2021-04-09_PERMIT FILE - M2021007

• Permit No: M2021007
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/9/2021
• Doc Name: Incompleteness Response
• From: EAI
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural Resources
1313 Sherman St.,Room 215
Denver,Colorado$0203 COLOR-ADO
F
DIVISION O
Phone:[phone] RECLAMATION
FAX:[phone] MINING
SAFETY
DESIGNATED MINING
LIMITED IMPACT(110d)OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: New Application(Rule 1.4) D Amendment Application(Rine 1.8 or L I0)
Conversion Application(Rule 1.11)
Permit#M- - (provide for Amendments and Conversions of existing permits)
The application for a Limited Impact(110d)Designated Mining Operation Reclamation Permit contains three major parts: (1)the application
form;(2)Exhibits A-J,Exhibit L,Exhibit T,the Geotechnical Stability Exhibit,the Emergency Response Plan,and Addendum 1,as required by
the Office,and outlined in Rules 6.1,6.2,6.3,6.4.20 6.5,8,and 1.6.2(1)(b);and(3)the application fee. When you submit your application,be sure
to include one(1)signed and notarized Orizinal and one(1)copy of the application form,two(2)copies of Exhibits A-J,Exhibit L,Exhibit T,the
Geotechnical Stability Exhibit(Rule 6.5),the Emergency Response Plan(Rule 8),and Addendum 1(Rule 1.6.2(1)(b)),as required,and a check for
the application fee described under(4)below. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2"X l l"or 8 2"X
14"size. To expedite processing,please provide the information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided,all information described below.
1, Applicant/operator or company name(name to be used on permit: Salisbury Gladstone LLC
1.1 Type of organization(corporation,partnership,etc.): Corporation
1.2 I.R.S.Tax ID No,or Social Security Number:
2. Operation name(pit,mine or site name): Gladstone Toll Mill
3. Permitted acreage(new or existin¢site): 2.1 permitted acres
3.1 Change in acreage(+) 0 acres
Total Acreage in Permit Area 2.1 acres
4. Fees: (Rule 1.5)
4.1 New Application $2,875.00 application fee
4.2 Amendment Fee(operations existing as of 06/30/94) $1,725.00 application fee
4.3 Amendment Fee(operations permitted from 07/01/94) $2300.00 application fee
4.4 After July 1,1995,to convert a 110(1),110(2)or a 110 to a 110(d),a new application form for a 11 Od must be submitted,along
with an application fee of$2,875.00(Rule 1.11.2(2)).
5. Primary commodities to be mined: Precious metals
6. Type of mining operation: II Surface II Underground n In-situ
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines