20221219_ADI_Response

PO Box 29682 804.784.6300 800.898.LUCK
Richmond VA 23242-0682 804.784.6390 Fax www.lackstone.com
LUCKUSTONE RECEIVED
IGNITING HUMAN POTENTIAL DEC 19 2022
Mr.Adam Parr LAND QUALITY SECTION 12/2/2022
NC DEQ
Division of Energy,Mineral and Land Resources
512 North Salisbury Street
Raleigh,North Carolina 27699
RE: Permit Modification—Response to Comments
Mine Permit No.86-01,Mount Airy Quarry,Surry County
Dear Mr.Parr,
On June 7,2021,Ararat Rock Products received a letter from the North Carolina Department of Environmental Quality
(NCDEQ)with comments pertaining to a permit modification for Mount Airy Quarry in Sorry County,NC. Luck Stone
Corporation(Luck Stone)acquired Mount Airy Quarry,and all ongoing permit modifications,from Ararat Rock in late
2021. On May 9,2022,NCDEQ provided Luck Stone with a letter extending the response to comment period to
December 4,2022. Understanding this information,Luck Stone has completed the following responses to the permit
modification comments. Please review the following NCDEQ comments,the appropriate Luck Stone response and all
attachments:
I. Please provide proof,such as copy of the signed return receipts from celtified mail,that all adjoining
landowners and chief administrative officer of each county and municipality have been properly notified.
§74-50(bl).
Luck Stone Response—For the initial modification submittal,Ararat only sent notifications to landowners
adjoining the new area to be permitted with the amendment. Please see the attached certified mail receipts of
ALL adjoining landowners and appropriate municipality representatives.
2. Please clarify the permit boundary near the entrance to SR 2007(Quarry Rd.).It appears that the permit
boundary does not extend all the way to the publicly maintained road.§7449(1)states that nonpublic
roads are considered"Affected Land."
Luck Stone Response—The permit boundary has been updated to reflect the entire portion of entrance road all
the way to the publicly maintained road. The additional permit area has been updated within the mine
application and on the permit map.
3. Please refer to Section D of the mine permit application and provide a reclamation map that clearly
illustrates the reclamation plan for the entire site.The map should clearly illustrate the post mining use
of the entire site.It should also include all italicized items listed in the application
Luck Stone Response—Please see the attached Reclamation Map for the facility.
4. Please clarify your response to question C.12 of the mine permit application regarding the storage of
onsite fuel tanks,solvents,or other chemical reagents.Please explain how mobile equipment is serviced.
Luck Stone Response—Mine permit application question C.12 has been updated to include fuel storage on site.
Information regarding the servicing of vehicles has been included in the response.

5. Please explain the operations and activities Iocated in the area labeled"Leased Area"as they pertain to
§74-49(1)."Affected Land"
Luck Stone Response—All areas labeled as"Leased,"are not on permitted land and should not be considered
"Affected Land."
6. Please provide a mine map that shows the entire permitted area.The maps provided did not show the
entire permit boundaly on the north side of the property.
Luck Stone Response—The layout of the permit map has been adjusted to include the entire current and
proposed permit area. Please see the attached permit map.
7. Please identify and label all adjoining landowners on the map,including those adjoining the previously
permitted boundary.
Luck Stone Response—The permit map has been adjusted to include all landowners adjoining both existing and
proposed permit boundaries. Please see the attached permit map.
8. Please label on the map that the 50-foot wooded buffer is proposed as an undisturbed buffer.
Luck Stone Response—The permit map has been adjusted to include the appropriate labeling regarding the 50-
foot wooded,undisturbed buffer. Please see the attached permit map.
9. Please clearly indicate and label on the map all undisturbed and unexcavated buffers for the entire site.
Luck Stone Response—Additional buffer labeling has been added to the permit map. It should be noted that
any area where the affected line is offset from the permit line represents an undisturbed buffer. Please see the
attached permit map.
10. Please provide a Jurisdictional Determination from the US Army Corps of Engineers for streams,
wetlands,or other surface waters at the site.
Luck Stone Response—A formal wetland delineation has been completed by a third-party wetland scientist for
the facility,however,a jurisdictional determination has not been completed as there are no proposed impacts to
wetlands in the immediate future. No wetland impacts are planned within the next 5 years.
11. Based on the information provided the drainage areas of small intermittent streams adjacent to the pit
area have the potential to be indirectly impacted form the rerouting of their entire drainage area and
surface flows into the pit.This has the potential to remove existing hydrology from some of these features
adjacent to the pit and therefore remove existing uses of the stream channels which may result in a
violation of water quality and/or wetland standards.Please provide a hydrologic analysis of the indirect
impacts to these intermittent streams adjacent to the pit area.
Luck Stone Response—All previously submitted E&S design information associated with the proposed affected
acreage to the east is being rescinded for this resubmittal. Luck Stone will submit an updated pit expansion plan
at a future date. During that time,Luck Stone will consider pre-construction drainage and surrounding water
features when designing the expansion and associated E&S controls.
12. Please clarify your response to CA of the application with regard to Air Permit#05021 R09.Please see
the enclosed comments from the Division of Air Quality(DAQ).
Luck Stone Response—Permit Amendment Application has been updated to show that an Air Permit
#05021 R09 was issued to the site and later(2017)rescinded.
13. Please address all comments enclosed,provided by the Land Quality Section(LQS)Winston Salem
Regional office.
Luck Stone Response—Please see the below responses.
Comments from Land Quality Section

1. NC Wildlife Resources Commission {NCWRC} recommends a 100-ft buffer to lessen
impacts to the Ararat River. This may impact the mine footprint and proposed measures,
so at least another iteration of review will be necessary
Luck Stone Response—For a majority of the permitted area,a 50ft undisturbed buffers has been proposed.
Specific to the impacts adjacent to the Ararat River,the flood plain extends well beyond the 100 A.boundary of
the river. In staying out of the flood plain,the 100 ft.buffer is maintained,and in many cases exceeded by a
significant margin.
2. Seeding specifications were also commented on by NCWRC and would have to
be addressed within the application.
Luck Stone Response—Luck Stone uses the below seed mix at many of our sites;we are happy to consider the
addition of Oats to this mix as an option for cover crop. This mix has been included in the updated permit
amendment form.
Seed Mix
Tall Fescue 60 lbs per acre
Hard Fescue 20 lbs per acre
Creeping Red Fescue 10lbs per acre
Weeping Lovegrass 10lbs per acre
Ladino Clover 10 lbs per acre
Bird Foot Trefoil 10lbs per acre
Kobe or Korean Lespedeza 5 lbs per acre
Alfalfa 10 lbs per acre
Annual Ryegrass 10lbs per acre
Millet 101bs per acre
3. Calculations for the sediment basins are based upon 10-year design storms.Redesign for the 25-yr storm
is necessary
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper ERGS control design.
4. The acreage table required to be on the mine map shows O acres for sediment ponds despite several
being shown on the plan.It is understood that the permittee has viewed the sediment ponds as temporary
measures that do not need to be included in the table,but they must be included due to their potential for
long-term implementation and the indefinite timing of their installation and removal
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design.
5. Please elaborate on what discussions have been held with the owner of the 128'wide
powerline easement shown on the plan as it relates to the proposed work in the
area.
Luck Stone Response—This area is a deeded Right of Way that allows the user to access the area to operate and
maintain their equipment. No formal discussion has been held,nor is one required if the future impacts meet
the requirements of the deed. Agreements will be made with the easement owner if future plans intend on
impacting the rights of the easement.
6. Part B.2.of the application lists minimum features that must be clearly illustrated on

the mine maps.The items below must be shown and labeled on the maps:
• Initial and ultimate limits of clearing and grading
• Outline and acreage of all pits/excavations
• Outline and acreage of all stockpile areas
• Location and acreage of all planned and existing access roads
and on-site haul roads
• Location and dimensions of all proposed sediment and
erosion control measures.
Luck Stone Response—All of the items listed above are on the provided permit map.
7. Part C.1 of the application calls for a detailed description of events for the
development and operation of the mine to be referenced to the mine maps.The
response provided lacks sufficient detail to adequately evaluate the plan and
proposed measures.Please provide detailed sequencing,referencing the
particular drainage areas and movement across the site.
Luck Stone Response—A completely updated application has been included with this submittal. This permit
application should address all comments from the NCDEQ.
8. Part C.3.b of the application indicates.that the operation will not discharge to
waters of the State.This is not accurate since the removal of soil down to the
rock is considered mining and the sediment basin outfalls will discharge to
waters of the State.A permit is required for stormwater discharges(See part
C.3.d),and the outfalls must be shown on the mine maps.
Luck Stone Response—The site currently operates under NC NPDES permit:NCG020158,the permit
application has been updated accordingly.
9. Please provide documentation showing that the excavation will not extend
below the water table,as indicated in the application in part C.3.c.
Luck Stone Response—Excavations will be conducted below the water table. The permit application has been
updated accordingly.
10. Part D.1.of the application,asks for a description of the reclamation plan,
design information,and calls for information to be included on the
reclamation map.The application and mine maps lack clear sequencing for
grading,stabilizing,and demobilizing for reclamation,and a reclamation map
has not been provided
Luck Stone Response—A completely updated application has been included with this submittal. This permit
application should address all comments from the NCDEQ. A reclamation map has also been included in this
submittal
11. The scale for sheet C-10 showing the approximate mine excavation limits is at
1"=300.'Please revise this map so that it is shown at a scale no smaller than
1"=200'as required by the mining application.
Luck Stone Response—All prior mapping submitted by Ararat is being rescinded with this submittal. In order
to meet this request,a 1"=300' scaled permit map has been included with this submittal.

12. The pond shown on sheet C-2 located on the southern area of the site,directly
south of the existing power line easement and directly north of the Ararat
River,is within the pit mining area.Will this pond be dewatered,and at what
point will this occur?
Luck Stone Response—'All prior mapping submitted by Ararat is being rescinded with this submittal.
Regardless,all ponds will be either dewatered or filled and seeded upon reclamation.
13. A 32 acre area within the existing permit boundary is proposed as an
overburden area;please address erosion control for this area.
Luck Stone Response-Erosion and sediment control structures associated with the 32-acre overburden storage
area were approved through prior amendments. Based on the summary provided by NCDEQ on the latest
amendment,it looks like this approval occurred on January 7,2010.
14. Diversions should be installed along the top of the sediment basin wall directed
toward slope drains to prevent sheet flow over sediment basin slopes greater
than 7 feet,such as along the top of skimmer basins#1 and#6 to direct runoff
into both slope drains for this basin.
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
15. A diversion ditch is also needed along the top of skimmer basin#2 on the
northeast side to protect the cut slope and direct the runoff to enter the basin
on the northwest.
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
16. IA diversion ditch is needed along the northwest and southeast sides of
sediment basin#3 to collect runoff in the subdrainage areas below the first
baffle,and direct it to enter the basin above the first baffle.
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
17. The diversion ditch on the north side of skimmer basin#4 should be extended
in a northeast direction to capture sediment laden runoff from the
downstream side of the ridge and direct it to the basin.
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
18. The current silt fence detail does not include the strength of the steel posts
used for silt fence and shows the depth of the backfill trench as being 6-inches
deep.The steel posts used for silt fence must be 1.251bf/LF at a minimum,

T
with a minimum length of 5-feet.The backfill trench for silt fencing needs to
be at least 8-inches deep with the post being at least 2-foot deep.Furthermore,
the current detail does not show the maximum spacing between the steel posts.
Please revise the detail to illustrate the above specifications.
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
19. The elevation of the top of the riser for sediment basin#3 is 0.14 inches lower
than the water elevation for a 2-yr,24-hr storm event.The top of the riser
should be above this depth to ensure the skimmer is the only outlet functioning
during a 2-yr,24-hr storm.Redesign is recommended.
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
20. Remove silt fence from the emergency spillway of any basin where it's shown.
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
21. Please clarify if any land-disturbing activity will occur south of the diversions
on sheet C-6;additional measures may be required.
Luck Stone Response—There will be no disturbance withing the newly requested permit area south of the
powerline easement. Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
•22. Silt fencing typically has a design life of six months.Will the silt fence and
stone outlets be replaced every six months for the life of this mine?Please
address.
Luck Stone Response—Luck Stone has decided to rescind all design information submitted in the last submittal
package associated with the eastern permit limit expansion. When appropriate for future expansion,Luck Stone
will submit a future amendment detailing expansion and proper E&S control design. Regardless,the comment
has been noted and will be considered for future design submissions.
Thank you for your kind assistance in this matter. NCDEQ's extension was very helpful in allowing Luck Stone to
review the full prior amendment and respond accordingly. If you have any questions and/or comments,please contact
me at 804-514-8670.
Sincerely,
z__;
Brian Parker
Construction Engineer,Luck Stone Corporation

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Qualify Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
NOTE:It is recommended that you contact the appropriate Regional Office or the Raleigh Central Office for a PRE-
APPLICATION MEETING to discuss your Intentions and address any questions.
1. Name of Mine Mount Airy Quarry
County Sully River Basin Yadkin
L�s;(decimal degrees to four 36.4614 RECEIVED
Longitude(decimal degrees to four
places) 80.6934 oEC_9-292
2. Name of Applicant Luck Stone Corporation
Applicant Contact Brian Parker Consultant Contact LAND OUALITY SECTION
Applicant Email [e-mail] Consultant Email
Telephone [phone] Telephone
Cell Phone [phone] Cell Phone
3 Permanent Address for Receipt of
official Mail• PO Box 29682, Richmond VA, 23242
a. Mine office Address 290 Quarry Road, Mount Airy NC
5. Mine Manager Petey Herndon
Mine Manager Email [e-mail]
Telephone [phone] Cell Phone [phone]
1 certify that all details contained in this permit application are true and correct to the best of our knowledge.We
fully understand that wi any willful misrepresentation of facts will be cause for permit revocation.
Signature"` Y l " PW'— Dale /g .f ?
Print Name J n N.Pullen
Tide Cl&yGrowth Officer
'This will be the name that the mining perms will be issued to and the name that must be indicated on the reclamation bond(security l 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 reouired.
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.
Re. September 21 202 P c e 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]
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 corresponding,detailed mine map.
A.GENERAL CHARACTERISTICS OF THE MINE
1. Answer all the following that apply:
F-1 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 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:
© This is an application for a MODIFICATION to a mining permit.
Mining Permit Number: 86-01 Total permitted acreage: 606.18
Does the modification involve acreage within the previously approved permitted boundary?
YES ©NO
If yes,indicate the acreage to be covered by this modification
Does the modification involve acres a outside the previously approved permitted boundary?
IX-1YES NO
If yes,indicate the additional acreage to be covered by this modification 239.03
NOTE:You must complete all of Section F of this application form entitled Notification 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? -
IN YES FINO
If yes,indicate the acreage to be affected within the acreage to be added to the permit 11.50
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 September 21,2021 P a g e 12

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]
MINING FEE SCHEDULE
A nonrefundable permit application processing fee when filing for a new mining permit,permit modification,or transferred permit is
required as follows:
APPLICATION TYPE 0—25 ACRES 26+ACRES
New Permit Applications $3,750.00 $5 000.00
Permit Modifications $750.00 $1000.00
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 within the previously approved permitted boundary plus the proposed total acreage to be added outside the
previously approved permitted boundary.
2. Name of all materials mined: Granite
3. Mining Method:
Hydraulic Dredge Front-end Loader&Truck OShovel&Truck
Dragline&Truck Self-loading Scraper Excavator&Truck
Other(please explain):
4. Expected maximum depth of mine(feet)590
Depth is relative to what benchmark?(e.g.,natural ground level,mean seal level,road elevation,etc.)
Mean Sea Level
Expected average depth of mine(feet) 500
5. Has env area at this site been mined in the past?
YES17/1 NO F]
If yes,when and by whom was this activity conducted?Ararat Rock Products
6. Estimated life of the operation(years):44
NOTE:The Department may request clarification on how life of mine was calculated.
Revised September 21, 2021 P a g e 3

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC27699-1612
Division of Energy,Mineral,and Land Resources [phone]
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)copies 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 512 N.Salisbury St.,51h Floor
Raleigh,NC 27699-1612 Raleigh,NC 27604
Http:/Iportal.ncdenr.oro/webAr/geological 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 Cad Sandburg Court
Raleigh,NC 27699-1587 Raleigh,NC 27610
httDahvww.nodot.ralit/ais [phone]
2. A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailingstsediment ponds,
stockpiles,waste piles,processing areasthaul 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 table/chart 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 15.20 0.00 15.20
Stockpiles 18.60 0.00 18.60
Waste piles 28.80 3.40 32.20
Processing Areas/Haul Roads 38.40 12.37 50.77
Mine Excavations 93.20 63.52 156.72
Other(Please explain) 146.95 -64.49 82.46
Total Affected Acreage 341.15 14.80 355.95
Total Permitted Acreage 367.15 239.03 606.18
Revised September 21. 2021 P a g e ) 4

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]
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 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 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 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 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(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 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.
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) 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 V=50'
50—199 acres 1°=100'
200+acres 1"=200'
NOTE:Smaller scaled maps may be acceptable if they clearly illustrate the above items.
NOTE:In addition to the above,the maps must also include any site-specific Information that is provided in
the answers to the following questions(italicized questions/statements)in this application form.This
application will not be considered complete without all relevant items being adequately addressed on the mine
maps.
Revised September 21, 2021 P a g e 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]
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.
Overburden will be removed, during overburden removal runoff from the
disturbed area will be directed into the pit. Upon completion of Stripping, the
rock in the active pit area will be drilled and blasted. This blasted rock will be
loaded into off-road trucks and hauled to the plant to be crushed. Crushed
product will be loaded onto highway rated trucks with front end loaders, and sold
to customers.
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 map(s)and
provide typical cross-sections/construction details of each measure.Engineering designs and calculations are required
to justify the adequacy of any proposed measures.
There are no erosion and sediment control structures being installed with this
amendment. All prior E&S controls have been approved by NCDEQ.
3. A)Will the operation involve wash' the material mined,recycling process water,or other wastewater handling?
®YES NO
If yes,briefly describe all such processes including any chemicals to be used.
Crushed stone is washed. The wash water system is a closed loop, water is
used to clean the stone, this water is piped to a pond where solids are settled
and the clean water re-used for washing.
B)will the operation involve discharging fresh or wastewater from the mine or plant as a point discharge to the waters
of the State?
®YES FINO
If yes,briefly describe the nature of the discharge and locate all proposed discharge points(along with their method of
stabilization)on the mine map(s).
NPDES Permit#NCG020158
Revised September 21, 2021 P a g e 16

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)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)?
FAYES 1:1 NO
Estimated withdrawal rate in gallons per day: 0•00
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 proposed 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.
A initial hydrology study was conducted the authors" considers it unlikely that the
relatively low draw down values predicted as part of this analysis would cause
adverse impacts to the offsite supply wells.
The study identified that nearest off-site well is 1700 ft from the quarry. These
nearest wells are all located across the Ararat River from the quarry, which likely
hydrologically disconnects them from our activities.
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.
The site currently operates under NPDES permit: NCG020158
4. A)Will the operation involve crushing or any other air contaminant emissions?
®YES F1NO
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.
NCDENR Air Permit#05021 R09 was approved for this site, and later rescinded
in 2017 due to changes in state regulations no longer requiring an Air Permit
B)How will dust from stockpiles,haul roads,etc.,be controlled?
Dust from stockpiles and Haul roads is controller with the use of a water truck.
To further minimize the dust from the plant, spray nozzles are installed
throughout the plant at crushing and transfer locations.
Revised September 21, 2021 P a g e 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]
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 8 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).
A minimum 50 ft undisturbed buffer between the permit boundary and mine
disturbance is proposed for future activities. Along the Ararat River, a minimum
of buffer of 100 ft. will be kept for all future disturbances.
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 minimum 50 ft undisturbed buffer between the permit boundary and mine
disturbance is proposed for future activities. Due to wetland avoidance and
floodplain this undisturbed buffer in places will exceed 100ft.
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.
Materials identified for cut and fill slopes on site have been identified as clayey
as such, all slopes have been designed to 2:1 slopes. These areas will be
stabilized with vegetation upon completion.
B)Provide a cross-section on the mine maps)for all fill slopes(berms,waste piles,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.
Revised September 21, 2021 P a g e 18

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 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).
Where stripping of unconsolidated materials is required, slopes will be cut to
2HAV. If stripping depths in excess of 40ft are encountered 15-30 ft benches
will be considered.
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.
Internal of the quarry, pit development is designed with 30ft benches, 50 ft lifts
with 65 degree face angles.
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 map if they are within 300 feet of any proposed excavation.
A significant buffer exists between the current and proposed addition. No
dwellings have been identified within 1500 ft of this area.
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 detaillcross-section and location of each type of barricade to be used must be
indicated on the mine map(s).
A combination of earthen berms, fencing, gates, standing timber, undisturbed
buffer and significant distance exist between all high walls and the public.
Internal to the permit boundary all high walls are delineated with safety berms or
boulders where adjacent to roadways.
9. Are acid roducing minerals or soils present?
YES ©NO
If yes,how will acid water pollution from the excavation,stockpiles,and waste areas be controlled?
Revised September 21, 2021 P a g e 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 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.
Public view is restricted by undisturbed terrain, trees and vegetated earthen
berms. The quarry is located centrally on the property, and surrounded by a
large undisturbed area or rural farmland.
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, public area as described to not currently exist.
11. will ex I sives be used?
X 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 ofisite occupied structure(s)to the proposed excavation(s)on the mine
map and indicate its approximate distance to the proposed excavation.
Blasting conducted on site utilizes a ANFO or Hydro-mite bulk explosives, and
are detonated with down hole boosters and electronic delays. Blasting areas
area identified and cleared prior to the initiation of the blast. Currently there are
not structures, highways or dwellings within 1500 ft of the quarry.
12. will fuel tanks,solvents,or other chemical reagents be stored on-site?
�X YES �NO
If yes,describe these materials,how they will be stored and method of containment in case of spill.Indicate the
locations)of all storage facilities on the mine map(s).
Diesel, Gasoline, and Lubricants are stored on site. SPCC (spill prevention
containment and countermeasures) plans are maintained for all storage
locations as required by EPA.
Revised September 21, 2021 Page 110

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]
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-secfrons,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.
The areas surrounding the pit will be stabilized by grading and subsequent
planting of trees, shrubs and grasses. Likely a combination of native and
non-native species will be selected as appropriate. The pit will be allowed to fill
with water. Appropriate barricades gates and fences will be utilized to limit
access to potential remaining hazards. All plant structures, stockpiles and
equipment will be removed from the site. Ultimate post mining land use will be
established at some point in the future, closer to final reclamation.
2. Is an excavated or impounded body of water to be left as part of the reclamation?
IN YES FiNO
If yes,illustrate the location of the body(s)of wafer 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 shallower water body will be productive and
beneficial at this site.
Will the body(s)of water be stocked with fish?
F�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.
A combination of berm barricades, fences and gates will be utilized to prevent
access to hazards remaining on site. During the reclamation areas that are able
to be graded and stabilized bill be.
Revised September 21, 2021 P a g e ( 11

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]
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.
Overburden stockpiles will be constructed with slope of 2H:1 V slopes. These
slopes will be seeded and stabilized concurrent to development as allowable.
5. A)Describe reclamation of processing facilities,stockpile areas,and on-site roadways.
Upon the completion of operations all processing equipment will be removed
from site, stockpiled material will be sold until it is exhausted. At this point the
area (including roadways)will be graded for future alternative use, or cover with
soil graded and seeded with a mixture of trees, shrubs and grass.
B)Will any on-site roadways be left as part of the reclamation?
®YES �NO
!f yes,identify such roadways on the reclamation map and provide details on permanent road and ditch line
stabilization.
It is likely that upon completion of quarry activities some roadways will exist for
inspection or timber management. These roads will be 2 track dirt roads with
minimal road surfacing.
6. Describe the method of oontrol 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,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 map(s)and reclamation map,along with a list of items to be disposed in
said areas.
All refuse material generated by the mine site is disposed of by contract. This
includes recycling of waste oils, scrap metal, other materials, and sale of used
equipment. Non-recyclables, and remaining materials are disposed of at
permitted landfills. No material is disposed of on site.
Revised September 21, 2021 P a g e 112

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]
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): As required from soil samples(typical 2 tons per ac)
Fertilizer Analysis and Rate of Application(lbs/acre): As required from soil samples(typical 400 lb 10-20-20)
Seed type(s)and rate(s)of application included year-round seeding schedule(Ibs/acre):
NOTE:Include legumes
SEED TYPES SEEDING DATES SEEDING RATES
Fescue(Tall,Hard,Creeping) Fall Prefered-Early Spring 60120/10 lb per ac
Lovegrass Fall Prefered-Early Spring 10 lb per ac
Clover(ladino,sweet) Fall Prefered-Early Spring 10 lb per ac
Birdfoot Trefoil Fall Prefered-Early Spring 10 lb per ac
Alfalfa Fall Prefered-Early Spring 10 lb per ac
Annual Ryegrass Fall Prefered-Early Spring 10 lb per ac
Millet Summer If regured 10 lb per ac
Mulch Type,Rate of Application(Ibs/acre),and Method of Anchoring:
Straw mulch at 1500 lb per ac or similar for sloped areas. Seed drills may be
used for flatter areas.
Other Vegetative Cover(s)Type(s)and Rate(s)of Application Including Seeding Schedule(Ibs/acre,trees/
acre,spacing of trees/shrubs,etc.):
Revegetation and/or reforestation plan approved by:
Signature Date
Print Name
Title
Agency
Revised September 21,2021 Page 113

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]
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 mining permit.Please insert the an acreage,for each aspect of the mining operation,that you intend to affect
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:
CATEGORY AFFECTED RECLAMATION RECLAMATION
ACREAGE COSTIACRE COST
Tailings/Sediment Ponds Ac. X $ /Ac. = $ 0.00
Stockpiles Ac. X $ /Ac. = $0.00
Waste Piles Ac. X $ /Ac. = $ 0.00
Processing Area/Haul Roads Ac. X $ /Ac. = $ 0.00
Mine Excavation Ac. X $ /Ac. = $ 0.00
Other Ac. X $ /Ac. = $ 0.00
TOTAL AFFECTED AC.: 0.00 Ac.
TOTAL PERMITTED AC.: 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 = $ 0.00
SUBTOTAL COST:$ 0.00
Inflation Factor.
SUBTOTAL COST LIFE OF MINING OPERATION OR LIFE INFLATION COST
OF LEASE(YEARS)
0.02 X $ 0.00 X = $ 0.00
Total Reclamation Bond Cost:
TOTAL RECLAMATION BOND COST= SUBTOTAL+INFLATION = $0.00
Round down to the nearest 100.00
NOTE:The reclamation bond cannot exceed$1 million per GS 74-54
Revised September 21, 2021 Page 14

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]
SCHEDULE OF RECLAMATION COSTS
Based upon range of$500-$5,000 per affected acre
COMMODITY CODES:
SG Sand and/or Gravel DS Dimension Stone PF Pyrophyllite CL Clay/Shale
GS Gemstone FS Feldspar OL Olivine PE Peat
Borrow Borrowffill dirt MI Mica KY Kyanite/Sillimanite/Andalusite AU Gold
CS Crushed Stone LI Lithium PH Phosphate TI Titanium
OT Other
TYPE T/S PONDS STOCKPILES WASTE PILES P.AREA/H.R. MINE EXCAVATION
SG,GS,Borrow $500/ac.(L) $1800/ac. $20001ac. $1800/ac. $500/ac.(L)
1500(FI) 2000(PD)
CS,DS,FS,MI,LI, 500(L) 500(L)
PF,OL,KY 1800 2000 2000
1500(FI) 2500(PD)
1000(L) 2000(L)
PH 2500 5000 5000
2500(FI) 5000(PD)
1000(L) 2500 5000 5000 2000(L)
CL 2500(FI) 3700(PD)
1000(L) 2000(L)
PE,AU,TI,OT 2500(FI) 2500 3000 3500 5000(PD)
(L)=Reclamation to a lake and revegetating side slopes
(FI)=Reclamation by filling in and revegetating
(PD)=Reclamation by grading for positive drainage&revegetating
AS PER NCAC 15A 5B.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 27699-1612
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 DIRECTOR'S FINAL BOND DETERMINATION.
Revised September 21, 2021 P a g e 115

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 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 altemative 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(b1).
SEE THE NEXT TWO PAGES FOR THE°NOTICE"FORM AND THE"AFFIDAVIT OF NOTIFICATION"
Revised September 21, 2021 P a g e 16

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.74-50(b1)of The Mining Act of 1971,Notice is hereby given that
has applied on to the Division of Energy,
(Applicant Name) (Date)
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,
F�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) (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(b1),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 information regarding the specifics of the proposed 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 Record's Name and Address Name of Applicant.include Contact Person&Company Name,if Applicable
Date of issuance of this Notice/Mailed to Addressee/Owner of Record Address of Applicant
Revised September 21, 2021 Page 117

7 M Fq (I1
Package ID'.9489009000276268422676 Electronic Certified
Destination ZIP Code 27030 First Class Letter
Confirmation Customer Reference r^�
Services Recipient E C 11 2 k';,r 4- PEP Account#:12963666
Address_ _ Serial M 0367216
NOV 16 2022 2,15 PM
N j
�. o
Package lD:9489009000276258422713 Electronic Certified
a o o -o Destination ZIP Code:27030 First Class Letter
o m c m w
a n u N n
g D A 9 g w Confirmation Customer Re erence:
.�'. . m Services Recipient k•_ F7 ��_r-j PBPAccount#: 12963666
0 Address: A5,s e•e• --_ S _ Serial#:0367215
NOV 16 2022 2 05 PM
jil 0 0
� O �
Fq
-
m
N O
V �
O
o rn PackagelD:9489009000276258422652 Electronic Certified
m
Destination ZIP Code:27030 First Class Letter
V� N Confirmation Customer Reference
m Services Recipient. �� I cAy1fi� -__ PBP Account#.12963666
p �^, Address Serial M 0367215
p NOV 16 2022 2.18 PM
3PR
Electronic Certified
First Class Letter
Package lD:9489009000276258422669
Destination ZI 27030• r �1 ;C y pBP Account#:12963666
f I Customer Refer4 a wf 1
Confirmation Recipient Serial#:0367215
Services Address NOV 16 2022 2.16 PM
r —
r
m
Z -
o � m rq Fq
fn o
Package ID.9489009000276258422683 Electronic Certified
N a p ODDestination ZIP Code:27030 First Class Letter
N o N m n Confirmation Customer Reference D
Recipient. E 0. 1 a C s a,, PEP Account#:12963666
o w Services p --
N m l Address: Serial If.0367215
� mrn m n NOV 16 2022 2.13 PM
Package ID:9489009000276258422690 Electronic Certified
Destination ZIP Code:27030 First Class Letter
Confirmation Customer Ref rue
Services Recipient._- r CkeAQ_`._!47 L4$6 AC.S ON�S pBP Account#.12963666
Address:__ _ _ _ Serial#.0367215
NOV 16 2022 2.11 PM
Fq
Electronic Certified
Package ID:9489009000276258422706 First Class Letter
Destination ZIP Code 27030
Confirmation Customer Reference PEP Account#:12963666
Services Recipient _-. �p ^ --r--'�-'-=n-- -- -- Serial#:0367215
Address:__—_. -- --------- NOV 16 2022 2.09 PM

NORTH CAROLINA MINING State of North Carolina 1612 Mal Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources (919)707-922D
AFFIDAVIT OF NOTIFICATION
Brian Parker an applicant,or an agent,or employee of an applicant,for a
new Mining Permit,or a modification of an exisfing Mining Permit to add land to the permitted area,from the N.C.Department of
Environmental Quality,being first duty swum,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 an a
form provided by the Department
Adjoining Landowner Name Address
1625 SHEEP FARM ROAD LLC 6370 ALTURA BLVD,BUENA PARK, CA 90620
Lester Taylor 2275 PARK DR, MOUNT AIRY, NC 27030-8515
Sherrie& Elber Dehart 132 QUARRY RD, MOUNT AIRY, NC 27030
Elber Dehart 2217 PARK DR, MOUNT AIRY, INC 27030
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 been caused to be mailed,by certified or registered mail,
return receipt requested,to sold office attire 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 ow"traoWjoining these tracts,that are within 1,000 feet of the mining permit boundary)and the chief
administreti munl lity in which any part of the permitted area is located in compliance with N.C.G.S.
74-50(bt) ).I and land that it is the responsibility of the applicant to retain the receipts of mailing
showi cause o be mailed and to provide them to the Department upon request.
1y)ZI7-0ZZ
Signs re of Applicant or Abent Date
If person executing Affidavit is an agent or employee of an applicant,provide the following information:
Name of Applicant Brian Parker
Title of person executing Affidavit Fm,%I u R'tna\d8
I F LA P)irraldn ,a Notary Public of the County of�OU)�Q}{k�, VA
•9tatref-Na ardiaardo hereby certify that gr1i(J'n PizrhRi— appeared b efore me this
day and under oath acknowledged that the above Affidavit was made by him/her.
Witness my hand and I,this 2 day of Tx C,e MhQ,f 20 22.
Notary: My commission expires: 28�202(p `' J �M�''•.
RE fi/t10015
Revised September 211, 20?1 Pa OS
212BI2026 :
aQ ..

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 (919)707-922-0
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 cant'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* c
k
Print Name Y' hief
n N. Pullen Print Name Jo n N. Pullen
Tale('rf appficable) Growth Officer �`� Chief Growth Officer
Company(if applicable) Luck Stone Corporation Company Luck Stone Corporation
Address Po Box 29682 Mine Name Mount Airy - Quarry
Richmond VA 23242 Telephone Richmond VA 23242
Telephone Date Signed
�U l . 3.1r16
Date Signed zL
*Signature must be the same as the individual who signed Page 1 of this application.
One original and five(5)copies of the completed application.six(6)copies of all location mans.mine maps and
reclamation maps,and the appropriate processing fee 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(919)707-9220.
Revi�&d tirptemuet !'I,21U21 Page 19