20221128_Application

biz�gr era( '
NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division at Energy,Mineral,and Land Resources [phone]
NOTE:ft is recommended that you contact the appropriate Regional Office or the Raleigh Central Office for a PRE-
APPLICATION MEETING to di5cu55 your intentions and address any questions.
I. Name of Mine A /4f/,,4a,
Canty C/{/4t/�A! River Basin /Ve415-2.
Latitude(decimal degrees to four
places)
places)
l ces) (decimal degrees to four 13 I U-11 r � 1 2. Name of Applicant AIAKfleee , ql/f dcr d ,Tjt_
Applicant Contact r/,QNfhe� A /)11to/(rd JjLt"mttantContact ov /?/' 4/z-df0,n1, P�
Applicant Email �G aE}c I Coo w.e re oC /✓Ik f/•gonsuItant Emai
K
p yam_
?Sy r ic%Andso�� r�6��Y�
Telephone - ' /3 — /73D Telephone �r1_y7S3�7L /Hpf�m�
Cell Phone y,4. Cep Phone A/q,
3 Permanent Address for Receipt of cI !
Official Mail" /3S l�r/�S�' STjCQOL
4. Mine Office Address 3S SR e�
WAfki,Vfrnh, //,C, .417Aj9&7
5. Mine Manager M.4 e ,D A Al 100 _y t 1
Mine Manager Email 113/f"C4Q-HCav-k & ejk
Telephone Z�Z g� —l?3p Cell Phone
I certify that all details contained in this permit application are true and correct to the best of our knowledge.We
fully understand that any willful misrepresentation of facts will be cause for permit revocation.
Signature"' X Date 2 2�
Print Name ��
Tile AGf/'&�A
'This will be the name that the mining permit will be issued to and the name that must be indicated on the reclamation bond(securpyi that
corresponds to this site.
"The Dr ision of Energy,Mineral,and Land Resources must be notified of any charges in the permanent address or telephone number.
"`Signature of comoanv officer required
G.S.74-51 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a complete
application or,if a public hearing is held,within 30 days following the hearing and the filing of any supplemental information
required by the Department.All questions must be addressed,and all required maps provided before this application can
be considered complete.Attach additional sheets as needed.
NOV 2 8 1011
LAND QUALITY, _
MINING PROGRAM I 1

NORTH CAROLINA MINING State of North Carolina 1612 Mafi Service Center
PERMIT APPLICATION Department of Environmental Quardy Raleigh.NC 27699-1612
Division of Energy,Mineral,and land Resources (919)707--9220
NOTE:All the following questions must be thoroughly answered regarding your mining operation for the intended
life of the mine.All responses must be clearly conveyed on a cornesponding,detailed mine map.
A.GENERAL CHARACTERISTICS OF THE MINE
1. Answer all the following that apply:
This is an application for a NEW permit. Q 2
Indicate the total acreage at the site to be coveted by the permit
(This is the acreage the new permit fee will be based upon.)
Of this acreage,how much is owned and how much is leased?
Acres owned: 3 Acres leased: /mod j`f
Property owner if leased: G �
This is an application for a MODIFICATION to a mining permit.
Mining Permit Number. Total permitted acreage:
Does the modification involve acreage within the prevba*approved permitted boundary?
AYES FINO
If yes,indicate the acreage to be covered by this modification
Does the modification involve acreaae outside the previously approved permitted boundary?
OYES nNO
If yes,indicate the add'utional acreage to be covered by this modification
NOTE:You must complete all of Section F of this application form entitled Notsfcation of Adjoining
Landowners
Of the acreage to be added to the permit,will any portion be affected(i.e.:disturbed,ground cover
removed by the mining operation?
YES ❑NO
If yes,indicate the acreage to be affected within the acreage to be added to the permit
The modification fee is based upon the proposed new affected acreage within the previously
approved permitted boundary plus the proposed total acreage to be added outside the previously
approved permitted boundary.
This is an application for TRANSFER of a mining permit.
!� Mining Permit Number: Total permitted acreage:
Revised Set)tember 21, 2071 G a 2

NORTH CAROLINA MINING State of North Catalina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quardy Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
MINING FEE SCHEDULE
A nonrefundable pe mlt application processing fee when filing for a new mining permit,permit modiflicablon,or transfemsd permit Is
required as fotlora:
APPLICATION TYPE 0—25 ACRES
New Permit A
Wticatioms $3,750.00 5
Permit Modifications, $750.00 $1,000.00
Permit Transfers $100.00 $100.00
Annual Operating Fee $400.00 $400.00
Acres for new permits means the total acreage at the site to be covered by the permit Acres for modification of permits means the
new affected acres whhln the previously approved permitted boundary plus Ow proposed total acreage to be added outside the
previously approved permitted boundary.
2. Name of all materials mined: r ''J I
3. Mining Method:
Hydraulic Dredge Front-send Loader&Tnidc &Tntdc
Dragline&Truck Setf4oading Scraper Excavator&Truck
Other(please explain):
4. Expected maximum depth of mine(feet)
Depth is relative to what benchmark?(e.g.,natural ground level,mean seal level,road elevation,etc.):
To f o r /V/1 0V---VC_1 ,
Expected average depth of mine(feet) .3_
5. Has any area at this site been mined in the past?
YESD NO P4eA Jk r y'
If yes,when and by whom was thiP
conducted? I camVV_1 q 3 2 0o 2,
6. Estimated life of the operation(years):
NOTE:The Department may request clarification on how life of mine was calculated.
Revised September 21. 2021 P 3

