27-55 Application 20201216

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December 10,2020
North Carolina Department of Environmental Quality RECEIVE®
Division of Energy,Mineral and Land Resources RECEIVED
Land Quality Section DEC 16 2020
1612 Mail Service Center
Raleigh,NC 27699-1612 LAND QUALITY
To Whom This May Concern: MINING PROGRAM
SUBJECT: BALLANCE TRACT MINE - PERMIT APPLICATION
On behalf of Allied Properties, LLC., Bissell Professional Group is requesting review of an
Application for a Mining Permit for a new sand mine operation slated for development in Moyock
Township, Currituck County, North Carolina. The operation is referred to as the Ballance Tract
Mine based on historical ownership of the property and includes a total permit area of 99.9 acres.
The following documents are enclosed to support the Application: (6 copies of each)
• Mining Permit Application
• $5,000 Permit Processing Fee
• Adjoiner Notification Map
• USGS Quad Site Map
• NCDOT County Highway Site Map
• Mine Development Plans
• Dewatering Basin and Outlet Control Structure Calculations
In addition to this application, submissions are concurrently being made to the U.S.A.C.O.E.,
Chesapeake & Albemarle Railroad and Dominion Energy for approval of proposed haul road
crossings and NCDEQ-DEML-LQS for NCG020000 coverage for proposed dewatering activities.
Subsequent to obtaining this and the above referenced approvals, an application will then also be
made to Currituck County for approval of a county Use Permit.
We respectfully ask for your review of the above listed enclosures as they support the requested
mining permit application for the proposed Ballance Tract Mine. Should you have any questions or
need any additional information, please do not hesitate to contact me. We thank you for your time
and review of this request.
Best Regards,
Bissell Professional Gro
David M. Mebitz,P.E.
c.c.Allied Properties,LLC
P.O. Box 1068. 3512 N. Croatan Hwy. • Kitty Hawk, NC 27949
252-261-3266 • Fax:[phone] • E-mail:[e-mail]

NORTH CAROLINA
MINING PERMIT APPLICATION
State of North Carolina
Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
RECEIVED
DEC 16 2020
LAND QUALITY
MINING PROGRAM
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
[phone]
Revised:2017

NOTE:
It is recommended that you contact the appropriate
Regional Office (see Regional Office listing in the back of this
booklet) or the Raleigh Central Office for a
PRE-APPLICATION MEETING
to discuss your intentions and address any questions.

MINING PERMIT APPLICATION REVIEW
PROCESS FLOWCHART
BEGINNING OF PROCESS
Application received by
State Mining Specialist Applicant issues
Public Notice
Application assigned to
Assistant State Mining Specialist
Assistant State Mining Specialist/Program Secretary
routes application for review and comment
-U.S. Fish & Wildlife Service -Regional Office
-N. C. Geological Survey
-Wildlife Resources Commission
-Division of Water Resources
-Division of Archives & History -Division of Air Quality
- Division of Water Resources
-Division of Parks & Recreation
- Others as appropriate
.....................................
Review Public Comments;
All application review comments forwarded to Public Hearing Possible
Assistant State Mining Specialist ....................................
Is application complete?
If"NO",Assistant State Mining
Specialist drafts a letter requesting
If"YES",Assistant State Mining additional information from applicant
Specialist drafts the proposed
permit action Additional information from applicant
received and routed to/reviewed by
Assistant State Mining Specialist and
Regional Office Staff
(go to

Application & proposed permit action
reviewed by State Mining Specialist
Is application &
09 proposed permit action
complete/acceptable??
If"Yes",the following permit actions
are issued by the State Mining Specialist:
-Draft Permits If"No", application & proposed
- Permit Transfers/Name Changes permit action returned to Assistant
-Bond Substitutions/Cancellations State Mining Specialist for revision
- Permit Releases
- (go to
- High Airblast Remediation Plans
-Non-controversial New Permits
-- Small,Non-controversial Modifications
For other permit actions,if"Yes",
application & proposed permit action
END OF PROCESS forwarded to and reviewed by Mining
Specialist
Is application &
proposed permit action
complete/ acceptable??
