AND GEOLOGY
<br /> GOAL PROGRAM
<br /> Civil Penalty Worksheet
<br /> I . Identification II. Action
<br /> Pennittee/Operator Penalty Assessed --c. "Yes No
<br /> k3,41C!"
<br /> Permit No. = 1— oil Proposed Amount =X/30o e
<br /> NOV/CO No. Source of information or assessment
<br /> Date of Issuance _ Operator/Permittee
<br /> Type of Violation Division
<br /> AdministrativeNo C� —
<br /> Performance Std. C/
<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.E
<br /> Category _ Comments _
<br /> A. History
<br /> NOV's past 12 months x $50.00
<br /> CO' s past 12 months x $250.00 Sc,rDC, /VDj
<br /> {s-rlan 4 r s,
<br /> B. Seriousness w��or•n°� ��r�< `.� ,h1���a w, ,.<fu„�.v �'�k�.
<br /> /v fi� ��pu rft olJfirucft f�+ �)I vi ,o., „ Je r,
<br /> Severe $1 ,500 $1 ,750 i-4)/ gr- Akk ,OL& ,; 41,h4 GON_,h,"ep t- W_, ,"a,n,n<i,
<br /> Significant $1 ,000 $1 ,253 �"� ''w,6` A/0"L %s servuxe"° �� '�. A-4- C-
<br /> Gr< coc�i•h-Kt�c� fo S�t�,�iL cr,ltF;., -fur •�/oc./�o.t.�p oT-'
<br /> Low/Moderate $250 $500 $750 ��„�,•,
<br /> Insignificant $0 , ;A ,3 e-�, e-plz; fWs7
<br /> Administrative $ � &.,�5 �� wa,�� '� 1,// A<--
<br /> Cunc¢�n .w J gr,t'Pt A� �o p <J ".gVrt A01n
<br /> Qc-e wii-44t- Cf mA, T/,,a4 nr e."It(1 -A%ti t. h�
<br /> C. Fault aswasc A,o 9 occrcrctcQ 40 y-10/ ✓,C..rv4.,F»t 4v/' AY.c.
<br /> Intentional $1 ,000 $1 250 $1 ,500
<br /> O,P��a•+�r' bn!jJ Y� �+Q, a.CrGttl►,P..� CDhft,�PHer r�
<br /> Negligence $250 �$5OOD $750 r�r,y .� �Mf inf�J.cc�Jo. repor+ a,,cp ,44
<br /> Unavoidable $0 r ,/W- /.� P�p� ,j ,� ,c., z-j wr/
<br /> -kn/��o.�
<br /> /wi i
<br /> D. Number of Days Penalty Assessed
<br /> E. Good Faith (may not exceed $1 ,250.00) 4i4 4 .,,l,,°rf3 F
<br /> Credit - Extraordinary Effor e�
<br /> Credit - Rapid Compliance `P �`00 �w-C D ir k,44 A/--/4 rs -6;u .
<br /> TOTAL 136 p.00
<br /> Assessment ff'icer
<br /> Signature
<br /> T�k1e/•f 11e1-XauoA_,. Date-.--
<br /> NamePrinted
<br /> Doc No. 4672F
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