NORTH CAROLINA MINING State of Noah Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
B_MAPS
1. Cloudy made and label the location of your mining operation on six U gaies of a 7.5-minute quadrangle and a county
highway map.Theso maps,in addition to six(61 gaies of all mine maps and reclamation maps,must be submMed
with each permit application.
7.5-minute quadrangles may be obtained from the N.C.Geological Survey:
Mailing Address Physical Address
1612 Mail Service Center 512 N.Salisbury SL,51h Floor
Raleigh,NC 27699-1612 Raleigh,NC 27604
HttpJr�ortal.nccie�ir.orctiwe�lir_ ological home [phone]
County highway maps may be obtained from the N.C.Department of Transportation:
Mailing Address Physical Address
NCDOT GIS Unit NCDOT GIS Unit
1587 Mail Service Center 3401 Carl Sandburg Court
Raleigh,NC 27699-1587 Raleigh,NC 27610
htt :)-'vv n�w,ncdpt.r�i tj(IDS [phone]
2. A tabletchart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment ponds,
stockpiles,waste piles,processing areasihaul roads,mine excavations and any other major aspect of the mining
operation that is proposed to be affected/disturbed during the life of the mining permit.A tahlefchart similar to the
following will be acceptable:
AFFECTED ACREAGE TABLE:
For new permits,complete only the total affected acreage column.
For modifications,complete all columns.
CATEGORY CURRENT AFFECTED PROPOSED CHANGE TO TOTAL AFFECTED
ACREAGE AFFECTED ACREAGE ACREAGE
Tailings/Sediment Ponds
Stockpiles �e
Waste piles
Processing Areas/Haul Roads 2 ,�
Mine Excavations
Other(Please explain) Q
Total Affected Acreage 3 Q , 7"7
Total Permitted Acreage V Y.37 :3
� _ , 4

NORTH CAROUNA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
3. Mine maps must be accurate and appropriately scaled drawings.aerial photographs,or enlarged topographic maps of
the entire mine site.All aspects of the mine site must be clearly labeled on the maps along with their
corresponding(approximate)acreage.Thus,all mine and reclamacbotti maps cost denote those aativiNS that
are intended to be conducted during the life of the mining permit All maps must be of a Scale WIfitint to CleartY
illustrate the following,at a minimum:
a) Properly lines of the tract or tracts of land on which the proposed mining activity is to be located inducting
easements and rights-of-way.
b) Exiisting or proposed permit boundaries with geographic controls(e.g.metes and bounds,coordinates)labeled
c) Initial and ultimate limits of clearing and grading
d) Outline and width of all buffer zones(both undisturbed and unexcavated)
e) Outline and acreage of all pitslexcavations
Q Outline and acreage of all stockpile areas
g) Outline and acreage of all temporary and/or permanent overburden disposal areas
h) Location and acreage of all processing plants(may be described as to location and distance from mine if
sufficiently far removed)
i) Locations and names of all streams,rivers,and lakes
j) Outline and acreage of all settling and/or processing wastewater ponds
k) Outline and acreage of all planned and existing access roads and on-site haul roads
1) Location of planned and existing on-site buildings
m) Location and dimensions of all proposed sediment and erosion control measures
n) Location of i OD-year floodpiain limits and wetland boundaries
o) Names of owners of record,both public and private,of all tracts of land that are adjoining the mining permit
boundary,if an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,
names of owners of record of trails adjoining these tracts that are within 1,000 feet of the mining permit boundary
must be provided on the mine map.
p) Names of owners of record,both public and private,of all tracts of land that are adjoining the mining permit
boundary which lie directly across and are contiguous to any highway,creels,stream,river,or other watercourse,
railroad track,or utility or other public right-of-way.If an adjoining had is awned or leased by the applicant or is
owned by the lessor of the mine tract,names of owners of record of tracts adjoining these tracts,that are within
1,000 feet of the mining permit boundary,must be provided on the mine map(s).NOTE:'Highway'means a road
that has four lanes of travel or less and is not designated as an Interstate Highway.
q) Map legend
1) Applicant name 5) Scale
2) Mine name 6) Symbols used and corresponding names
3) North arrow 7) Date prepared and revised
4) County 8) Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP SCALE
0—49 acres 1"=5W
50—199 acres 1'=100'
200+acres V=2W
NOTE:Smaller soled maps may be acceptable if they dearly illustrate the above items.
NOTE:In addition to the above,the maps must also include any she-specific information that is provided in
the answers to the following questions(italicized quesdonsfstatements)in this application form.This
application will not be considered complete without all relevant Items being adequately addressed on the mine
maps.
Revised S(-r)ternbF=.-r 21, 2021 ' r 5

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service center
PERMIT APPLICATION Department of Environmental Quardy Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
C.PROTECTION OF NATURAL RESOURCES
1. Describe in detail the sequence of events for the development and operation of the mine and rekr+ence the sequence
to the mine map(s).Attach additional sheets as needed.
/Y 5-11ACAce d�- 5)��'ml9s4C-Vje1t,:rLv�,4 jo-VV
Tees.
� �-•�s ill fv�c��c� r�r�reK
�(A. rx` 4 fps 1
2. Describe specific erosion control measures to be installed prior to land disturbing activities and during mining to
prevent otisite sedimentation(include specific plans for sediment and erosion control for mine excavatron(s),waste
plies,access/mine roads,and process areas),and give a detailed sequence of installation and schedule for
maintenance of the measures.Locate and label all sediment and erosion control measures on the mine map(s)and
provide typical cross secdonskonshuction details of each measure.Engineering designs and calculations are required
to justify the adequacy of any proposed measures.
A tl Sin rhc-e
f1 �
&J J r 7'c1a,,70
�,►��.,�- P.LQ s��Fes. w-A-r'� �j"�"''` vl� �
j� ✓
70
3. A)Wiq the operation involve washin the material mined,recycling process water,or other wastewater handling?
DYES NO
If yes,briefly describe all such processes including any chemicals to be used.
B)Will the operation involve discharging fresh or wastewater from the mine or plant as a point discharge to the waters
of the State?
DYES NO
if yes,briefly describe the nature o discharge and locate afl prWosed discharge points(along w#h their method of
stabilization)on the mine map(s).
Revised Seoternaer 21, 2001 6

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resoumes [phone]
C)Will any part of the proposed nine excavations)extend below the water table?
IXAYES NO
If yes, you intend to dewater the a vation(s)?
YES NO
Estimated withdrawal rate in gal per day:
If yes,what impact,if any,will mine dewatering have on neighboring wells?Locate all existing wells on the mine
map(s)that lie within 500 feet of the pmposed excavation area.Provide data to support any conclusions or statement
made,including any monitoring well data,well construction data,and current water withdrawal rates.Indicate whether
the proposed mine locale is served by a public water system or private wells.
/j�A
D)If you answered yes to any of the above questions,provide evidence that you have applied for or obtained the
appropriate water quality permit(s)(i.e.,non-dischw9e,NPDES,Stormwater,etc.)from the Stormwater Program.In
addition,the applicant is required to register water use with the Division of Water Resources,Ground Water
Management Branch,if the operation withdraws more than 10,000 gallons per day and needs a capacity use permit
from the Division of Water Resources,Ground Water Management Branch,if the operation lies in a capacity use area
and withdraws more than 100,000 gallons per day-
/ 4'e-- /Lt o t/`*the ram. d j S c k4,A� 0�t "
�n dlSIV^Led cr-L M J44V GLrA"e-4S*
4. A)Will the operation involve crushing o ny other air contaminant emissions?
DYES NO
If yes,indicate evidence that you have applied for or obtained an air quality permit issued by the Division of Air Quality
or local governing body.
B)How will dust from stockpiles,haul roads,etc.,be controlled?
13�
Revised September 21. 20-11 P 7

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and land Resources [phone]
S. A)A buffer will be required between any mining activity and any raining permit boundary or right-of-way.It may be an
unexcavalied buffer(no excavation,but roadways,berms,and erosion&sedimentation control measures may be
installed within it),an undisturbed buffer(no disturbance within the buffer whatsoever),or a corribirmfion of the two,
depending upon the site conditions.Note that all buffers must be located within the mining permit boundaries.
How wide a!suffer will be maintained between any mining activity and any mining permit boundary or right-d-way at
this site?A minimum buffer of 25 feet is recommended,although a wider buffer may be needed depending on site
conditions_Show all buliierkwadons and widths on the mine map(s). / `
�Z-5- /,Wf k4d.-p-, VYdis-n-,1Zko bc,,,rr-x-1L
le 5 /
y
one
B)A minimum 50 foot wide undisturbed buffer will be required between any land disturbing activities within the mining
permit boundaries and any natural watercourses and wetlands unless smaller undisturbed buffers can be justified.
Depending on site conditions,a buffer wider than 50 feet may be needed.
How wide an undisturbed buffer will be maintained between any land disturbing activities within the mining permit
boundaries and any natural watercourses and wetlands at this site?Show all buffer locations and widths on the mine
map(s).
A 'po pivd-f
6. A)Describe methods to prevent landslide or slope instability adjacent to adjoining permit boundaries during mining.
Minimum 2 horizontal to 1 vertical slopes or flatter for clayey material and minimum 3 horizontal to 1 vertical slopes or
flatter for sandy material are generally required unless technical justification can be provided to allow steeper slopes.
Al-e_ C/4J�O 9P-
B)Provide a cross-section on tfhe mine map(s)for all fill slopes(berms,waste piles,overburden dk osa►areas,etc),
clearly indicating the intended side slope gradient,installation of any benches and/or slope drains(with supporting
design information)if needed,and the method of final stabilizaton.
51ec" /L4L-%, 0,1�tf
Revised S(�UlE-trJ)()r %1, 20-21 _� 8

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and land Resources [phone]
C)In excavation(s)of unconsdidated(norKock)materials,specify the angle of all cut slopes including speciticalions
for benching and sloping.Cross-sons for all cut slopes must 6e provided on Me mine map(s).
D)In hardrock excavations,specify proposed bench widths and heights in feet.Provide crosssections of the mine
excavation clearly noting the angles of the cut slopes,widths of all safety benches and mine benches,and the
expected maximum depth of the excavation.
7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling,house,
public road,or public,commercial or industrial building from any mine excavation.Locate all such structures on the
mine AA map if they are Wthin 300 Beet of any proposed excavation. � 4 U
�01� pp30 0
t�
8. Describe what kind of barricade will be used to prevent inadvertent public access along any high wall area and when h
will be implemented.Vegetated earthen berms,appropriate fencing and adequate boulder barriers may be acceptable
high wall barricades.A construction detail/cross-section and location of each type of barricade to be used must be
indicated on the mine map(s).
16
wJ
9. Are acid roducing minerals or 'is TNO
r nt?
YES
If yes,how will acid water pollutioe excavation,stockpiles,and waste areas be controlled?
r � �
Revised Sei�ietlnOrC ?�s., 2(.�:a 9.

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy.Mineral,and Land Resources [phone]
10. A)Describe specif c plans(including a schedule of implementation)for screening the operation from public mew such
as maintaining or planting trees,bushes or other vegetation,building bemm or other measures.Show the Amdon of aft
visual screening on the mine map(s)and provide cross-sectkWs through off proposed berrrrs or proposed space ,
sires and species for tree plantings. tj�✓�-a-S t`�
7�k 6 P114F,70,f 4 7'&t-ly td*4V
B)Could the operation have a signfirantly adverse effect on the purposes of a publicly owned park,forest,or
recreation area?If so,how will such effects(i.e.,noise,visibility,etc.)be mitigated?
1
11. VYg a losives be used?
HYES NO
If yes,specify the types of expl ' (s)and describe what precaution(s)will be used to prevent physical hazard to
persons or neighboring property from flying rocks or excessive air blasts or ground vibrations.Depending on the mine's
location to nearby structures,more detailed technical information may be required on the blasting program(such as a
third-party blasting study).Locate the nearest oftle occupied stnrcture(s)to the proposed excavation(s)on the mine
map and indicate its approximate distance to the proposed excavation.
12. Vifill fuel tanks,solvents,or other chemi I reagents be stored o"te?
DYES NO
tf yes,describe these materials,h w y will be stored and method of containment in case of spill.Indicate the
locadon(s)of all storage facilities on the mine map(s).
y . � 10

NORTH CAROUNA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
D.EEC-LWnoN PLAN
1. Describe your intended plan for the final reclamation and subsequent use of all affected lands and indicate the
sequence and general methods to be used in reclaiming this land.This must include the method of reclamation of
settling ponds and/or sediment control basins and the method of restoration or establishment of any permanent
drainage channels to a condition minimizing erosion,siltation and other pollution.This infarnadon must be d1ustrated
on a reclamation map and must correspond directly with the irdformadon provided on the mine map(s).In addition,
design information,including typical crass sections,of any permanent channels to be constructed as part of the
reclamation plan and the location(s)of all permanent channels must be indicated on the reclamation map.
fa e z 0 /0,VJ -7 V
2. Is an excavated or impounded body of water to be left as part of the reclamation?
YES RNO
if jds,tlushate the locagon of the body(s)of water on the reclamagon map and provide a scaled cross sedion(s)
through the proposed body(s)of water.The minimum water depth must be at least 4 feet,measured from the normal
low water table elevation,unless information is provided to indicate that a shallower water body will be productive and
beneficial at this site.
Will body(s)of water be stocked with fish?
YES FiNO
If y ,specify species.
3. Describe provisions for safety to persons and to adjoining property in all completed excavations in rock including what
kind of permanent barricade will be left.Acceptable permanent barricades are appropriate fencing,large boulders
placed end-to-end,etc.Construction details and locations of aff permanent barricades must be shown on the
reclamation map.
GIAJ
e v i s e d Septeo iiF_r 21. «�?1 r- m ,,i r
� 11

NORTH CAROLINA MINING State of North Carolina 1612 Mal Service Center
PERMIT APPLICATION Departrrtent of Environmental Quality Raleigh,NC 27699-1612
Diviion s of Energy,Mineral,and Land Resources [phone]
4. Indicate the method(s)of reclamation of overburden,refuse,spot banks or other such are-site mine waste areas,
including specifications for benching and sloping.Final cross secUm and locations for suctr areas must be provided
on the reclamation map.
AJ
5. A)Describe reclamation of processing facilities stockpile areas,and on-site roadways.
S� a� Jui- /-,
B)Wig apy or-site roadways be left as part of the reclamation?
MYES FINO
ff yes,identify such roadways on the reclamation map and pmwde details on permanent road and ditch line
stabihafion.
6. Describe the method of contra!of contaminants and disposal of scrap metal,junk machinery,cables,or other such
waste products of mining.(Note definition of refuse in The Mining Act of 1971.)
No off-site generated waste shall be disposed of on the mine site without prior written approval from the NC
Department of Environmental Quality,Division of Energy,tiNnerat,and Land Resources and either the Division
of Waste Management(DWM)or local governing body.ff a disposal permit has been issued by DWM for the
site,a copy of said permit must be attached to this application.Ad temporary and perr wwnt refuse disposal
areas must be Beady delineated on the mine map(s)and reclamation map,along wifh a fist of items to be disposed in
said areas.CA
A Va, e"� Alt
L✓
Revised Septenr)Ller 2:1, 2o2' 112
r- rr

NORTH CAROLINA MINING State of North Carolina 1612 Malt Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Enemy,Mineral,and Land Resources [phone]
7. Desaft your plan for revegetation or offw surface treatment of the affeded areas.This plan must include
recommendations for year-round seeding,including the time of seeding and the amount and type of seed,fertilizer,
lime and mulch per acre.The recommendations must include general seeding instructions for boh perrnwrerrt and
temporary revegetation.Revegetation utilizing only tree plantings is not acceptable.Recorrmumdations can be sought
from:
a. Authorized representatives of the local Soil and Water Conservation District;
b. Authorized representatives of the NC Forest Service,Department of Agriauhjre and Consumer Services;
c. Authorized county representatives of the North Carolina Cooperative Extension Service,specialiists and
research faculty with the Colleges of Agriculture and Life Sciences and Forest Resources at North Carolina
State University;
d. North Carolina licensed landscape architects;
e. Private consulting foresters referred by the NC Forest Service,Department of Agriculture and Consumer
Services;
f. N.C.Erosion and Sedimentation Control Planning and Design Manual;
g. N.C.Surface Mining Manual:A Guide for Permitting,Operation and Reclamation;
h. Others as may be approved by the Department.
Lune Rate of Application(tonstacre): 7d AS//f C-IL9-
FertHizer Analysis and Rate of Application(lbslacre): (.� 445 /y&4 - /0—/
Seed types)and rate(s)of application included year-round seeding schedule(lbstacre):
NOTE:Include legumes
SEED TYPES SEEDING DATES SEEDI G RATES
l Ir.,e Xr o tf fVv S �}�
-e f
/L"rr
Mulch Type,Rate of Application(lbstacre),and Method of Anchoring:
�- S TR u-k. �✓.� �7 Sj� y
Other Vegetative Cover(S)Type(s)and Rate(s)of Application Including Seeding Schedule(lbstacre,trees/
acre,spacing of busishrubs,etc.):
Revegetation 9 7�tti an a by: J
Signature Date ! Z( 12 2--
Print Name o d
Tolle
Agencyfie-0
Revised Seutember 2 11, -2021. � 13

NORTH CAROLINA MINING State of North Carotin 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
E.DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond(based upon a rate of S5W to S5,000
per affected acre)for each permitted mine site based upon the acreage approved by the Depart wnt to he affixted thing the
life of the raining permit Please insert the angroximate acreage for each aspect of the mining operation that you brtend to affect
durrno the fife of fhis mining permit tin addition please insert the appropriate reclamation cos0'acre for earn rategcrrjr from the
Schedule of Redamatron Costs provided with this application form)OR you can defer to the Denartrrrent to calculate vour bond
for you based upon vow maps and standard redamaUon costs.-
CATEGORY AFFECTED RECLAMATION RECLAMATION
ACREAGE COST/ACRE COST
Tailings/Sediment Ponds /,&hlC Ac. X $ /Ac. = $ 0.00 /�JD CPC
Stockpiles 0,S Ac. X $ 1$0 lAc. = $ 0.00 q d p
Waste Piles Iy Ac. X $ lAc. = $ 0.00 /'j d^!E
Processing Areak aul Roads )-y 4 Ac. X $ d� lAc. = $ 0.00 4 3 zo
We Excavation ;2 9,0 7 Ac. X SIry O /Ac. = $ 0.00 l c�3.Sn
Other Ko h/F Ac. X $ lAc. = $ 0.00 /V v _
TOTAL AFFECTED AC.: 0.00 30•97 Ac.
TOTAL PERMITTED AC.: 93.137 Ac.
TAPorary&Permanent Sedimentation&Erosion Control Measures:
Divide the TOTAL AFFECTED AC.above into the following two categories:a)affected acres that drain into proposedleAsting
excavafmn and/or b)affected acres that will be graded for positive drainage where measures will be needed to prevent offsite
sedimentation and sedimentation to onsite watercourses and wetlands.
a) Internal Drainage 110-7 Ac.
b) Positive Drainage 4q D Ac. X $1,500.00 = $ 0.00 'f 35-0
SUBTOTAL COST:$ 0.00 2 3 q2 V
Inflation Factor.
SUBTOTAL COST LIFE OF MINING OPERATION OR LIFE INFLATION COST -
0.02 X $ 0.00 �-'3 q 2D X OF LEASE(YEARS)
'�-() Y-C- its = $ 0.00 t7��g
Total Reclamation Bond Cost:
=TOTALLAMATION BOND COST= SUBTOTAL+INFLATION = $0-00 1335'00
Round doom to the nearest$100.00
NOTE:The reclamation bond cannot exceed$1 million per GS 74-54
� 14

NORTH CAROLINA MINING State of North Cwdina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
SCHEDULE OF RECLAMATION COSTS
Based upon range of$500-$5,000 per affected acre
COMMODITY CODES:
SG Sand andfor Gravel DS Dimension Stone PF Pyrophyilite CL Clay/Shale
GS Gemstone FS Feldspar OL Olivine PE Peat
Borrow Borrow/111 dirt Ml Mica KY Kyanite/Siliimanite/Andalusite AU Gold
CS Crushed Stone U Lithium PH Phosphate TI Titanium
OT Other
TYPE TIS PONDS STOCKPILES WASTE PILES P.AREAIH.R. MINE EXCAVATION
$500lac.(L) $�a�(L)
SG,GS,Borrow $1800fac. $2000lac. $1$RtHac.
1500(FI) 2000(PD)
CS,DS,FS,MI,Ll, 500(L) 1800 2000 2000 500(L)
PF,OL,KY 1500(FI) 2500(PD)
PH 1000(L) 2500 5000 5000 2000(L)
2500(FI) 5000(PD)
CL 1000(L) 2500 50M 5000 2000(L)
2500(FI) 3700(PD)
PE,AU,TI,OT 1000(L) 2500 3000 3500 20M(L)
2500(FI) 5000(PD)
(L)=Reclamation to a lake and r�evegetating side slopes
(FI)=Reclamation by filling in and revegetating
(PD)=Reclamalion by grading for positive drainage&revegetating
AS PER NCAC 15A 513.0003,IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINED BY THE BOND CALCULATION
WORKSHEET,YOU MAY SUBMIT AN ESTIMATE OF RECLAMATION COSTS FROM A THIRD-PARTY CONTRACTOR_
SAID ESTIMATE MUST BE PROVIDED WITHIN 30 DAYS TO THE FOLLOWING ADDRESS: Mining Program,1612 Mail
Service Center,Raleigh,North Carolina 276W1612
ALL ESTIMATES MUST INCLUDE THE FOLLOWING,AS A MINIMUM:
•FINAL GRADING COSTS PER ACRE
•LIME AND FERTILIZER COSTS PER ACRE
•YEAR-ROUND SEEDING MIXTURE COSTS PER ACRE(FROM APPROVED REVEGETATION PLAN IN
APPLICATIONIPERMIT DOCUMENT)
•MULCH AND ANCHORING COSTS PER ACRE
•ANY OTHER RECLAMATION COSTS NECESSARY TO COMPLY WITH THE APPROVED RECLAMATION PLAN
FOR THE SITE IN QUESTION
YOU WILL BE NOTIFIED AS SOON AS POSSIBLE OF THE DIRECTORS FINAL BOKD DETERMINATION.
Revised Srutrr1-11)f� 15

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and land Resources [phone]
F.NOTIFICATION OF ADJOINING LANDOWNERS
The`Notice'form,or a facsimile thereof,attached to this application must be sent caeMed or registered mail,return receipt
requested,to:
(1)the chief administrative office of each county and municipality in which any part of the permitted area is located as
Indicated on the mine map(s);
(2)all owners of record,both public and private,of all trails of land that are adjoining the mining permit boundary,U an
adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,all owners of record of
tracts adjoining these tracts must be notfied(that are within 1,000 feet of the ruining permit boundary)as indicated on
the mine map(s);and
(3)all owners of record,both public and private,of all tracts of land that are adjoining the mining permit boundary
which lie directly across and are contiguous to any highway,creek,stream,river,or other watercourse,railroad track,
or utility or other public right-of-way.If an adjoining tract is owned or leased by the applicant or is Owned by the lessor
of the mine tract,all owners of record of tracts adjoining these tracts must be notified(that are within 1,000 feet of the
mining permit boundary)as indicated on the mine map(s).`Highway'means a road that has four lanes of travel or less
and is not designated as an Interstate Highway.
The only exception to the above method of giving notice is if another means of notice is approved in advance by the Director,
Division of Energy,Mineral,and land Resources.
A copy of a tax map(or other alternative acceptable to the Department)must be mailed with the completed'Notice form(the
proposed overall permit boundaries and the names and locations of all owners of record of Lands adjoining said
boundaries must be clearly denoted on the tax map).
The'Attidavit of Notification'attached to this application must be completed,notarized and submitted to the Departrnent,with the
remainder of the completed application form before the application will be considered complete.
NOTES:
THIS SECTION MUST BE COMPLETED FOR ALL APPLICATIONS FOR NEW MINING PERMITS AND ALL MODIFICATIONS
OF A MINING PERMIT TO ADD LAND TO THE PERMITTED AREA,AS REQUIRED BY NCGS 74-50(b1)_
SEE THE NEXT TWO PAGES FOR THE`NOTICE'FORM AND THE'AFFIDAVIT OF NOTIFICATION"
Revised Sew erriber-2 1, 2ii,,1

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
NOTICE
Pursuant to provisions G.S.74-60(bl)of The Mining Act of 1971,Notice is hereby given that
i4Fl1�i � d P/ 4111 yya/��-has a /1/214Z 2
��� to U Dnrt81tfn of Energy,
(Applicant Name) (Date)
Mineral,and Land Resources,North Carolina Department of Environmental Quality,1612 Mail Service Center,Raleigh,North
Carolina 27699-1612,fur(check one):
a new surface mining permit,
a modification of an existing surface mining permit to add land to the permitted area;or
a modification of an existing surface mining permit to add land to the permitted area with no disturbance in
the area proposed. Please note that future modification(s)may be submitted by the applicant to allow
disturbance within
this area without re-notification of adjoining landowners.
The applicant proposes to mine on 9.3 acres located 0 Al�e
(Mineral,Ore) ,, pp (Number) (Number)
miles AlomW 0,Wesr- 4mltva, A L611 ar road gQ rs /Z.h- AdAt(
-- -
(DirecCIZAvo
(Direction) (Nearest town) (Number,Name)
in '-/ County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING ADJOINING LANDOWNER
NAMES AND LOCATIONS*
In accordance with G.S.74-Mb1),the mine operator is required to make a reasonable effort,satisfactory to the Department,to notify all
owners of record,both public and private,of all tracts of land that are adjoining the mining permit boundary;d an adjoining tract is owned or
leased by the applicant or is owned by the lessor of the mine tract,all owners of record of tracts adjoining these tracts must be notified(that are
within 1,000 feet of the mining permit boundary).In addition,the mine operator must also notify the chief administndtive officer of the cmq or
municipality in which any part of the permitted area is located. Any person may file written comment(s)to the Department at the above address
within thirty(30)days of the issuance of this Notice or the Bing of the application for a permit,whichever is later. Should the Department
determine that a significant public interest exists relative to G.S.74-51,a public hearing will be held within 60 days of the end of the 30-day
comment period specified above.
A copy of the permit application materials is on file and available for public review during normal business hours at time above fisted address as
well as at time appropriate regional office.For Info, d' g Ume proposed
of the mining activity,please contact the
applicant at the fallowing telephma m numIK �144 7S—3 7Z
t=or information on the mining permit application review process,please contact the Mining Program staff'at(919)707-9220. Please note that
the Department wig consider any relevant written commentsldocumentation vdthin the provisions of n 1971 rou�lm�st the
applicationrevi( eu '',a fin d ' 'on is m e fhe application. A4 A-0F/1.0d J J�/�
1 F✓1r �/. / Svc j tr.. G'0 Al rf 41', / I'll Gli.4 lzd-s rr,J
att �0 ,r)" esV8'� Name of Applicant hOAle Con ompany tad Person&C Name,if Applicable
Date of Issuance of this NdwAlailed to AddresseelOwner of Record Address of Applicant
�70'
vile=l:.1 Se«tt?r-riCr--r ��. �:��'
� 17

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
AFFIDAVIT OF NOTIFICATION
an applicant,or an agent,or employee of an applicant,for a
• PP 9 �
new Vining Permit,or a modification of an existing Mining Permit to add land to the permitted area,from the N.C.Department of
Environmental Quality,being first duly sworn,do hereby attest that the following are all known owners of record,both public and
private,of all tracts of land that are adjoining the mining permit boundary(including,where an adjoining tract is owned or leased
by the applicant or is owned by the lessor of the mine tract,all owners of record of tracts adjoining these tracts,that are within
1,000 feet of the mining permit boundary)and that notice of the pending application has been caused to be mailed,by certified or
registered mail,return receipt requested,to said owners of record at their addresses shown below,such notice being given on a
form provided by the Department:
Adjoining Landowner Name Address
a
Attach additional list if necessary.
I do also attest that the following individual is the chief administrative officer of the county or municipality in which any part of the
permitted area is located and that notice of the pending application has�een u be mailed,by cep ifigd or registered mail,
return receipt req�uessted,to said office at the following address: �7J7�ar� 64
r Iveal 1'7'0'X4V1 /Q'L/
Chief Administrative Officer Name Address
(i.e.:City Manager,County Manager,Mayor,etc.) J
The above attestation was made by me while under oath to provide proof satisfactory to the Department that a reasonable effort
has been made to notify all known owners of record,both public and private,of all tracts of land that are adjoining the mining
permit boundary(including,where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine
tract,all owners of record of tracts adjoining these tracts,that are within 1,000 feet of the mining permit boundary)and the chief
administrative officer of the county or municipality in which any part of the permitted area is located in compliance with N.C.G.S.
74-50(b1)and 15A NCAC 513.0004(d).I understand that it is the responsibility of the applicant to retain the receipts of mailing
IRZ
above noti s re caused to be mailed and to provide them to the Depart ent upon request.
(Z
Signature of, Agent Date
If person executing Affidavit is an agent or employee of an applicant,provide the following information:
Name of APPRmt Ap 4 /-,&Y J L
Title of person executing Affidavit C-0 q-ryL 7-4-4 t—
ip ta�ne.�nc �'�� ,a otary Public of the County of e)4mc��ar
�,J- Lf �r
Skate of North Carolina,do hereby certify that *c.n,4 K 4 appeared before me this
day and under oath acknowledged that the above Affidavit was made by him/her.
Witness my hand and notarial seal,this 20 day of Nay exrher 20 a . J EAN EN E K MATS NS
Notary: My commission expires: • o NOTARY PUBLIC
BEAUFORT COUNTY, NC
Revised September 21, 2021 MY COMMISSION EXPIRES o��

