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ANNUAL Rsrl'O ~' ~ INSTRUCTIONS According to C.R.S. 3-F-3'-1 16(3). and C.R.S. 3-1-:>~S-1 16(3j(a), on the anniversary date of thz permit each year. the operator shall submit a report and a map showing the extent of current disturbances to affected land, reclamation accomplished to date and during the preczding year, new disturbances that are anticipated to occur during the upcoming year, and reclamation that will be pert-onned dmin~ the upcoming year. Please attach such a report and map to enclosed annual report Form. I An adequately labeled map that clearly delineates and includes the abotc elements may sufFce for a written report.) If your operation is subject to the provisions of Tempomn Cessation as defined m the Act and Rules, you must provide with the Annual Report the following information as required h}' ?CCR -307-1, 407-4, and Rules 1.13.7(I)(a): (i) the condition of the operation a[ [he [itne of cessation: (ii) what specific measures have been tmd will be implemented to comply with reclamation, perfbnnance standards and L=m~ironmenutl Protection Plan requirements, if they are part of your approved application: and (iiil plans for resumption of mining operations. Please provide [he additional following information with your Annual Report, as applicable: (a) Per the requirements of '_ CCR 407-1, 407-4, and Rules I.1 d(I ), provide an updated statement regmdin, the sufficiency of the value of the Financial Warranty, specifically: (i) Per the requirements of 2 CCR 407-I, 407-4, and Rules 1.15(1)(a). provide an updated statement regarding the sufficiency of the value of the financial warranty. Specifically, irrevocable letters of credit. Deeds of Trust, and security asreements, self-insurance, salvage credit, and first priority liens on project related fixtures. (ii) Per the requirements of 2 CCR 407-1.407-4, and Rules l.ld(I)(bl, permits secured with a Deed of Tntst or a Security Agreement, the operator shall submit an update, by a qualified independent appraiser, indicating any changes in property value, and a statement summarizing any ~ircumslances which ma} affect tire adequacy of die Deed of Taut, or Security ao Bement, and the value of the property subject ro either of these instrumenu. The report shall also provide proof that there are no past-due property taxes. (i) Per the requirements of "? CCR d07-I, 407-4, and Rules -}.7(3), penniu secured with an Irrevocable Litter of Credit, the operator shall have the bank provide documentation in the form of a balance sheet, certified by a Certified Public Accountant, demonstmtine that the Letter of Credit does not exceed ten percent (104c) of [he bank's capital surplus accounts. (ii) Per the requirements of 2 CCR 407-1, 407-4, and Rules 4.9.3(c), permits secured by a First Priority Lien on any txtures and Equipment, the operator shall provide a report in sufficient detail to fulh• describe the condition, value, and location of all pledged fixtures and equipment. (b> Per the requirements of 2 CCR 407-1.407-4, and Rules I. I ~(I)(c), all monitoring information required as part of the approved permit application, to include the Environmental Protection Plan. (Please note that if you are not a Designated Mining Operation, you will not have an Environmental Protection Plan as part of your approved permn.)