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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 I understand that my ability to participate in a multi -year renewal option is at the discretion of DMM and maybe rescinded if I should fail to maintain my permit in accordance with the requirements of the Mineral Mining Reclamation program and this application.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. 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