MANFRED D.ALLIGOOD,JR-GLORY HOLE MINE 22-07-208
/0�0 A A , M/f-f/_ 09/22/2022
NOTIFICATION OF ADJOINING LAND OWNERS
REF# PIN# NAME PROPERTY ADDRESS MAILING ADDRESS MAILING CITY ST ZIP
1 1-037-004 CHURCH-ST JOSEPH FWB BY TRS 2115 STREETS FERRY RD GENERAL DELIVERY VANCEBORO NC 28586
2 1-037-12005 CHURCH-SAINT JOSEPH CHAPEL FREE 2560 NC HIGHWAY 43 VANCEBORO NC 28586
3 1-037-051 JIMMIE L MORRIS&SON INC 2295 STREETS FERRY RD PO BOX 46S VANCEBORO NC 28586
4 1-037-007 HAWKS LAKE CAMPGROUND LLC 2555 STREETS FERRY RD 2555 STREETS FERRY RD VANCEBORO NC 28586
5 1-037-2006 HAWKS LAKE CAMPGROUND LLC 2365 STREETS FERRY RD 2555 STREETS FERRY RD VANCEBORO NC 28586
6 1-037-2005 HAWKS LAKE CAMPGROUND LLC 2375 STREETS FERRY RD 2555 STREETS FERRY RD VANCEBORO NC 28586
7 1-037-2004 HAWKS LAKE CAMPGROUND LLC 2401 STREETS FERRY RD 2555 STREETS FERRY RD VANCEBORO NC 28586
8 1-037-2003 HAWKS LAKE CAMPGROUND LLC 2411 STREETS FERRY RD 2555 STREETS FERRY RD VANCEBORO NC 28586
9 1-037-24000 HACKER,VIRGIL LEE 2505 STREETS FERRY RD PO BOX 363 BRIDGETON NC 28519
10 1-048-049 KIRKMAN,GEORGIA N 2440 STREETS FERRY RD 7725 RIVER RD VANCEBORO NC 28586
11 1-048-097 SHOE,JERRY L&ADA W 2450 STREETS FERRY RD 2450 STREETS FERRY RD VANCEBORO NC 28586
12 1-048-073 SHOE,JERRY L&ADA W 2450 STREETS FERRY RD 2450 STREETS FERRY RD VANCEBORO NC 28586
13 1-048-176 OLEY, MATTHEW&LISA 106 STERLING DR 106 STERLING DR VANCEBORO NC 28586
14 1-048-177 ELKINS, FINAS CHRISTOPHER&LISA 105 STERLING DR 105 STERLING DR VANCEBORO NC 28586
15 1-048-052 MCDANIEL, ROBIN L 2530 STREETS FERRY RD 2530 STREETS FERRY RD VANCEBORO NC 28586
16 1-048-18002 WOODS,ARLESTER RIVER RD PO BOX 653 VANCEBORO NC 28586
17 1-048-18001 MCDANIEL, ROBIN LYNN o 67ft - J-0 hAeS7 1185 WINN CIR VANCEBORO NC 28586
18 1-048-037 MOREADITH,DAVID CARL&TRESIA R 4465 RIVER RD 550 VAN MOREADITH RD NEW BERN NC 28562
19 1-048-034 MOREADITH, DAVID CARL&TRESIA R 4500 RIVER RD 550 VAN MOREADITH RD NEW BERN NC 28562
20 1-048-035 RHODES,CECIL W&NADINE B RIVER RD 275 CRAVEN FARMS RD VANCEBORO NC 28586
21 1-048-036 REGISTER,ALENE 4570 RIVER RD 935 WILLIS NECK RD VANCEBORO NC 28586
22 1-048-042 LOVICK,GAIL G 405 COW PEN LANDING RD 419 COW PEN LANDING RD VANCEBORO NC 28586
23 1-048-013 HADDOCK,MICHELLE D 430 COW PEN LANDING RD 525 COW PEN LANDING RD VANCEBORO NC 28586
24 1-048-179 BACSKAY,DOUGLAS M&MICHELE L 385 COW PEN LANDING RD 385 COW PEN LANDING RD VANCEBORO NC 28586
25 1-048-142 HILL,TANNER BLAZE 365 COW PEN LANDING RD 1346 STREETS FERRY RD VANCEBORO NC 28586
26 1-048-060 HUGHES,ADAM C&AUDRIE A 345 COW PEN LANDING RD 345 COW PEN LANDING RD VANCEBORO NC 28586
27 1-048-14000 HUGHES, DONALD R&REBECCA R 325 COW PEN LANDING RD 329 COW PEN LANDING RD VANCEBORO NC 28586
28 1-048-043 HUGHES,DONALD R&REBECCA R 329 COW PEN LANDING RD 329 COW PEN LANDING RD VANCEBORO NC 28586
29 1-048-18003 HUGHES,ADAM CHARLES 321 COW PEN LANDING RD 345 COW PEN LANDING RD VANCEBORO NC 28586
IA04t15-
PAGE 1 OF 2