If"NO", application & proposed permit
If"YES", application & proposed action returned to State Mining Specialist/
permit action forwarded to and Assistant State Mining Specialist for revision
reviewed by Division Director (go to
Is application &
proposed permit action
complete/acceptable??
If YES",the proposed permit action is
If"NO", application & proposed permit
issued by the Division Director action returned to Section Chief/State Mining
Specialist for revision
(go to
END OF PROCESS

APPLICATION FOR A MINING PERMIT
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
1. Name of Mine Ballance Tract Mine County Currituck
River Basin Pasquotank
Latitude(decimal degrees to four places) 36.4596
Longitude (decimal degrees to four places) -76.1198
2. Name of Applicant* Allied Properties LLC
3. Permanent address for receipt of official mail** 417 Caratoke Hwy., Unit D
Moyock NC 27958
Telephone [phone] Alternate No. [phone]
4. Mine Office Address Caratoke Highway Moyock NC 27958
Telephone [phone]
5. Mine Manager Countryscapes LLC c/o Daniel Clay Cartwright
6. E-mail Address: coungyscapesclayahotmail.com
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.
***Signatur Date
Print - ustin M. Old
Title Registered Agent
* 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.
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APPLICATION FOR A MINING PERMIT
NOTE: All of the following questions must be thoroughly answered regarding your mining operation for
the intended life of the mine. All responses must be clearly conveyed on a corresponding,detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
1. Answer all of the following that apply:
® If this is an application for a NEW permit,indicate the total acreage at the site to be covered by the
permit (this is the acreage that the "new permit" fee will be based upon): 99.87
Of this acreage,how much is owned and how much is leased? Acres owned: 99.87
Acres leased: 0 Property owner if leased:
❑ If this is an application for a MODIFICATION to a mining permit, indicate the mining permit
number and the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage:
Does the modification involve acreage within the previously approved permitted boundary?
Yes ❑ No ❑. If yes,indicate the acreage to be covered by this modification(this is the acreage
that the "major modification" fee will be based upon):
Does the modification involve acreage outside the previously approved permitted boundary?
Yes ❑ No F. If yes, indicate the additional acreage to be covered by this
modification: . (NOTE: you must complete all of Section F.of this application form
entitled Notification of Adjoining Landowners).
Of this acreage to be added to the permit,will any portion of this acreage be affected(i.e.:disturbed,
ground cover removed)by the mining operation? Yes ❑ No ❑ (If no, a"minor modification"
fee of$100.00 is required, despite the "undisturbed" acreage to be added). If yes, indicate the
acreage to be affected within the acreage to be added to the permit(the total acreage to be added to
the permit is the acreage that the "major modification" fee will be based upon):
❑ If this is an application for TRANSFER of a mining permit,indicate the mining permit number and
the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage:
SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO BE
PAID FOR THE REQUESTED PERMIT ACTION(S) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined: SAND
3. Mining method:
❑ Hydraulic Dredge ® Front-end Loader& Truck ❑ Shovel & Truck
Dragline & Truck Self-loading Scraper
Other(explain):
4. a. Expected maximum depth of mine (feet) 25'
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
Natural Ground Level (6.0' msl avg)
b. Expected average depth of mine (feet) 25'
5. Has any area(s) at this site been mined in the past? Yes ❑ No
If yes, when and by whom was this activity conducted?
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APPLICATION FOR A MINING PERMIT
6. Number of years for which the permit is requested (Life of the Mining Operation or Life of Lease from
Public Entity): 20
B. MAPS
1. Clearly mark and label the location of your mining operation on six(6)conies of a 7.5-minute quadrangle
and a county highway map. These maps,in addition to six(6)conies of all mine maps and reclamation
maps, must be submitted with each permit application.
