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Home My WebLink AboutLOD201200003 Other 2019-01-16 (4)Renewal 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 I understand that my ability to participate in a multi -year renewal option is at the discretion of DMM and maybe rescinded if I should fail to maintain my permit in accordance with the requirements of the Mineral Mining Reclamation program and this application.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. 36541. Thank you. 12/9/2011 (vlh) - Your anniversary date is 12/16/2012. Your receipt is 12/9/2011 (vlh) - VLH - 12/9/11 - Approved, no acreage changes or map changes. Attachments The official copy of the permit Permit 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 ausa3AAUMM115 3302.pdf DMM173-1530.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 00 COMMONWEALTH OF VIRGINIA �✓IIIDcp.9i: �nrnn, rr 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 8. Map Legend (Form DMM-109) 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. If 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 MP for the year. The certification shall read as follows: 'I, the undersigned, hereby certlty that no changes have been made in the different areas or in other map features since the last annual permit renewal or modification. - Attachments legend from 2008 DMM-170 REV. 01/08 Page 1 of 8 90393AA999.pdf Y 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 'u"wdnwapyU393AA999Map2.of RenewalMap90393AA999Map3. of RenewalMap90393AA999Map5. of RenewalMap90393AA999Map6[ 1 ]. pdf Renewal Map90393AA999Map7.tif 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 Code Name/Title Address Telephone C. Trade name, address and telephone number for sole proprietors/partnerships. Action Code Name/Title Address Telephone D. Principal organization officials, corporate officers, directors and members Action Code Namemt�a ,.��____ SORENSEN, KIERK j812 RIVES ST. E. Corporation name, address, and telephone number if different than applicant Action Code Name Address Telephone F. Registered Agent Action Code Name/Title Address Telephone a subsidiary, provide parent organization name. Action Code Name n�,t,o�� _ . Start Date )Start Date I Start Date 12/5/1997 3. Name, address, and telephone number of person(s) authorized to sign permit/license documents. KIERK ASHMORE DMM-170 REV. 01108 812 RIVES ST. Page 2 of 8 User ID, name, email address of person(s) authorized to enter e-Forms information. User ID Name EMail Address Form # alberene Kierk R Ashmore -Sorensen ksorensenl@alberenesoapston DMM179 alberene Kierk R Ashmore -Sorensen e.com ksorensenl@alberenesoapston DMM146 e.com alberene Kierk R Ashmore -Sorensen ksorensenl@alberenesoapston DMM156 e.com alberene Kierk R Ashmore -Sorensen ksorensenl@alberenesoapston DMM170 alberene Kierk R Ashmore -Sorensen e.com ksorensenl@alberenesoapston DMM171 alberene Kierk R Ashmore -Sorensen e.com ksorensenl@alberenesoapston DMM172 alberene Kierk R Ashmore -Sorensen e.com ksorensenl@alberenesoapston DMM177 alberene Kierk R Ashmore -Sorensen e.com ksorensenl@alberenesoapston DMM178 alberene Kierk R Ashmore -Sorensen e.com ksorensenl@alberenesoapston DMM173 alberenemark Mark D McQuarry e.com mmcquarry@alberenesoapston DMM146 alberenemark Mark D McQuarry e.com 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 4. 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 organization had a mining issued having 20% or greater ownership interest in the permit 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 Virginia: 45.1-161.292:33, 45.1-161.177, 45.1-161.178, underground coal mines or tampering of and 45.1-161.233 as related to smoking in 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 6. Complete either A or B W. 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 (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 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 (Description 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 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 Address From D OPER P04292 SORENSEN, KIERK 812 RIVES ST. 12/5/1997 ASHMORE A OPER P09286 MCQUARRY,MARK 708 PATRICK HENRY 12/5/1997 HWY (B)Person to be contacted in the event of an accident or emergency. Action Type Code Name/Title Address From (C) Person with overall responsibility for health and safety at the mine -- rwaress From D HS P07781 BUSTER TIPPTON NEW WORLD STONE 12/19/2006 COMPANY A HS P09286 MCQUARRYARK 708 PATRICK HENRY 1 ,M2/1912006 (D) Person responsible for business operation of the mine. Action Type Code Name/Title Address From 4. Additic Action Code Mineral JSOA ISOAPSTOW Produclion (Tons A. Type of Mine OPEN PST 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. (Action IType (Code (Name/Tdle Address F,om 6. Legal Right to Enter Specify Source of app wanfc ,a gill 1c enter <irr r:onrtiict mminy and cowered by efmit 1 •,iigp 'c. ht"l,. r� ll p,t�•• hnr ;cni I':n.., g.q_i, r, Attachments Description 7 Property Owner Notification DMM-170 REV. 01/08 Page 5 of 8 Filename Pursuant io I hp Fir 'sen ;f S(.r un 9 ;1 ( ode of Vfrgima s an-, ndet he rxvn.erfsf or prooerty Within 1 000 feet Of thJ pro e t inE d �I r' i�, , F 1 and f �[ used to he perm:t a C "s Action INama, Card Recorded ttachments Description Filename 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. or CodeDING 0003138ES0002743SICAL W 0003758ION 9. Environmental Impact Job Performed NG CONTRACTOR 112/19/2006 WHOLE MINE AREA 1/12/2004 TRUCKING CONTRACTOR PROCESSING PLANT I12/22/2009 ELECTRICAL Updated List rivers, streams, tributaries or water impoundments on or adjacent or permitted property. of Waterway JUp pH the mine Down pH Tributary to to adjacent to 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 IDescription Filename DMM-170 REV. 01/08 Page 6 of 8 10. Operational. Drainage, and Reclamation (A i D-e Cribe in Ueta ,r,tilethnn c mRk.irt SedurBS r,r+,. d P andhng U•ajnage r_>grading, and vpgetattor, durr c7 o l Snc( s,, hCi Mine dic, r r,t., „-rJ O. rtin f ;ttPr by i-inns iL 7e �mpW1 On any wai@r . ulseF life a C tifeafy the m I. n'l!s s ._��,v:!' e {enerat=.n ,y �r�,nmr xn'r�tin 9r r. ;rya disposal dunng nperobons a , r:Cama6ory 01 Are you plann,ng o,, „ ilip cvntr-m;�. % r vr.� :•rn., 11. Acreages and Post -Mining Land Use Post-Minng Land Use Action Code CaU Use Acreage Type of Acreage Current Acreage Permitted 1496.94 Disturbed 36.87 To be Affected in the next 12 months 0.00 Bond Release Vegetated, but not released Regraded (Zertificat" mn/Signature 1 Q 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 swom to this date: 12/2/2011 OMM•170 REV. 01/08 Title: General Manager Page 7 of 8 M on : Td. 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