MANFRED D.ALLIGOOD,JR-GLORY HOLE MINE 22-07-208
-7-;Q,j P/7 j6 0� /'4/^"5 09/22/2022
NOTIFICATION OF ADJOINING LAND OWNERS
REF# PIN# NAME PROPERTY ADDRESS MAILING ADDRESS MAILING CITY ST ZIP
30 1-048-14001 HUGHES, DONALD R&REBECCA R 329 COW PEN LANDING RD VANCEBORO NC 28586
31 1-048-1-024 FRANKS,BENNIE NGUYEN 245 SPRING MEADOWS RD 104 AVENEL LN CLAYTON NC 27527
32 1-048-1-023 FRANKS,BENNIE NGUYEN 235 SPRING MEADOWS RD 104 AVENEL LN CLAYTON NC I 27527
33 1-048-1-022 SIDBERRY,DARRICK D&EDWARDS, 225 SPRING MEADOWS RD 225 SPRING MEADOWS RD VANCEBORO NC 28586
34 1-048-1-021 WHITEHEAD,JESSIE&WILLIE W 215 SPRING MEADOWS RD 215 SPRING MEADOWS RD VANCEBORO NC 28586
35 1-048-7000 NORMAN,DONALD E 159 SPRING MEADOWS RD 159 SPRING MEADOWS RD VANCEBORO NC 28568
36 1-048-069 NORMAN,DONALD EARL SPRING MEADOWS RD 159 SPRING MEADOWS RD VANCEBORO NC 1 28586
37 1-048-1-020 ARTHUR,DONALD RAY 205 SPRING MEADOWS RD 425 OLD VANCEBORO RD NEW BERN NC 28560
38 1-048-8001 NORMAN,DONALD E 159 SPRING MEADOWS RD VANCEBORO NC 28568
39 1-048-1-019 ROGERS, PATRICIA ANN 175 SPRING MEADOWS RD 175 SPRING MEADOWS RD VANCEBORO NC 28568
40 1-048-1-018 BELFANCE,FRANK W 165 SPRING MEADOWS RD 1130 COW PEN LANDING RD VANCEBORO NC 28568
41 1-048-8002 NORMAN, DONALD E 159 SPRING MEADOWS RD VANCEBORO NC 28568
42 1-048-1-017 BALDREE,ROBERT A 155 SPRING MEADOWS RD 4339 FLORENCE RD MERRITT NC 28556
43 1-048-1-016 KERRICK,TERESA 145 SPRING MEADOWS RD 145 SPRING MEADOWS RD VANCEBORO NC 28568
44 1-037-19000 MATLOCK, MICHAEL B 1970 STREETS FERRY RD PO BOX 941 VANCEBORO NC 28568
45 1-048-1-001 MILLS, RAYMOND D JR 224 SPRING MEADOWS RD 1830 STREETS FERRY RD VANCEBORO NC 28568
46 1-048-1-002 LEAMY,HELEN B 220 SPRING MEADOWS RD 220 SPRING MEADOWS RD VANCEBORO NC 28568
47 1-048-1-003 TORRES-ZUNIGA, MARIA D 210 SPRING MEADOWS RD 229 FOX CHASE VLG NEW BERN NC 28562
48 1-048-1-004 LEWIS,ARCHIE DAVID 180 SPRING MEADOWS RD 170 SPRING MEADOWS RD VANCEBORO NC 28568
49 1-048-1-005 LEWIS,ARCHIE DAVID 170 SPRING MEADOWS RD 170 SPRING MEADOWS RD VANCEBORO NC 28568
50 1-048-1-006 WAITE,GEORGE 160 SPRING MEADOWS RD 160 SPRING MEADOWS RD VANCEBORO NC 28568
51 1-037-005 MTON,SANDRA S&MINGES,FORRESTTESTAME 2120 STREETS FERRY RD 3409 PREAKNESS PL NEW BERN NC 28562
52 1-037-002 ONES,EULA W STREETS FERRY RD 108 FORT DR WASHINGTON NC 27889
53 1-037-003 JIMMIE L MORRIS&SON INC STREETS FERRY RD PO BOX 465 VANCEBORO NC 28586
54 1-037-2008 HAWKS LAKE CAMPGROUND LLC 2555 STREETS FERRY RD VANCEBORO NC 28586
55 1-048-014 HILL,HOWARD COW PEN LANDING RD 1346 STREETS FERRY RD VANCEBORO NC 28586
56 1-047-032 ISLAND CREEK LAND COMPANY LLC STREETS FERRY RD PO BOX 12172 NEW BERN NC 28561
7 it- Q I-A N U kw O S AICK LQ �j rw AIL
JACK B.VEIT,III CRAVEN COUNTY MANAGER
406 CRAVEN STREET
NEW BERN, NC 28560
o�13/ 7 0-0/6
s
PAGE 2OF2

3 4 4 48 4 5
1 � f
5
55 30 4 42 ® 52
39
22 38 0 41
� 53
25 28 51 2
O24 O 1
23
20 © 54
17 10
19
15 11
16
14 13 12
R
TRIPPLE A MINE
MANFRED D. ALLIGOOD, JR
a 18-C

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 276W1612
Division of Energy,Mineral,and Land Resources (919)7079220
G.LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands or operation
during regular business hours for the purpose of making necessary field inspections or investigations as may be reasonably
required in the administration of the Mining Act of 1971 pursuant to G.S.74-56.
We further grant to the Department or its appointed representatives the right to make whatever entries on the land as may be
reasonably necessary and to take whatever actions as may be reasonably necessary in order to carry out reclamation which the
operator has failed to complete in the event a bond forfeiture is ordered pursuant to G.S.74-59.
LANDOWNER: APPLICANT:
Signature Signature*
Print Name Print Name
Title(d applicable) ©wxe l Titre
Company(d applicable) Company �D
Address S- eine Name
L✓a9-5��'����; Telephone ?30
Telephone ?30 Date Signed fL1 /Z Z
Date Signed i11Z 1 /Z L
*Signature must be the same as the individual who signed Page 1 of this application.
One original and five US]copies of the completed application,six ffi copies of all location macs,mine mans and
reclamation maps,and the appropriate processing fee in the form a check or money order payable to the North Carolina
Depi tment of Environmental Quality must be sent to the Raleigh Central Office at the address listed on the front cover_
of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at(919)707-9220.
119