7.5-minute quadrangles may be obtained from the N.C. Geological Survey:
Mailing Address: Physical Address:
1612 Mail Service Center OR 512 North Salisbury Street, 5 b Floor
Raleigh,North Carolina 27699-1612 Raleigh,North Carolina 27604
[phone]
http://Portal.ncdenr.org/web/Ir/geoloizical home
County highway maps may be obtained from the N.C. Department of Transportation:
North Carolina Department of Transportation -- Geographic Information Systems (GIS)
Mailing Address: Physical Address:
NCDOT GIS Unit NCDOT GIS Unit
1587 Mail Service Center 3401 Carl Sandburg Court
Raleigh,North Carolina 27699-1587 Raleigh,North Carolina 27610
[phone]
http://www.ncdot.org/it/gis
2. Mine maps must be accurate and appropriately scaled drawings, aerial photographs or enlarged
topographic maps of the entire mine site. All aspects of the mine site must be clearly labeled on the
maps along with their corresponding(approximate)acreage. Thus,all mine and reclamation maps
must denote those activities that are intended to be conducted during the life of the mining permit.
All maps must be of a scale sufficient(see minimum requirements listed below)to clearly illustrate the
following, at a minimum:
a. Property lines of the tract or tracts of land on which the proposed mining activity is to be located
including easements and rights-of-way.
b. Existing or proposed permit boundaries.
c. Initial and ultimate limits of clearing and grading.
d. Outline and width of all buffer zones (both undisturbed and unexcavated).
e. Outline and acreage of all pits/excavations.
f. Outline and acreage of all stockpile areas.
g. Outline and acreage of all temporary and/or permanent overburden disposal areas.
h. Location and acreage of all processing plants(processing plants 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. Location 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.
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APPLICATION FOR A MINING PERMIT
p. Names of owners of record,both public and private,of all tracts of land that are adjoining the mining
permit boundary which lie directly across and are contiguous to any highway,creek,stream,river,or
other watercourse, railroad track, or utility or other public right-of-way. If an adjoining tract is
owned or leased by the applicant or is owned by the lessor of the mine tract, names of owners of
record of tracts adjoining these tracts,that are within 1,000 feet of the mining permit boundary,must
be provided on the mine map(s). NOTE: "I lighway"means a road that has four lanes of travel or
less and is not designated as an Interstate Highway.
q. Map legend:
1. Name of applicant
2. Name of mine
3. North arrow
4. County
5. Scale
6. Symbols used and corresponding names
7. Date prepared and revised
8. Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP SCALE
0-49 Acres 1 inch = 50 feet
50-199 Acres 1 inch = 100 feet
200+Acres 1 inch =200 feet
(NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items)
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APPLICATION FOR A MINING PERMIT
A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment
ponds, stockpiles, wastepiles,processing area/haul roads,mine excavation and any other major aspect 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:
CATEGORY AFFECTED ACREAGE
Tailings/Sediment Ponds 5.16
Stockpiles 6.00
Wastepiles 0.00
Processing Area/Haul Roads 7.23
Mine Excavation 57.36
Other(Explain) 7.10
Total Disturbed Acreage 82.85
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 IN
THIS APPLICATION FORM (PLEASE NOTE THE ITALICIZED QUESTIONS/STATEMENTS
THROUGHOUT THE FORM). THIS APPLICATION WILL NOT BE CONSIDERED COMPLETE
WITHOUT ALL RELEVANT ITEMS BEING ADEQUATELY ADDRESSED ON THE MINE MAPS.
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APPLICATION FOR A MINING PERMIT
C. PROTECTION OF NATURAL RESOURCES
1. Describe in detail the sequence of events for the development and operation of the mine and reference the
sequence to the mine map(s). Attach additional sheets as needed.
1) Installation of all sedimentation&erosion control measures to include,construction entrance,silt fence
and settling basin.
2) Establish ingress/egress, haul roads.
3) Establish screening berms
4) Construct and stabilize recharge ditches.
5) Remove Overburden within proposed excavated area.
6) Begin mine excavation operation
7) Establish permanent/temporary vegetation within time frames noted on plan.
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.
1) Install construction entrance as indicated on mine plan.
2) Install settling basin as indicated on mine plan.
3) Install silt fence as indicated on mine plan.
4) Establish temporary/permanent seeding as directed in the Sedimentation and Erosion Control Notes
provided on the plan.
