2011-06-02_REVISION - M1990143

• Permit No: M1990143
• IBM Index Class Name: REVISION
• Doc Date: 6/2/2011
• Doc Name: Inadequate Submittal of SO Appl.
• From: DRMS
• To: General Shale Brick, Inc.
• Type & Sequence: SO2
• Email Name: BMK
• Email Name: JRC
• Email Name: AJW
• Media Type: D
• Archive: No

-2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
M-1990-143
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
city:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No. or Social Security No.
Stone City Mine
Arlain Robertson
Thermal Ceramics Inc
515 South 9th Street
Canon City
Colorado Zip Code: 81212
706 Telephone: [phone] ext 4214
Anthony Fabrizio
General Shale Brick, Inc
1845 West Dartmouth Avenue
Denver
Colorado Zip Code: 80110
303 Telephone: [phone]
?
5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety