20230228_Application

RAFTING AND DE6ICN i�
SERVICES,A1C. `��
6728 Carbonton Road
Sanford, NC 27330
[phone]
February 23, 2023
Mr. Adam Parr, PE.
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raliegh, NC 27699-1612
Reference: Havelock Drugstore Mine— Martin County
Mine Permit Application
Dear Mr. Parr ;
Please find attached the Mine Permit Application for the above referenced project. The permit
will include 640.0 ac permit area with 132.2 ac affected. The site is located in Martin County on
View Nicholson Road off of Highway 125.
Please review the following Submittal Items:
Mine Permit Plans—6 copies
Mine Permit Application (original) —5 copies
Current Deed —6 copies
Wetlands Dealination Documentation —6 copies
NPDES Submittal Application —6 copies
NCDAQ Submittal Application —6 copies
NCDEQ Groundwater Registration —6 copies
Permit Fee $5,000
If you have any questions or comments please feel free to contact me at your earliest
convenience. [phone].
Sincerely,
Drafting and Design Services, Inc.
e ms _ RECEjvpo
Michael Thomas Blakley FEB 2 8 2023
LAND QUA07-y
IIdIN( PAO (gR M

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: It is recommended that you contact the appropriate Regional Office or the Raleigh Central Office fora PRE-
APPLICATION MEETING to discuss your intentions and address any questions.
1. Name of Mine Havelock Drugstore Mine
County Martin River Basin Roanoke River
Latitude(decimal degrees to four
places) 35.8950
Longitude(decimal degrees to four
places) -77.0882
2. Name of Applicant Havelock Drugstore, LLC.
Applicant Contact Melton Valentine III Consultant Contact DDS, Inc.-Michael Blakley
Applicant Email [e-mail] Consultant Email [e-mail]
Telephone [phone] Telephone [phone]
Cell Phone Cell Phone
3 Permanent Address for Receipt of
Official Mail" 1500 Sunday Drive Suite 300 - Raleigh, NC 27607
4. Mine Office Address
5. Mine Manager Melton Valentine III
Mine Manager Email [e-mail]
Telephone [phone] Cell Phone
I certify that all details contained in this permit application are true and correct to the best of our knowledge.We
fully understand that any willful misrepresentation of facts will be cause for permit revocation.
Signature'"" 44� Date 3�2�/2bZ3
Print Name Melton Valentine III
Title President
'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 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.
FEB 2 8 2013
Revised September21, 2021 Lp,ND QUALITY
MINING PROGRAM Page 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:
FX--1 This is an application for a NEW permit.
Indicate the total acreage at the site to be covered by the permit 640.0 acres
(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: 640.00 Acres leased:
Property owner if leased:
F] This is an application for a MODIFICATION to a mining permit.
Mining Permit Number: Total permitted acreage:
Does the modification involve acreage within the previously approved permitted boundary?
FIYES 1-1 NO
If yes,indicate the acreage to be covered by this modification
Does the modification involve acreage outside the previously approved permitted boundary?
YES FNO
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 the acreage to be added to the permit,will any portion be affected(i.e.:disturbed,ground cover
removed by the mining operation?
YES NO
If yes,indicate the acreage to be affected within the acreage to be added to the permit
The modification fee is based upon the proposed new affected acreage within the previously
approved permitted boundary plus the proposed total acreage to be added outside the previously
approved permitted boundary.
F-1 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 $1,000.00
Permit Transfers $100.00 $100.00
Annual Operating Fee $400.00 $400.00
Acres for new permits means the total acreage at the site to be covered by the permit.Acres for modification of permits means the
new affected acres 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:
3. Mining Method:
Hydraulic Dredge 0 Front-end Loader&Truck Shovel&Truck
RDragline&Truck R Self-loading Scraper NExcavator&Truck
Other(please explain):
4. Expected maximum depth of mine(feet)45
Depth is relative to what benchmark?(e.g.,natural ground level,mean seal level,road elevation,etc.):
Ground level
Expected average depth of mine(feet) approximately 30 ft
5. Has an area at this site been mined in the past?
YES NO I
If yes,when and by whom was this activity conducted?
6. Estimated life of the operation(years): 10
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,NC 27699-1612
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://Portal.ncdenr.org/web/Ir/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
htto://www.nedot.rgAUgis [phone]
2. A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment ponds,
stockpiles,waste piles,processing areas/haul 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 5.10
Stockpiles 0.00
Waste piles 0.00
Processing Areas/Haul Roads 2.10
Mine Excavations 108.00
Other(Please explain) 17.00
Total Affected Acreage 132.20
Total Permitted Acreage 640.00
Revised September 21,2021 P a g e 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]
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 1"=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.
The proposed operation will involve the removal of sand and gravel by excavator or long
reach excavator with zoned dewatering the mine excavation. Mining will begin at the
southern end of the site in Pit#land progress north towards View Nicholson Road. Mined
material will be placed into trucks and hauled off site. Material will be sized in each pit as
needed. No Mining activities will commence until all erosion and sedimentation control
measures have been installed and maintained. In addition to the erosion and
sedimentation control measures,the mine excavation, plant and stockpile area, and visual
screening berms will be located as shown on the attached mining plan set.
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.
Erosion and sedimentation control measures have been proposed throughout the project area to protect
surrounding properties.These include a construction entrance,buffer zones,perimeter silt fence with silt
fence outlets,temporary diversions,earthen berms for screening as well as sediment containment,and
temporary sediment basins throughout the site that will be maintained until it has been removed by mining
and all runoff directed into the mine excavation.All erosion and sedimentation control are shown on Sheets
C3-5.The installation and removal of all erosion and sedimentation control measures are specified within
the construction sequence also provided on Sheet C3-5.The sediment basins and all diversions have
been designed using a 25-year design storm event,the design calculations along with the construction and
maintenance details of which are provided on Sheet C14-C20.
3. A)Will the operation involve washing the material mined,recycling process water,or other wastewater handling?
1X-1YES F ]NO
If yes,briefly describe all such processes including any chemicals to be used.
By nature of the removal of sand and gravel from below the water table within the mine excavation,the
material will be wet with some drainage occurring back into the mine excavation when the material is placed
on the ground prior to being loaded into a haul truck.A mobile screen will be used to screen the material into
different product sizes,and to remove any organics that may exist.Some water from the mine excavation will
be added during this process to reduce the potential for dust.The minor amount of water used to reduce dust
potential in the plant area will be contained within the pit inside of the perimeter berm system and allowed to
naturally infiltrate into the ground.
B)Will the operation involve discharging fresh or wastewater from the mine or plant as a point discharge to the waters
of the State?
FX]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).
During the initial clearing of the project area,sediment basins with temporary diversions will be used to
capture stormwater runoff along with perimeter silt fence that has silt fence outlets located in low points in
existing topo.Any dewatering during the initial excavation that may be required to create the initial pit area
shall be discharged through silt bags.
The site will be excavated by dewatering the active excavation area into the previously excavated area/no
outlet sediment basins proposed in the phase areas.The active excavation areas and previously
excavated areas will be separated by temporary berms/dams between the wet and dry areas.Once these
areas are complete the temporary berms/dams are to be dug out to connect the pit areas.
Revised September 21, 2021 Page 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?
ZYES ] NO
If yes,do you intend to dewater the excavation(s)?
aYES a No 3 800 000.00
Estimated withdrawal rate in gallons per day.
If yes,what impact,if any,will mine dewatering have on neighboring wells?Locate all existing wells on the mine
map(s)that lie within 500 feet of the 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.
The estimated depth of the mine will be 40 feet+/-with the water table depth to be
estimated at 5-6 feet below the natural ground surface. The mining process of
pumping the active excavation area to previously excavated areas with the
separation of temporary berms/dams will result in no dewatering of the mine.
There are no wells within 500 ft of the pits. This project has been registered in the
Dewatering Program through the Department of Water Resources.
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.
A discharge permit has been applied for and the documents have been provided
as an attachment to this application. The temporary dewatering of the pit areas
will be discharged into previously mined areas. Each previously mined pit will
serve as water storage area to which the currently mined pit will be dewatered
This project has been registered in the dewatering program through DWR to
track water use for the project.
4. A)Will the operation involve crushing or any other air contaminant emissions?
RYES ]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.
A mobile sand screen will be used to screen the material into different product sizes,and to remove any organics that
may exist.Water from the mine excavation will be added during this process to reduce the potential for dust.A letter
and an accompanying projected emissions spreadsheet have been submitted to DAQ Wilmington Regional Office for
review.We are requesting a permit determination by DAQ to confirm that a DAQ permit is not required for the use of
the specified mobile sand screen given that the project level of emissions to DAQ is below the threshold where a
permit is required.An attachment of the DAQ submittal documents is attached to this application.
B)How will dust from stockpiles,haul roads,etc.,be controlled?
The access road, stockpiles, mobile sand screen, and internal haul roads will be
sprayed with water from the mine excavation several times a day, as needed, to
control fugitive dust.
Revised September 21,2021 Page 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&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 proposed 50-foot minimum undisturbed buffer with an additional 50 foot wide
by 6-foot-high vegetated earthen berm will provide an overall vegetated buffer
of 100 feet between mining related activities and any 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).
A 30-foot minimum undisturbed buffer with a 20-foot by 2.5-foot-high vegetative
earthen berm will be maintained between any mining related activities and any
streams or wetlands within the mine permit boundary as shown on various
sheets in the mine plan set.
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.
Removal of sand from below the water table within the active mine excavation
will result in the side slopes reaching their natural angle of repose. At
reclamation a 3:1 shall be maintain for the first 10 ft of depth under water level.
However, any excavation that occurs above the water table will be conducted at
a 3 horizontal to 1 vertical or flatter slope.
B)Provide a cross-section on the mine map(s)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.
Cross-sections and labels defining a minimum slope of 3 horizontal to 1 vertical or flatter for all fill slopes have been
provided in the mining plan set.The method of final stabilization for all fill slopes and other areas affected by the
mining operation are provided in Sheets C8 and C10 to protect their integrity and promote slope stability.
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).
The cut slopes of all excavated diversion ditches and walls of the sediment basin will be
maintained at a minimum of 2 horizontal to 1 vertical or flatter.The cut slopes around the
perimeter of the mine excavation will be maintained at a minimum of 2 horizontal to 1 vertical or
flatter.All cut slopes and other areas affected by the mining operation will be stabilized with
vegetation as indicated on Sheet C6-8 to protect their integrity and promote slope stability.
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.
There are no hard-rock excavations planned for this mining operations.
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 lockable gate will be maintained at the site's entrance to prevent access by
others outside of normal business hours. Vegetated earthen berms are also
provided around the entire perimeter of the mining operation to prevent
inadvertent entry.
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 detaiUcross-section and location of each type of barricade to be used must be
indicated on the mine map(s).
A lockable gate will be maintained at the site's entrance to prevent access by
others outside of normal business hours. Vegetated earthen berms are also
provided around the entire perimeter of the mining operation to prevent
inadvertent entry.
9. Are acid roducing minerals or soils present?
YES FXINO
If yes,how will acid water pollution from the excavation,stockpiles,and waste areas be controlled?
Revised September 21,2021 Page 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.
Vegetated earthen berms will be constructed and stabilized with vegetation
around the entire perimeter of the mining operation to screen the operation from
6)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?
There is a State of North Carolina owned game land forest on the north side of View
Nicholson Road at 2875 View Nicholson Road. The proposed mine will help with ground
water transfer on the game land property preventing negative impacts to the existing
hardwood tree stand. The site has been designed with a 50 ft undisturbed buffer to along
View Nicholson Road and a 50 ft X 6.5 ft tall earthen berm to mitigate noise and visibility.
11. Will ex I sives 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 structure(s)to the proposed excavation(s)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 FX1 N 0
If yes,describe these materials,how they will be stored and method of containment in case of spill.Indicate the
location(s)of all storage facilities on the mine map(s).
Revised September 21,2021 P a g e 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-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.
Upon completion of mining activities, the mine excavation will be reclaimed as a
lake and the remainder of the site will be reclaimed as outlines in the
Reclamation Plan on Sheet C6-8. This includes removal of any mining related
equipment, grading of any affected areas to avoid ponding of noxious or foul
water, achieving final slopes around the mining excavation, maintaining
vegetated berms along the perimeter of the site for safety purposes, and
establishing a permanent ground cover using native species throughout the site.
2. Is an excavated or impounded body of water to be left as part of the reclamation?
YES FINO
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 shallower water body will be productive and
beneficial at this site.
The final lake depth will be at least 4 feet throughout with an average depth of approximately 25 feet.See Reclamation
Plan on Sheet C6-8 for more detailed information.
Will the body(s)of water be stocked with fish?
DYES �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.
There will be no excavations in rock at this mine site.
Revised September 21,2021 Page 111

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.
The visual barrier berms proposed around the entire perimeter of the mining
operation will be approximately 2.5 feet tall and 20 feet wide at the base along
wetlands boundaries and 6 feet tall and 50 feet wide at the base with a minimum
of 3 horizontal to 1 vertical slope as shown on Sheet C4. In addition, these
berms will be stabilized with temporary and permanent ground cover as outlined
on Sheet C12.
5. A)Describe reclamation of processing facilities,stockpile areas,and on-site roadways.
The mobile sand screen and all other mining related equipment will be removed from
the mine site. Stockpiles will be removed form the site and the remaining footprints of
all stockpile and other work areas will be graded level with surrounding natural ground
elevation and permanently stabilized as outlined in the Reclamation Plan on Sheet C9
and the seeding schedules provided on Sheet C12. All on-site roadways and the
lockable entrance gate will remain to allow ongoing access to the property.
B)Will any on-site roadways be left as part of the reclamation?
1X_]YES F ]NO
If yes,identify such roadways on the reclamation map and provide details on permanent road and ditch line
stabilization.
All on-site roadways and the lockable entrance gate at the site entrance will
remain to allow ongoing access to the property.
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-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.
Any refuse (trash, debris, etc.) that is generated onsite will be removed from the
site and properly disposed at an offsite permitted landfill as it is generated during
the active mining operation.
No land clearing and inert debris or recyclable concrete will be brought onto the
site unless proper approvals have been obtained from both the Division of
Waste Management and the Division of Energy, Mineral, and Land Resources
via a mining permit modification prior to commencement of such activity as
required in the currently issued mining permit. As stated earlier, all mining
related equipment will be removed from the site at the end of the active mining
operation.
Revised September 21,2021 Page 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(tonslacre):
Fertilizer Analysis and Rate of Application(lbslacre):
Seed type(s)and rate(s)of application included year-round seeding schedule(lbslacre):
NOTE:Include legumes
SEED TYPES SEEDING DATES SEEDING RATES
See the Temporary and Permanent Sc edinaTypes,Dates and Rates Provide J on Sheet C12 in the Minina Plans.
Mulch Type,Rate of Application(lbs/acre),and Method of Anchoring:
Other Vegetative Cover(s)Type(s)and Rate(s)of Application Including Seeding Schedule(lbs/acre,trees/
acre,spacing of treeslshrubs,etc.):
Revegetation and/or reforestation plan approved by:
Signature Date 02/23/2023
Print Name Michael Blakley
Title Owner/President
Agency Drafting and Design Services,Inc.
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 approximate 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 5.10 Ac. X $ 500 /Ac. = $ 2,550.00
Stockpiles 0.00 Ac. X $ 0 /Ac. = $ 0.00
Waste Piles 0.00 Ac. X $ 0 /Ac. = $ 0.00
Processing Area/Haul Roads 2.10 Ac. X $ 1,800 1Ac. = $ 3,780.00
Mine Excavation 108.00 Ac. X $ 500 /Ac. = $ 54,000.00
Other 17.00 Ac. X $ 2,000 /Ac. = $ 34,000.00
TOTAL AFFECTED AC.: 132.20 Ac.
TOTAL PERMITTED AC.: 640.00 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 116.30 Ac.
b) Positive Drainage 15.90 Ac. X $1,500.00 = $ 23,850.00
SUBTOTAL COST:$ 118,180.00
Inflation Factor:
SUBTOTAL COST LIFE OF MINING OPERATION OR LIFE INFLATION COST
OF LEASE(YEARS)
0.02 X $ 118,180.00 X 10 = $ 23,636.00
Total Reclamation Bond Cost:
ETOTALECLAMATION BOND COST= SUBTOTAL+INFLATION = $141,800.00
Round down to the nearest$100.00
NOTE:The reclamation bond cannot exceed$1 million per GS 74-54
Revised September 21, 2021 Page 114

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 Borrow/fill 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. $2000/ac. $1800/ac. $500/ac.(L)
1500(FI) 2000(PD)
CS,DS,FS,MI,LI, 500(L) 1800 2000 2000 500(L)
PF,OL,KY 1500(FI) 2500(PD)
1000(L) 2540 5400 5000 2000(L)
PH 2500(FI) 5400(PD)
1000(L) 2500 5000 5000 2000(L)
CL 2500(FI) 3700(PD)
1040(L} 2000(L)
PE,AU,TI,OT 2500(FI) 2500 3400 3500 5000(PD)
(L)=Reclamation to a lake and revegetating side slopes
(A)=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
APPLICATION/PERMIT 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 Page 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 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(b1).
SEE THE NEXT TWO PAGES FOR THE"NOTICE"FORM AND THE"AFFIDAVIT OF NOTIFICATION"
Revised September 21, 2021 Page 116

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
Havelock Drugstore, LLC. has applied on 02/23/2023 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):
FX1a new surface mining permit,
Fla modification of an existing surface mining permit to add land to the permitted area;or
Fla 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 Sand on 640.00 acres located 3.30
(Mineral,Ore) (Number) (Number)
miles North of Williamston offlnearroad View Nicolson Road
(Direction) (Nearest town) (Number,Name)
in Martin 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: [phone]
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.
(see attached list of names and addresses used here) Havelock Drugstore, LLC.
Addressee/Owner of Record's Name and Address Name of Applicant Include Contact Person&Company Name,if Applicable
02/23/2023 1500 Sunday Drive Suite 300
Date of Issuance of this Notice/Mailed to Addressee/Owner of Record Address of Applicant
Revised September 21,2021 P a g e 117

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
AFFIDAVIT OF NOTIFICATION
Havelock Drugstore, LLC. 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 swom,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
(See Attached List) (See Attached List)
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 said office at the following address:
U. James Bennett 305 E. Main Street-Williamston, NC 27892
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(bl)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. `ttt�aurrrnpugi
/j4�� 02/23/2023 ► 8���(�%,�i
Signature of Applicant or Agent Date ` pupttc
Notary
Lee
If person executing Affidavit is an agent or employee of an applicant,provide the following information: county
Name ofA licant Havelock Drugstore, LLC.
Title of
person executing Affidavit Melton Valentine III, Owner/Manager ��rnrn11n P`��x�
I, AwAnb A b\GY.\Zy ,a Notary Public of the County of
State of North Carolina,do hereby certify that Melton Valentine III, Owner/Manager appeared before me this
day and under oath acknowledged that the above�Affidavit was made by him/her.
Witness my hand and notarial seal,this—lAay of PdpY'%AQf N 20 Up
Notary:, My commission expires: r 2b I7-b2g
Revised September 21,2021 P a g e 118

i.,
-- ., ,' S.'��r- fti•���Z,(�l�,t`'11�{/� � ram";
Z
+fit
( • �• ,
COnutA
. nl arc
t
�I

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]
G.LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands or operation
during regular business hours for the purpose of making necessary field inspections or investigations as may be reasonably
required in the administration of the Mining Act of 1971 pursuant to G.S.74-56.
We further grant to the Department or its appointed representatives the right to make whatever entries on the land as may be
reasonably necessary and to take whatever actions as may be reasonably necessary in order to carry out reclamation which the
operator has failed to complete in the event a bond forfeiture is ordered pursuant to G.S.74-59.
LANDOWNER: APPLICANT:
Signature ] Signature' 4-4 /
Print Name Melton Valentine III Print Name Melton Valentine III
Title(if applicable) Owner/Manager Title Owner/Manager
Company(if applicable) Havelock Drugstore, LLC. Company Havelock Drugstore, LLC.
Address 1500 Sunday Drive-Suite 300 Mine Name 1500 Sunday Drive - Suite 300
Raleigh, NC 27607 Telephone Raleigh, NC 27607
Telephone [phone] Date Signed 02/23/2023
Date Signed 02/23/2023
'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 maps mine maps and
reclamation maps and the appropriate processing fee in the forth a check or money order payable to the North Carolina
De artment of Environmental Quality must be sent to the Raleigh Central Office at the address listed on the front cover
of this aoolication fojin.
Inquiries regardi the status of the review of this application should be directed to the Mining Program staff at(919)707-9220.
Revised September 21,2021 P a g e 119

• • Postal
CERTIFIED o RECEIPT . CERTIFIED ' m
oDomestic il ru RECEIPT
Domestic Mail Only
-r to
-0 T a 9 F@ e • ,n
�.d �i :. USE WI k�'F;aI ,•Qt1 •. �,� 4 'k<. 5
M1 Certillea Mall Foo F k''` .:
r Certfied Mail ri
co
m $4.1 , 0252 m $4.1.� it
CO $ :c 02 $ " 02
,� Nees&Fees(cnakbar,eddfee re) rl E tra Services&Fees(chectroe,,eadrea te)
❑Rehm Ratlpt(harempY) S ❑Reamno,am",akopy S "
ra ❑Renee Recent leectrenic) $ dfl•f1 ,a
p ❑Cenlfred Mel ReaMdod POSerlefk ❑Ream Receipt(ekdmrdc) $ Postmark
p OeAi'Be' $ t—n.{'�— Here p ❑Oarlmetl MellRuwnea lxerery S Q15_f115 Here
p ❑ApWt Slenalure Roauhetl $ rr. _. p ❑AtluII518eatwa Requlrotl $ �i_ ftfl
❑Adult signature Rasoki WINryS ♦V ���• p []Man SIpMWre Rasal leeMery$
Posh /a
p � $".G3 p Postage $[I,n3
rr Total Postage and Fee$ 02/24/2023 11- Total PostageanaP U2/24/2U2J
� $ $8.13 � $ $ .13
ra Sentro T ! r Sent To
r1J .._ ,Fwftan - W.�lf•... 0 Nr�y��cSsort.._.
p SrreeienJ 'is Ko.,or xNri:_._..__.__1_____. __.._......................... _...._.--.._.--..---.-..___.---_.-..___.
AP a p Streaie"-APL fYo.,or �No"
r. -- r 4 �• -- Qr,rc..._.._-------------•-----._............
Cie%-boa l �JC 2 B$(p---------------------------- Gry Sieie, /+ (tt"" ..__._.__ �2
Te
+�
postal
CERTIFIED a m RECEIPT U.S. Postal Service"'
001 Domestic Mail
Only • MAIL"' RECEIPT
M1 Lfl Domestic Mail Only
�- .- _ co
m Certified Mail Fea $4.15 0252
do $ �r 02 m Certified Mail Fee $4.15 0252
r9 a Services&Fees(oteca baxadfreei re) ,a .
❑ReNnRaeiptgwdcaay $ ra $ d&98 895 fd•d$au eddM ' 02
,a ❑Relum Raept le•aanid E ; Postmark
❑fleum Recept(hankapi) s .• 1
p Canifed MWlRnMeeO UeNery 5— �—
r3 ❑ 49 rye to ❑Ream Racaipt(eeWmek) $ 4fl_fitY Postmark
p ❑Adult Signature flevWred E—,o.00 Cf ❑cenlpaa Mae Rasmgae lie. $�f,-;�;_ Here
❑PdWlSgnelure Reatrctetl DelNerys O ❑/dolt%,.ture R.Wrod $ t_
p Postage $0.63 ❑Atlult Siplelure Reslhted oeNeryE
M1 02/24/2023 O Postage' $0.63
Ir otal Poo go and iesa 13 M1
ra $ n' Total Postage andF" 13 02/24/2.23
ri Sent To
O Mvets.---••--- - d $
N .__--__.. -- r9 Sent To G,
p Slreer endAplYJo.;urT+D U�ozL No:_i �l✓C _=�'r•J-Vie------ �A-y--•• n�.
T, 2_..7L1II ___._.-.__._ p StreetendApLAd.,a7r0 Hni�lJu ,
C7N stere,3lFww H L 2 M1 ! ! �i� �
-------------------------
Ps Form 3800,APO
' See Reverse for lr,stl,,rtiav��
G !•UG Sej�•
Postal
CERTIFIEDa m RECEIPT I U.S. Postal Service"'
/• • MAIL"ru CERTIFIED RECEIPT
L f.
Ials on, tip IFu) a m Domestic
to Certified Mail Fea $4.15 r
252� $ L �, _-�.
M1 Certllied Mall Fee
❑RehmRemlpt m $4.15 0252
❑nsavr Raept(slc k) E Ali_firi rG $ 02
p Postmark ra ery ces&Fees(checkbox,addl )
p ❑CartMetl MNIRaMcted Uallwry S t.Ar Here ❑Ronan Realp,ga -,) i 1 I I
p ❑Adult 51$nalwa fleRuked $ _ rl ❑Rapm RaePt(elahatic) s $0 Do Postmark
❑AtlW[Spnanm Raatrleetl DWNeys p ❑CeuAed MWRaaMaM OeNe $ $19..09 Here
Q Postage $ti.63 p ❑Adult Signature R-wnd $
som
M1 $r=lppS p ❑M t Signature ResMcled I)e4al$
Er To al Poi age and Fi8.13 02/24/2023 p Postage
$ $0.63
ra Sent To rotalPo�goanaFes, 02/24/2023
nl �tiw 1/aw�cl 4el`._ r " a $ $8.13
p Sfieei"a"rifAp(.wF o�PrCH""" ."•• '�'-_--
M1 SentID
r`7ry;S7aite;lfP+`JE`"" _ .. •"��'�'� I___________________________ ni �wt wAr-
:,. M1 SSeei aiiJAP '�Cor gox
• r� 2 .9RZ .......................................
C7ry sraie;Y/wg ,u.N AiG 2 9.Z
W ,

Postal Postal
CERTIFIED I
D . • CERTIFIED MAIL"
Domestic mail • p Domestic Mail Only
ra M1
"' Williamston, NC 27392 -0 Williutistoni W 27892 -
Certifioe Mall Fe 02`2
e m ceninaa man Fee 34.15
m S $4.15 0252 43 $ 3 3502
tre etacee& a.,(Nc box,adtllPo la7 02 Ezlre,.ta.es&Fees ma&box.end lm gS,'�GPryyto)
❑ se
naWm neee4a pta,jmw) S 3a V�.OB ❑RaNrn nttelPt pa�Emp» S Ta.V88 tff��OL
t'-a ❑RuWm RaaNPI(alxeo .) S�y,yy._ Poslmelk ra ❑ndorn R.11t(alxYmnic) S_Yi.A.V_ Postmark
O p ❑Conlllaa L10 neatrlcloa Ddlvory $
p ❑Cmtl0ae Mat Ruanatsd Dagi S—$1].,.GIA-- Here p AMt Sinntwo Ra,.Y Hera
p 0M.1t sigma Ra,W S p /.tlult Slg�wlweflmtrlclM DelNoryS—$}�Ft�
pnauaSlgnowre Haekldod DNNory S
p Pa-tags $U•63 p Postage $0.53
Er Total Postage and Foos 02/24/2023 Er Tatel Postage and Face 02/24/2023
r-q $ $3.13 $
ra Sent To ra Sent To
ru (1 Tr .ec /Sen�e7� �a es �i�yrr t w ...........
Iv - -- -
.. ......................................... SfroaFrinifApt:No.;orTsO t+or No: ..__.__ .
O Slioeionjd_Ap`f:Nib+:,,or��d-Boii fdo.'""""""" //' p
M1 as .4 l�LLI'l.S� f M1 ... . rB�...K��'.✓../-.v1Ce�A/0�,,0.!!t!- �__._..._-__.
L:NB7afo:3/F+4a__. .. . .0 .. ........................................ @7ry,S1arq"taxi^ I � G Z

ti
r
cn
-1
C�
c
n7

E
All
Z,�
C HW
LOCATION MAP
SCALE: NTS

Drafting and Design Services,Inc.
6728 Carbonton Road
Sanford, NC 27330
[phone]
February 23,2023
Environmental Regional Supervisor
NC Department of Environmental Quality Wilmington
Regional Office—Division of Air Quality R E-r E(CIF D
943 Washington Square Mall
Washington, NC 27889 FEB 2 8 2023
RE: Request for Division of Air Quality Permit Determination LAND QUALITY
q Y AAIiViNG GROGRAM
Havelock Drugstore, LLC.—Mobile Sand Screening Plant for Sand Mine
Martin County—Roanoke River Basin
Dear Mr. Newland:
Havelock Drugstore, Inc., is applying for a mining permit modification with the Division of Energy,
Mineral, and Land Resources (DEMLR)to permit a sand mining operation at Tick Bite Road, Lenior County.
Our intent is to utilize a Terex M2100 three track mounted mobile sand wash plant with a four-cylinder CAT
diesel engine(131 HP @ 2200 PRM)to produce up to 200,000 tons of wet sand product per year. The mobile
screening operation will be removed from the site no later than 12 months from its placement.
We have completed the DAQ emissions calculation spreadsheet based upon the annual 200,000 ton
anticipated sand production and have attached the completed spreadsheet for your consideration. Based upon
this analysis,our estimated actual emissions of total particulate matter< 10 microns(PM10)for this mobile sand
screening operation will be approximately 0.24 tons per year with estimated potential emissions of 2.11 per
year. As these values are less than 10 tons per year,it appears that our mobile sand screening operation meets
the exemption from obtaining a DAQ permit under 15A NCAC 02Q.0102(d). We have also attached
manufacturer information on the Terex M2100 mobile screening system for your information.
Havelock Drugstore, LLC. respectfully requests that DAQ review this information and respond in writing
confirming that neither a DAQ permit nor registration is required at this time. In addition,we are requesting
clarification on whether or not we would be exempt from DAQ permitting if we decided to keep the mobile
screen onsite longer than 12 months while not exceeding annual production of 200,000 tons of wet sand
product based upon our very low estimated actual emissions of total particulate matter.
Thank you for your time and assistance with this matter. If you have any questions regarding
this matter, please contact Michael Blakey-Drafting and Design Services, Inc. [phone].
Sincerely,
/9"�_ < �
Michael Blakley
Attachments

quarry PERMIT INPUT 1 of 4 pages
STONE CRUSHING EMISSIONS CALCULATOR REVISION C 05123/2011
PERMITTING AND MODELING INPUT SCREEN
NOTICE:
This spreadsheet Is for your use only and should be used with
caution.DENR does not guarantee the accuracy of the
information contained. This spreadsheet is subject to continual
revision and updating. It is your responsibility to be aware of
NCDENR the most current
omissiosthatnava be co. DENR heron responsible
for errors or omissions that may be contained herein.
Instructions:
1. Enter emission source I facility data on this sheet forpermitting and/or modeling. The air emission results and
summary for each type of equipment will be on its own sheet(e.g.,crushers output,screens output).The facility-wide
totals are summarized on the"OUTPUT'sheet. The different tabs are on the bottom of this screen.
2.For each type of equipment fill in all BLUE fields.
Company Name: Havelock Drugstore Mine
Facility ID No.: Proposed Facility
Permit No.: Proposed Facility
Facility City: Wllliamston
Facility County: Martin
Spreadsheet Prepared by: Michael Blakley
Actual hours of operation: 8760 hours
Total Plant Maximum Rated Capacity: 300 tons per hour
Actual Annual Total Plant Production: 200000 tons
Potential Annual Total Plant Production: 2628000 tons
quarry PERMIT INPUT 1 of 4 pages

quarry PERMIT INPUT 2 of 4 pages
Crusher Input
How many crushers total?
'Note:If wet supression is not applied on an automatic and continuous basis during the
operation of the crusher,answer"no"for"wet supression(Y/N)?".
Maximum actual
Rated 'wet yearly
Crusher Capacity supression throughput
ID No. Type of crusher (tons/hr) (Y/N)? (tons)
CR-1 Primary 1 0 dry W 0
CR-2 Secondary or Tertiary W 0 wet 0
CR-3 Secondary or Tertiary W 0 wet W 0
CR4 Primary 0 wet W 0
CR-5 Primary 0 wet W 0
CR-6 Secondary or Tertiary W 0 wet W 0
CR-7 Secondary or Tertiary W 0 dry 0
CR-8 Secondary or Tertiary w 0 wet 0
CR-9 Primary 0 dry W 0
CR-10 Primary W 0 wet W 0
CR-11 Primary 0 wet W 0
CR-12 Primary 0 wet -W 0
CR-13 Primary 0 wet W 0
CR-14 Primary 0 dry W 0
CR-15 Fines W ',. 0 dry W 0
quarry PERMIT INPUT 2 of 4 pages

quarry PERMIT INPUT 3 of 4 pages
Screens Input
How many screens total?
Maximum actual
Rated wet yearly
Screen Capacity supression throughput
ID No. Type of screen (tons/hr) (Y/N)? (tons)
SCR-1 Normal W 300 wet 200,000
SCR-2 Normal W 300 wet 200,000
SCR-3 Normal W 300 wet IV 200,000
SCR-4 Normal 0 wet W 0
SCR-5 Normal 0 wet 1W 0
SCR-6 Normal 0 wet IV 'I 0
SCR-7 Normal W 0 wet 1 0
SCR-8 Normal 0 wet 1W 0
SCR-9 Normal W 0 wet 1 0
SCR-10 Normal 0 wet W ' 0
SCR-11 Normal W 0 wet v ' 0
SCR-12 Normal W 0 wet V ', 0
SCR-13 Normal W 0 wet W 0
SCR-14 Normal W 0 wet W 0
SCR-15 Normal W 0 wet 0
quarry PERMIT INPUT 3 of 4 pages

quarry PERMIT INPUT 4 of 4 pages
Conveyor Input
How many conveyors total 7
`NOTE:Each conveyor will have one transfer point,the point where it drops product,not
receives product.Answer"no"if the conveyor drops to a screen or a crusher. The transfer
points to the crushers and screens are already accounted for in the emission factors for
these units.
Maximum actual
Rated wet yearly
Conveyor 'Conveyor transfer Capacity supression throughput
ID No. point? (tons/hr) (Y/N)? (tons)
C-1 yes 300 wet 1 100,000
C-2 yes 300 wet 'W 100,000
C-3 yes W 300 wet 1W 100,000
C-4 yes 300 wet W 0
C-5 yes 0 wet W 0
C-6 yes 0 wet W 0
C-7 yes 0 wet W 0
—..._-------------
y ...._..— .._.._..._-
C-B es 0 wet 0
C-9 yes W 0 wet 0
C-10 yes 0 wet IF 0
C-11 yes 0 ...wet....... 'W 0
C-12 yes 0 wet 0
...._...-......-._
C-13 yes W 0 wet W 0
C-14 yes 0 wet W 0
C-15 yes 0 wet 0
C-16 yes 0 wet 'W 0
C-17 yes 0 wet 1W '', 0
C-18 yes 0 wet 0
C-19 yes 0 wet W '. 0
C-20 yes 0 wet W '. 0
C-21 yes -__-- 0 wet W 0
C-22 yes W 0 wet W '. 0
C-23 yes 0 wet W 0
C-24 yes W 0 wet W '. 0
C-25 yes W 0 wet W 0
quarry PERMIT INPUT 4 of 4 pages

STONE QUARRY EMISSIONS CALCULATOR REVISION C 05/23/2011 -OUTPUT SCREEN
Instructions: Enter emission source/facility data on the"INPUT" en. The a emission results and summary
of input data are viewed I printed on the"OUTPUT"tab/screen. Thea different
ent tabs are
on the bottom of this screen.
This spreadsheet is for your use only and should be used with caution.DENR does not guarantee the accuracy of the Information contained. This
spreadsheet is subject io continual revision and updating. It is your responsibility to be aware of the most current information available. DENR is
NCDENRnot responsible for enors oromissions that may be contained herein.
SOURCE/FACILITY/USER INPUT SUMMARY FROM INPUT SCREEN
COMPANY: HaVeIOCK Drugstore Mine FACILITY ID NO.: Proposed Facility
PERMIT NUMBER: Proposed Facility
FACILITY CITY: Williamston
FACILITY COUNTY: Martin
SPREADSHEET PREPARED BY: Michael Blalle
CRITERIA AIR POLLUTANT EMISSIONS INFORMATION
ACTUAL EMISSIONS
(AFTER CONTFOLSI LIMITS) POTENTIAL EMSSIONS
AIR POLLUTANT EMITTED Ib/hr tons r Ib/hr tonstyr
PARTICULATE MATTER PM 3.41E-04 0.68 2.15 9.41
PARTICULATE MATTER410 MICRONS(PMta) 1.14E-04 0.23 0.72 3.16
PARTICULATE MATTER<2.5 MICRONS(PM2.5) 8.48E-06 0.02 0.06 0.27
DIOXIDE S02
OXIDES NOx
ONOXIDE(CO)
IC COMPOUNDS(VOC)
EAD I F,�� I I
TOXIC/HAZARDOUS AIR POLLUTANT EMISSIONS INFORMATION
ACTUAL EMISSIONS)OTENTIAL EMSSIONS I I EMISSION FACTOR
CAS ONTROLSaMOW CONTROLS ANMBIS ONTROLS/LIMITS Ib/mmBtu
US AIR POLLUTANT NUMBER Ib/hr tons r Ib/hr tons/ r Whir tons r incontrollet controlled
IEEE
Up M I
TOXIC AIR POLLUTANT EMISSIONS.INFORMATION FOR PERMITTING PURPOSES
S AFTER CONTROLS/LIMITATIONS EMISSION FACTOR
Ib/mmBtu
POLLUTANT CAS Num. Ib/hr Ib/da Ib/ r uncontrolle controlled

FORM A
GENERAL FACILITY INFORMATION
REVISED 09/22/16 NCDEQ1Division of Air Quality-Application for Air Permit to Construct/Operate
y:,•},ll,`.ar�Fs,.��;�ti;:1�1 .'tip-. '`'3 - .c -�: _ T - - -i_' - -2y _ s
.,: �,..•� ._., x .._ NET APPL( ANON WILL NO'[8E PRO%Sjp 'WITHOUT THE F_OLLOWiNG ,: y_ 1. t
❑ Local Zoning Consistency Determination u
(new or modification only) ❑ Appropriate Number of Copies of Application Application Fee(please check one option below)
Responsible Official/Authorized Contact Signature ❑ P.E.Seal Of required) Q Not Required ❑ePayment ❑Check Enclosed
L:j_�'S�1'•�~.,1"1.14�tf:y`1• YSn a`� ��'�-.R t i� :•� �'�' �:.: t- •,f.•. - n r �': a.nc-. .� �, } ...r.a C�:. ,,- .1 -i .SJ'
GENERAL-... 1F N r
Legal Corporate/Owner Name:Havelock Drugstore,LLC.
Site Name: Havelock Drugstore Mine
Site Address(911 Address)Line 1: 2720 View Nicholson Road
Site Address Line 2:
City: Williamston State: NC
Zip Code: 285301 County: Martin
v*:d eT-:.fR.l'. }'..^.�_':. S ::Zr�.5.}f^< t¢ -t 1 fx ..�,� .� '':t•' ..i.K,r.••S a� ;i� -v`atla :.a: ■ ,1.1 .i'•if._�bl f. f !>: �� r
�� .�.�, . ;�:. K`i. t: u, r ,, .,,.x•rCUNT CT;INFOpMe
�lrr . ,J.e.ia: r s... .-•. �.,- .� .�:?!SLS.`. �. _ .�''{,..a a�•:' *v,S'1•.,i„�, s�i�i='::�. +•
S
Responsible OfflciallAuthorized Contact: invoice Contact:
Namerritle: Havelock Drugstore,LLC.-Melton Valentine III Namefntle: Havelock Drugstore. L -
9 t g ,LLC. Melton Valentine 111
Mailing Address Line 1: 1500 Sunday Drive Mailing Address Line 1: 1500 Sunday Drive
Mailing Address Line 2: Mailing Address Line 2:
City. Raleigh State: NC Zip Code: 27807 City: Raleigh Stale: NC Zip Code: 27607
Primary Phone No.: (919)39S 4592 Fax No.: Primary Phone No.: [phone] Fax No.:
Secondary Phone No.: Secondary Phone No.: f
Email Address: skipmelAgmaii.com Email Address: skiamel@_gmail.com
Facllityllnspectlon Contact: PermWrechnlcai Contact: Valentine Amusement Park,LLC.-Melton Valentine III
Namerritle: Havelock Drugstore,LLC.-Melton Valentine III Namerrille: Melton Valentine IiI
Malting Address Line 1: 1500 Sunday Drive Mailing Address line 1: 1500 Sunday Drive
Mailing Address Line 2: Mailing Address Line 2:
City: Raleigh State: NC Zip Code: 27607 City: Raleigh State: NC Zip Code: 27607
Primary Phone No.: [phone] Fax No.: Primary Phone No.: [phone] Fax No.:
Secondary Phone No.: Secondary Phone No.:
Email Address: labarj00dMaol.coffl Emali Address: [e-mail]
-, �r`;d,�s�,� '..` ��� �_... - � .� ..• - ..,;�...�:, , 'rill =-�* '�;-.k ,
;�I � f �'.` ►�.sti.ji, . '�.:" �aaAPP•J_�(�aT�n�l. E G11 AD�FQ
tj r r. �•} ..5. .tiC_.�d!'�_..,�� ,__ ....F"
El New Non-permitted Facility/Greenfield Modification of Facility(permitted) ❑Renewal Title V ❑ Renewal Non-Title V
❑Name Change ❑ ownership Change ❑Administrative Amendment ❑Renewal with Modification
WA
: fyis i • .>r>t1;y:FRCI °C -S^ e IFIG'7id1� P T O 3 kieck'O MR.`2:d. *�
W General U Small U Prohibitory Small U Synthetic Minor El Title V
-o iC'.. _ _•.S- 'J.'i 41 .�► 7 ; ♦�.•t. M� 7 _
iTSr.�•��a�t:slte{1��ry{�A4�C11Y�1a�ro }... � � �{�"?`�� �� � ;• �' �
.l .. �A:di.. ,d2.:Y.�!�a:`j(�! 1�•!,.v...-ia..,if^h�..�ttIt'lli'. :.�'1•f7W�._SZ� .SAc..�-\ _ ..I'�2'�C..�l^fd:Y:. .a r.:�.w_•^��,•x�i.t��a�..i:�:...:_1'��RR"✓:•.�t'� i J. �`LL..`"ic r .a::�.h
Describe nature of(plant site)operatlon(s):Our Intent is to utilize a Terex M2100 three track mounted mobile sand wash plant with a four-cylinder CAT diesel engine(131 HP @ 2200 PRM)to produce up
to 200,000 tons of wet sand product per year.The mobile screening operation will be removed from the site no later than 12 months from Its placement.
Facility ID No.
Primary SIC/NAICS Code: Current/Previous Air Permit No. Expiration Date:
Facility Coordinates: Latitude:35.8950 Longitude:-77.0882
Does this application contain """If yes,please contact the DAQ Regional Office prior to submitting this
confidential data? ElYES NO application."* (See Instructions)
�4fi'�.r�, " `� •h�"i: .._ya:1' `F�+�: 1 w•t�,.�`•'a:� �t..s _�. r.. —C�-i - ______r::y�'i i..{:�.;.s.y..�. �1 �y37. :i��.�:•r.t,jc.•l. a.:, �.��.>.� ,.. -�s-�'�:��i�ti�;:�;�,��.�, �I;��.k��•7����.;p,��RSO.��OR�IRf��I�TH�'C�PRI ��AR�p,APFIfiIcA�rronr�,�,Xts��.����•.�.,>. �;'-,.����:�z��'�:�������!�1.��r�, �,-
Person Name: Michael Biakley Firm Name:Drafting and Design Services,Inc.
Mailing Address Line 1:6728 Carbonton Road Mailing Address Line 2:
City:Sanford State:NC Zip Code:27330 County:Lee
Phone No.: [phone] Fax No.: Email Address:[e-mail]
,z `��" :j �' `?S GIVA£ U� O ES.P .N'S1 LEOF �T 'UT QRIZED C(3{VT 'C'r ,'.; sti;: � + n�:.:,�1-.c ���rr •>r�s d
J.... x.�� � . _,p_. P. .i F(.1�!__.A
Name(typed):Melton Valentine Ill Title:Owner/Operator
X Slgnature(Blue Ink): Date:2/15/2023 i
,
t
Attach Additional Sheets As Necessary Page 1 of 2
)
t
1

FORM A (continued,page 2 of 2)
GENERAL FACILITY INFORMATION
REVISED 09/2 2/16 NCDEO/Division of Air Quality-Application for Air Permit to Construct/Operate A
SECTION PPLl
�'F
(Company Name)hereby formally requests renewal of Air Permit No.
There have been no modifications to the originally permitted facility or the operations therein that would require an air permit since the last permit was Issued.
Is your facility subject to 40 CFR Part 68"Prevnetlon of Accidental Releases"-Section 11 2(r)of the Clean Air Act? El YES ❑ NO
If yes,have you already submitted a Risk Manage Plan(RMP)to EPA? ❑ YES ❑ NO Date Submitted:
Did you attach a current emissions Inventory? El YES ❑ NO
If no,did you submit the Inventory via AERO or by mail? 13 Via AERO F] Mailed Date Mailed:
�,S.EC.T-tON�A.2-..APPL�.ICATION*,.F,.O.R-'..,TITLlE'-VIP�ERMI.1--,RENEWAL
In accordance with the provisions of Title I SA 2Q.0513.the responsible official of (Company Name)
hereby formally requests renewal of Air Permit No. (Air Permit No.)and further certifies that:
(1) The current air quality permit Identifies and describes all emissions units at the above subject facility,except where such units are exempted under the
North Carolina Title V regulations at 11 5A NCAC 2Q.0500;
(2) The current air quality permit d1s all applicable requirements and provides the method or methods for deterrnlng compliance with the applicable
requirements:
(3) The facility Is currently In compliance,and shall continue to comply,with all applicable requlremetns. (Note: As provided under 15A NCAC 20.0512
compliance with the conditions of the permit shall be deemed compliance with the applicable requirements specifically Identified In the permit);
(4) For applicable requirements that become effective during the term of the renewed permit that the facility shall comply on a timely basis;
(5) The facility shall fulfill applicable enhanced monitoring requirements and submit a compliance certlflcatton as required by 40 CFR Part 64.
The responsible official(signature on page 1)certifies under the penalty of law that all Information and statements provided above,based on Information and belief
formed after reasonable Inquiry,are true,accurate,and complete.
E,:T 0,"APPLICA.
New Facility Name:
Former Facility Name:
An official facility name change Is requested as described above for the air permit mentioned on page I of this form. Complete the other sections If there have been
modifications to the crigirtally premitted facility that would requie an air quality permit since the last permit was Issued and If ther has been an ownership change
associated with this name change.
!SF-C-Tt()N*AA4�-AP�,P�L"12ATIONIF-ORlAN,.�OWNEKS-HIP,;iCHAN$gt,-f�,-,r,'ILQ-'�'.T-- %iZ—z Y-jg MYS
By this application we hereby request transfer of Air Quality Permit No. from the former owner to the new owner as described below.
The transfer of permit responsibility,coverage and liability shall be effective (immediately or Insert date.)The legal ownership of the
facility described on page I of this form has been or will be transferred on (date). There have been no mod[ftcatlons to the originally
permitted facility that would require an air quality permit since the last permit was Issued.
SWnature of New(Buyer)Responsible Official/Authorized Contact(as typed on pane 11):
X Signature(Blue Ink):
Date:
New Facility Name:
Former Facility Name:
Signature of Former(Seller)Responsible OfflclaMuthodzed Contact
Name(typed or print):
Title:
X Signature(Blue Ink):
Date:
Former Legal Corporate/Owner Name:
In lieu of the seller's signature on this form,a letter may be submitted with the seller's signature Indicating the ownership change
VEWDMSRA RAINITCTIVE',AMEND
M
Describe the requested administrative amendment here(attach additional documents as necessary):
Attach Additional Sheets As Necessary Page 2 of 2

® TEREX® WASHING
SYSTEMS
TECHNICAL SPECIFICATION
M 2100 WASHPLANT
teA!"
rV`
FEATURES
• Fully mobile washing plant
• On board hydraulically folding side conveyors
• Capable of producing up to 5 end products
• Quick set up time
• Ideally suited to applications including coal,crushed stone,
recycled materials,iron ore,sand and gravel
• Can work independently or as part of an entire wash plant
WORKS FOR ■ OVe

FEATURES & BENEFITS SCREENUNIT
• High capacity(depending on mesh sizes and material type) 3 deck,all filled,2 bearing system
• Quick set up time typically under 15 minutes TOP AND MIDDLE DECKS 6.1m x 1.55m(20'x 5')
• Maximum mobility with heavy duty,low ground pressure BOTTOM DECK 5.55m x 1.5m(18'x5')
crawler tracks WORKING ANGLE Between 18°and 24'
• Optional tri-axle bogie system allows the track machine to be
transported without the need for a low loader
• Removable heavy duty pendant remote control system ,
• Optional radio control system available if required at extra
cost
• High performance hydraulic system -
• Angle adjustable tipping grid with radio control double acting
lipping grid rams
• Low profile single and double deck vibrating grid option with t
remote control tipping.Angle adjustable and fully riveted
construction
APPLICATIONS FEED CONVEYOR
• Sand and gravel 1.2m(48")(EP 315/3 ply belt)wide direct feed conveyor with
direct drive system&hydraulic variable speed control
• Topsoil
• Coal MAIN CONVEYOR
• Crushed stone
• Recycling 1.O5m(42")3 ply belt
• Iron ore Hydraulic drive with steel skirting
Omv 630 drive motor
SPECIFICATIONSWorking angle 180-260,hydraulically adjustable
M 2100 WASHPLANT
MODEL OPTION TRACK(2&3 DECK)
TRANSPORT LENGTH 16.9m(55'8")
TRANSPORT WIDTH 2.9m(9'7")
TRANSPORT HEIGHT 3.5m(11'5")
WORKING LENGTH 10.5m(54'4")
WORKING WIDTH 18.2m(59'9")
WORKING HEIGHT 3 DECK 5.9m(19'4)
WORKING HEIGHT 2 DECK &l1m(19')
HOPPER CAPACITY 8.0m'
SCREEN UNIT 3 deck,ail filled,2 bearing system
Top&middle deck-6.1 m x 155m(20'x T)
Bottom deck-5.55m x 1.5m(18'x 5')
POWER UNIT 97kW(138hp)@ 2200rpm
TOTAL WEIGHT 37,200kg(41 US ton)
TOTAL WEIGHT(VI8RUING Gale) 39,450kg(44 US ton)
��
is

SIDE CONVEYORS POWERUNIT & HYDRAULICS
800mm(32")(EP 315/3 ply belt)wide,hydraulically folding STANDARD DIESEL ENGINE developing 971M(130hp)@ 2200rp n
side conveyors with individual,variable speed control OPTIONAL DIESEL ENGINE developing 125kW(168hp)@ 220nrpm
5.04m(16'—6")stockpile height(Measured to drum centre) FLYWHEEL PUMP 1(TRIPLE PUMP) 63cc/rev(3.84 cilrev)
and 33cclrev(2.0lcilrev)
PTO PUMP 1 23cclrev(1.95cilrev)each circuit
PTO PUMP 2 14cclrev(0.05cilrev)
FEEDER MOTOR 160cc/rev(9.76cllrev)
MAIN CONVEYGR MOTOR 500cclrev(30.51cilrev)
TAIL CONVEYOR MOTOR 890cclrev(48.81cilrev)
SIDE CONVEYOR MOTOR 400cclrev(21.41cilrev)
SCREEN MOTOR: BOcclrev(4.88cilrev)
AUXILIARY CONVEYOR
650mm(26")(EP 315/3 ply belt)wide hydraulically folding
auxiliary conveyor
�Y.
4.4m(14'-5")stockpile height(Measured to drum centre)
Patent pending
TANK CAPACITIES
HYDRAULIC TANK 564 litres(124 gal)
& DIESEL TANK 336 litres(74 gal)
I
CRAWLER TRACK DATA
TRACTIVE EFFORT 24260.12 daN
GRADABILITY PERCENTAGE 58.74%
GEARBOX RATIO 1:153
HYDRAULIC MOTOR 90 cclrev
APPROXIMATE SPEED O.61 Kmlhr(0.38 mph)
U-.
I

3 DECK RINSER OPTION VIBRATING GRID OPTION
CATCH BOX SCREEN SIZE 3.05m x 2.14m(10'x 7')
WORKING ANGLE 10^to 200 adjustable
Hydraulically hinged,making mesh changing easier_ _ TIP ANGLE 45e maximum
1/3-2/3 fixed division plate MOTOR 58.7cclrev
10"outlet CIRCUIT Coupled to main conveyor circuit
-- TRANSPORT HEIGHT 3.55m
Single or double grade catch box with option rubber lining
VI
WASH BOX OPTIONS
• 12ft 2 deck vibrating grid
Adjustable 5 nozzle spray bar
_- -------- • Extended re-circulation oversize auxiliary conveyor
Feed conveyor belt scraper
" "-"-- - - -- Dual power(can be operated electrically)
Steel wear plate
• Quick release wedge screen tensioning
• Bonded rubber wearplate in washbox
• Sealed pipes with bonded rubber lining
• 18'X 5'single or twin grade catchbox
• Rubber screens
• Roll-in bogie prepared
• Roll-in bogie equipped
• Radio control tracks
SCREEN
p •Prepared tuv chassis
SCREEN BOX Auto lubrication system
23 Steel spray bars split into 8 bars per deck(7 on bottom •Hydraulic screen tensioning
deck) _ ._.__ •Dry screen tail conveyor
All decks have brass nozzles alternating between 8&7 per bar to give full spray coverage vibrating.Single or double deck grizzly
------
•Single shaft,flail type shredder
•Wheel bogie for track machine
•Hydraulic jacking legs

DIMENSIONS
M 2100 WASHPLANT
TRANSPORT DIMENSIONS
r
.o
S i
.® W
C
F Ur
I ,a.
- o
�t
P
I
I �
4
��1

M 2100 3 DECK WASHPLANT
WORKING DIMENSIONS
I
I
, n r_
P) v
3 cc)
A r
A (�
uI
N
iJ
® 9
18245 Pi8]
16.2m(59'9")
0
�P I
ul
1 110
rn
4i
Ci16J
2.9m(9'6")

M 2100 2 DECK WASHPLANT
WORKING DIMENSIONS
16.4m(53'9")
16472 [6491
cu
N m
u
(� E
co m
O 00
Lf J
O'l
u io
Ln
>0 E
<H161
3m(9'6")
18243 17181
18.2m(59'9")

TEREX WASHING SYSTEMS CONTACT DETAILS
Dungannon Site
200 Coalisland Road
Dungannon ' r.t
Co.Tyrone i
Northern Ireland o u f �-`�
BT714DR ° r
3
Tel:[phone]
3
Email:[e-mail]
O 1-19
,
www.terex.com/washing °
Your ` o,o�
Check out Terex Washing Systems videos
on YouTube:www.youtube.com/terexwashingsystems x
r
www.facebook.com/"TerexCorporation
o it
t
d 0 0
l A 0
Q.
O
r e �
Q n�o xJ o
O
Effective Date:July 2012 Product specifications and prices are subject to change without notice or obligation.The photographs and/or drawings in
this document are for illustrative purposes only.Refer to the appropriate Operator's Manual for instructions on the proper use of this equipment.Failure
to follow the appropriate Operator's Manual when using our equipment or to otherwise act irresponsibly may result in serious injury or death.The only
warranty applicable to our equipment is the standard written warranty applicable to the particular product and sale and Terex makes no other warranty,
express or implied.Products and services listed may be trademarks,service marks,or trade names of Terex Corporation and/or its subsidiaries in the
USA and other countries.All rights are reserved.Terex is a registered trademark of Terex Corporation in the USA and many other countries.®2010 Terex
Corporation.
® TEREX WORKS FOR YOU.

FES 2 8 10D
WATER WITHDRAWAL AND Division of Water Resources
1611 Mail Service Center
TRANSFER REGISTRATION
Raleigh.NO 27699-1611
Tel;[phone]
Fax:[phone]
Web:http:/Aw .ncwater.org
.SECTION 1: FACILITY INFORMATION - - 5
1-A Facility Name: Havelock Drugstore Mine For Omen Use Only i
1-B. Owner Name: D.c.m,•,uc Repc(rwtinn#:
1-C. Address: 1500 Sunday Drive-Sine 300
City: a"•y^ Stale: nc Zip Cade: srwr
1-D. County: M°^'^ 1-E. River Sub-Basin: p•r•r•.
1-F. Contact Person: a•a°^vdentlna'^ 1-G. Title: om•r i
11-1-1. Telephone: [phone] 1-1. Fax: ( I -
1J. Email: •u�^'^'®eine1•1°^'
1-K. Water Use Type(selectonez; _,_,_„_.,, _
_._..... . _.... ..................._.-...._-....____.._....................................................rgIs..................._..urin.......-............................
❑ Agriculture-aquacullure ❑ Industrial-metaVplastic/fiberglass manufacturing
❑ Agrlculture-row-crop farming and research ❑ Industrial-animal processing
❑ Agriculture-land drainage/waterfowl Impoundments ❑ Industrial-textile manufacturing
❑ Agriculture-plant nursery ❑ Industrial-wood/paper products i
❑ Agriculture-sod and turf production ❑ Industrial-environmental remedlallon 4Er
❑ Agriculture-Christmas tree production Mining-mineral extraction
❑ Agriculture-animal production ❑ PWSdrinking water
❑ Energy-hydropower ❑ Recreation-temporary filling of ponds {
❑ Energy-pipeline testing(temporary) ❑ Recreation-golf course EI{
❑ Energy-thermal-electric(steam-electric power,nuclear,
t ❑ Recreation-snowmaking
urbine generator)
❑ Industrial-chemical and pharmaceutical
manufacturin / rocessin El
sports
`SECTION 2: WITHDRAWAL INFORMATION
2-A. Avera e daily withdrawal and maximum day withdrawal by month In million oallons per day MGD.
Average Daily Maximum Day Average Daily Maximum Day
Month #of Days Withdrawal Withdrawal Month #of Days Withdrawal Withdrawal
Used MGD MGD Used MGD MGD
Jan July
Feb Aug
Mar Sep
Apr Oct
May Nov
Jun Dec
2-B. Ground Water Information—Please complete a row for each ground water withdrawal source used In 2009.
Well Pump Screen Depth Well Average #of Pumping y
Well or Sump Latitude Longitude Intake Dally
Identl6ar (35.123456) (-77.123456) Depth Depth Top sot Diameter yylthdrawal days Capacity
(Feet) Feet (Feet) (Feat) (Inches) MGD used (MGD)
Pit Sump 1 35.8880 -77.0678 40 30 N/A N/A 8 3.2 3.8
Pit Sump 2 35.8837 -77.0687 40 30 N/A N/A 8 3.2 3.8
Pit Sump 3 35.8898 -77.0789 40 30 N/A N/A 8 3.2 3.8
Pit Sump 4 35,8919 -77.0844 40 30 N/A N/A 8 3.2 3A
2-C. Surface Water Information—Please compile a raw for each surface water withdrawal source used In 2009.
'Source Latitude Longitude Average Dally #of Pumping ¢¢
Source Identifier it rawal days Sub-Basin Capacity
Type (35.123456) (-77.123458) MGD used MGD
Sand Mine Mine 35.8880 -77.0678 3.8 Cape Fear 3.8
Source Type—Choose one of the following: Lake,Pond,Quarry,Reservoir,River,or Stream.
Rev.05/08/2017 1 t
3

SECTION 3:DISCHARGE INFORMATION
3-A. Enter the average daily amount of water disc har ed each month In million gallons ver day MGD.
#of Days Average Daily Maximum Day #of Days Average Daily Maximum Day
Month Discharged Discharge Discharge Month Discharged Discharge Discharge
MGD MGD MGD MGD
Jan July
Feb Aug
Mar Sep
Apr Oct
May Nov
Jun Dec
3-B. Please cam lete a row for each discharge method. j
Identirter or •Discharge Latitude Longitude Average Daily #of Permitted
Permit Number Type (35.123456) (-77.123456) Discharge Days Sub-Basin Capacity
MGD Used MGD
Havelock Drugstore Mine Non-Discharge 35.8880 -77.0678 3.8 Cape Fear 3.8
Discharge Type-Choose one of the following: Discharge,Hydropower,Land Application,Subsurface,or To Another System.
- SECTION 4:SURFACE WATER BASIN TRANSFER
Complete this section if you withdraw or purchase water that Is not returned to the river sub-basin from which It was withdrawn.
4-A. Please complete a row for each transfer of surface water from one sub-basin to another.
Daily Transfer
Description of Transfer Source Sub-Basin Receiving Sub-Basin Capacity
MGO
4-B. Enter the avera a d lv and maximum day surface water transfer amounts by month In milliongallons per day MGD:
#of Days Average Dally Maximum Day #of Days Average Daily Maximum Day
Month Transferred Transfer Transfer Month Transferred Transfer Transfer
MGD MGD MGb MGD
Jan July
Feb Aug
Mar Sep
Apr Oct
May Nov
Jun t
Dec
If latitude and longitude are unknown for any water withdrawal or discharge location listed above please submit a map clearly
marking and labeling all water withdrawal and discharge locations on an appropriate US Geological Survey topographic map or a
comparable map.
Do you have an comments?
Y Y Pit water Is pumped from current mining area to previously mined areas separated by temporary berm/dike within the active pit
or Into one of the previously mined pits(1-5)on-site within the current mine permit area.The pit sump 1-5 vAll occur In sequence as each pit excavation Is completed.
Melton Valentine 111 3/23/2023
PRINT/TYPE Name of Person Registering SIg ure Date
Rev.05/08/2017
2
r

ALI
0
BERTIE
44
11 4
2
13 64 64
0 64 64
MARTIN - -
17 ASHIN O
171
PITT
BEAUFORT _ :13
125
_ Williamston
retts
ProjeCt_LOC8t100 National Geographic,Esri,Garmin;HERE, UNEP-WCMC, USGS, NASA,ESA,
_METI, NRCAN, G,EBCO,NOAA, increment P Corp.
Project Name: View Nicholson Road FEB 2 8 2023 N
Location: 2720 View Nicholson Rd, Williamston, NC
PINs: 0500677 & 0504927 FIgUf@.
P.O.Box 244 0 1 2 3 4 5 Miles 14 Dec 2022
Bunnlevel,INC 28323 1 1 1 1 1 1

Wetlarid extents without delineation flags are approximated Entire northeast section
based on lidar and aerial photgraphy. is considered wetland
The project area only includes a portion of the south parcel. for purposes of this project.
st _
al b
at iJii '-
m30 -
i.
.mac, ad25 � - : .:_:_>Wi 'ii-.:-:! •. .ott00^ .�zi�..
_ _.. D.
A ...__
d50-- .J•. Jam_.
nd—
-
kk25
_a11dc—'
zz50
at dtli
Delineation Flags • F1 -F18 o PP1 - PP40
• Al -A7 o FFt -FF4 • S1 -S57
• AAt -AA51 o it -J8 • T1 -T181 View Nicholson N. Parcel 557 acres
• B1 -B6 o JJ1 -JJ28 • V1 -V12
Q
• C1 -C143 o K1 -K13 • W1 -W20 View Nicholson S. Parcel—717 acres
• CC1 -CC6 o KK1 -KK59 • X1 -X5 r�. Preliminary WOUS(Mill Branch)-3,497 ft
o D1 -D134 o M1 -M60 • Z1 -Z19
® Potential Mine Areas(Approximated)
o DD1 -DD35 o N1 -N38 • ZZ-ZZ52
Prelim Sec 404 Wetlands-246.64 acres
Project Name: View Nicholson Road N
Location: 2720 View Nicholson Rd, Williamston, NC Figure: 2
PINs: 0500677 & 0504927 g
P.O.Box244 0 500 1,000 1,500 2,000 2,500 Feet 09 Jan 2023
Bunnlevel,NC 28323 1 1 1 1 1 1

— .. \ .mil-�' .1'I'\,! .i-_ _ •►. -�- -
Is
Z.
{� �'_!: Y may.+ t 4: '69y t�--i. 4T-1- /`4 �i:,• � vo�s�`t. -_ "r�
Y +
%
Arm✓' /7`lYtii , ,�}�(('' -' s `a�- -\\. `�� .• ^" `.+ � ' ' �+..- T�'...
+
10 ""—.')j� ' `�d.� f s may- -w r-• ,� '�` .� �i�, '.-.' .r\\ 1 ."` w' 1
••• _ 'Nia9dom still ./ 'l Y � _
vary � � , • '!- ( /;,\ A?� ,�
� 1 1
Williamston — •4�'`• - +
View Nicholson N. Parcel -557.48 acres
_ cue r 1).; � -:_, •••a -
!, View Nicholson S. Parcel -717 acres
__ 0 1,000 2,000 3,000 4,000 5,000 Feet Q
I I I I I I b" USGS 24k Topo Grid
l 9`J • ' -
N
Project Name: View Nicholson Road
Location: 2720 View Nicholson Rd, Williamston, NC Figure: 6
PINs: 0500677 & 0504927
P.O.Box244 USGS 7.5-Minute Topo; Quitsna & Williamston Quadrangles 7 Jan 2023
Bunnlevel, NC 28323

x
41t
-r— J
i
I
• _ • E t
cn
o y 3
m » o,
z GJ
z z . c W ''
g zAVism 4N
„ e• IUD G�ki•3 CO
a
See Figure 4b for Legend
1 111 111 111 111 111 -
WETLAND • - • 1 - • • • • •
1 11• 1 1� •

_ 7
Ch AaA,
Ro Aa
I A
CnA Ro AaA ,
AaA _ AaA. Ag
Nob "
Wnl9 Wk6 Ag'- Wk6 HaA WkB
WnD TaB AaA }
` CnA
AaA B A�A AaA a
AA
Ro
WkB
AaA
AaA Ch
�i NC DEQ Hydrology
View—Nicholson N. Parcel—557 acres
View—Nicholson S. Parcel—717 acres Ch
Soil Map Units
AaA—Altavista fine sandy loam, 0 to 2 percent slopes, occasionally flooded AaA RO AaA
Ag—Augusta loam, occasionally flooded WkB
Bb—Bibb loam,frequently flooded
BoB—Bonneau loamy sand,0 to 6 percent slopes
® Ch—Chastain silt loam,frequently flooded AaA AaIF A
V
CnA—Conetoe loamy sand,0 to 3 percent slopes WnF
*.fR1 0 GoA—Goldsboro fine sandy loam, 0 to 2 percent slopes NoB Bb
Le—Lenoir loam Bb
NoA—Norfolk loamy fine sand, 0 to 2 percent slopes
NoB—Norfolk loamy fine sand, 2 to 6 percent slopes `v
Ro—Roanoke loam,frequently flooded
TaB—Tarboro loamy sand, 0 to 5 percent slopes <t, A
WkB—Wickham sandy loam, 0 to 6 percent slopes, rarely flooded
WnD—Winton fine sandy loam,8 to 15 percent slopes
® WnF—Winton fine sandy loam, 15 to 60 percent slopes
•
•
0 1,000 2,000 3,000 4,000 5,000 Feet •
I I I I I I
a E-arth�tar'6eogn,� i
N
Project Name: View Nicholson Road
Location: 2720 View Nicholson Rd, Williamston, NC Figure: 4b
PINs: 0500677 & 0504927
P.O.Box244 NRCS Soil Survey Geographic (SSURGO) 07 Jan 2023
Bunnlevel, NC 28323

+ F61 •\\ PF01I4,RUBHx PF04/,1Aw� I� PF•1C PF0$/1'A
PFO7/4C. \PF01F'PUBHxr: 1 i PRO1F �P,F01F PF01C
�2UBH �--� �� _ PF01F 1PF0,1/EM1F = - PF01/2F
PF0,1/4G �` PFo1C
�01F PF01F rt IPF01/4A PF01/4A,
P.F01/4C\ \ 1 \ CPF.01C R2UBH
PF04At�PF04A J t
)� �PFO C\��\ �_` PF01F PSS1/4A ' N PFO7/2F
PERM VF04A 1..��--/ P�F01A
F01A .
i P �A PEM1C
EMT1F04A PF01F • .
PF01/4C PF01F
PF01C Q l _
PF01F �; PF01F __ = PFOIC,
1 � P O C
//gF01A'PFO1/4C P`SS4A \�\1 \ �� t 'r�01F PF01F ( �,
PEM1Fx \ �P
PF01 \\\ 13 � ' `\\ PF01F
-F0,1;C F
P_ OI
/ PF07/4C l'IF PF01F '" \�
PF01F\ �•� PF01 C
BSS4/1'A .� ` \\ PFO1A `\\\
1 r'PF01FiP.F01F'
RF011SS1A � � P p .PEM1F�
_pppt`C;�} \ PF01'A �1 •� PFOU!"PF01F
PF01/21' \\� �:e, PF01C ��}Q
RSUBH \j """vvv PF/04/),1C -
P1\/4C PF01F PF01/40
FO_ \\
R4SBC PF01CPF0.1/4C \\ \\ P'1'A\ \
R5UBH \v\ VVV `PF01F
nFO1/4C PPEMt f
SUBH J
PFF011 C
� R
PF�C lvi
r _ PFo1/EM1AS jEM1/SSA
?
F04/1A R5UBH PUBHh PF01/a'A V PF01A P�01 �PF01/2F
/ 4 PF01A P•F01'/4C C
\ 1\� \ \
.PF01C PF01A•: PF01/4C PF01F�\ \ PF
�PF04A PSS11EMlF
\ _ PF01C
PFO7/4A 1PS51C PF-;C \ PF0,1C `r_1
R51UBH �F�01%SS1C PSS1/4C�
I' `;> is "�PSS1/4A-� PEMIC ,
A��t
�P,F01Ad- R51JBH ssi
' , PF01C
PFO1/4C
PSS1A
/
PF01 A/ PF01/4APEMJ1 , �l
?FC411
� F01/4A' q1/4A �� u`~
PSS1A
PFoaa' View Nicholson N. Parcel — 557 acres I
4PF04/1A
R5UBH R51 JBH✓"
PUBH2x� View Nicholson S. Parcel — 717 acres
�PEM1F _ R5UBH.. _ ,' Wetland Type (Cowardin)
Freshwater Emergent Wetland
. 'PFOIA� .,.. •�PEMa Freshwater Forested/Shrub Wetland
PF01/4C� • )F ,
BF�A• . PFO
-'F0411A Freshwater Pond
0 1,000 nc^2,000 3,000 4,000 5,000 Feet v c PF,ODEMIA
I I I I I I Riverine
Row So`1111urC
Non
N
Project Name: View Nicholson Road
Location: 2720 View Nicholson Rd, Williamston, NC Figure: 5
PINS: 0500677 & 0504927
P.O. Box244 USFWS National Wetland Inventory (20221006) 07 Jan 2023
Bunnlevel, NC 28323

3720578800
«ram
-ice � z ft
i
View Nicholson N. Parcel -557 acres
3720576700 �? Yew Nicholson S. Parcel-717 acres
FIRM Panel
Flood Zone
0.2 PCT ANNUAL CHANCE (500-year)
AE (100-year)
0 1,000 2,000 3,000 4,000 5,000 Feet ,f AE FLOODWAY
I I I I I I X (Low risk)
,
N
Project Name: View Nicholson Road
Location: 2720 View Nicholson Rd, Williamston, NC Figure: 6
PINs: 0500677 & 0504927
P.O.Box 244 NC Flood Risk Information System 07 Jan 2023
Bunnlevel,NC 28323

i
- r
4
PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD:#CURRENT DATE TRADITIONAL#
B. NAME AND ADDRESS OF PERSON REQUESTING PJD:Adam Carter,Wetland Solutions,LLC PO Box 244
Bunnlevel,NC 28323
C. DISTRICT OFFICE, FILE NAME,AND NUMBER: Wilmington,#FOLDER NAME#,
#FOLDER DA NUMBER#
PROJECT LOCATIONS) AND BACKGROUND INFORMATION: 2720 View Nicholson Rd
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State:NC County/parish/borough: Martin City: Williamston
Center coordinates of site (lat/long in degree decimal format):Lat.: 35.893001°Long.: -77.076789'
Universal Transverse Mercator: 17N
HUC:Roanoke 03010107
Name of nearest waterbody:Mill Branch(Class C)
D. REVIEW PERFORMED FOR SITE EVALUATION(CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH"MAY BE"SUBJECT TO REGULATORY
JURISDICTION.
Site Latitude(decimal Longitude Estimated amount of Type of aquatic Geographic authority to
Number degrees) (decimal degrees) aquatic resources in resources(i.e., which the aquatic resource
review area(acreage wetland vs.non- "may be"subject(i.e.,
and linear feet,if wetland waters) Section 404 or Section
applicable 10/404
W1 35.893712 -77.071726 22.97 acres Wetland Section 404
W2 35.890080 -77.069772 40.56 acres Wetland Section 404
W3 35.892372 -77.077011 66.16 acres Wetland Section 404
W4 35.894991 -77.082288 3.33 acres Wetland Section 404
W5 35.889350 -77.078303 3.08 acres Wetland Section 404
W6 35.890372 -77.082638 51.8 acres Wetland Section 404
W7 35.895620 -77.087049 0.21 acres Wetland Section 404
W8 35.891568 -77.087705 36.32 acres Wetland Section 404
W9 35.885315 -77.068523 14.55 acres Wetland Section 404
W10 35.887715 -77.070035 1.38 acres Wetland Section 404
W11 35.886565 -77.071700 6.28 acres Wetland Section 404
Total' 246.64 acres
S 1 35.891596 -77.083423 3,7491f Non-wetland Section 10/404

1
1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD (AJD) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit(NWP) or other general permit verification requiring "pre-construction
notification" (PCN), or requests verification for a non-reporting NWP or other general permit,
and the permit applicant has not requested an AJD for the activity, the permit applicant is
hereby made aware that: (1)the permit applicant has elected to seek a permit authorization
based on a PJD,which does not make an official determination of jurisdictional aquatic
resources; (2)the applicant has the option to request an AJD before accepting the terms and
conditions of the permit authorization, and that basing a permit authorization on an AJD could
possibly result in less compensatory mitigation being required or different special conditions;
(3)the applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can accept
a permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary;
(5) undertaking any activity in reliance upon the subject permit authorization without
requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (6) accepting a
permit authorization (e.g., signing a proffered individual permit) or undertaking any activity in
reliance on any form of Corps permit authorization based on a PJD constitutes agreement that
all aquatic resources in the review area affected in any way by that activity will be treated as
jurisdictional, and waives any challenge to such jurisdiction in any administrative or judicial
compliance or enforcement action, or in any administrative appeal or in any Federal court;
and(7)whether the applicant elects to use either an AJD or a PJD,the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms and
conditions contained therein), or individual permit denial can be administratively appealed
pursuant to 33 C.F.R. Part 331. If,during an administrative appeal, it becomes appropriate to
make an official determination whether geographic jurisdiction exists over aquatic resources
in the review area, or to provide an official delineation of jurisdictional aquatic resources in
the review area,the Corps will provide an AJD to accomplish that result, as soon as is
practicable. This PJD finds that there "may be"waters of the U.S. and/or that there "may be"
navigable waters of the U.S. on the subject review area, and identifies all aquatic features in
the review area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD(check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
❑ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑Office concurs with data sheets/delineation report.
❑Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑Corps navigable waters'study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑USGS NHD data.
❑USGS 8 and 12 digit HUC maps.
®U.S.Geological Survey map(s).Cite scale&quad name:24K; Quitsna& Williamston Quads
®Natural Resources Conservation Service Soil Survey. Citation: SSURGO 20220121
®National wetlands inventory map(s). Cite name: USFWS 20221006
❑State/local wetland inventory map(s):
®FEMA/FIRM maps: FIRM Panels: 3720576800,3720576700, 3720577700
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
®Photographs: ®Aerial (Name & Date): NC CGIA 1/29/2021
or[]Other(Name&Date):
❑ Previous determination(s). File no. and date of response letter:
❑Other information(please specify):
BIPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of Regulatory Signature and date of person
staff member completing PJD requesting PJD(REQUIRED,
unless obtaining the signature
is impracticable)1
Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the
established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing
an action.

RAFTING AND DESIGN
SERVICES,INC. `I
6728 Carbonton Road
Sanford, NC 27330
[phone]
February 23,2023
Stormwater Program Manager
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699
FEB 2 8 2023
RE: NPDES Application for Coverage Under General Permit NCG02
Havelock Drugstore, LLC.-Proposed Havelock Drugstore Mine _
Martin County—Roanoke River Basin iUiiVit IG rRc CAM
Dear Sir/Madam:
On behalf of Havelock Drugstore, LLC., I hereby submit the attached NPDES Application for
Coverage under General Permit NCG02 for a proposed sand and gravel mine on View Nicolson Road and
east of Highway 125 in Pender County. While the permitted acreage at the site will be 640.0 acres,only
132.2 as part of the proposed mining operation. Temporary pit dewatering is proposed (transfer to
previous mined areas) and no washing of material or plant process water will be generated. Our
methods for capture and treatment of surface water runoff during the initial and ongoing site
development are described in detail in the attached NPDES application and the attached mine plan
sheets. We have also attached our$100 stormwater permit application processing fee to initiate the
review of our application.
Copies of the detailed mining permit application form and its attachments have been filed
separately with DEMLR's Mining Program for its review in issuing the mining permit. Your staff may
want to review this information as well as it provides additional details regarding the proposed mining
operation.
Thank you for your consideration. If you should have any questions regarding this NPDES
application package, please contact me at(919)499-8759
Sincerely,
Drafting and Design Services, Inc.
Michael Blakley
Attachments: $100 Stormwater Permit Application Processing Fee
NPDES Application for Coverage Under NCG02—2 Copies

FOR AGENCY USE ONLY
Dale Received
Division of Energy, Mineral and Land Resources/ Year ntonu, Day
K�C Land Quality Section—Stormwater Permitting g Pro ram
Certificate ofCavenge
National Pollutant Discharge Elimination System Checks Amoum
Environmental
Quality Permit Ass igned to
NCG020000
NOTICE OF INTENT- General Permit Application
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG020000:
STORMWATER AND/OR WASTEWATER DISCHARGES associated with activities classified as:
SIC(Standard Industrial Classification)Code-14XX Mineral Mining Industry(except as specified below) and
like activities
The following activities are included:
Active or inactive mining operations(including borrow pits—except for NCDOT borrow pits)that discharge
stormwater contaminated with or that has come in contact with, any overburden, raw material, intermediate
products, finished products, byproducts or waste products located on the site of such operations;
• Stormwater from vehicle maintenance activities (VMA) at mining operations;
• Overflow from facilities that recycle process wastewater; and/or
Mine dewatering (wastewater)
The following activities are specifically excluded from coverage under this General Permit:
Stormwater discharges associated with peat mining, coal mining, and metal mining;
Stormwater discharges from mining operations which are intermixed on site with stormwater from concrete
operations;
• Stormwater discharges associated with oil and gas extraction operations; and
Stormwater discharges associated with tourist gem mines
NCDOT borrow pits (covered under individual permit NCS000150)
The following discharges are covered by NPDES general permit NCG520000 instead of NCG020000:
Point source discharges of stormwater and wastewater from in-stream sand mining operations(sand dredging
or dipping operations) are covered instead by NPDES General Permit NCG520000, administered by the Division
of Water Resources NPDES Wastewater Permitting Program. Please contact DWR for more information.
Please print or type all entries in this application form.
1) Mailing address of ownerloperator(official address to which all permit correspondence will be mailed):
Legal Owner Name Havelock Drugstore,LLC.
(Attach the most recent Annual Report to the NC Secretary of State showing the currant legal name of the corporation or entity.
Alternatively this permit can be given to an individual or government authority. This name must be the same name as appears on the
Division of Energy,Mineral,and Land Resources'Mining Permit.)
Signee's Name(assigned for in question 41. at end) Melton Valentine III
Street Address 1500 Sunday Drive Suite 300
City Raleigh State NC ZIP Code 27507
Telephone No. 919 395-4592 E-mail [e-mail]
Alternate Contact Name* E-mail (if different)
Alternate Contact Telephone (if different)
*Alternate contact should be affiliated with the Owner/Operator. Consultant information can be provided
in question 5.
Page 1 of 12
SWU-NCG02-NOI Last revised 9/1 012 01 5

NCG020000 N.O.I.
2) Location of facility producing discharge:
Facility Name Havelock Drugstore Mine
Facility Street Address 2720 View Nicholson Road
Facility City Williamston State NC ZIP Code 27892
Facility County Pender
Facility Contact Melton Valentine III
Telephone No. 919 395-4592 Fax:
Contact E-mail [e-mail]
3) Physical Location Information:
Please provide a narrative description of how to get to the facility(use street names, state road numbers, and
distance and direction from a roadway intersection).off of Hwy 125 North of Williamston on View Nicholson
See attached location maps
4) Facility Location Coordinates:
Latitude 35.8955 N Longitude -77.0858 W (degrees/minutes/seconds or decimal
degrees)
5) Consultant Information(if applicable):
Consultant: Michael Blakley
Consulting Firm: Drafting and Design Services,Inc. (Optional)
Mailing Address: 6828 Carbonton Road Road Staple Business Card Here
City: Sanford
State: NC Zip Code: 27330
Phone: 91( 9 ) 499-8759 Fax: (�
E-mail: [e-mail]
Permits:
6) This NPDES Permit Application applies to which of the following:
N New or Proposed Facility Date operation is to begin: Aug 2023
❑ Existing Date began mining:
7) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code(SIC Code)that describes the primary industrial
activity at this facility SIC Code: 1 4 4 2
8) Provide a description of the types of minerals mined at this facility: construction sand and gravel
9) Is this a PROCESSING-ONLY facility for materials mined elsewhere? No ❑ Yes
10) Is this an inactive mine site?
9 No
❑ Yes If yes, have you certified to the Stormwater Permitting Program that all portions of the site where
clearing, grading, and/or excavation activities have occurred have been stabilized?
❑ No ❑ Yes (If yes,the site may be eligible for"Dormant Status"and reduced BMP
inspections. See the General Permit.)
Page 2 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
11) Does this facility already have a valid Mining Permit from DEMLR's Land Quality Section?
N No If no, please indicate the status of the Mining Permit application: Application filed similtaneously
0 Yes If yes, please provide the Mining Permit number: Also provide a copy of
the DEMLR Mining Permit with this NPDES application.
12) Does this facility have any other NPDES permits?
9 No
11 Yes If yes, list the permit numbers for all current NPDES permits for this facility:
13) Are you applying for a discharge permit in the same location as a previously permitted mine?
No
O Yes If yes, specify permit number and mine name if known:
14) Does this facility have any Non-Discharge permits from DWR(e.g., recycle permits)?
4 No
O Yes If yes, list the permit numbers for all current Non-Discharge permits for this facility:
16) Does total area of this mine site include ready-mixed concrete plant and/or asphalt plant areas?
No
❑ Yes If yes, do they have separate NPDES stormwater permits? 1:1 No O Yes (provide permit
number(s) }
If not owned by the same company,who is the owner?
Development Activities and Buffers:
16)Will this mining operation precede development activities at this site?
No
O Yes
17) Is this mine located within one of the 20 Coastal Counties,and will it add more than 10,000 ft2 of
impervious surface?
Yes(to both)
O No,this mine site IS in one of the 20 Coastal Counties but will NOT add 10,000 ft2 of impervious surface.
O No,this mine site is NOT in any of the 20 Coastal Counties.
If this site is in one of the 20 Coastal Counties,you may be required to apply for an additional State
Stormwater Permit. Check with your local Regional Office(see contact information and checklist below).
18) Is this mine located the Neuse,Tar-Pamlico,or Catawba River Basins,or the Randleman or Jordan
Water supply Watersheds?
4 No
El Yes If yes,what size stream buffers are included on site? ft. You must show buffers on site
plans. Also include information and plans showing diffuse flow through buffers as required.
Page 3 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
Discharge Points Receiving Waters & Wetlands:
19) Receiving waters:
What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility stormwater
and/or wastewater discharges will end up in? adjacent wetlands,north,south,east and west of the proposed site area which
eventually drains to MITI Branch(23-49-3)
To find the waterbody, please see the NC Surface Waterbody Classifications map at
hfps://deq.nc.gov/about/divisions/water-resources/water-resources-science-data
Receiving water classification(s)for the waters: Mi1lBranch(23493)-wS-IV
If the site will discharge to a separate storm sewer system, name the operator of the separate storm sewer
system (e.g. City of Raleigh municipal storm sewer).
Discharge of wastewater to receiving waters classified as WS-11 through WS-V,or SA, must be
approved by the Division of Water Resources (DWR) or Division of Marine Fisheries
(DMF). DEMLR cannot grant coverage under NCG020000 without that approval. Also be advised that
no new discharges of wastewater are permitted in receiving waters classified as WS-1 or
freshwater ORW. Wastewater discharges to saltwater ORW will not be approved under General Permit
NCG02 but may be eligible for an individual permit.
20) Will this mine site discharge wastewater or stormwater to waters classified as High Quality Waters
(HOW), Primary Nursery Areas(PNA),Trout(Tr)waters, or a class with a symbol like'°+11 or"@"that
denotes a special management strategy is in place?
d No ❑ Yes, HQW` ❑ Yes, includes"+" or
❑ Yes, PNA" ❑ Yes, Trout(Tr)
21) Will this mine site discharge wastewater or stormwater to waters classified as Shellfish (SA)waters?
P No
❑ Yes, SA"
`For questions 19-20, be advised that the NCGO2 General Permit limits the discharge volume of total combined
wastewaters to 50 percent of the receiving water in-stream flow under 7Q10 conditions in HQW waters(PNA and
SA waters are considered HQW by definition). You maybe required to contact USGS to obtain a 7Q10 flow.
22) Will this mine site discharge wastewater or stormwater to impaired waters, or to waters with an
approved "Total Maximum Daily Load" (TMDL)?
To find impaired waters&TMDLs, please see the Impaired Waters Map& TMDL map on
hftps:/Ideq.n c.g ov/abouVd ivisionstwater-reso u rces/water-reso u rces-science-data
4 No
❑ Yes, these waters are impaired for(list pollutants):
❑ Yes, these waters have a TMDL for(list pollutants):
Page 4 of 12
SWU-NCG02-NO] Last revised 9/10/2015

NCG020000 N.O.I.
23) List discharge points(outfalls)that convey discharge from the mine site(both on-site and off-site)and
location coordinates. Attach additional sheets if necessary, or note that this information is specified
on the site plan. Include proposed maximum daily flow rate for each wastewater outfall.
You must show all discharge points clearly on the submitted site plan. Be advised
that NCDEQ may require you to apply for an individual permit, based on proposed
discharge rates and receiving stream conditions (low flows, impairments, etc.)
Stormwater
Stormwater Ouffall No. 2A
Latitude(degrees/minutes/seconds or decimal degrees): 35.8837 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0687 W
Stormwater Ouffall No. 2B
Latitude(degrees/minutes/seconds or decimal degrees): 35.8885 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0723 W
Stormwater Ouffall No. 2C
Latitude(degrees/minutes/seconds or decimal degrees): 35.8885 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0706 W
Stormwater Ouffall No. 3A
Latitude(degrees/minutes/seconds or decimal degrees): 35.8898 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0789 W
Stormwater Ouffall No. 3B
Latitude(degrees/minutes/seconds or decimal degrees): 35.8903 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0816 W
Stormwater Ouffall No. 3C
Latitude(degrees/minutes/seconds or decimal degrees): 35.8955 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0858 W
Mine Dewatering
Mine Dewatering(Wastewater) Ouffall No. 1
Proposed maximum flow rate:3.2 MGD
Latitude(degrees/minutes/seconds or decimal degrees): 35.8888 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0678 W
Mine Dewatering(Wastewater) Ouffall No.
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Process Wastewater
Process Wastewater Ouffall No. Wastewater Description:
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Process Wastewater Ouffall No. Wastewater Description:
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Page 5 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
23) List discharge points(outfalls)that convey discharge from the mine site(both on-site and off-site)and
location coordinates. Attach additional sheets if necessary,or note that this information is specified
on the site plan. Include proposed maximum daily flow rate for each wastewater outtall.
You must show all discharge points clearly on the submitted site plan. Be advised
that NCDEQ may require you to apply for an individual permit, based on proposed
discharge rates and receiving stream conditions (low flows, impairments, etc.)
Stormwater
Stormwater Outfall No. 3D
Latitude(degrees/minutes/seconds or decimal degrees): 35.8954 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0830 W
Stormwater Outfall No. 3E
Latitude(degrees/minutes/seconds or decimal degrees): 35.8918 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0797 W
Stormwater Outfall No. 3F
Latitude(degrees/minutes/seconds or decimal degrees): 35.8942 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0806 W
Stormwater Outfall No. 3G
Latitude(degrees/minutes/seconds or decimal degrees): 35.8961 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0791 W
Stormwater Outfall No. 3H
Latitude(degrees/minutes/seconds or decimal degrees): 35.8953 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0791 W
Stormwater Outfall No. 4A
Latitude(degrees/minutes/seconds or decimal degrees): 35.8919 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0844 W
Mine Dewatering
Mine Dewatering(Wastewater) Outfall No.
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Mine Dewatering(Wastewater) Outfall No.
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Process Wastewater
Process Wastewater Outfall No. Wastewater Description:
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Process Wastewater Outfall No. Wastewater Description:
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Page 5 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
23) List discharge points(outfalls)that convey discharge from the mine site(both on-site and off-site)and
location coordinates. Attach additional sheets if necessary,or note that this information is specified
on the site plan. Include proposed maximum daily flow rate for each wastewater outfall.
You must show all discharge points clearly on the submitted site plan. Be advised
that NCDEQ may require you to apply for an individual permit, based on proposed
discharge rates and receiving stream conditions (low flows, impairments, etc.)
Stormwater
Stormwater Outfall No. Q
Latitude(degrees/minutes/seconds or decimal degrees): 35.8937 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0858 W
Stom7water Outfall No. 4c
Latitude(degrees/minutes/seconds or decimal degrees): 35.8943 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0863 W
Stormwater Ouffall No. 5A
Latitude(degrees/minutes/seconds or decimal degrees): 35.8912 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0728 W
Stormwater Outfall No. 5s
Latitude(degrees/minutes/seconds or decimal degrees): 35.8923 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0734 W
Stormwater Outfall No. 5c
Latitude(degrees/minutes/seconds or decimal degrees): 35.8924 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0754 W
Stormwater Outfall No. 5D
Latitude(degrees/minutes/seconds or decimal degrees): 35.8946 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0752 W
Mine Dewatering
Mine Dewatering(Wastewater) Outfal/No.
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Mine Dewatering(Wastewater) Outfall No.
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Process Wastewater
Process Wastewater Outfall No. Wastewater Description:
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Process Wastewater Outfall No. Wastewater Description:
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Page 5 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
23) List discharge points(outfalls)that convey discharge from the mine site(both on-site and off-site)and
location coordinates. Attach additional sheets if necessary,or note that this information is specified
on the site plan. Include proposed maximum daily flow rate for each wastewater outfall.
You must show all discharge points clearly on the submitted site plan. Be advised
that NCDEQ may require you to apply for an individual permit, based on proposed
discharge rates and receiving stream conditions (low flows, impairments, etc.)
Stormwater
Stormwater Outfall No. 5E
Latitude(degrees/minutes/seconds or decimal degrees): 35.8933 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0716 W
Stormwater Outfall No. 5F
Latitude(degrees/minutes/seconds or decimal degrees): 35.8923 N
Longitude(degrees/minuteslseconds or decimal degrees): -77.0693 W
Stormwater Outfall No. 5G
Latitude(degrees/minutes/seconds or decimal degrees): 35.8911 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0694 W
Stormwater Outfall No. 5H
Latitude(degrees/minuteslseconds or decimal degrees): 35.8912 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0678 W
Stormwater Outfall No. 51
Latitude(deg rees/minuteslseconds or decimal degrees): 35.8902 N
Longitude(degrees/minutes/seconds or decimal degrees): -77.0661 W
Stormwater Outfall No.
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Mine Dewatering
Mine Dewatering(Wastewater) Outfal!No.
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Mine Dewatering(Wastewater) Outfal!No.
Proposed maximum flow rate:
Latitude(degrees/minuteslseconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Process Wastewater
Process Wastewater Outfall No. Wastewater Description:
Proposed maximum flow rate:
Latitude(degrees/minutes/seconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Process Wastewater Outfall No. Wastewater Description:
Proposed maximum flow rate:
Latitude(deg rees/minuteslseconds or decimal degrees): N
Longitude(degrees/minutes/seconds or decimal degrees): W
Page 5 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
24) Help us understand what will happen to the dewatering water at this mine site:
❑ NIA—this mine is not dewatering at all and will not dewater in the future.
a) Will this mine be dewatering and discharging to waters of the state?(Answer only if dewatering)
❑ No
Yes If yes,where to? N Surface Waters and/or Wetlands(on-site or off-site)
❑ Other(on-site or off-site) Describe:
b) Will this mine be dewatering but not discharging to waters of the state? (Answer only if dewatering)
❑ No
❑ Yes If yes, explain how you are dewatering, and where that water will be directed:
25) Are there wetlands or surface waters within 400'of the mine pit perimeter?
❑ No
9 Yes If yes,what distance are they from the mine pit perimeter? approx.50 feet.
26) Will mining operations require dewatering near wetlands or other waterbodies,and will dewatering
potentially impact any wetlands or other waterbodies?
❑ No, dewatering will not occur near(within 400') of wetlands or other waterbodies(e.g., streams, lake, etc.)
9 Yes, dewatering will be near wetlands or other waterbodies
Wetlands must be CLEARLY DELINEATED on the site plan. Mine dewatering activities that
have the potential to drain wetlands or otherwise impact surface water or groundwater MUST develop and
implement a Pumping Operation and Monitoring (POM)Plan that has been approved by the
Department.
For sites that may drain wetlands—approval of a POM Plan may be required prior to coverage under
this permit. The POM Plan should be submitted to the appropriate Regional Office and in all cases must be
approved prior to operation.
The plan shall include, but is not limited to: (1)Groundwater monitoring strategies to demonstrate the effect of
pumping and to establish any pumping regime necessary to reduce impacts, and (2)Detailed plans to maintain
surrounding hydrology and respective monitoring to demonstrate compliance. See checklist at the end of the
application. Contact the Regional Office for questions specific to your mine.
27) Have you been required to obtain 404/401 Certification permits?
No
❑ Yes if yes, please briefly describe below(include information such a required mitigation, BMPs,
setbacks, and/or O&M plans for on or off-site wetlands or other pertinent information). Attach other sheets as
necessary:
Page 6 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
28) Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
No ❑ Yes If yes, please attach to application submission.
Stormwater BMPs and Vehicle Maintenance:
29) Does this facility employ best management practices for stormwater control?
❑ No S Yes If yes, please briefly describe: The entire mine site will have a 50 foot undisturbed
perimeter buffer and interior perimeter 50 foot wide earthen berm to contain runoff for a total buffer of 100 feet from property lines and
wetlands.Silt fence and berm will contain runoff within site and diversions will route runoff to sediment basins with no outlets
30) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No M Yes If yes, when was it implemented? Detailed E&SC Plan part of mining application package
31) Are vehicle maintenance activities(VMA)occurring or planned at this mine site?
No ❑Yes, If yes, will VMA area runoff discharge into the wastewater treatment system(s)?
❑ No,VMA runoff will discharge separately through a stormwater outfall
❑ Yes, VMA runoff will drain back to the mine pit or other wastewater system
Wastewater Treatment Facilities:
32) Will mine dewatering occur? (Yes,we are asking about dewatering again.)
❑ No
M Yes If yes, will the mine discharge this water? Only during the Initial construction Of the pits.
33) Will this facility wash mined materials?
P No
❑ Yes If yes, will the mine discharge this water?
34) Will discharges of process wastewater treatment systems occur(including possible recycle system
overflows)?
S No
❑ Yes If yes, describe what kind of systems:
36) Will this facility employ chemical additives to flocculate suspended solids?
It No
❑ Yes If yes, provide the name, manufacturer, and the quantity of average daily usage of the chemical
additive(if known):
Note: Please see our website for a list of evaluated polyacrylamide(PAMS)products for use in North Carolina:
https://deq.nc.gov/about/divisions/energy-m i neral-la nd-resources/energy-mineral-land-perm its/stormwater-perm its/
construction-sw
36) Will any of the wastewater treatment facilities at this mine overflow only during rainfall events that
exceed the 10-yr, 24-hr rainfall event?
d Yes If yes, which treatment systems are those? All basins have been designed for the 25 year
storm event for additional storage/treatment with no discharae.
❑ No, all wastewater treatment facilities will discharge more frequently(i.e., during smaller rain events)
Page 7 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
37) Are wastewater treatment facilities(including recycle systems) planned in the 100-year flood plain?
e No
❑ Yes
it 38) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105(c)(2)
for any new or expanding water pollution control facility discharges in North Carolina. You may
attach additional sheets. List the types of wastewater this mine site will discharge:
❑ Mine Dewatering
❑ Process Wastewater(such as washing or recycle system overflows, other mining activity wastewater)
a) What wastewaters were considered for this alternatives review? ❑ Dewatering ❑ Process WW
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one-mile radius? ..................................... ❑Yes ❑ No
(1) If Yes,will the wastewater treatment plant(WWTP) accept the wastewater? .... ❑ Yes ❑ No
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
c) Closed-loop Recycle System(meets design requirements of 15A NCAC 2T.1000):
i) Are you already proposing a closed-loop recycle system (CLRS)? ......................... ❑ Yes 4 No
(1) If Yes, for what type of wastewater at this mine site? ❑ Dewatering ❑ Process WW
(2) If No, is this option technologically feasible(possible)? Why or why not?*There will be no mine dewateing or
process wastewaler at this site.There will only be stormweter runoff to silt rence and diversions leading b sediment basins with no owlets during Initial site devel.
Temp sediment basins in proposed pit will be incorporated into pit and internal drainage will be maintained throughout mine excavation.
Sand will be screened at plant area without washing.
(3) If No, is it otherwise feasible to build a CLRS at this site? Why or why not?*
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?*
d) Surface or Subsurface Disposal System (e.g.,spray irrigation):
i) Is a surface or subsurface disposal technologically feasible(possible)? ..................... ❑ Yes d No
Why or Why not?*
ii) Is a surface or subsurface disposal system otherwise feasible to implement?*... ........ ❑ Yes No
Why orWhy not?*
Page 8 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?* The site Is currently an timbered forestry parcel with no measures to retain or treatment runoff.The sand mine activity will
utilize the erosion and sedimentation control measures noted above to capture and treat runoff during initial site development. However,once the mine pit begins,all
surface water will be captured and held within the mine pit with no discharge.Once mining is complete,the affected areas remaining around the pit will be graded and seeded
with permanent groundcover. The mine pit will remain as a lake for future use by the landowner.
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options for the wastewaters being considered?*
11 Yes ❑ No
f) If this review included all wastewater discharge types,would excluding some types(e.g.mine
dewatering)make any of the above non-discharge options feasible for some of the wastewaters?
❑ Yes M No
*Feasibility should take into account initial and recurring costs. You may be asked to provide
further information to support your answers to these questions after the initial review.
Other:
39) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
No ❑ Yes
b) Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste generated per month)of
hazardous waste?
9 No ❑ Yes
c) Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste generated per month)of
hazardous waste?
9 No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s)of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport/disposal vendor:
Vendor address:
40) Is your facility providing appropriate secondary containment for bulk storage of liquid materials? (See
permit text for secondary containment requirements.)
❑ No
9 Yes
41) Does your site have an active landfill within the mining permit boundary?
M No
❑ Yes If yes, specify type: ❑ LCID(Land Clearing and Inert Debris) ❑ Other:
Page 9 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
Final Checklist:
This application will be returned as incomplete unless all of the following items have been included and
initialed for. Please show that the following required information has been included by initialing in each
space below.
X Fee of$100 made payable to NCDEQ.
X Completed application and all supporting documents.
X Copy of the valid approved mining permit(MP)for the facility or indication of MP application status.
: Copy of a county map or other general location map that shows the mining site and nearest major roads.
X Copy of USGS topographic map showing the mining site and surrounding areas, or other map that clearly
shows site location in relation to nearby streams,wetlands, and other waters, etc.
X 2 copies of large-scale (minimum 24" x 36") site plan with topographical lines with
all outfalls, applicable buffers and wetlands clearly delineated, receiving waters, and
100-year flood plain line if applicable.
A copy of your US Army Corps-approved wetland delineation if you marked "yes"to question 27 above.
X A line drawing of the water flow through the facility or block flow diagram. A pictorial description of the
nature of any sources of water and any collection and treatment measures.
X If mine site is in one of the 20 Coastal Counties:
• Applicant has checked with the appropriate regional office to verify the need for a Coastal State
Stormwater permit. Indicate the Regional Office Contact:
• Applicant has included a detailed list of impervious surface areas and percentages, sub-drainage
areas, and total drainage area.
If the mine is dewatering and near wetlands, or may otherwise impact surface waters or groundwater,
include the following and contact your local regional office about a Pumping Operation and
Monitoring (POM)Plan. An approved POM plan may be required priorto NCG02 issuance.
_2 copies of detailed Full Size Plans (at least 24" x 36") delineating areas on the
plans and listing acreage (including: wetlands, ditches, well-placements, pits,
borrow areas, overburden storage, stormwater controls/BMPs, vehicle
maintenance areas, settling basins, product process (such as screening,
stockpiles, waste piles), total drainage area, impervious surface percentages (if
state SW programs apply), applicable buffers, and access and/or haul roads).
_Pump dewatering size and information on its specifications.
_Well information (design, depths, maintenance).
_Physical monitoring for the wetlands areas.
_Settling pond sizing information, if applicable.
_Level spreader design, if applicable.
_Details about dewatering method.
_Cone of influence calculations.
_Description of measures to prevent erosion and flooding.
_Description and information about 4011404 permits that have been obtained.
_Copy of US Army Corps of Engineers wetland delineations or approved wetland delineation (if
applicable).
_I have contacted my local regional office about a POM Plan.
Regional Office Contact: Date contacted:
-OR-
X I will not impact any nearby wetlands,surface waters, or groundwaters by dewatering.
Page 10 of 12
SWU-NCG02-NOI Last revised 9/1 012 0 1 5

NCG020000 N.O.I.
Certification: North Carolina General Statute 143-215.6 b(1) provides that:
Any person who knowingly makes any false statement,representation,or certification in any application,record,report,plan,or other
document fled or required to be maintained under this Article or a rule implementing this Article;or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article;or who falsifies,tampers with,or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management]Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars($10,000).
41) Signatory Requirements(per 40 CFR 122.22)
All applications,reports,or information submitted to the Director shall be signed and certified.
a.All notices of intent to be covered under this General Permit shall be signed as follows:
(1)For a corporation: by a responsible corporate officer. For the purpose of this permit,a responsible corporate officer means:(a)a president,
secretary,treasurer or vice president of the corporation in charge of a principal business function,or any other person who performs similar
policy or decision making functions for the corporation,or(b)the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million(in second quarter 1980 dollars),if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2)For a partnership or sole proprietorship: by a general partner or the proprietor,respectively;or
(3)For a municipality,state,federal,or other public agency: by either a principal executive officer or ranking elected official.
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s)and is enforceable in the same manner as an individual
permit.
agree to abide by the following as a part of coverage under this General Permit:
1. I agree to abide by the approved Mining Permit for this mining activity. (A copy of the valid mining
permit must be attached to this request.)
2. 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPDES permit specifically issued therefore.
3. 1 agree that bulk storage of petroleum products and other chemicals shall have adequate protection
so as to contain all spills on the site.
4. 1 agree that solid wastes will be disposed of in accordance with N.C. statutes and rules governing
solid waste disposal.
5. 1 agree that maintenance activities for vehicles and heavy equipment will be performed so as to not
result in contamination of the surface or ground waters.
I agree to abide by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General Permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Melton Valentine
III
Title: Owner - Havelock Drugstore, LLC.
2/23/2023
(Signature of Applicant) (Date Signed)
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to NCDEQ.
Page 11 of 12
SWU-NCG02-NOI Last revised 9/10/2015

NCG020000 N.O.I.
Mail the entire package to:
DEMLR-Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the NPDES
NCG02 General Permit. Upon review of the submittal, the Division may
determine that coverage under an individual permit is more appropriate. Also be
advised that renewed and continued coverage under NCG02 may be dependent
upon the permittee's compliance success and/or status of the receiving waters.
For questions,please contact the DEMLR/Land Quality Section Regional Office for your area.
DEMLR/Land Quality Section Regional Office Contact Information:
Asheville Office ...... [phone] win to `
Fayetteville Office ... [phone] a] ghl
Mooresville Office ... [phone] ti/✓✓
Raleigh Office........ [phone] " k rfo.p vl(to/
Washington Office ...[phone]
Wilmington Office ... [phone]
Winston-Salem ...... [phone] F ettovHle .
Central Office .........[phone]
.—MM ngton
Page 12 of 12
SWU-NCG02-NOI Last revised 9/10/2015

OENERALNOTES-
UM rOR R[CUWRORDY[[TMNCO[ewll KRttl ttCUY•hO1[YIO RterrtYtMi
`�\` \ a NrNTdMNtDROYK rp NrMegNO YReptYItOTD,DYDM RK4Wnbld
\ MRrrRCIRONhId KDKtt WRD DNMn•T{YtINOMO011AY RRQIYtD•YOUNr,. 6778CAR60NTON ROAD
1 \\ a♦rRer6RDY Few Yr.arlwmww0tof RwmWRDQt)KnKwell.aER s.aDIf.NDr phw niTD
NOIrYDR•Tm Rer/n 11TdKd wwDlrrrtvKRwaurwwrtD Mll atl-f1i7 DRRRr
lfl,ImIM• ®•aCiRm�r•TrION•ID•Nr NA ttD lYertdtma MaRGu.r. ynv ar
OvonTmtYa Avw.0,roOrrvlmm wewm
CgIV•E 1.{MI
teTwa
\\ M1X9 K9f"FL*CPLW3C gl0iI11DMN
I. TNp{N[ICYtIt000RAN,CRMYIRDCN MtSiIII IOIIYr rAIIRt
�`\> 1 \ 1n0YRxlt,rrKt pN,[rrR{rM{Dlr!1f14 S10a
w-n Kdnam.
-'� ` amRa.wullu
l•\ f \ / PROPOSED MNNO AREAS
wR,.rr, rtr•u PIT II zaAc
YOr1. w
//, r•A r PITt2 19.7 AC
MOrRIfIYICMIR pIMDRtrrM . DItOR[/. { /
RItiN
IT Q 462 AC
reRrwc.Rww send �/ PR tM "AC
wnn.warraha .�,,.• .
%NaRrNe.Rawln•md PIT IS 302AC
�wn.tt uaNRttdrt:t
trwRx•cesu Rd0/rn1 1• w.o.roNt
vvcm•rtrt eurrro DttDRtr.r wo TOTAL MINE EXCAVATION IOLOAC
KWi,OINDRRr 1• .
Will •.• TAftJNGSJSEaYENT PONDS 5.1 AC
NDvawxua RerO • •_. •._
\ tovro[TRnn uRY �_ _ .'. '•wTlK+oolrol• PROCESS0J0 AREAMIIUL ROA05 12.7 AC W
KDND[e1NIleRY •tRwTtYgl IOCNinNa tlC/• \
wo{alT•TrsRRr `n`wanEi.• N'ULr'�'J•_• wnaYlwTVw,wanon \\ IOitwaRrurYwincl 7.0 AC Z
KBre,OVdRr Mamwa to: w @c z
N"�iY' w•b+n'� TOTAL AFFECTED AREA 1322 AC G
tanwsts _ risNrlw ./
uT-Tp11r11 LA1mTLMl
`n`w�OCr•n nnorlruile laawtns»I. twowrr'�"rni ••• •'• '••• ••• UNDISTURBEDBUFFER 507AAC W W G Z
[iRw3.rlt'. /� Jw OIRINl1D OIRIKI rI• 7YIlRlOYTY{RO�IIAI
\ lAT IIt/11R1{• \\ NiCiNWN NTMSIUNi Ks • ••• •_•• \ O = O.
Dao' lorersnra ckm•u.e tmn4Lsrl, .{rRrTAt1,' Yt[[t•rRrltlrlrTq PERNiTAREA SlOAAC {f—'
•N"swim ur lllrttu •.uiIYYMn
rN.rVY 00.0. Y Nni..-epgwsnm _•••.toawnp,l •KpD YYN {.t1N{.M1MI
aw.iipp - lorownno hlfi H
�/ '. tW(tmKl•, igpRrKRf1= •rNYnlKef[. -.-. . . O O
•N]YYr.I N1 M rNnlAAlr ••.'•'. ,r NNn,101 Iw v H O
tAYYI1{Yr UN,MINn . . . IYhrIlMR1 v 4
•uT N11tetT1 uT Iln„1.1 I.T 16Yttf1 O�.
loNwtnrr. wnwnm. •• laawnaN •"• 0612
J •.•.'.• .Rwamluac NmtKTw •swam•N,r"•.'.•. fA
"•ttV[0[Tlml R"•• • • cralRwR• •t•T [Alnauln dTIKIM • rDRrwwlDuwtLnd Ay
avon.o.u...rt ao.[rrTUYR�' •• urNmuetl lonrmsril ur fii O W
•MDIIII•ItM uilD{mrslw' ldlYrsn N1,IInatM tO n•K rROrIm dlCt
[SSTflaw1 rya W iwf O _0 z
YtVtR11dNIC��• �. �� Rli4/1r141! �N 4TIInY,N a1D Kr.1•N,r
t{p O iNl'•�1 [SInw01 ��n • •• • • ae+OwYtwh•' �m '�.
• uT WeW uT:W%SM$
/ / - torewnsw caownsm
� iAifit '.•. . . . .•. ',wDlmKt tR W
- ISfIR`�`urtimR
ub" luoT+or'o'vTsiN.•: •. N
V9WAM t31d11eMn rtb1K*�RIJDIR7rr' "• Q
v\ /v KyD uT i{Mn •' • ..
: [SRNMlMI laawernn, \1 /ram"�L.:�-`•IAT.Mh6Pub ; -
• Y�L•�.• uw'arensw
•swamulit
t'' l ES I glinilN • f•I WIR
`�'' N/Wri ntN
l ' rxc '•:• •. .uT N1Nsw 'i• YT `
{ tO+DNnlIIR.
/ f
••.••- l[YD,iIlO11 lrW.nJM Nmw•Yr ••�
% \ r uT Nimj 71RtMK
✓/ � , x,Irwn wwe RaNmh
r \
Jj LEGEND
`\\ PERMIT 80LR-IDARY. �
METLAND
a `\� PROPOSED PIT t
o. nt
,oIworKr•RRNmr
rN.o ar
atD Rir,4JNr
tarn h000 rlwNm+ \� BUFFER
�'�• r+w rlmDnRY PUNT WE
i
�•� AFFECTED AREA
CREEK PREUMINARY
r,•' \ YmnauY
enrsun• NOT FOR CONSTRUCTION
ur Iasn
BERM e
\ s
Kim
l,O6MK0YY1[RT11 6ry, 01,v/1 Dr
etmnR gwoNr
1•yC0' NTf
GfR,r[ D,rPrs W
by
C2 a 21 N.rWr MT
400 0 206 400 [00 YrtllaMIRe 1 o—
\ >tl90/ ifD 7D27 E
\�. nofaartu fort:1•.see•

00-28 FILED ELECTRONICALLY
MARTIN COUNTY NC
0766 KINMERLY J GRIFFIN
REGISTER OF DEEDS
FILED Jun 16, 2021
AT 10:17:00 AM
HOOK 00-28
START PAGE 0766
END PAGE 0779
INSTRUMENT 8 01243
RECORDING $26.00
EXCISE TAX $2,700.00
LCE
FEB 2 8 2013
DEED DAliwl;'l:; '—- ,- -l-AM
WITH RESERVATION OF TIMBER, TREES AND PULPWOOD
Parcel: 0500677
Revenue Stamps: $2,700.00
❑ If checked, the property includes the primary residence of at least one of the
parties depicted as party of the first part. (N.C. Gen. Stat. § 105-317.2)
STATE OF NORTH CAROLINA
COUNTY OF MARTIN
THIS DEED, WITH RESERVATION OF TIMBER, TREES AND
PULPWOOD, made and entered into this the day of 2021 by
and between COASTAL FOREST RESOURCES COMPANY, a Virginia corporation,
f/k/a Coastal Lumber Company, f/k/a Coastal Lumber Company of Virginia, Inc.,
which was the successor by merger to Coastal Lumber Company, party of the first
part (the address of the party of the first part is: Post Office Box 1128, Havana FL
32333 ; and HAVELOCK DRUGSTORE, LLC, party of the second part (the address
of the party of the second part is: 1500 &Andaq Dfiye SA,- -x)Q
WITNESSETH :
That the party of the first part in consideration of the sum of Ten and
No/100 Dollars ($10.00) and other good and valuable considerations to said party
Prepared by C. H. Pope, Jr., Esq., Ward and Smith, P.A., 1001 College Court(28562),Post
Office Box 867,New Bem,NC 28563-0867
Please return to Transferred
Martin County Tax Collector Assessor
No Submitted electronically by "Lanier, King & Paysour, PLLC" Taxes Paid Through 2020 0500677
in compliance with North Carolina statutes governing recordable documents
titi,and the terms of the memorandum of understanding with
the office of the Register of Deeds of Martin county. NCGs 47-14(al)(5).

