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® ®. <br />ANNUAL REPORT <br />INSTRUCTIONS <br />According to CR.S. 34-32-116(3), and C.R.S. 34-33.9-1 1~5(3)(a), nn the anniversary date of the permit each year, <br />the operator shall submit a report and a map showing the extent of culrem disturbances to affected land, <br />reclamation accomplished to date and dunng the precedin:; year, new disturbances that are anticipated to occur <br />during the upcomin=: }'ear, and reclamation that will be performed during the upcoming year. Please attach such <br />a report and map to inclosed annual report form. (An adequately labeled map that clearly delinc;ates and include:; <br />tye~above elements may suffice for a written report.) <br />~~ <br />If vour operation is wbject to the provisions of Temporary Cessation as defined in the Ac[ and Rules, you must <br />provide-with the Annual Report the following information as required by 2 CCR 407-1, X107-4, and Rules <br />W <br />1 <br />(I) the condition of the operation at the time of cessation; <br />(ii) what specific measures have been and will be implemented to comply with reclamation, <br />performance standards and Environmental Protection Plan requirements, if they .ue part of your <br />approved application; and <br />(iii) plans for resumption of mining operations. <br />Please provide the additional following information with }our Annual Report, as apFdicable: <br />(a) Per the requirements of 2 CCR 407-1, 407-4, and Rules 1.19(1), provide an updated statement <br />regarding the sufficiency of the value of the Financial Warranty, specifically: <br />([) Per the requirements of 2 CCR 407-I, 407-0, and Rules 1.19(])(x), provide an updated <br />statement regarding the sufficiency of the value of the financial wan-anty. Specifically, <br />irrevocable letters of credit, Deeds of Trutt, and security agreements, self-insurance, salvage <br />credit, and first priority liens on project related fixtures. <br />(ii) Per the requirements of 2 CCR 407-1.407-4, and Rules 1.19(1 )t h), 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 changes in property value, and a statement summarizing <br />any circumstances which may affect [he adequacy of the Deed of Trust, or Security Agreement, <br />and the value of the property subject to either of these instruments. <br />The report shall also provide proof that there are no past-due property [axes. <br />(iii) Per the requirements of 2 CCR 407-I. 407-4, and Rules 4.7(3), permits secured with an <br />Irrevocable Letter of Credit, the operator shall have the bank provide documentation in the form <br />o(a balance sheet, certified by a Certified Public Accountant, demonstrating that the <br />Lever of Credit dues not exceed ten percent (I0°In) of the bank's capital surplus accounts. <br />(vi) Per the reyuirrnnnts of 2 CCR 407-1, 407-4, and Rules 4.9.30), fanners secured by a First <br />Prionty Lien on any fixwres and Equipment, the operator shall provide. report in wfficient <br />detail to fully de.cribe the condition, value, and location of all pledl;ed lixmres <br />^md Cq UlpmCml. <br />(h) Per the requirements of '_ CCR -3(17-1, 407-4, and Rules 1.15(11(cI, all monitoring information <br />required as pan of the approved permit application, to include the Environmental Protection Plan. <br />(Please note than if yuu are not a Desienated Mining Operation, you wall not have an Environmental <br />Prolcclinn 1'Inn ac pan of v~wr approved permit) <br />