2011-07-06_REVISION - M1990143

• Permit No: M1990143
• IBM Index Class Name: REVISION
• Doc Date: 7/6/2011
• Doc Name: SO Appl.
• From: General Shale Brick, Inc.
• To: DRMS
• Type & Sequence: SO2
• Email Name: BMK
• Email Name: AJW
• Email Name: BJC
• Media Type: D
• Archive: No

II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
-2-
M- 1990 -143
Stone City Mine
Arlain Robertson
Thermal Ceramics Inc
515 South 9th Street
Canon City
Colorado Zip Code: 81212
706 Telephone: [phone] ext 4214
4. Successor Operator:
Contact Person: Anthony Fabrizio
Company Name: General Shale Brick, Inc„ 0\
Street: 1845 West Dartmouth Avenue
City: Denver
State: Colorado Zip Code: 80110
Area Code: 303 Telephone: [phone]
IRS Tax ID No. or Social Security No.:
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