HomeMy WebLinkAboutLOD201200003 Other 2019-01-16Renewal Option:
Renewal Option: One Year Renewal
By selecting this renewal option, I understand that all applicable fees will be collected at the time of
renewal. Any subsequent acreage changes to the permit will require an amendment and fees will be
charged accordingly. I agree to submit all required forms using the DMM E-forms Center. I understand
that my ability to participate in a multi -year renewal option is at the discretion of DMM and maybe
rescinded if I should fail to maintain my permit in accordance with the requirements of the Mineral Mining
Reclamation program and this application.
Additional Info:
Comments:
12/19/2011 (system) - Your permit has been renewed. Your anniversary date is 12/16/2012. Your receipt is
36541. Thank you.
12/9/2011 (vih) -
12/9/2011 (vlh) - VLH - 12/9/11 - Approved, no acreage changes or map changes.
Attachments I Description
F
fficial copy of the permit
it Receipt
Dmm Permit No: 90393AA
Receipt Number: 36541
Inspector: VLH
Deposit Ticket No: 6093
Acerage Txn No:
Status: Approved
Approver: HARRIS, VERNON L
DMM-170
REV. 01/08
Filename
90393AAD M M 115_3302. pdf
DMM 173-1530.pdf
Issue Date: 12/19/2011
Tracking Number: 0006667
County: ALBEMARLE
Bond Tracking No: 1645
Anniversary Date: 12/16/2012
Page 8 of 8
Date: 12/9/2011
COMMONWEALTH OF VIRGINIA
=Mjl�
DEPARTMENT OF MINES, MINERALS AND ENERGY
DIVISION OF MINERAL MINING
900 Natural Resources Drive
Suite 400
Charlottesville, VA 22903
(434) 951-6310
Permit/License Application
Application Tracking Number: 3302 Permit Number: 90393AA
Company: NEW WORLD STONE COMPANY Receipt Number: 36541
Inspector: VLH Date Issued: 12/19/2011
Type: Renewal
Items to be Submitted to DMME
1. Permit/License Application
rtlfit, cj mall rest qr it ?(� `rF�tI �4 1 , ).-.- P.'�r,E1f5.;'�i;,T, tr,-1(;(;tl i`P�='� ii( r-,efr7,Ji iJoIJ"+dtirb'.
4. Proof of notlliCi3tio ., � .1i 3r_ r,i,iU.:fr !�'✓,` �
_. Proof Of I,otl(icatlOn of i rnl:t'd C„rla 1111 3S vl-iff] to^.lilt:".. u+TL`iri -C)u fFE:f ()! (<r? 7 1?t
r,. VDOT/Controilinq P;ihilf. Aut',cnty
_r 4 m a
f'errt' (: drawL' tC s('�ilfe of ci rtl fBef rr? the tnch sh,-)wi!icj the entire permit dre,3. Mari should includ'.
I01,' ton of the r'nine p;t aC_ _ C s r. raj nau "ice rp nc uct and vvc) ,te storaqe areas anCf all other
facii; es within thf,. perin r �-)ri_,t t r ty hila_itit7F . y of tract, he ,ng mined, Prooert4 boundaries and names w
surface o1^,lners mtnifl !i_ 1 foe4 :or the f1f'rfl-it 0oulldHt,, ;(lnsitivt ifealures ',vithin 1,000 teet of the
t_Frr1'i1t DOUnCar;/ such �1C CP :;Pfc3t"r;S, r1 and qas Wells, urloerJC.round mine workings. streams. Creeks
and other bodes Of pubfir. -water, puoli„ utilities <1 ,,.. , iiilty !1,1c.spunl, bu;id;ngs. put;I;c roads.
churches, and CiCCUL1'P i w*.li;rtir i. r",i rar --, flaw (jirE r.ri )f1S 'Within tvl(, „P"Kilt i3rf'd Cif) c(;8ie ](lC{
r-th arroL1t
8. Map Legend (Form DMM-109)
trlC' kli-atiun of ine.
r. Genera! PG -milt for Sand an( +ri?,;veP (L]S F i ff]ar] ten c3CrE jrn"i DP41P^- r,si
11 Bond Form ;'Form. DPOHM-10
-
'2) and Flert"at Transfe AC;,reptrance Forr-
N
13.If no changes to the map have been made select "Yes" to indicate you acknowledge the following
map statement: Y
4 VAC 25-31-210 D. ff in a given year there are no changes to the map required in 4 VAC 25-31-150, the operator may submit a certification instead of the
map for the year. The certification shall read as follows: "I, the undersigned, hereby certify that no changes have been made in the different areas or in
other map features since the last annual permit renewal or modification."
Attachments
DMM-170
REV. 01 /08
Description Filename
map legend from 2008 90393AA999.pdf
Page 1 of 8
Amendment Map
map #2 from 2008
map #3 from 2008
map #4 from 2008
map #5 from 2008
map #6 from 2008
map #7 from 2008
1. Information
Ownership Information
Applicant: NEW WORLD STONE COMPANY
Address: PO BOX 300
SCHUYLER, VA 22969
Email:
Phone: (434)831-1051
2. Type of Organization
AmendTransMapPN90393AA.pdf
RenewalMap90393AA999Map2. of
Renewal Map90393AA999Map3,tif
RenewalMap90393AA999Map4. of
RenewalMap90393AA999Map5.tif
RenewalMap90393AA999Map6[11.pdf
RenewalMap90393AA999Map7. of
DMME Code: C04291
Type: Corporation - Complete questions A,D,E,F,G,H If Other:
A. Federal Tax ID Number of Applicant:
B. List all individuals having any ownership interest in the organization.
Action ICode Name/Title Address Telephone
C. Trade name, address and telephone number for sole proprietors/partnerships.
Action Code Name/Title Address Telephone
Start Date
Start Date
D. Principal organization officials, corporate officers, directors and members
Code Name/Title Address Telephone
Start Date
P04292 SORENSEN, KIERK 812 RIVES ST. ASHMORE
n
12/5/1997
E. Corporation name, address, and telephone number if different than applicant
Action Code Name Address Telephone
Incorp.
F. Registered Agent
Action Code Name/Title Address Telephone
Incorp.
G. If a subsidiary, provide parent organization name.
Action
lCode
IName
Address Telephone
lincorp.
3. Name, address, and telephone number of person(s) authorized to sign permit/license documents.
Name Address Telephone
SORENSEN, KIERK ASHMORE 812 RIVES ST.
DMM-170
REV. 01/08 Page 2 of 8
User ID, name, email address of person(s) authorized to enter a -Forms information
User ID
Name
EMail Address
Form #
alberene
Kierk R Ashmore -Sorensen
ksorensen 1 @alberenesoapston
DMM179
e.com
alberene
Kierk R Ashmore -Sorensen
ksorensen1@alberenesoapston
DMM146
e.com
alberene
Kierk R Ashmore -Sorensen
ksorensen 1 @alberenesoapston
DMM156
e.com
alberene
Kierk R Ashmore -Sorensen
ksorensenl@alberenesoapston
DMM170
e.com
alberene
Kierk R Ashmore -Sorensen
ksorensen1@alberenesoapston
DMM171
e.com
alberene
Kierk R Ashmore -Sorensen
ksorensenl@alberenesoapston DMM172
e.com
alberene Kierk R Ashmore -Sorensen
ksorensen 1 @alberenesoapston DMM177
e.com
alberene Kierk R Ashmore -Sorensen
ksorensen 1 @alberenesoapston DMM178
alberene Kierk R Ashmore -Sorensen
e.com
ksorensen 1 @alberenesoapston DMM 173
e.com
alberenemark Mark D McQuarry
mmcquarry@alberenesoapston DMM146
e.com
alberenemark Mark D McQuarry
mmcquarry@alberenesoapston DMM156
e.com
alberenemark Mark D McQuarry
mmcquarry@alberenesoapston DMM170
e.com
alberenemark Mark D McQuarry
mmcquarry@alberenesoapston DMM171
e.com
alberenemark Mark D McQuarry
mmcquarry@alberenesoapston DMM172
e.com
alberenemark Mark D McQuarry
mmcquarry@alberenesoapston DMM173
e.com
alberenemark Mark
D McQuarry
mmcquarry@alberenesoapston DMM177
e.com
alberenemark Mark
D McQuarry
mmcquarry@alberenesoapston DMM179
e.com
Have any of the listed (1) persons, or (2) companies
owned, in whole or in part, by said persons, the
applicant, members of the organization, or any person having 20% or greater ownership interest in the
organization had a mining permit issued by Virginia or any other state revoked? N
If yes, give a brief statement of action.
Attachments (Description Filename
5. Have any of the persons listed been convicted of violating any of the following Sections of the Code of
Virginia: 45.1-161.292:33, 45.1-161.177, 45.1-161.178, and 45.1-161.233 as related to smoking in
underground coal mines or tampering with methan detection equipment in underground coal mines?
DMM-170
REV. 01/08 Page 3 of 8
If yes, give a brief statement of action.
Attachments Description JFflename
6. Complete either A or B
(A). List all MSHA Federal Identification Numbers and status that are issued to the applicant, members of the
organization, or any person having 20% or greater ownership in the organization.
Attachments IDescription Filename
(B) List all names under which the applicant and either members of the applicant or any person having 20%
or greater ownership interest in the applicant operates a mine which has been issued a MSHA Federal
Identification Number.
Attachments Description I Filename
7. List any mining permits of any type held by the applicant in Virginia and the applicable permit identification
numbers (Issuing Authority, Permit No./Identification No).
Attachments IDescription
Operations Information
1. Mine Name & Contact Information
Mine Name: #1
Address: PO BOX 300
42 Alberene Loop
Schuyler, VA 22969
Email: information@alberenesoapstone.com
Phone: (434)831-1051
Filename
2. Mine Location and ID Number
Mine is located .5 (miles) north (direction) of (town) on
Public Road No. RT 6 in ALBEMARLE County
MSHA ID number of the mine (if applicable):
3. Mine Authorized Contacts Information
(A) Person with overall responsibility for operating decisions at the mine.
DMM-170
REV. 01/08 Page 4 of 8
Action Type
Code Name/Title
PE014292 SORENSEN, KIERK
ASHMORE
'E#
Address
1
812 RIVES ST.
From
12/5/1997
D p
OPER
A OPER P09286 MCQUARRYMARK
j
708 PATRICK HENRY
12/5/1997
HWY
(B)Person to be contacted in the event of an accident or emergency,
jAction IType _jCode Name/Title
Address
From
P Person with overall responsibility for health and safety
at the mine.
Action
IType
Code
Name/Title
Address
From
D
HS
P 7781
BUSTER TIPPTON
NEW WORLD STONE
COMPANY
12/19/2006
A
HS
P09286
MCQUARRY,MARK
708 PATRICK HENRY
LJIAIV
12/19/2006
(D) Person responsible for business operation of the mine.
[Action ITypeICode ame/Title lAddress From
4. Additional Informabor.,
Action Code Mineral
ioi ProdUction (,Tons)
SOA SOAPSTONE
"o
A-TypeofMine
B. Will explosive storage and blasting be required?
C. Does the applicant have the personnel and facilities to provide safety training to its
employees?
5. List any person with an ownership or leasehold interest in the surface land or minerals to be
mined.
jfiction IType jCode INarrie[Title jAddress From
6. Legal Right to Enter
"
Z:) ify Source of apphcant's iegal right to enter arid conduct mining operations on ;and covered by perrill
P&
01" vldf� ') COPY Of the deed o!
Attachments I Description TFilenarne
7 Property Owner Notification
DMM-170
REV. 01/08 Page 5 of 8
Pursuant to the provis,ons of Seciior! 45.1-181 i. Code of Virginia, a,,arnended. IfIe owners) or property
within 1.000 feet of the property 111le ,)f ttie land proposed to be permitted as listed below.
—�
7 -
Action tame City �t Zip DPvl%IE Card #
Recorded
Attachments Description IRIename
8. Contractor Declaration
Annual Permit Contractor Reporting Option: Annual Reporting
By selecting the Annual Permit Contractor Reporting option, I agree to maintain an up-to-date contractor
list at the mine site, available upon request by DMM. I understand that I must submit my Annual Permit
Contractor Report between December 1st and December 15 in lieu of reporting contractors coming on
and off the mine site within 30 days. The report should reflect all contractors who have worked on the
mine site for the current calendar year and project those that might come on the site for the balance of
the year. I further agree to submit all required forms using the DMM e-FormsCenter. . I understand that
my ability to participate in the Annual Permit Contractor Reporting option is at the discretion of DMM and
maybe rescinded if I should fail to maintain my contactor list in accordance with these requirements.
Action
Contractor
Code
Where Job Performed
Start
Notified
Updated
Name
Al WELDING
0003138
WELDING CONTRACTOR
12/19/2006
SERVICES
FRANK
0002743
WHOLE MINE AREA
1/12/2004
GRAVES
TRUCKING CONTRACTOR
SERVICES
ELECTRICAL
0003758
PROCESSING PLANT
12/22/2009
5/23/2011
INNOVATION
ELECTRICAL
S
CONTRACTOR
9. Environmental Impact
List rivers, streams, tributaries or water impoundments on or adjacent or permitted property.
Action
Name of Waterway
Up pH
Down pH
Tributary to
adjacent to
adjacent to
the mine
the mine
A. Virginia Hydrologic Unit Code (USGS or DCR)
B. Specify any chemical or hazardous materials (including petroleum products which will be used
on the mine site and methods to be employed to prevent contamination of land and water
resources on or adjoining permitted property.
Attachments (Description Filename
DMM-170
REV. 01/08 Page 6 of 8
10. Operational. Drainage, and Reclamation
(A)De
scribe .je!, i[l4 I.1E:I�l S_f�" 1_ it"tv ' �"T{` .
c3i7 -. !`. �3C3in2nd Vt?gtiatlQ^.
:.-
Sr
-i
D A re vo: i-ir
J? Ut;
Eirot��c:'Ic;r: ?ar
Attachments bescription len. ar 3F
11. Acreages and Post -Mining Land Use
Post -fining Land fist._
.Action ICode }Lane; Use
Acreage
Acreage
Type of Acreage
Current Acreage
Change
Result
Permitted
1496.94
1496.94
Disturbed
36.87
36.87
To be Affected in the next 12 months
0.00
0.00
Bond Release
0.00
Vegetated, but not released
0.00
Regraded
0.00
Certification/Signature
I Mark D. Mcquarry , state that all the presentations contained in the foregoing application are true to the best
of
my knowledge, and that I am an authorized representat of the applicant, duly authorized to make this
application on its behalf.
On behalf of the applicant, I hereby authorize the Virginia Division of Mineral Mining to conduct such
safety/reclamation inspections as its may deem necessary or as may be required by law on this mining
operation.
Signature: Mark D. Mcquarry
Subscribed and sworn to this date.- 12/2/2011
DMM-170
REV. 01 /08
Title: General Manager
Page 7 of 8
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