NCG020334_COMPLETE FILE - HISTORICAL_20140304

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
N,� �y.o caU33�
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ 01
YYYYMMDD

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AN DF0;A
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
Jerry Bulluck
221 Main St.
Battleboro, NC 27809
Dear Mr. Bulluck:
Pat McCrory, Govenor
RECEIVE�-,lohn Skvarla,111 Secretary
February 27, 2014 �J
MAR 0 4 20i4
CENT RAL FILES
DWQIBOG
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG020334
Jerry Bulluck Sand Pit
Edgecombe County
On November 19, 2013, the Division of Energy, Mineral and Land Resources received your request to
rescind your coverage under Certificate of Coverage Number NCG020334. In accordance with your
request, Certificate of Coverage Number NCG020334 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to
waters of the State without valid coverage under an NPDES permit is against federal and state laws and
could result in fines. If something changes and your facility would again require stormwater or
wastewater discharge permit coverage, you should notify this office immediately. We will be happy to
assist you in assuring the proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform
the new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Julie Ventaloro at 919-807-6370, or the
Stormwater staff in our Raleigh Regional Office at 919-791-4200.
Sincerely,
for Tracy E. Davis, P.E., CAM
cc: Raleigh Regional Office — D. Parnell
Stormwater Permitting Program
Central Files - wlattachments
Deborah Reese, DEMLR Budget Office - please waive applicable fees
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 t 919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http:11portal.ncdenr.org1web1lrl
An Equal opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

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. Division of Water Quality / Surface Water Protection
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NCDENRNational Pollutant Discharge Elimination System
"°O"'E°DN• R" SOUR RESCISSION REQUEST FORM
E'+"Aonwe,�+r .v+o N,enn.,� REs°URCEs
FOR AGENCY USE ONLY
Date Received
Year Month Day
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N I C 5 N I C I G 1 Q a 1 Q 31YW
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name
Facility Contact -, 1--e r l`�=4 b r . 1 ) L' r-K
Street Address Q a I M IaT.1 IS+ -
City fl- M.P State [\J(, ZIP Code 917 SO
County a e c,p m,b-e, E-mail Address ran 6L' I i c, c k ro, aCL . corn
Telephone No. a _� _ 44a - /n: Fax: �.5a L) 4
3) Reason for rescission request (This is renuired information. Attach separate sheet if necessary):
[' Facility closed or is closing on 19 : a'L,. , 3AII industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to F­­­� on f If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate:
Signature Date
Print or type nvme of person signing above Title
Please return this completed rescission request form to: SW NPDES Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 d %a � O W Pam" n
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604 ? 1 t U One
Phone: 91H07.63001 FAX: 91M07- i4921 Customer Service:1-877-623-6748 NofthCarollna
Internetwww.ncwaterquality.org
NOV 1 9 2013 Naturally
An Equai Opportunity l Affirmative Acbon Employer
DENR • WK( R QUALITY
WET WS AND STORMATER BRANCH

