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ANNUAL REPORT <br />INSTRtrCTIONS <br />O <br /> <br />AzcorJim~ to GR S ~-I-~'-I Iht3/. ~nJ C.R.S. ~ l-3~.~-I 16i ;ucu. on thz annnrr>ar: Ja[e of thz pznni[ each tear. <br />the opzranx shall aubnut a report and :[ map shuwm_~ the zxtent of careen[ de;wrhances [o affzcteJ IanJ. <br />reclamation accontplishad to Jatz and durin~~ thz preceJim~ near. nzw duturhan~es that are anucipatzd ro occur <br />during the upcomima tear. and reclamahun that ++ill be perfonnzd Burins the upamung ve:u'. Please ;utach such <br />a report and map to auluszd annual repon form. tAn adeyuateh labeled map that rizarh~ delinzates and incluJzs <br />the above element: ma+ ,office fora ++ritten repon. t <br />IF your operation is subject to thz provisions of Temporary Cessation as defined in the Act and Rule., you mus[ <br />provide wi[h thz Annual Report the fnllo+eing information as required by 'CCR -10%-I . -107--F. and Rules <br />1.13.71 I i(a): <br />(,t the condi[ion of the operation ^t the time of cessation: <br />(ii) what specific mzusures havz bzen and will be implzmented to cinnply tii[h rzclamation, perfonnanze <br />standards and Environmental Protection Plan requirements, if they are part of your approved application; and <br />(iiil plans for rewmption of minim opera ions. <br />Please provide thz additional following information with your Annual Report:, as applicable: <br />(a) Per the requirements of 2 CCR a07-I. -F07--1, and Rules 1.1 ~(I i, provide an updated statement <br />regarding the sufticienz}' of the valuz of the Financial Warranty. spzcitically: <br />(i 1 Pzr the requiremznts of 2 CCR-107-I . ~07•a, and Rules 1 .I>(I )ta), provide an updated <br />statement re,ardin~ the sufficiency of the value of the financial warranty. Spezifically, <br />inevozable letters of credit. Dzzds of Trust, and security asrecmznts, self-insurance, saha~e <br />credit, and tint priority liens on project rzlated fixtures. <br />(ii) Per thz rzquirements of ?CCR X07-1. =107-~3. and Rules I.I i(1 )[b), permits secured with a <br />Deed of Trust or a Security Agreement, the operator shall submit an update, by a qualified <br />Independent appraiser, indicating any chances in property value. and a stttement summ;uizmg <br />any circumstances which may affzct the adequacy of thz Deed of Trust. or Security a~rezment, <br />and the value of thz property subject to eithzr of thesz irutrumznts. Thz repon shall also provide <br />proof that there are no past-Buz property tares. <br />i i) Per the requirements of 3 CCR q07-I, -107--L, and Rules ~~ 713), pzrnuts secured with an <br />]rreeozablz Letter of Credit, the operator shall have the bank provide documentation in the form <br />of a balance shzzt, certitizd by a Certitled Public Accountant. demonstrating that the Litter of <br />Credi[ dots not excezd tin percent (I OGcI of the bank's capirtl surplus accounts. <br />(ii) Per the requirement; of '_ CCR a07-I, d07--t, and Rules 1 9.3iz), permits secured by a first <br />Priority Lien on any fixtures and Equipment. [he operator :hall providz a report in sufficient <br />dztail to fulh dtscribe the zondition, value. and location of all pledgzd fixtures and equipment. <br />(b) Per [he reymrements of _' CC'R a07-I. -107-d, and Rules I.I ~t I i(c) all monitoring information <br />reyuirzd as pan of the approved permit application. to include thz Em ironmental Protection Plan. [Please <br />note that if you are not a Desienated filming Opzration, you will not ha+z an Enci« mmzn[al Protection <br />Plan as part of dour approved permit.t <br />