5) Inspect and repair all E&S measures as directed in the Sedimentation and Erosion Control Notes
provided on the plan.
3. a. Will the operation involve washing the material mined, recycling process water, or other waste water
handling? Yes ❑ No Z. If yes,briefly describe all such processes including any chemicals to be used.
b. Will the operation involve discharging fresh or waste water from the mine or plant as a point discharge to
the waters of the State? Yes ® No ❑. Ifyes, briefly describe the nature of the discharge and locate
all proposed discharge points (along with their method of stabilization) on your mine map(s).
Discharge will be for de-watering the excavation area and is located in the SW corner of the site.
Groundwater will be pumped into recharge ditching located around the perimeter of the excavation area
that connect to the head of a settling basin.An outfall structure located at the opposite end of the settling
basin will provide a top water discharge to the existing ditch located in that area.The inlets and outlet of
the settling basin will also be stabilized with rip-rap. The settling basin,outlet control structure and rip-
rap will aid in the removal of pollutants and suspended solids before off-site discharge.
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APPLICATION FOR A MINING PERMIT
c. Will any part of the proposed mine excavation(s) extend below the water table?Yes N No ❑.
If yes, do you intend to dewater the excavation(s)? Yes N No ❑.
If yes,what impact,if any,will mine dewatering have on neighboring wells? Estimated withdrawal rate
in gallons per day: 480,000 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 statements made,including
any monitoring well data,well construction data and current water withdrawal rates. Indicate whether
the proposed mine locale is served by a public water system or private wells.
The locale served by a public water system. There are no known water supply wells within 500' of the
proposed mine excavation area. This is based on there being no buildings located within 2,100' of the
excavation area.Well construction records obtained from the local health department indicate the nearest
known well to be approximately 2,880' from the excavation area.Dewatering will be performed under a
NPDES Stormwater General Permit NCG02000 noted in (d)below. Replenishment of the groundwater
and protection of an adjacent wetland area is achieved by the provision of a perimeter recharge ditch.
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.
An application for coverage under NPDES Stormwater General Permit NCG020000 is being submitted
simultaneously with this application. A copy of the Certificate of Coverage will be provided upon
receipt.
4. a. Will the operation involve crushing or any other air contaminant emissions? Yes ❑ No ®.
If yes, indicate evidence that you have applied for or obtained an air quality permit issued by the
Division of Air Quality or local governing body.
b. How will dust from stockpiles, haul roads, etc.,be controlled?
A water truck will maintain dust control along access roads & the mining area. A sweeping broom
tractor will maintain residual sand & dirt from access road entrance.
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APPLICATION FOR A MINING PERMIT
5. a. A buffer will be required between any mining activity and any mining permit boundary or right-of-
way. It may be an unexcavated buffer (no excavation, but roadways, berms and erosion &
sedimentation control measures may be installed within it), an undisturbed buffer(no disturbance
within the buffer whatsoever), or a combination of the two, depending upon the site conditions.
Note that all buffers must be located within the mining permit boundaries.
How wide a buffer will be maintained between any mining activity and any mining permit boundary
or right-of-way at this site? A minimum buffer of 25 feet is recommended,although a wider buffer
may be needed depending on site conditions. Show all buffer locations and widths on the mine
map(s).
Unexcavated Buffers Undisturbed Buffers
North Side: 120' (to Dominion Right-of-way) 0' (to NC168 Right-of-Way)
South Side: 120' 50'
East Side: 120' 50'
West Side: 120' 50' (except 0' at railroad&discharge)
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).
Except at proposed haul road crossing of existing ditch and railroad, a minimum 50' undisturbed
buffer has been provided between disturbance boundary and adjoining Willie Lead Ditch(waters of
the US) and wetlands as shown on the mine map.
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.
Within the mine itself,3:1 horizontal to vertical slopes will be provided from existing grade down to
a depth of about 2' below the normal groundwater level. 2:1 horizontal to vertical slopes will be
maintained at grades below. Screening berm side slopes shall not exceed 3:1 in all graded areas and
must be stabilized as prescribed.