a 00-28
0767
paid by the party of the second part, the receipt and sufficiency of which hereby is
acknowledged, and as an exchange, but subject to the reservation by the party of
the first part of the timber, trees and pulpwood hereinafter described, has
bargained and sold and by these presents does bargain, sell and convey unto the
party of the second part, said party's successors,and assigns, subject to the matters
hereinafter set forth, the following described property, to wit:
All that certain tract or parcel of land lying and being
situate in Williamston Township, Martin County, State of
North Carolina, and being more particularly described on
Exhibit A attached hereto and incorporated herein by
reference (the "Property").
RESERVATION OF TIMBER, TREES AND
PULPWOOD. The party of the first part excepts from its
conveyance of the Property and reserves and retains all
timber, trees and pulpwood located upon Blocks A, B, C
and D of the Property as shown and delineated on Exhibit
B attached hereto and incorporated herein by reference
(hereinafter collectively called "Timber") and the right to
manage, harvest and remove same from the Property and
the right of access over the Blocks and the remaining
Property and the access roads appurtenant to the
Property to pass and repass with people, and machinery
as determined by the party of the first part in its sole
discretion, to perform harvesting operations of the
Timber. The period of the reservation is ten (10) years
from the date this Deed for the Property from the party of
the first party to the party of the second part which
includes the Timber reservation is recorded. In the event
the party of the first part has made a good faith effort to
harvest the Timber during the ten (10) year period, but
weather and river levels have prevented the party of the
2

00-28
0768
first part from completing the harvest, the party of the
first part shall have the option, to be exercised prior to the
expiration of the original ten (10) year period, to extend
the Timber harvesting period for an additional two (2)
year term upon the payment by the party of the first part
to the party of the second part of the sum of Ten
Thousand and No/100 Dollars ($10,000.00) for such
extension. The party of the second part agrees to execute
an extension agreement for such extended term promptly
upon demand by the party of the first part. The benefit of
this Timber reservation shall run to the party of the first
part and its successors and assigns. Additional provisions
of this Timber reservation are set forth on Exhibit C
attached hereto and incorporated herein by reference.
This conveyance is made subject to the matters set forth
on Exhibit D attached hereto and incorporated herein by
reference.
TO HAVE AND TO HOLD said property and all privileges and
appurtenances thereunto belonging to the party of the second part, said party's
successors and assigns forever, but subject to the reservation of timber, trees and
pulpwood herein set forth.
Except as hereinafter provided, and the party of the first part
covenants that said party is seized of said property in fee and has the right to
convey same in fee simple; that the same is free from encumbrances except any
encumbrances or restrictions mentioned above and that said party will warrant and
defend the title to the same against the lawful claims of all persons whomsoever. It
is provided, however, that these warranties do not extend to the S+/-Acre Tract
described by Exhibit E attached hereto and incorporated herein by reference.
3

00-28
0769
IN TESTIMONY WHEREOF, the party of the first part and the party
of the second part have caused this instrument to be executed in such form as to be
binding, this the day and year first above written.
[SIGNATURE PAGE FOLLOWS]
4

00-28
0770
COASTAL FOREST RESOURCES COMPANY
a Virginia corporation
By:
Tom Evans, Executive Vice President
STATE OF NORTH CAROLINA
COUNTY OF
I certify that the following person personally appeared before me this day,
acknowledging to me that he signed the foregoing document for the purpose(s)
stated therein, in the capacity indicated therein: Tom Evans.
Date: '-Q coo a A ,,
Signature of Notar Pub k
Qs i.AA14 7 s \.
Notary's printed or typed name
(Official My commission expires: ) ��
ff Seal)
IN M. 6f*
g. 00,
....-
• NOTAR
jjo
• p G 06
UBtI
COUN `0
���1f 11111�`
Notary seal or stamp must appear within this box.
5

00-28
0771
HAVELOCK DRUGSTORE, LLC (SEAL)
a North Carolina limited liability company
By: ,g g�Z-'i, ��� -
Melton E. Valentine, Jr., Mana r
STATE OF NORTH CAROLINA
COUNTY OF eitt-
I certify that the following person personally appeared before me this day,
acknowledging to me that he signed the foregoing document for the purpose(s)
stated therein, in the capacity indicated therein: Melton E. Valentine, Jr.
Date: [III-oil W- vow
Signature of Notary Public
�Ntg N. NAbvvv
Notary's printed or typed name
(Official Seal) My commission expires:
.- ANITA N MORENO
Notary Public,North Carolina
Pitt County
My Commission Expires
March 18,2026
Notary seal or stamp must appear within this box.
131180-00007
ND:4811-9906-5835,v. 1
6

00-28
0772
Exhibit A
Description
ALL that certain tract or parcel of land containing 643 acres, more or less,
located in Williamston Township, Martin County, North Carolina, bounded on
the north by the Old Conoho Road, on the east by the land now or formerly
owned by Lindsley, on the south by the land now or formerly owned by Lassiter,
and on the west by the land now or formerly owned by Willis Modlin, shown on
a plat of survey dated November 1966, last revised December 1967, entitled
"Plat of Land Belonging to R. L. & Martha H. Coburn", made by L. S. Manning,
R.L.S., recorded in the office of the Register of Deeds of Martin County, North
Carolina, in Map Book 7, Page 5, and more particularly described with
reference to said plat as follows:
BEGINNING at a concrete monument and iron pipe lying in the Old Conoho
Road on the southeasterly edge of Eagle Swamp; thence S. 9° W. 3620' along a
line of marked trees to a concrete monument; thence N. 31' 45' W. 165' to a
point; thence N. 22° 30' W. 229.1' to a point; thence N. 29° 45' W. 398.33' to a
point; thence N. 220 40' W. 156.5' to a point; thence N. 34° 30' W. 198.58' to a
point; thence N. 20° W. 137.58' to a point; thence N. 34' 55' W. 132.2' to a point;
thence N. 130 05' W. 65' to a point; thence N. 44° 45' W. 100' to a point; thence
N. 570 30' W. 59.25' to a point; thence N. 280 15' W. 73.58' to a point; thence N.
450 30' W. 245.5' to a point; thence N. 65" 30' W. 162.58' to a point; thence N. 680
40' W. 93' to a point; thence N. 56° 30' W. 75' to a point; thence N. 71° 15' W.
141.75' to a point; thence N. 590 45' W. 171' to a point; thence N. 61° 15' W.
127.25' to a point; thence S. 89° 15' W. 165' to a point; thence S. 850 W. 100' to a
point; thence S. 610 15' W. 152.58' to a point; thence S. 77' 45' W. 75.42' to a
point; thence S. 87' 20' W. 87.58' to a point; thence S. 67" 20' W. 76.5' to a point;
thence S. 87' 30' W. 100' to a point; thence S. 69° 15' W. 66.67' to a point; thence
S. 80° 15' W. 77' to a concrete monument and marked white oak; thence S. 5° W.
313.5' to a concrete monument; thence S. 750 11' W. 2686.1' to a concrete
monument; thence S. 21' 30' W. 1300' to a concrete monument and marked
cypress; thence N. 20 E. 87' to a point; thence N. 59° 30' W. 90' to a point; thence
N. 170 30' E. 187' to a point; thence N. 330 15' W. 144.1' to a point; thence N. 410
40' W. 147.67' to a point; thence N. 49° W. 191.67' to a point; thence N. 27" 30'
W. 143.75' to a point; thence N. 17' 15' W. 205.5' to a point; thence N. 23° 15' W.
136.58' to a point; thence N. 46° W. 159' to a point; thence N. 15° 30' W. 266.5' to
a point; thence N. 56° W. 320.58' to a concrete monument; thence N. 19° 45' W.
501' to a concrete monument; thence N. 350 W. 227' to a concrete monument;
thence N. 0° 45' W. 215' to a concrete monument; thence N. 17° 15' W. 265' to a
concrete monument; thence N. 0° 30' W. 308' to a concrete monument; thence N.
15' W. 369' to a concrete monument; thence N. 35° 45' W. 109.42' to a concrete
monument; thence N. 720 15' W. 192' to a concrete monument; thence N. 45' 36'
W. 440' to a concrete monument; thence N. 45° 36' W. 42' to a point in the

00-28
0773
center line of the road; thence N. 37' 30' E. 200' to a point; thence N. 40° 30' E.
396' to a point; thence N. 49" 15' E. 100' to a point; thence N. 59° 15' E. 100' to a
point; thence N. 66° 45' E. 200' to a_point; thence N. 73° 15' E. 100' to a point;
thence N. 88' E. 100' to a point; thence S. 89° E. 147.33' to a point; thence N.
74' E. 100' to a point; thence. N. 67' 30' E. 370.16' to a point; thence N. 42° 40'
E. 56.67' to a concrete monument; thence N. 79' 30' E. 181.67' to a point; thence N.
79' East 252' to a point; thence S. 85° 30' E. 117.83' to a point; thence S. 870 45'
E. 210' to a point; thence N. 85° E. 151.58' to a point; thence N. 87° 30' E. 347'
to a concrete monument; thence S. 79° 15' E. 30' to a point; thence S. 890 45' E.
205.25' to a point; thence N. 78° E. 118.83' to a concrete monument; thence N.
690 E. 177' to a point; thence N. 82' 15' E. 377.16' to a point; thence N. 77" 15'
E. 648.16' to a point; thence N. 61° E. 146.25' to a point; thence N. 750 E. 387'
to a point; thence N. 58' 45' E. 154.25' to a point; thence N. 49° 30' E. 537' to a
point; thence N. 57" E. 111' to a point; thence S. 88° E. 424.25' to a point;
thence S. 68° 15' E. 264' to a point; thence S. 610 45' E. 167.16' to a point;
thence S. 50' 45' E. 323' to a point; thence S. 42° 15' E. 131.75' to a point;
thence S. 47' 15' E. 431.5' to a point; thence S. 44° 15' E. 582.5' to a point;
thence S. 37° 45' E. 100' to a point; thence S. 42' E. 600' to a point; thence S.
370 30' E. 427.67' to the point and place of BEGINNING
8

00-28
0774
Exhibit B
Coburn Tract
Timber Blocks N
1 lrch M eg$ 1,32E reN
h
8
i
D
cc d.u.lad none
q'•wr.
Cr
ar%
9

00-28
0775
Exhibit C
Timber Reservation
Additional terms and conditions of the reservation of the Timber on Blocks A, B, C
and D of the Property as shown on Exhibit B. The party of the first part is
hereinafter called "Coastal" in this Exhibit and the party of the second part is
hereinafter called "Havelock" in this Exhibit.
a. No laps, tops or other debris is to be left by Coastal on access paths, or
across property lines. No non-vegetative logging debris is to be left
outside the harvesting areas, and no skidding/decking is allowed outside
the harvesting areas without written approval from Havelock. No fuel,
trash, oil, cans, garbage, or other human refuse, including harvesting
equipment, shall remain on the Property after harvesting operations are
complete.
b. All harvesting activities shall be performed in accordance with Best
Management Practices for the region in which the Property is located as
outlined in the most recent edition of the BMP manual published by the
North Carolina Forest Service. Coastal also agrees to abide by all N.C.
Water Quality laws, which include Stream Obstruction Statutes, the
Forest Practices Guidelines, and any applicable Riparian Buffer
Protection Rules. All other applicable local, state and federal ordinances,
statutes, and laws must also be adhered to and followed by Coastal.
c. Coastal agrees to notify Havelock a minimum of twenty-four (24) hours
prior to beginning harvesting operations on the Property and also twenty-
four (24) hours before moving off the site. Written notification is required
each time the harvesting operation is recommenced on the Property of
Havelock after having ceased on the Property. Notices provided for in this
Paragraph (d) shall be sent by text, email, or phone message.
d. Coastal shall defend, indemnify and hold harmless Havelock from any and
all liability and all loss arising from the operation, activities, omissions,
and commissions of Coastal (including, but not limited to, its agents,
contractors, subcontractors, employees and assigns) incidental or related
to the Timber harvesting and hauling operations or Coastal's harvesting
activities upon the Property. Coastal further agrees to maintain Worker's
Compensation Insurance and Public Liability insurance coverage thereof
for itself, its agents, contractors, subcontractors, assigns, and employees,
and to provide proof thereof to Havelock upon request of Havelock. Both
parties agree and understand that Coastal, the logger, and any and all
employees, contractors, subcontractors, assigns, etc. of Coastal's
harvesting contractor are independent contractors and are not employees
10

00-28
0776
of Coastal or Havelock. The public liability insurance policy shall be a
commercial general liability policy with combined single limit coverage of
at least One Million and No/100 Dollars ($1,000,000.00) showing Havelock
as an additional insured. Such policy shall insure against all liability
arising by reason of the injury or death of a person or persons and for
damage or destruction of property arising as a result of the Timber
harvesting and hauling operations, Coastal agrees to defend, indemnify
and hold harmless Havelock against all loss, cost, liability, claim, suit,
damage, fine or expense, including reasonable attorneys' fees, incurred as
a result of physical injury to persons or property damage which result
from the Timber harvesting and hauling operations of Coastal.
e. Coastal agrees to furnish Havelock with a written, recordable release of
Coastal's Timber rights on a particular Block at such time as Timber
harvesting operations on that Block are completed.
f. Coastal shall select the time and exact location on a Block as to the
Timber harvesting operation on that Block.
g. Coastal, in its sole discretion, will be responsible for the roads within the
Blocks and the roads leading to the Property and the Blocks during such
period of time as Coastal is actively engaged in using the road in question
for its ongoing Timber harvesting operations. Havelock shall make no
changes in the road layouts or construct improvements (including
pavement or construction) on the road without Coastal's written consent,
such consent not to be unreasonably withheld, delayed or conditioned.
Coastal shall not be responsible for repairing the road beyond the
condition of the road existing at the date the Deed is executed or beyond
that which historically has been applicable for logging access roads. If
Havelock engages in road improvements beyond what is customary and
historically applicable for logging roads, Havelock shall do so at its sole
cost and expense and shall be liable for all damages to such improvements
caused by Coastal's Timber harvesting operations.
h. Until the timber harvesting operation is complete, Coastal will continue to
trap beavers on the Property as part of its Timber management activity
on the reserved Blocks. To that end, Coastal and its agents will be free to
move across the entire Property (even portions on which the Timber is not
reserved and on portions which have been released from the Timber
reservation) to maintain control of beaver populations, including the
breaking of dams and lowering of waters. However, Coastal will not be
obligated by the provisions of this Paragraph for the management or
trapping of beavers on areas which Coastal deems are not influencing
Coastal's Timber management on the Blocks on which the Timber is
reserved.
11

00-28
0777
i. After the expiration of the period of removal, including the expiration of
the option period set forth above, all rights of Coastal hereunder shall
terminate, cease and have no further force or effect and all Timber
remaining upon the Property shall be the property of Havelock and
Coastal shall have no further interest in such Timber.
12

00-28
0778
Exhibit D
Exceptions
The Property is conveyed subject to the following:
1. Easements for public utilities visible or of record, if any.
2. Ad valorem taxes and special assessments not yet due and payable which
shall be prorated between the parties on a calendar year basis to the date of
closing. It is provided, however, that the party of the second part shall be
responsible for, and shall assume all deferred taxes encumbering the
Property.
3. Zoning ordinances.
4. Restrictions of record.
5. Any matters which a current survey and inspection of the Property would
show.
6. The reservation of timber, trees and pulpwood and access to same reserved
by the party of the first part in Exhibit C attached hereto and incorporated
herein by reference.
7. The rights of others in the access easements described herein.
8. The matters shown on the map recorded in Map Book 7, Page 5 in the office
of the Register of Deeds of Martin County.
13

00-28
0779
Exhibit E
0».rt�IwM1 N
. � � G Ouw.»wryagewm 7 6 � i
E 4r. Al.w 9wr O*M n.-u .;«fw..r+... Ou.»r«.. .. ✓...a. _ Vrw.ac .. ..r.m��.....n. p�..� �u.+��.
. W 9fantft Cowity Ok y 0'" not R lk
�falt7Wrfhwi/t h'i.
r. xvun» -
.» v:» Pr pe
..rY.. M
�i
A trte ror<foxnm ((1t d'
Y PRy
a
14