2015-11-16_REPORT - P2012017

• Permit No: P2012017
• IBM Index Class Name: REPORT
• Doc Date: 11/16/2015
• From: Caldera Mineral Resources, LLC
• To: DRMS
• Annual Report Year: 2014
• Email Name: THM
• Media Type: D
• Archive: No

Page 4 of 4
19. As required by rule 5.6.1(0, attach a map to this report that accurately depicts the NOI boundary, current affected
area, location of all previously listed featured, and all acreages listed in items 6 through 12 and item 20. These
activities must be identified on a site map of adequate scale to field locate these areas, and may include coordinates in
latitude and longitude to at least 5 decimal places, or UTM coordinates with the datum and zone specified.
UPDATED MAP ATTACHED: Map is attached, however there are no changes to the latest map already on file.
20. Rule 5.7 requires submittal of final abandonment reports within 60 days for any drill hole(s) with artesian flows and
no later than 12 months for all other completed drill holes. Although a small number of holes have
ABANDONMENT REPORTS ATTACHED: or.. N/A been drilled, they are not completed and
are not permanently closed
Division records indicate the following permittee/landowner contact information. If this information is not current, please
type or print current contact information: Rule 5.6.1(a, b).
Permittee Contact:
Mike Thompson
Robert Comer
Permittee Company:
Caldera Mineral Resources, LLC
Norton Rose Fulbright US LLP
Address:
P.O. Box 549
Ouray, CO 81437
Tabor Center
1200 17th Street, Ste 1000
Denver, CO 80202-5835
Phone Number:
[phone]
303-801-2728
Fax Number:
Email Address:
CF.PR.email
[e-mail]
Landowner Contact:
Landowner Address:
Landowner Phone
Number:
Landowner Email
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved NOI and reclamation plans. Rule 5.6.1(h).
5—
Signature
Signature of Permittee, Corporate Officer, Owner, or Documented Designee 1 ate