Cover Letter for Notice of Violation to Individual
FORM 3-IV: Cover Letter for Notice of Violation to Individual
IA-YY-XXX
NMED No. (if applicable)
(Name of individual)
[HOME ADDRESS DELETED
UNDER 10 CFR 2.390(a)]
SUBJECT: NOTICE OF VIOLATION
(NRC Inspection Report No(s). (XXXXXXXX/YYYYYNNN)
[if applicable, add "and (Investigation Report No(s). X-XXXX-XXX)"]
Dear :
This refers to the inspection (investigation) conducted on (date(s)) regarding your
activities at the (Plant Name) facility. [Use (City, State) for material licensees].
[This section should address (1) the purpose of the inspection, (2) if and how it was
reported, e.g., 50.72, LER etc., and (3) when the inspection report(s) (or factual
summary of OI report(s)) related to this action were issued.]
[Add one of the following two paragraphs, as applicable:]
On (date), a predecisional enforcement conference was conducted (location, e.g., in
the Region III o<ce) with you to discuss the apparent violations, their signi=cance,
their root causes, and your corrective actions.
In the letter transmitting the inspection report (factual summary of the OI report),
we provided you the opportunity to address the apparent violation(s) identi=ed in
the report by either attending a predecisional enforcement conference or by
providing a written response before we made our =nal enforcement decision. In a
letter dated (date) , you provided a response to the apparent violations.
[Alternatively, ASince you have not requested a predecisional enforcement
conference nor replied in writing, the NRC is proceeding with its enforcement action
based on the results of the inspection (OI investigation).”]
Based on the information developed during the inspection (investigation) (and the
information that you provided during the conference) (and the information that you
provided in your response to the inspection report dated, (date) , the NRC has
determined that a deliberate violation of NRC requirements occurred. The(se)
violation(s) is (are) cited in the enclosed Notice of Violation (Notice) (Enclosure 1).
[This section should include a summary of the event or circumstances that resulted
in the violation including such issues as the length of time the violation lasted, the
number of times the violation occurred, the actual or potential signi=cance of the
underlying technical issue, the apparent root cause of or motivation for the
violation, and any other major attributes of the violation necessary for supporting
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