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STFTE OF COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY <br /> COAL PROGRAM <br /> Civil Penalty Worksheet <br /> I. Identification II. Action <br /> Pennittee/OperatorPenalty Assessed Yes No <br /> Permit No. �- -(� '�_ Proposed Amount �'/oSZ) 1�0 <br /> NOV/CO No. e_O�� -p Source of information or assessment <br /> Date of Issuance .ne Operator/Permittee <br /> Type of Violation Division <br /> Admi ni strati ve <br /> Performance Std. <br /> Permit Condition �( c`OG►II17\k k��s <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 —(f` 5 5- (S 4 <br /> _ ,- NOV's past 12 months x $50.00 C --g� -YI tii.cnsk,P <br /> CO's past 12 months x $250.00 <br /> B. Seriousness OSvo�� <br /> Severe500 <br /> �c�P•fibh �� �':o�6uK�.. r� <br /> $1 ,,�►00 $1 ,750 I1lOf ^Gi J,, rxrlCns C PrrbLev, a rso.s <br /> Significant $1 ,000 $1 ,25J �� � !,-o.,.c <br /> Low/Moderate $250 50D $750 (4 /A.,- crre. k td, <br /> Insignificant $0 f^, y c'`- -A, /,-/.i, e- <br /> .Ca t//roa r►.ei -- h4�ulCv-d o <br /> Administrative $ 4 f <br /> C. Fault Sskr-F ti <br /> Intentional $1 ,000 $1 ,250 $1 ,500 <br /> Negligence $250 500 $750 Dp/�r ti Wa, f , � 4, <br /> �0� <br /> Unavoidable $0 amty 4r afrl,oak <br /> D. Number of Days Penalty Assessed <br /> E. Good Faith ,(may not exceed $1 ,250.00) /Vb co—i,-�"Ce <br /> Credit - Extraordinary Effort <br /> Credit - Rapid Compliance <br /> TOTAL <br /> Assessment Of`icer <br /> ,Si-9—nature J/ - — <br /> 1�e-1 = 111?rA, vc 66P_Z� _ Date <br /> Name Printed <br /> Doc No. 4672F <br />