AUA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director September 26, 2013 • John E. Skvarlia, Ill, Secretary
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7008 1300 0000 1126 6186
Mr. Jerry Bulluck
PO Box 273
Battleboro, North Carolina 27809
RE: Bulluck Sand Pit
Permit No. 33-25
Edgecombe County
Tar River Basin
Dear Mr. Bullock. -
An inspection was made of the above mine on September 3, 2013 in accordance with
G.S. 74-56 of the Mining Act of 1971.
The mine was found to be satisfactorily reclaimed. Therefore, you are released from
further reclamation responsibility for this site with respect to the Mining Act of 1971. 1 am
returning your Assignment of Savings Account No. 2000003960776 issued by First Union
National Bank in the sum of $16,100.00 to you for your disposal.
Thank you for your cooperation in this matter.
Sincerely,
J
ja et . Boyer, PE
to Mining Specialist
d Quality Section
JSBIjw
Enclosure: Assignment of Savings Account No. 2000003960776
cc: Mr. John Holley, PE
Mr. William Gerringer-DOL, Mine and Quarry Bureau
Mr. Bradley Bennett - DWQ
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: htti);llportal.ncdenr.orolwebilr/land-quality
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North Carolina Department of Environment and Natural Resources,
Division of Energy, Mineral, and Land Resources, Land Quality Section
MINE INSPECTION REPORT
0"PERMITTED MINE SITE ❑ UNPERMITTED MINE SITE
1. MINE NAME: ?SOL L Q C. K t) -A 1 N P 1'T 2. MINE LOCATION: �fi' LE'fSi +Z -
3. COUNTY:4. RIVER BASIN:5. CASE:
6. OPERATOR:----
7. ADDRESS: F>" @ F
8. MINING PERMIT #: 7 -- �.,-, ❑ NIA 9. PERMIT EXPIRATION DATE: o- t_>>- �a�❑ NIA
10. PERSON(S) CONTACTED AT SITE: _-T 7<2.
11. PICTURES? ❑x, Yes ❑ No TAKEN BY:
12. TYPE OF INSPECTION:
❑ A. Initial Inspection (Unpermitted Mine Sites)-
1. Size of affected land: ac. (attach sketch map)
`w
2. How was this area measured? Measured by:
© B. Routine Inspection (Permitted Mine Sites)
L1 C. Follow-up Inspection 4.-
13. Date of last inspection:C)(,_ i q• Zd� 12 t
14. Any mining since that date? ❑ Yes © No If yes, cite evidence of such mining activity:
15. Was mine operating at time of inspection? ❑ Yes❑ No If yes, explain:
16. Is the mine in compliance with the Operating Conditions of the Permit? 0 Yes ❑ No ❑ NIA
If no, explain:
17. Is the mine in compliance with the Reclamation Conditions of the Permit? ® Yes ❑ No ❑ NIA
If no, explain:
18. Is there any off -site damage? A. ❑ Yes B. FY.1 No C. ❑ None observed
If A, describe the type and severity of the damage:
If B or C, is there potential for offsite damage? ❑ Yes No Explain:
19. Corrective measures needed and/or taken:
20. Other recommendations and comments: A rz_ ac L_Fi ti C-n sr� rA -S
....+�+1% t_3 5 %(- i?_'t^iY� - "fat i.-..`' �A
21. Is the Annual Reclamation Report +/- map accurate? ❑ Yes ❑ No (Explain) Q Not Reviewed ❑ NIA
22. Follow-up inspection needed? ❑ Yes 0 No Proposed date
23. No. of additional pages of Inspection Report 24. Copy of Report sent to operator
INSPECTED BY: DATE t - 3 - � �C .� 1 "
Telephone No: Ctkq--4.9 QL4"� �1src+"-� i��s�►..��st�=�.
Copy to file Copy to operator Copy to Mining Specialist

RELEASE REQUEST FORM
Instructions: Fill out this forth if all mining has ceased, you have completed all of the required
reclamation work and you wish to be released from the conditions of your permit. Retain the
pink copy for your records and return the yeilow and white copies to the Land Quality Section
Regional Office serving your area or to:
N. C. Department of Environment and Natural Resources
Land Quality Section
P. O. Box 27687 a
Raleigh, NC 27611-7687
OPERATOR:
ADDRESS: =� i ,���"ti i i_._G�'4 y �c ! k 3 T
MINE NAME:
PERMIT NO.: 1 S -
COUNTY: .�C a-
TOTAL ACRES RECLAIMED:
TAILINGS PONDS:
STOCKPILES:
WASTEPILES:
PROCESSING PLANT: ACTIVE MINE AREA:
.t
h have completed all of the required reclamation work atthe above referenced site. I am hereby
requesting to be released from the conditions of this mining permit and that the posted bond be
returned to my attention.
Signed (f
Title � . � � �' �� t. -T f�
Date
E
10197

q F0`7 - Erd 70
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
2 0 1 3 P R 0 0 9 7 7 4
INVOICE
Annual Permit Fee
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated
with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of
the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating
without a valid permit is a violation and is subject to a $10,000 per day fine. if the permit is revoked and you later
decide a permit is needed, you must reapply, with the understanding the permit request may be denied due to changes
in environmental, regulatory, or modeling conditions.
Permit Number: NCG020334 Annual Fee Period: 2012-12-01 to 2013-11-30
Edgecombe County
JInvoice Date: 11105l13
Jerry Bulluck Sand Pit
Due Date: 12/05/13
Jerry Bulluck Annual Fee: $100.00
221 Main St
Battleboro, NC 27809
Notes:
1. A $25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512
2. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
3. Remit payment to:
NCDENR - Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
4. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coo raj nator at 919-807-6321.
II-15 , '"I1 '
[1 � �C;*•,,�7�..iV�4.l-"-� i�-� ..G�J�i'1'7%.-....sS.s t L.+G-. C....1 ��y'' ��1�%"".- ;k''�t'�^�.`�,.�,^i-e.) � C""1`b° f
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Permit Number: NCG020334
Edgecombe County
Jerry Bulluck Sand Pit
Jerry Bulluck
221 Main St
Battleboro, NC 27809
Annual Fee Period: 2012-12.01 to 2013-11-30
Invoice Date: 11/05/13
Due Date: 12/05/13
Annual Fee. $100.00
Check Number: