20190626_2019_Mod_file

MINING CHECKLIST FOR ROUTING
Applicant's Name: ProjectName:
Applic./Permit No: County: rtr '' 1 h Q Date Received:
Reviewer: River Basin Name:
❑ New ❑ Modification(inside permit boundaries)
❑ Modification(outside permit boundaries) ❑ Transfer ElRelease
El Partial Release ❑ Additional Information ❑ Fee Needed:; ❑ Fee Received:s
Please route entire application package to
❑ Regional Office(a complete copies attach the"LQS Regional Office Mining Application Review
Checklist"to one copy and attach both the DAQand D WR"Mining Application Review Form"to the ather copy;send both copies to the Regional
Engineer)
Date:Routed Rec'd
❑ Division of Water Resources Date:Routed t Rec'd
❑ NC Wildlife Resources Commission Date:Routed Rec'd
❑ US Fish d1 Wildlife Service Date:Routed Rec'd
(Only new applications and modification requests that add land to the permit)
Please route first g pages of the application and any location maps to:
❑ Division of Parks&Recreation Date:Routed Rec'd
❑ NC Geological Survey Section Date:Routed Rec'd
❑ Division of Marine Fisheries Date:Routed Rec'd
❑ Division of Soil dT Water Conservation (plus LEA) Date:Routed Rec'd
(Only new applications and modifications requests that add land to the permit)
❑ Division of Archives&History Date:Routed Rec'd
(Only new applicants)
❑ Other: Date:Routed Rec'd
** Suspense Date for Comments: (no later than zp days from receipt)
❑ Please note the following:

CAROLINA GEOLOGICAL SERVICES, INC.
JUN 2 6 Z019
June 11, 2019 LAND QUALITY
MINING PROGRAM
Ms. Judy Wehner
NCDENR, Land Quality Section
1612 Mail Service Center
Raleigh, INC 27699
Subject: Modification Permit# 16-44, Otway Sand Mine
Dear Ms. Wehner;
On behalf of Otway Sand Mine, Inc, I am responding to your letter of June 6, 2019, in
which you requested additional information for your review of the above referenced
mining permit modification.
1. Water is pumped from the current mining area into the previously mined area (pond).
Much of the water simply flows back into the sandy soil. Any overflow from the pond
flows through the basins shown on the previously approved mine plan. The current
pump is a Cornell 6-STX, which operates approximately 4 hours per 24-hour day, and
has a capacity of 2,000 gallons per minute in current configuration.
2. Application has been made with the Division of Water Resources for a CCPCUA
permit. See attached application form.
Please let me know if you have any questions or need additional information.
Sincerely,
James C. Izzell, Jr., PG
PO Box 429 GARNER, NC 27529

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APPLICATION FOR WATER USE PERMIT IN THE hitp://www.ncwater.orgICCPCUA North Carolina Environmental Management Commission
CC NTRAL COASTAL PLAIN CAPACITY USE AREA Department of Environmental Quality,Division of Water Resources
1611 Mail Service Center,Raleigh,NC 27699-1611,phone: [phone]
�Naw Application El Application for Permit Renewal ❑Permit Amendment 0 Temporary Permit Permit#
x• ApRlicant Information:
Applicant: D i al 6!j SAN n M b N t We—
(Name of Person,Company,or Corporation)
b Mailing Address: 10S City: t4 W -B c7ZN State: tjL Zip Code: Z
�Facility Address: 3S Pn05 County: ��'2- 2 -
d Authorized Contact Person: -FC—KLg� (�-t L l-1 K.l nl to�N.r*a m �,�2 j t Lk -k.�8
(Name) (Title) (Phone Number)
''21C��c G 1 LL l 1L t n1 6, C- A 1 L. Co
(Email Address) (Fax Number)
Purpose(s)for which water is to be used(check all that Apply):
a Public Water Supply System(PWSID# )
b Livestock Supply,describe briefly
C Agricultural Irrigation,describe briefly
Aquaculture,describe briefly
V`Mining,describe briefly SANS M\t4c
f Industrial,describe briefly
9 Other,describe briefly
*'Flr(m)above is checked and applicant is a unit of local government,then applicant must have an adopted Local Water Supply Plan{G.S.143-355(l)and(m)).
Source(s)of Ground Water(attach extra sheets if necessary):(a)Fill in table below. Depths:feet below land surface. Land surface elevation:feet above mean sea level.
Latitude Longitude Date Diam- Well Depth to Depth to Depth to Pump Pump type Depth Land Existing Maximum #of
` Y eLL/ (decimal (decimal constructed eter Depth top of bottom of pump capacity (submersible, to surface or number of Hours
S b p1p degrees degrees (inches) or screen or screen or intake (gallons turbine,...) to of elevation Proposed
(g , ) p p gallons to be to be
ex.34.264567) ex.77.263546) max pit open hole open hole (feet) /minute) gravel (feet, (P)or withdrawn pumped
depth (feet) (feet) pack MSL) Abandon daily daily
feet feet A
7M act 30 30 21 oov i�-51 fvG 5 Soo,vva tA
CCPCUA-2 Revised September 30,2015

6 Totaled daily withdrawals from ground water= _600,CW gallons.
above exceeds 100,000 gallons,a Central Coastal Plain Capacity Use Area permit satisfies the requirement for a water withdrawal registration{G.S.143-215.22(H)).
f-rems IV through XII will require more space for completion than provided,please attach additional sheets as necessary.
I V Document additional mining permit application re uirements as listed in 15A NCAC 02E .0502 d 4 or reference materials submitted under G.S.74-47.
Mining permit# 16—4 L4 Maximum pit depth(ft): 30 #of excavated acres: 24
V Document additional Aquifer Stora end Recoveryuro�(ASR)permit application requirements as listed in 15A NCAC 02E .050(d)(6).
V l Locate sources of withdrawal(attach the relevant portion[s] of a map indicatidg roads and road names and note the following information—you may access
maps online at http://www.ncwater.org/CCPCUA and follow the link to the Ground Water Data Mapserver):
(a)county(ies)in which withdrawal sources are located
(b)labeled positions of all wells and sumps listed in section III. (a)
(c)locations of all existing water supply wells within 1500 feet of the wells listed in section III.(a)
(d)locations of all discharge points for water withdrawals covered under this application
V 11 Document conservation measures b, user ser type:
(a) public water systems(15A NCAC 02E .0502(d)(5)(A))
i. Do you have a water conservation—based rate structure(ex.Flat rates,increasing block rates,seasonal rates or quantity based surcharges)?
ii. Do you have a water loss reduction program(ex.annual water audits,in-field leak detection,leak repair)?
iii.Do you have a water conservation ordinance for irrigation?
iv.Do you offer a retrofit program(ex.Low flow shower heads,toilet flappers,faucet aerators)?
v. Do you have a public education program?
vi.Evaluation of feasibility of water reuse?
(b)other users besides agricultural irrigators(15A NCAC 02E .0502(d)(5)(B))
i. Do you audit your water use by type of activity?(for example process make-up water,non-contact cooling water)
ii. Implementation schedule for feasible measures identified in the above item for conservation or reuse of water at the facility.
(c)agricultural irrigators(15A NCAC 02E .0502(d)(5)(C))
Total acres to be irrigated: Irrigation Method: Crops:
V 111 Substantiation for the amount of withdrawal requested: Submit documentation that justifies the total withdrawal requested. Documentation could include
design plans,development plans,planning studies,operation reports,past pumping records,etc. If withdrawals are to be seasonal or vary significantly from
month-to-month throughout the year,describe the reasons for the variations and specify those variations. Fill in table below.
Average Daily Water Use from Previous Calendar Year(gallons per day)
January February March April May June July August September October November December
D Aj zy Use 500 0vv Spa,oeAo 500,000 W10,00 500.00
5arr��v D eQo oQo �Ov.Qoo Sm�mo ,zoo roe Say,aad
it�-days 3 l 213 31 30 3 l 30 31 31 30 3 l 30 3
( Disposal of water: Describe how the water will be disposed of after it has been used.NPDES permit# NCC.o2v(0Z
".CCPCUA-2 Revised September 30,2015

Document plans to retrofit wells as described in 15A NCAC 02E .0502(i)• Describe the methods and proposed schedule to retrofit wells which currently have
pump intakes deeper than the top of the uppermost confined aquifer that yields water to the well.
Document intermittent user status as described in 15A NCAC 02E 0507(13):
(a)persons who withdraw ground water less than 60 days per calendar year;or
(b)persons who withdraw less than 15 million gallons of ground water in a calendar year;or
(c)aquacultural operations licensed under G.S. 106-761 using ground water for the initial filling of ponds or refilling of ponds no more frequently than
every five years.
Document Cretaceous Aquifer Reduction requirements:
(a)Identify Cretaceous Aquifer Zone wells and associated percent reduction requirements using the CCPCUA Cretaceous Aquifer Zones map available
from the Division of Water Resources {include documentation for wells to be excluded from reduction requirements due to 15A NCAC 02E .0503(8)
or 15A NCAC 02E.0503(9)).
(b)Document Aquifer Storage and Recovery program(ASR)total net withdrawals.
(c)Approved Base Rate Calculation for Cretaceous Aquifer Zone wells as described in 15A NCAC 02E.0507(1); choose the larger of i.,ii. or iii.:
i.total calendar year 1997 water use in gallons by well;
ii.total August 1, 1999 through July 31,2000 water use in gallons by well; or
iii.an adjusted water use rate calculation based on the larger of i.or ii. and the following:
A. documentation of water use reductions made since January 1, 1992;
B. actual or estimated water use from wells approved by the Division of Environmental Health by August 1,2002;
C.percent of plant nursery operation using low volume micro-irrigation; or
D.documentation of other relevant information
(d)Plans for Reduction(use attached worksheet):
i. calculate difference between estimated water demand and approved base rate minus Cretaceous Aquifer reductions at year 2008,2013 and 2018
ii. identify new water sources and probable yields
Temporary Permit for Cretaceous Aquifer Reduction Wells
(a)Document static water level trends to be level or upward trending after January 1,2012 or over the previous year from present day(This may involve
construction and measurement of monitoring wells by permit holders); and
(b)Document pump intakes to be above the top of the shallowest Cretaceous aquifer screened by the well. Pump installation records are required. In
addition,geophysical logs may be submitted for validation of the top of the aquifer;and
(c)Document present day pumping water levels to be above the top of the shallowest Cretaceous aquifer screened by the well; and
(d)If applicable,document chloride concentrations obtained from monitoring wells or unused production wells screened and gravel packed in one
Cretaceous aquifer to be fresh(<250 mg/1)for 3 previous years from present day and do not trend toward higher concentrations or other site specific
data which will allow determination of susceptibility to salt water encroachment.
Certification: I certify under penalty of law that 1 have personally examined and am familiar with the information submitted in this and all attached
documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe the submitted information is
true, accurate, and complete.
EF� 61 ��41
r (Signatu (Name (Official Title) (Date)
ff
r
DWR CCPCUA-2 Revised September 30,2015
w

L '
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAELS.BEGAN
Secretary
S.DANIEL SMITH June 6, 2019
Interim Director
Certified Mail
Return Receipt Requested
7016 2140 0000 0564 4866
Mr. Harvey Lee Tripp Jr.
Ottway Sand Mine Inc.
108 Partridge Drive
New Bern, North Carolina 28562
RE: Ottway Sand Mine
Permit No. 16-44
Carteret County
White Oak River Basin
Dear Mr. Tripp:
We have reviewed the application Your/your company submitted for the referenced
mine site. In order for this office to complete its review of the referenced project in accordance
with GS 74-50 and 51 of the Mining Act of 1971, please provide the additional or revised
information in accordance with the following comments:
1. Provide more details regarding dewatering activities, Include the pump make
and model, hours of operation and pump capacity.
2. Please see the comments provided by the Ground Water Management Branch.
Provide proof that you have a CCPUCUA permit or have registered the.amount
of ground water pumped. This amount may not necessarily be the amount
discharged.-
Please note, this office may request additional information, not included in this letter, as
the mining application review progresses.
The reclamation bond has been calculated using the information submitted in the
modification request. The reclamation bond for this site would be $35,700.00. The calculation
worksheet is enclosed for your review and the new bond or balance ($9,300.00) will be
required prior to approval of this request.
SM
4�MI:iTN(:ARI A.YiA
OoFut=tolEmlratunaablGuufh\
North Carolina Department of Environmental Quality I Division of Energy,Mineral and LanO Resources
512 North 5all3bury Street I io12 Mail Service center I Raleigh,North Gargling z7a99- �12

r'
SENDER: COMPLETE THIS SECTION
■ Complete Items 1,2,and S.Also complete A. Signature
item 4 if Restricted Delivery is desired. X ❑Agent
■ Print your name and address on the reverse "G` ❑Addressee
so that we can return the card to you. B. Received b hied No") C. Date of Delivery
■ Attach this card to the back of the mailplece, at �r,
or on the front if space permits.
D. Is delivery address different from Item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: Nc
f
MR HARVEY LEE TRIPP JR
OTTWAY SAND MINE INC 3.C�Service Type
108 PARTRIDGE DRIVE Certified Mail- Priority Mail Express"
Registered Return Recelpt for Mrchancise
NEW BERN NC 28562 ❑Insured Mail i Collect on Delivery
4. Restricted Delivery?(Extra Fee) ❑Y�
2. Article Number —r 7016 2140 2000 0564 4866
(transfer from service labaq
PS Form 3811,July 20131�— (� Domestic Return Receipt 6/7/19

' f
Certified Mail
Mr.Tripp
Page 2
For your convenience, I have enclosed a bond form, an assignment of a savings
account form and irrevocable standby letter of credit form for your use in securing the required
bond. The name on the security must be the same as the name appearing on the application
for a mining permit, i.e., Ottway Sand Mine Inc. In addition to one of these alternatives, you
may, upon request, substitute a cash deposit.
Please be advised that our review cannot be completed until all of the items listed
above have been fully addressed.
In order to complete the processing of your application, please forward two (2) copies of
the requested information and the bond to my attention at the following address:
Division of Land Resources
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
As required by 15A NCAC 513.0013, you are hereby advised that you have 180 days
from the date of your receipt of this letter to submit all of the requested information. If you are
unable to meet this deadline and wish to request additional time, you must submit information,
in writing, to the Director clearly indicating why the deadline cannot be met and request that an
extension of time be granted. If an extension of time is not granted, a decision will be made to
grant or deny the mining permit based upon the information currently in the Department's files
at the end of the 180-day period.
Though the preceding statement cites the maximum time limit for your response, we
encourage you to provide the additional information requested by this,letter as soon as
possible. Your prompt response will help us to complete processing your application sooner.
Please contact me at [phone] if you have any questions.
cerely,
Judith A. Wehner
Assistant State Mining Specialist
Enclosures: Bond Forms
Bond Calculation Worksheet
cc: Mr. Dan Sams, PE

ROY COOPER -
Governor �
MICHAEL S.REGANr' =a� r
Secretary .
LINDA CULPEPPER NORTH CAROLINA
Director Environmental Quality
May 31, 2019
MEMORANDUM
E V ED'
TO: Ms. Judy Wehner MAY 12019
NCDEMLR-Land Quality Section 1NIN NG pROGRAM
FROM: Gabrielle Chianese
Ground Water Management Branch
Division of Water Resources
SUBJECT: Comments on the Mining Permit/Modification Request for:
Otway Sand Mine, Inc.
Otway Sand Mine
Carteret County
Please find attached a copy of the mining permit modification request for the above referenced
project.
The Otway Sand Mine located in Carteret County does not appear to have an unduly adverse
effect on ground water supplies. However,this mine has not registered water withdrawals on an
annual basis through the Central Coastal Plain Capacity Use Area(CCPCUA)program since
2013. This is an annual requirement if withdrawing water from 10,000 gpd to 100,000 gpd. If
this mine starts to withdraw 100,000 gpd or more of water, they will need to obtain a CCPCUA
water withdrawal permit.
A Central Coastal Plain Capacity Use Area(CCPCUA)water withdrawal permit must be
obtained from the Division of Water Resources if the withdrawal exceeds 100,000 gallons per
day and occurs in Beaufort, Carteret, Craven, Duplin, Edgecombe, Greene, Jones, Lenoir,
Martin, Onslow, Pamlico, Pitt, Washington, Wayne, or Wilson County.
If you have further questions please contact the Division of Water Resources at(919) 707-9008
or send correspondence to 1611 Mail Service Center, Raleigh NC 27699-1611 161 lot go online
to www.ncwater.org/CCPCUA.
Cc: Mr. Harvey Lee Tripp
Otway Sand Mine, Inc.
108 Partridge Dr.
New Bern,NC 28562
North Carolina Department of Environmental Quality I Division of water Resources
J{�' 512 North Salisbury Street 1 1611 Mail Service Center Raleigh.North Carolina 2 76 9 9-1611

� f
#Wj 9q Alt;0 a7c..,
APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond(based upoVa range
o $500 to $5,000 per affected acre)for each permitted mine site based upon the acreage approved by the
Department to be fected during the life of the mining permit. Please insert the approximate acreage, or each
asect o the mining operation. that you intend to affect during the life ofthis mining permit(in addition,please
insert the appropriate reclamation cost/acre for each category from the Schedule of Reclamation Costs
provided with this qpplication' orm OR ou can defer to the Department to calculate our bond for yott based
upon your maps and standard reclamation costs:
AFFECTED RECLAMATION RECLAMATION
CATEGORY ACREAGE COST/ACRE COST
Tailings/Sediment Ponds: Ac. X $ 16060 /Ac. _ $
Stockpiles: o� Ac. X $ /Ac. _ $ b
r QQ
Waste Iles: Ac. X $ a660' /Ac. _ $ d0
Processing Area/Haul Roads: Ac. X $ �`� �� /Ac. _ $
Mine Excavation: fqO�Ac. X $ "bo) /Ac. _ $ a
Other: 4Ac. X $ Aob db
/Ac. _ $ tl 00 Yo ao
TOTAL AFFECTED AC.: O Ac.
(TOTAL PERMITTED AC.: 3176 Ac.)
Temporary&Permanent Sedimentation &Erosion Control Measures:
Divide the TOTAL AFFECTED AC. above into the following two categories: a) affected acres that drain into
proposed/existing excavation 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 Ac.
b) Positive Drainage Ac. X $1,500.00
SUBTOTAL COST: $
Inflation Factor:
0.02 X SUBTOTAL COST: $ 90 37 X Permit Lif rovided by Applicant(Life of the Mining Operation
or Life of Lease from Public Entity(in Years)): 5�
INFLATION COST: $„ I A. �
SUBTOTAL COST+INFLATION COST:
Total Reclamation Bond Cost. S 70
(round down to the nearest$100.00)
(NOTE: The reclamation bond cannot exceed $1 million per GS 74-54)
a� 6 0 Q3
Au

APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND tU- 1/
The following bond calculation worksheet is to be used to establish an appropriate bond(based upon a range
of$500 to $5,000 per affected acre)for each permitted mine site based upon the acreage approved by the
Department to be affected during the life of the miningpermit. Please insert the approximate acreage, for each
aspect ofthe mining operation. that you intend to affect during the life ofthis miningpermit(in addition.Tease
insert the appropriate reclamation cost/acre for each category from the Schedule of Reclamation Costs
provided with this application form�you can defer to the Department to calculate your bond for you based
upon our maps and standard reclamation costs:
AFFECTED RECLAMATION RECLAMATION
CATEGORY ACREAGE COST/ACRE* COST
Tailings/Sediment Ponds: Ac. X $ /s0W' /Ac. _ $ /W
Stockpiles: Ac. X $ — —/Ac.
Wastepiles: a G3} • l'� /•3AJ Ac. X $ ROW' /Ac. _ $ 7�Oa d
Processing Area/Haul Roads: Ac. X S M /Ac. _ $ )D
Mine Excavation: y "dSAc. X $ _ % /Ac. _ $
Other: L#Vtk L. 3^90 Ac. X $ Oado/Ac. _ $ V 00 y0 du
TOTAL AFFECTED AC.: moo'. /. M Ac.
(TOTAL PERMITTED AC.: 3i-1b Ac.)
Temporary&Permanent Sedimentation &Erosion Control Measures:
Divide the TOTAL AFFECTED AC. above into the following two categories: a) affected acres that drain into
proposed/existing excavation 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 Ac.
b) Positive Drainage Ac. X $1,500.00 = $
SUBTOTAL COST: S
Inflation Factor:
do
0.02 X SUBTOTAL COST: $ X Permit Li rovided by Applicant(Life of the Mining Operation
or Life of Lease from Public Entity(in Years)):
INFLATION COST: S
SUBTOTAL COST+INFLATION COST: S 3
Total Reclamation Bond Cost: $ 3 46-7o a d
(round down to the nearest $100.00)
(NOTE: The reclamation bond cannot exceed $1 million per GS 74-54)
q 3aD Ju l agab 00 QSA-
-�-
a yM

Wehner, Judy
From: Brown, Creighton A
Sent: Wednesday,June 05, 2019 4:28 PM
To: Wehner,Judy
Subject: RE: Ottway Sand
Attachments: D00060519-06052019162315.pdf
Judy,
Attached is the mine application review for LR,WQ, and AQ. Let me know if you have any questions.
Thanks
Creighton
From: Lambe, Brian
Sent:Wednesday,June 05,2019 3:27 PM
To: Brown, Creighton A<[e-mail]>
Subject: FW: Ottway Sand
Brian Lambe
Environmental Specialist
910-796-7313
State of North Carolina I Environmental Quality I Energy,Mineral and Land Resources
127 Cardinal Drive Extension I Wilmington,NC 28405
910 796 7215 T 1 910 350 2004 F I Wtn'//nortal.ncderror¢/weh/Jr/
From:Wehner,Judy
Sent:Wednesday,June 05, 2019 2:53 PM
To:Sams, Dan<dan.sams(a)ncdenr.eov>;James,Trentt<trentt.iames(@ncdenr.gov>; Lambe, Brian
<[e-mail]>; Hall, Rhonda B<rhonda.hall(ancdenr.aov>
Subject:Ottway Sand
I need comments. They were due last week.
Judy Wehner
Assistant State Mining Specialistl need comments. They were due last week.
Land Quality Section
919-707-9227 office
Judv.Wehner(oncdenr.go Email
1612 Mail Service Center
Raleigh, North Carolina 27699-1512
512 N. Salisbury Street
Raleigh, North Carolina 27604
Mining Program Website:
https//deg nc gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permits/mining-program
1

, ! 'Nothing Compares,�.._
p.
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
-----------------------------------------
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
2

LAND QUALITY SECTION REGIONAL OFFICE
MINING APPLICATION REVIEW CHECKLIST
APPLICATION/PERMIT NO.: ACTION: New AMD Renewal Transfer Release
APPLICANT NAME: MINE NAME: COUNTY:
Administrative Issues:
A. Is the site currently under NOV? Yes �9 Explain:
B. Is an NPDES permit needed? No Explain:
C. Is an NPDES permitting existing. nsNo Explain:
D. Is an 0 & M Plan needed? Yes Explain:
Field Issues:
A. Are potential wetlands and watercourses properly indicated on the Mine Map? Yes No Explain:
B. Are the proposed buffer zones adequate?(951No Explain:
C. Do all occupied dwellings within 300 feet of the mine excavation appear to be indicated No
Explain:
D. Do all water supply wells within 500 feet of the mine excavation appear to be indicated? �eNo
Explain:
E. Is visual screening needed? Yet Explain:
F. Are the proposed erosion and sedimentation control measures properly located to prevent offsite
sedimentation? Yes No Explain:
G. Is the proposed revegetation/reclamation plan acceptable?( es) No Explain:
Date inspected:
Erosion and Sedimentation Control Plan Review:
It is the responsibility of the Regional Office staff to verify the adequacy of the E&S measures. Please provide
any concerns or comments: ar-k e-feci-Pa ,,, icav,&At-my.. C d's 04,1-05,•Y<<, Olee w,
Other Comments:A,
[bead �*y7-00yo j✓ CdNC�Lft GxV�X�c i Na.
Who was the application routed to and when?:
Division of Air Quality: IeDeace 14awo// Date:
Division of Water Resources (Surface Water Protection Section): Zyl /'?a;,s Date: _5i23
Other: Date:
Inspector/Reviewer's Name: Date: /
Rev Dec 2006

Print this form to PDF Return PDF of this form to DEMLR CO by email.cc DEMLR RO, DWR SPU. Send a copy to the permiftee.
MINING PERMIT APPLICATION REVIEW FORM
forthe
DIVISION OF WATER RESOURCES PEAI P—
v� .h
THIS SECTION TO BE FILLED OUT BY DEMLR: '0,31/ 2
Project Name Otway Sand Mine DEMLR Permit 16-44 County Cartreret Applicant's Email:
PERMIT ACTION TYPE:
YES NO Date Commencing
Have land disturbing activities??
started? Date? I° ( I 2004
Latitud 34.7741 Longitude: -76.5527
Please return comments to (at DEMLR CO): Judy Wehner
Comments due by: 5/31/19
SECTION BELOW TO BE FILLED OUT BY DWR: AA �
Is the RO concerned that the operation, as proposed, would violate standards of water quality? /VCR
Comments: U T,Watershed/Stream Name & Classification: G' �II `� red�— '�',�
'� ��hly
DWR Compliance Status of Mine:
Does this mine (or previous owner) have DWR back fees to pay? ltl P If yes, amount:
Is this mine an active permit in BIMS? Ale)'
YES NO
401 Wetland Cert. required? ( (
401 Wetland Cart. existing? I ( Permit# f4
Does DWR RO have enough information to ( (-
determine if a 401 certification is required?
Is an O & M Plan needed? YES NO
Are wetlands disturbed at this site? I
Does DWR RO suspect or know of nearby
wetlands to the site?
Is a wetland delineation required prior to I (JD
DWR issuing the permit? I (Consultant r
i (Onsite?
D n.•CnnlnmL....OM I

Print this form to PDF Return PDF of this form to DEMLR CO by email. cc DEMLR RO,DWR SPU. Send a copy to the permittee.
F (Offsite?
Stream Determination Needed? I ( i
Stream Determination Completed? F ( F (
Does DWR RO need a statement that no
wetlands/streams are disturbed f ( i
for this project from applicant?
Buffer Determination Needed?
Buffer Determination Completed? I ( f
Recycle system permit existing? F (Permit# i
New Recycle System permit required?* r..
Enough information to determine?
Non-discharge permit existing? I (Permit# I
I (Unknown.
Will wastewaters discharge to HQW waters I ( i (7Q10 Permitteemust
with a 7Q10=0? Flow: determine.
I ( Has Violation
( O&M Requirements
i ( HQW/7Q10 Concerns
Does DWR require DEMLR to hold the i ( Pay back fees or renew /
permit (e.g. so DWR can review it further or DWR permit (/
because DWR requires more information)? I ( Other.
Please describe the reason to
hold the permit:
RO contact:
i ( Hold Until:
Mine must wait to dewater until an O&M plan is
approved?
Reviewed by:
(�/DWR RO Surface Water: -1'� Regional Office: �'Date:
RO Aquifer Protection Section: Regional Office: Date:

MINING PERMIT APPLICATION REVIEW FORM
for Division of Air Quality
Project: 0�ZJoy �xtvcQ _p Irtintf�(p_L,'1
County: ev+e✓c ---- - - - -- - — -
Due date for comments back to Land Quality Section:
Will the operation as proposed violate standards of air quality? Yes No
Comments:
Air Permit Required YES ENO
Air Permit Existing YES
Other Comments: /
s�thd A41' n¢ o „ �y . lVD DI� Q iSS �teS .
p9 rr7 yR . Crusl.e� iS w �r �'Oln�p
WNI G w11 bG oHOCYayeC� b/y A co of ra6+oY
w17 � �rnS h?i VWh 0.,'1 Y - Cle ^4 r - o k.
-
l�0 S o f✓ � p f' 1/?L rL� >vS ter Si tr .
Reviewed by c� Gifit l � 2 Date /
T ef/ 9
Print Name eo.-K Ca Y I-d n

ROY COOPER
Governor
MICHAEL S.REGAN •.
Secretary
LINDA CULPEPPER NORTH CAROLINA
Director Environmental Quality
May 31, 2019
MEMORANDUM R EC u V E D
TO: Ms. Judy Wehner MAY $1 2019
NCDEMLR-Land Quality Section LAND QUALITY
MINING PROGRAM
FROM: Gabrielle Chianese
Ground Water Management Branch
Division of Water Resources
SUBJECT: Comments on the Mining Permit/Modification Request for:
Otway Sand Mine, Inc.
Otway Sand Mine
Carteret County
Please find attached a copy of the mining permit modification request for the above referenced
project.
The Otway Sand Mine located in Carteret County does not appear to have an unduly adverse
effect on ground water supplies. However, this mine has not registered water withdrawals on an
annual basis through the Central Coastal Plain Capacity Use Area (CCPCUA) program since
2013. This is an annual requirement if withdrawing water from 10,000 gpd to 100,000 gpd. If
this mine starts to withdraw 100,000 gpd or more of water, they will need to obtain a CCPCUA
water withdrawal permit.
A Central Coastal Plain Capacity Use Area(CCPCUA)water withdrawal permit must be
obtained from the Division of Water Resources if the withdrawal exceeds 100,000 gallons per
day and occurs in Beaufort, Carteret, Craven, Duplin, Edgecombe, Greene, Jones, Lenoir,
Martin, Onslow, Pamlico, Pitt, Washington, Wayne, or Wilson County.
If you have further questions please contact the Division of Water Resources at(919) 707-9008
or send correspondence to 1611 Mail Service Center, Raleigh NC 27699-1611 161 for go online
to www.ncwater.org/CCPCUA.
Cc: Mr. Harvey Lee Tripp
Otway Sand Mine, Inc.
108 Partridge Dr.
New Bern,NC 28562
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street hall Mail Service Center Raleigh,North Carolina 27b99 Ibll
n+n\ 919.7079000

dyyy SPATE O
l pA
ROY COOPER
Governor NORTH CAROLINA
MICHAELS.REGAN Environmental quality
Secretary
S.DANIEL SMITH
Interim Director
May 10, 2019
MEMORANDUM
TO: Mr. Nat Wilson
Habitat Hydrogeology Group
Division of Water Resources
FROM: Brenda M. Harris
Mining Program Secretary
Land Quality Section
SUBJECT: Mining Permit Modification for Otway Sand, Inc.
Otway sand Mine
Carteret County
® Mine Dewatering Proposed ❑ No Mine Dewatering Proposed
Please find attached for your review a copy of the mining permit modification request for the above
referenced project.
Please review this information and advise as to the probability of this operation having unduly
adverse effect on wildlife and freshwater fisheries (G.S. 74-51 (2)). Please respond by May 31, 2019 so
that we may complete our review of this request within our statutory time limits.
As is the case in our review of all mining permit applications, renewals and modifications, this
office will carefully review all proposed erosion and sediment control measures to ensure that they are
sufficient to restrain erosion and off-site sedimentation. However, any comments your agency can
provide regarding effects on wildlife and freshwater fisheries would be greatly appreciated. If your staff
wishes to perform a site inspection, it is recommended that they contact the person submitting this
request to set up a convenient date and time. Also, please send a copy of your comments to the person
noted in the application.
PLEASE RETURN ALL APPLICATION MATERIALS AND MAPS WITH YOUR REVIEW
COMMENTS TO THIS OFFICE.
Your continued cooperation is greatly appreciated. Please contact Ms. Judy Wehner at (919) 707-
9220 if you have any questions.
/bmh
Attachments
cc: Mr. Dan Sams
,4;I
MAY 13 Z019
;d QOF
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
512 North Salisbury Street 11612 Mail Service Center I Raleigh. North Carolina 27699-1612

Wehner, Judy
From: Dunn, Maria T.
Sent: Friday, May 31, 2019 3:38 PM
To: Harris, Brenda M
Subject: Otway Sand, Carteret Co
Attachments: MP_Otway Sand_NCWRC^.pdf
Mrs. Harris,
Please accept the attached for the above project.Thank you.
Maria
------------------------------
Maria T. Dunn
Coastal Coordinator
NC Wildlife Resources Commission
943 Washington Sq. Mall
Washington, NC 27889
office: 252-948-3916
fax: [phone]
www.ncwildlife.ora
Email correspondence to and from this sender is subject to the N.C.Public Records Law and may be disclosed to third parties.
t

,sSTATE„�
a
n
M6n %
a�(YW IV.Adi
ROYCOOPER
Governor NORTH CAROLINA
MICHAELS.REGAN Environmental Quality
Secretary
S.DANIEL SMITH
Interim Director
May 10, 2019
MEMORANDUM 1617 16J9
TO: Ms. Maria Dunn MAY 2019 v
Habitat Conservation Program Coordinator
Wildlife Resources Commission
FROM: Brenda M. Harri6('P ? 'a
Mining Program Secretary otati
Land Quality Section
SUBJECT: Mining Permit Modification for Otway Sand Inc.
Otway Sand Mine
Carteret County
Please find attached for your review a copy of the mining permit modification request for the above
referenced project.
Please review this information and advise as to the probability of this operation having unduly
adverse effect on wildlife and freshwater fisheries (G.S. 74-51 (2)). Please respond by May 31, 2019 so
that we may complete our review of this request within our statutory time limits.
As is the case in our review of all mining permit applications, renewals and modifications, this
office will carefully review all proposed erosion and sediment control measures to ensure that they are
sufficient to restrain erosion and off-site sedimentation. However, any comments your agency can
provide regarding effects on wildlife and freshwater fisheries would be greatly appreciated. If your staff
wishes to perform a site inspection, it is recommended that they contact the person submitting this
request to set up a convenient date and time. Also, please send a copy of your comments to the person
noted in the application.
RETURN ALL APPLICATION MATERIALS AND MAPS WITH YOUR REVIEW COMMENTS TO
THIS OFFICE.
Your continued cooperation is greatly appreciated. Please contact Ms. Judy Wehner at(919) 707-
9220 if you have any questions.
/bmh
AttachmentsLL
cc: Mr. Dan Sams 5-31- t9
North Carolina Department of Environmental Quality I Division or Energy,Mineral and Land Resources

MINING CHECKLIST FOR ROUTING
Applicant's Name: G+tuo" ( ? ProjectName:
Applic./Permit No: e N• ') County: k l Date Received:
Reviewer: �' River Basin Name:
❑ New ❑ Modification(inside permit boundaries)
❑ Modification(outside permit boundaries) ❑ Transfer ❑ Release
❑ Partial Release ❑ Additional Information ❑ Fee Needed:s ❑ Fee Received:s
Please route entire application package to
❑ Regional Office(z complete copies;attach the"LQS Regional Office Mining Application Review
Checklist"to one copy and attach both the DAQand DWR"Mining Application Review From"to the other copy;send both copies to the Regional
Engineer) _
Date:Routed Rec'd
Division of Water Resources Date:Routed Rec'd
❑ NC Wildlife Resources Commission Date:Routed Rec'd
❑ US Fish dT Wildlife Service Date:Routed Rec'd
(Only new applications and modification requests that add land to the permit)
Please route first;pages of the application and any location maps to:
❑ Division of Parks a Recreation Date:Routed Rec'd
❑ NC Geological Survey Section Date:Routed Rec'd
❑ Division of Marine Fisheries Date:Routed Rec'd
❑ Division of Soil&Water Conservation (plus LEA) Date:Routed Rec'd
(Only new applications and modifications requests that add land to the permit)
❑ Division of Archives all History Date:Routed Rec'd
(Only new applicants)
❑ Other. Date:Routed Rec'd
**Suspense Date for Comments: (no later than zg days from receipt)
❑ Please note the following:
1 Z( 44 -
i

1. ` .
fy-
ROY COOPER
Governor NORTH CAROLINA
MICHAELS.REGAN Environmental Quality
Secretary
S.DANIEL SMITH
Interim Director
May 10, 2019
MEMORANDUM
TO: Ms. Maria Dunn
Habitat Conservation Program Coordinator
Wildlife Resources Commission
FROM: Brenda M. Hard
Mining Program ecretary
Land Quality Section
SUBJECT: Mining Permit Modification for Otway Sand Inc.
Otway Sand Mine
Carteret County
Please find attached for your review a copy of the mining permit modification request for the above
referenced project.
Please review this information and advise as to the probability of this operation having unduly
adverse effect on wildlife and freshwater fisheries (G.S. 74-51 (2)). Please respond by May 31, 2019 so
that we may complete our review of this request within our statutory time limits.
As is the case in our review of all mining permit applications, renewals and modifications, this
office will carefully review all proposed erosion and sediment control measures to ensure that they are
sufficient to restrain erosion and off-site sedimentation. However, any comments your agency can
provide regarding effects on wildlife and freshwater fisheries would be greatly appreciated. If your staff
wishes to perform a site inspection, it is recommended that they contact the person submitting this
request to set up a convenient date and time. Also, please send a copy of your comments to the person
noted in the application.
RETURN ALL APPLICATION MATERIALS AND MAPS WITH YOUR REVIEW COMMENTS TO
THIS OFFICE.
Your continued cooperation is greatly appreciated. Please contact Ms. Judy Wehner at (919)707-
9220 if you have any questions.
/bmh
Attachments
cc: Mr. Dan Sams
: -E
WA-
11tr&="I d(xmwn oulOu"4
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
All nlnrlh Cnlichnn.Cirn^i 1 41240)AAn;l Cnn.inn t n-4—I D-[^;-k A1-4k )7i2nn 4G4r1

ow-�5CA7E}gy
r �•
ROY COOPER
Governor NORTH CAROLINA
MICHAELS.REGAN Environmental Quality
Secretary
S.DANIEL SMITH
Interim Director
May 10, 2019
MEMORANDUM
TO: Mr. Nat Wilson
Habitat Hydrogeology Group
Division of Water Resources
FROM: Brenda M. Harris
Mining Program Secretary
Land Quality Section
SUBJECT: Mining Permit Modification for Otway Sand, Inc.
Otway sand Mine
Carteret County
® Mine Dewatering Proposed ❑ No Mine Dewatering Proposed
Please find attached for your review a copy of the mining permit modification request for the above
referenced project.
Please review this information and advise as to the probability of this operation having unduly
adverse effect on wildlife and freshwater fisheries (G.S. 74-51 (2)). Please respond by May 31, 2019 so
that we may complete our review of this request within our statutory time limits.
As is the case in our review of all mining permit applications, renewals and modifications, this
office will carefully.review all proposed erosion and sediment control measures to ensure that they are
sufficient to restrain erosion and off-site sedimentation. However, any comments your agency can
provide regarding effects on wildlife and freshwater fisheries would be greatly appreciated. If your staff
wishes to perform a site inspection, it is recommended that they contact the person submitting this
request to set up a convenient date and time. Also, please send a copy of your comments to the person
noted in the application.
PLEASE RETURN ALL APPLICATION MATERIALS AND MAPS WITH YOUR REVIEW
COMMENTS TO THIS OFFICE.
Your continued cooperation is greatly appreciated. Please contact Ms. Judy Wehner at (919) 707-
9220 if you have any questions.
/bmh
Attachments
cc: Mr. Dan Sams
Q,parunentctGmrmmsaulQutYfY` /�'
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
�19 klnrfh Calichiint Ctrcct l 11217 Uail Cnn,inc f`cntor 1 polninh nlnrth r 4mrnlinft 17900 1R17

BR GILLIKIN&SON TRUCKING INC. 66-1246/631 4037
171 ALVIE LN.
BEAUFORT,NC 28516 ®Shield`
DATE
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Wehner, Judy
From: Wehner,Judy
Sent: Friday, May 10, 2019 1:56 PM
To: King, Morella s
Cc: Sams, Dan; Lambe, Brian
Subject: 16-44 DWR REVIEW SHEET 2013
Attachments: 16-44 DWR REVIEW SHEET 2013.doc
Here's the review sheet for the modification of the Otway Mine in Carteret County.
1

CAROLINA GEOLOGICAL SERVICES, INC.
I
May 10, 2019 RECEIVE[
Ms. Judy Wehner MAY 1 a 2019
NCDEQ, Land Quality Section
1612 Mail Service Center LAND QUALITY
Raleigh, NC 27699 MINING PROGRAM
Subject: Modification Permit# 16-44, Otway Sand Mine
Dear Ms. Wehner;
On behalf of Otway Sand Mine, Inc, I am submitting this application for modification of
the above-referenced Mining Permit. This request does not add acreage to the
permitted area but expands the "mining area" into a previous buffer area. This will add
4.15 acres to the "mining area". There are no wetlands or streams within this area.
This modification request also includes allowing concrete to be brought onsite for
crushing and recycling for re-sale. This will occur in the present "stockpile" area, so no
new acreage is affected.
Mining will continue as in the existing permit and will be contiguous to the existing mining
area. All runoff remains within the mining area and ponds and is periodically pumped as
necessary.
Please let me know if you have any questions or need additional information.
Sincerely�Z,4,%L�A �
James C. Izzell, Jr., PG
PO BOX 429 GARNER, NC 27529

APPLICATION FOR A MINING PERMIT
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
Name of Mine Otwav Sand Mine(# 16-44) County Carteret
River Basin White Oak
Latitude (decimal degrees to four places) 34.7741
Longitude(decimal degrees to fourplaces) -76.5527
I Name of Applicant* Otway Sand Mine, Inc.
Permanent address for receipt of official mail** /U o°
IVE114 C_ Z�SloZ
Telephone (7-51) JA 1 q9 Alternate No. ( )
I Mine Office Address
Telephone ( )
Mine Manager
I E-mail Address:
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.
y
***Signature Date -e7
Print Namehe4 —
Title'�LS.
* This will be the name that the mining permit will be issued to and the name that must be indicated on the
reclamation bond (security) that corresponds to this site.
** The Division of Energy,Mineral, and Land Resources must be notified of any changes in the permanent address
or telephone number.
*** Signature of company officer required.
G.S. 74-51 provides that the Department shall grant or deny an application for apermit within 60 days ofreceipt 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.
-1-

APPLICATION FOR A MINING PERMIT
NOTE: All of the following questions must be thoroughly answered regarding your mining operation for
the intended life of the mine. All responses mus be clearly conveyed on a corresponding,detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
1. Answer all of the following that apply:
❑ If this is an application for a NEW permit,indicate the total acreage at the site to be covered by the
permit(this is the acreage that the"new permit" fee will be based upon):
Of this acreage,how much is owned and how much is leased? Acres owned:
Acres leased: Property owner if leased:
If this is an application for a MODIFICATION to a mining permit,indicate the mining permit
number and the total (overall) acreage covered by the existing permit.
Mining Permit No.: 16-44 Total permitted acreage: 33.7
Does the modification involve acreage within the previously approved permitted boundary?
Yes[] No ❑. If yes,indicate the acreage to be covered by this modification(this is the acreage
that the "major modification" fee will be based upon): 4.15
Does the modification involve acreage outside the previously approved permitted boundary?
Yes ❑ No ❑X . If yes,indicate the additional acreage to be covered by this
modification: . (NOTE: you must complete all of Section F.of this application form
entitled Notification of Adjoining Landowners).
Of this acreage to be added to the permit,will any portion of this acreage be affected(i.e.:disturbed,
ground cover removed) by the mining operation? Ye❑ No ❑(If no, a "minor modification"
fee of$100.00 is required, despite the "undisturbed" acreage to be added). If yes, indicate the
acreage to be affected within the acreage to be added to the permit(the total acreage to be added to
the permit is the acreage that the "major modification" fee will be based upon):
❑ If this is an application for TRANSFER of a mining permit,indicate the mining permit number and
the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage:
SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO BE
PAID FOR THE REQUESTED PERMIT ACTIONS) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined: sand
3. Mining method:
Hydraulic Dredge Front-end Loader&Truck Shovel &Truck
Dragline&Truck Self-loading Scraper
Other(explain):
4. a. Expected maximum depth of mine(feet) 30
Depth is relative to what benchmark? (e.g., natural ground level,mean sea level,road elevation, etc.)
natural ground level
b. Expected average depth of mine(feet) 30
5. Has any area(s) at this site been mined in the past? Yes No ❑
If yes,when and by whom was this activity conducted? by applicant
-2-

r
APPLICATION FOR A MINING PERMIT
6. Number of years for which the permit is requested (Life of the Mining Operation or Life of Lease from
Public Entity): 20
B. MAPS
1. Clearly mark and label the location of your mining operation on six(6)copies of a 7.5-minute quadrangle
and a county highway map. These maps,in addition to six(6)comes of all mine maps and reclamation
maps,must be submitted 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 OR 512 North Salisbury Street, 5a'Floor
Raleigh,North Carolina 27699-1612 Raleigh,North Carolina 27604
[phone]
http://portal.ncdenr.org/web/lr/ eolo ig_cal home
County highway maps may be obtained from the N.C. Department of Transportation:
North Carolina Department of Transportation—Geographic Information Systems(GIS)
Mailing Address: Physical Address:
NCDOT GIS Unit NCDOT GIS Unit
1587 Mail Service Center 3401 Carl Sandburg Court
Raleigh,North Carolina 27699-1587 Raleigh,North Carolina 27610
[phone]
hLtp://www.ncdot.orWit/gis
-2. 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 reclamation maps
must denote those activities that are intended to be conducted during the life of the mining permit.
All maps must be of a scale sufficient(see minimum requirements listed below)to clearly illustrate the
following, at a minimum:
a. Property lines of the tract or tracts of land on which the proposed mining activity is to be located
including easements and rights-of-way.
b. Existing or proposed permit boundaries.
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 pits/excavations.
f. 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(processing plants maybe 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. Location and acreage of all planned and existing access roads and on-site haul roads.
1. Location of planned and existing on-site buildings.
in. Location and dimensions of all proposed sediment and erosion control measures.
n. Location of 100-year floodplain 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 tracts adjoining these tracts,that are within 1,000 feet of
the mining permit boundary,must be provided on the mine map.
-3-

• 7
APPLICATION FOR A MINING PERMIT
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,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,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. Name of applicant
2. Name of mine
3. North arrow
4. County
5. Scale
6. Symbols used and corresponding names
7. Date prepared and revised
8. Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP SCALE
0-49 Acres 1 inch=50 feet
50-199 Acres 1 inch= 100 feet
200+Acres 1 inch=200 feet
(NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items)
_4_

APPLICATION FOR A MINING PERMIT
A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment
ponds, stockpiles,wastepiles,processing area/haul roads,mine excavation and any other major aspect ofthe
mining operation that is proposed to be affected/disturbed during the life of the mining permit. A table/chart
similar to the following will be acceptable:
CATEGORY AFFECTED ACREAGE
Tailings/Sediment Ponds
Stockpiles
Wastepiles
Processing Area/Haul Roads
Mine Excavation
Other(Explain)
Total Disturbed Acreage
IN ADDITION TO THE ABOVE, THE MAPS MUST ALSO INCLUDE ANY SITE-SPECIFIC
INFORMATION THAT IS PROVIDED IN THE ANSWERS TO THE FOLLOWING QUESTIONS IN
THIS APPLICATION FORM (PLEASE NOTE THE ITALICIZED QUESTIONS/STATEMENTS
THROUGHOUT THE FORM). THIS APPLICATION WILL NOT BE CONSIDERED COMPLETE
WITHOUT ALL RELEVANT ITEMS BEING ADEQUATELY ADDRESSED ON THE MINE MAPS.
-5-

APPLICATION FOR A MINING PERMIT
C. PROTECTION OF NATURAL RESOURCES
1. Describe in detail the sequence of events for the development and operation of the mine and reference the
sequence to the mine map(s). Attach additional sheets as needed.
This modification simply changes 4.15 acres of"buffer" into new "mining area and
allows concrete to be brought onto site to be crushed and recycled. Mining has been
ongoing at this site for several years, and is well established. Excavation will
continue in the manner previously established and under current operating conditions.
2. Describe specific erosion control measures to be installed prior to land disturbing activities and during
mining to prevent offsite sedimentation(include specific plans for sediment and erosion control for mine
excavation(s), waste piles, 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 maps) and provide typical cross-sections/construction details of each
measure. Engineering designs and calculations are required to justify the adequacy of any proposed
measures.
A minimum of three sediment settling ponds are utilized for erosion control, as indicated on
the Mine Map. All runoff is directed into the mining area,and retained by the ponds. Any
disturbed areas will be graded so that runoff flows into the mining area or ponds.
3. a. Will the operati, ' v,olve washing the material mined, recycling process water, or other waste water
handling? Yes o . If[gs,briefly describe all such processes including any chemicals to be used.
11!o
h Will the operation involve discharging fresh or waste water from the mine or plant as a point discharge to
the waters of the State? Yes ® No [yf yes, briefly describe the nature of the discharge and locate
all proposed discharge points (along with their method of stabilization) on your mine map(s).
Fresh water discharged, as shown on mine map
-6-

APPLICATION FOR A MINING PERMIT
a Will any part of the proposed mine excavation(s) extend below the water table? Yes ❑ No ❑.
If yes,do you intend to dewater the excavation(s)? Yes ❑ No ❑.
If yes,what impact,if any,will mine dewatering have on neighboring wells? Estimated withdrawal rate
in gallons per day: 100,000 .Locate all existing wells on the mine map(s) that lie within
500 feet ohe proposed excavation area. Provide data to support any conclusions or statements 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.
Most water is pumped between existing ponds and retained onsite. However,it is anticipated
that water will be discharged approximately two days per week. This mine has been in operation
for nearly 10 years with no impact on area groundwater.
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-discharge,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.
Mine is currently covered by NPDES General Permit NCG010626.
4. a. Will the operation involve crushing or any other air contaminant emissions? Yes �; 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.
Concrete will be crushed by contractor,who maintains necessary air quality permits
b. How will dust from stockpiles,haul roads, etc.,be controlled?
Periodic spray with water as needed
-7-

APPLICATION FOR A MINING PERMIT
5. a. A buffer will be required between any mining activity and any mining permit boundary or right-of-
way. It may be an unexcavated 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 combination of the two,depending upon the site conditions. Note
that all buffers must be located within the mining permit boundaries.
How wide a buffer will be maintained between any mining activity and any mining permit boundary
or right-of-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 buffer locations and widths on the mine
map(s).
As shown on the Mine Map,a 25 foot undisturbed buffer and a 25-30 foot unexcavated buffer is
maintained between the mining activity and mining permit boundary.
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).
There are no wetlands or streams onsite.
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.
Excavated slopes shall be 3:1 or flatter adjacent to permit boundaries, and buffers shall be
maintained as indicated on the Mine Map
-8-

APPLICATION FOR A MINING PERMIT
b. Provide a cross-section on the mine maps)for all fill slopes (berms, wastepiles, overburden
disposal 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
stabilization.
c In excavation(s)of unconsolidated(non-rock)materials,specify the angle of all cut slopes including
specifications for benching and sloping. Cross-sections for all cut slopes must be provided on the
mine map(s).
3:1 above water, as shown on mine map
d In hardrock excavations,specify proposed bench widths and heights in feet. Provide cross-sections
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.
NIA
7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling
house, public road, public, commercial or industrial building from any mine excavation. Locate all such
structures on the mine map if they are within 300 feet of any proposed excavation.
The proposed buffers in conjunction with the slopes will provide adequate protection to
prevent hazards to dwellings,roads,and buildings.
8. Describe what kind of barricade will be used to prevent inadvertent public access along any high wall area
and when it 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).
There are no high-walls in this mine plan. A gate at the mine entrance prevents inadvertent
public access.
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APPLICATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes No ❑.
If yes,how will acid water pollution from the excavation, stockpiles and waste areas be controlled?
10. a. Describe specific plans (including a schedule of implementation) for screening the operation from
public view such as maintaining or planting trees,bushes or other vegetation,building berms or other
measures. Show the location of all visual screening on the mine map(s)and provide cross-sections
through all proposed berms or proposed spacing, sizes and species for tree plantings.
Berm,natural vegetation, and remote location screen the operation from public view
b. Could the operation have a significantly 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?
No
11. Will explosives be used? Yes No
If yes, specify the types of explosive(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 offsite occupied
structures)to the proposed excavations)on the mine map and indicate its approximate distance to the
proposed excavation.
12. Will fuel tanks, solvents,or other chemical reagents be stored on-site? Yes No
Ifyes, describe these materials,how they will be stored and method of containment in ca e ofspill. Indicate
the location(s) of all storage facilities on the mine map(s).
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APPLICATION FOR A MINING PERMIT
D. RECLAMATION 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
information must be illustrated on a reclamation map and must correspond directly with the information
provided on the mine map(s). In addition, design information, including typical cross-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.
Mining areas to be reclaimed as a lake. Side slopes will be graded to 4:1 or flatter above water
and 2:1 (or natural angle of repose)below water level. Any disturbed areas will be graded
to drain into ponds and seeded according to schedule
2. Is an excavated or impounded body of water to be left as a part of the reclamation?Yes Y]-, No ❑.
If yes, illustrate the location of the body(s) of water on the reclamation map and provide a scaled cross-
section(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 more
shallow water body will be productive and beneficial at this site.
Will the body(s)of water be stocked with fish? Yes ❑ No �.
If yes,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 all permanent
barricades must be shown on the reclamation map.
N/A
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APPLICATION FOR A MINING PERMIT
4. Indicate the method(s)of reclamation of overburden,refuse,spoil banks or other such on-site mine waste
areas, including specifications for benching and sloping. Final cross-sections and locations for such
areas must be provided on the reclamation map.
No waste piles to be left in this operation
5. a. Describe reclamation of processing facilities, stockpile areas, and on-site roadways.
Graded and seeded according to revegetation plan
b. Will any on-site roadways be left as part of the reclamation? Yes No U
If yes, identify such roadways on the reclamation map and provide details on permanent road and ditch
line stabilization.
6. Describe the method of control 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 waste shall be disposed of on the mine site without nr_ for written approval
from the NC Department of Environmental Quality, Division of Energy, Mineral, and Land
Resources and either the Division of Waste Management (DWM) or local governing body. If a
disposal permit has been issued by DWM for the site, a copy of said permit must be attached to
this application. All temporary and permanent refuse disposal areas must be clearly delineated on the
mine maps) and reclamation map, along with a list of items to be disposed in said areas.
Any such waste will be removed from site
-12-

APPLICATION FOR A MINING PERMIT
7. Describe your plan for revegetation or other surface treatment of the affected 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 both permanent and temporary revegetation. Revegetation utilizing only tree plantings is
not acceptable. Recommendations 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 Agriculture and Consumer
Services;
c. Authorized county representatives of the North Carolina Cooperative Extension Service,specialists
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.
LIME -RATE OF APPLICATION (tons/acre):
FERTILIZER-ANALYSIS AND RATE OF APPLICATION (pounds/acre):
SEED -TYPE(S)AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds/acre): [NOTE: Include Legumes]
Seed T_yggs Seeding Dates: Seeding Rates:
* Seeding schedule is shown on Mine Map
MULCH-TYPE AND RATE OF APPLICATION(pounds/acre)AND METHOD OF ANCHORING:
OTHER VEGETATIVE COVERS—TYPE(S)AND RATE(S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre,trees/acre, spacing of trees/shrubs, etc):
Revegetation and/or reforestation plan approved by:
Signature Date
Print Name
Title
Agency
-13-

APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond(based upon a range
of$500 to $5,000 per affected acre)for each permitted mine site based upon the acreage approved by the
Department to be affected during the life of the miningpermit.Please insert the approximate acreage,�for each
aspect o the mining operation, that you intend to a ect during the life of this mining permit(in addition,please
insert the appropriate reclamation cost/acre,for each category from the Schedule of Reclamation Costs
provided with this application form)OR you can defer to the Department to calculate your bond for you based
upon your maps and standard reclamation costs:
AFFECTED RECLAMATION RECLAMATION
CATEGORY ACREAGE COST/ACRE* COST
Tailings/Sediment Ponds: 0. ()$ Ac. X $ �©O /Ac. _ $ 4o
Stockpiles: d Ac. X $ S 00 /Ac. _ $ 2,5 7-0
Wastepiles: Ac. X $ /Ac. _ $
Processing Area/Haul Roads: ©.Q2, Ac. X $ t,hod /Ac. _ $ I 60s)(0
Mine Excavation: Ac. X $ `'��� /Ac. _ $
Other: u W F,)QAu A-rE--()B uFfM 3 e$ Ac. X $ k,$CD /Ac. _ $ S 4 D
TOTAL AFFECTED AC.: 31,D 5' Ac.
(TOTAL PERMITTED AC.: 3 3 o r7 Ac.)
Temporary&Permanent Sedimentation&Erosion Control Measures:
Divide the TOTAL AFFECTED AC. above into the following two categories: a) affected acres that drain into
proposed/existing excavation and/or b)affected acres that will be graded for positive drainage where measures will
e needed to prevent offsite sedimentation and sedimentation to onsite watercourses and wetlands.
a) Internal Drainage 31.05 Ac.
b) Positive Drainage Ac. X $11,500.00 = $
SUBTOTAL COST: $ Z3 $
Inflation Factor:
0.02 X SUBTOTAL COST: $ 4G9•&2 X Permit Life Provided by Applicant(Life of the Mining Operation
or Life of Lease from Public Entity(inYears)): Zo
INFLATION COST: $ /. 3 9 Z• y
Total Reclamation Bond Cost: $
(round down to the nearest$100.00)
(NOTE: The reclamation bond cannot exceed$1 million per GS 74-54)
-14-

APPLICATION FOR A MINING PERMIT
F. NOTIFICATION OF ADJOINING LANDOWNERS
The"Notice"form,or a facsimile thereof,attached to this application must be sent certified or registered mail,
return receipt requested, to:
(1) the chief administrative officer 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 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, 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); 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"Affidavit of Notification"attached to this application must be completed,notarized and submitted to the
Department,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(bl).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
-15-

- 1
NOTICE
Pursuant to provisions G.S. 74-50(b1)of The Mining Act of 1971,Notice is hereby given that
has applied on
(Applicant Name) (Date)
to the Division of Energy,Mineral, and Land Resources,North Carolina Department of Environmental Quality,
1612 Mail Service Center,Raleigh,North Carolina 27699-1612,for(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 acres located
(Mineral, Ore) (Number) (Miles)
of off/near road
(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. 74-50(b 1),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;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). In addition, the mine operator must also notify the chief administrative officer of the county 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 filing 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 the above listed address as well as at the appropriate regional office. For in ormatign_regar=g the
specifics of the grroposed mining activity.please contact the applicant at the following telephone number:
.For information on the mining permit application review process,please contact
the Mining Program staff at(919) 707-9220. Please note that the Department will consider any relevant written
comments/documentation within the provisions of the Mining Act of 1971 throughout the application review
process until a final decision is made on the application.
(Addressee/Owner of Re-co-rU's (Name of Applicant: Include Contact Person
Name and Address) &Company Name, if Applicable)
(Date of Issuance of this Notice/ (Address of Applicant)
Mailed to Addressee/Owner of Record)
-16-

APPLICATION FOR A MINING PERMIT
AFFIDAVIT OF NOTIFICATION
I, ,an applicant,or an agent,or employee of an applicant,for a
new Mining 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)
(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
anypart of the permitted area is located and that notice of the pending application has been caused to be mailed,by
certified or registered mail,return receipt requested,to said office at the following address:
(Chief Administrative Officer Name) (Address)
[i.e.: City Manager, County Manager, Mayor,etc.]
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 5B.0004(d).
I understand that it is the responsibility of the applicant to retain the receipts of mailing showing that the above
notices were caused to be mailed and to provide them to the Department upon request.
Signature of Applicant or Agent Date
If person executing Affidavit is an agent or employee of an applicant,provide the following information:
Name of applicant:
Title of person executing Affidavit
I, a Notary Public of the County of ,
State of North Carolina, do hereby certify that
appeared before me this day and under oath acknowledged that the above Affidavit was made byhim/her.
Witness my hand and notarial seal,this day of 20
Notary: my Commission expires:
-17-

APPLICATION FOR A MINING PERMIT
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 ofmaking necessary field inspections or investigations as
maybe 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: M, Signature:*
Print Name: f(AW 9 1-tT 72-i11' JR Print Name: � l.E 7P-Ind 0l2
(Title, if applicable)
Company MKAr 6prl-i to in/E )A/- Title: ftn OfW
(If applicable)
Address:—/00 PARS ou Da Company: O7n4� %fPrfM /r) M 11VC-
/vW -56p'-V /V(, Zo�SZZ Mine Name: cs/try 0 Mt nlc
Telephone: (ZV-)) Telephone: (ZJ ) :�IL4 1469
Date Signed: J - Date Signed:
*Signature must be the same as the individual who signed Page 1 of this application.
One original and five (5) conies of the completed application. six (6) copies of all location maps, mine mans
and reclamation maps.and the appropriate processing fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department 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
[phone].
-18-