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APPLICATION FOR A MINING PERMIT
b. Provide a cross-section on the mine map(s)for all fill slopes (berms, wastepiles, overburden
disposal areas, etc), clearly indicating the intended side slope gradient, installation of any benches
and/or slope drains (with supporting design information) if needed, and the method of final
stabilization.
See mine map detail sheet for cross sections.
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).
See mine map detail sheet for cross sections.
d. In hardrock excavations, specify proposed bench widths and heights in feet. Provide cross-sections
of the mine excavation clearly noting the angles of the cut slopes, widths of all safety benches and
mine benches, and the expected maximum depth of the excavation.
NIA
7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling
house, public road, public, commercial or industrial building from any mine excavation. Locate all such
structures on the mine map if they are within 300 feet of any proposed excavation.
6' high earthen berms with vegetation are provided along the haul road to screen neighboring
developed properties. All other adjacent lands are undeveloped forest or farm land.
The entrance road will be gated and No Trespassing signs will be placed around the site. See
attached mine map and detail sheet for cross section.
8. Describe what kind of barricade will be used to prevent inadvertent public access along any high wall area
and when it will be implemented. Vegetated earthen berms, appropriate fencing and adequate boulder
barriers may be acceptable high wall barricades. A construction detail/cross-section and location of each
type of barricade to be used must be indicated on the mine map(s).
6' high earthen berms with vegetation are provided along the haul road to screen neighboring
developed properties. All other adjacent lands are undeveloped forest or farm land.
The entrance road will be gated and No Trespassing signs will be placed around the site. See
attached mine map and detail sheet for cross section.
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APPLICATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes ❑ No ®.
If yes, how will acid water pollution from the excavation, stockpiles and waste areas be controlled?
10. a. Describe specific plans (including a schedule of implementation) for screening the operation from
public view such as maintaining or planting trees, bushes or other vegetation, building berms or
other measures. Show the location of all visual screening on the mine map(s) and provide cross-
sections through all proposed berms or proposed spacing, sizes and species for tree plantings.
6'high berms with vegetation are provided along the haul road that face existing developed 6'high
earthen berms with vegetation are provided along the haul road to screen neighboring developed
properties. All other adjacent lands are undeveloped forest or farm land.
The entrance road will be gated and No Trespassing signs will be placed around the site. See
attached mine map and detail sheet for cross section.
b. Could the operation have a significantly adverse effect on the purposes of a publicly owned park,
forest or recreation area? If so,how will such effects (i.e., noise, visibility, etc.)be mitigated?
No. The proposed mine is not surrounded by these forms of development.
11. Will explosives be used? Yes ❑ No Z.
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 ® No ❑.
Ifyes, describe these materials, how they will be stored and method of containment in case ofspill. Indicate
the location(s) of all storage facilities on the mine map(s).
An aboveground storage tank will be provided on-site for refueling of equipment.The tank shall be
standard state approved double wall type or placed within a state approved spill containment
structure. See plan for anticipated location.
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APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
1. Describe your intended plan for the final reclamation and subsequent use of all affected lands and indicate
the sequence and general methods to be used in reclaiming this land. This must include the method of
reclamation of settling ponds and/or sediment control basins and the method of restoration or establishment
of any permanent drainage channels to a condition minimizing erosion, siltation and other pollution. This
information must be illustrated on a reclamation map and must correspond directly with the information
provided on the mine map(s). In addition, design information, including typical cross-sections, of any
permanent channels to be constructed as part of the reclamation plan and the location(s) of all permanent
channels must be indicated on the reclamation map.
The bulk of the reclamation will commence upon the completion of the mining operation. When
possible, reclamation will be conducted simultaneously with mining operations.
Excavated areas that are not backfilled during the mining operation will be reclaimed as a future lake
for possible future development and/or recreational purposes. At the completion of the operation all
disturbed areas outside of the excavation area, such as overburden piles, stockpiles, sediments
basins, recharge ditches and basins will be graded level, seeded and stabilized. Entrance road and
perimeter haul roads may remain for future site access
2. Is an excavated or impounded body of water to be left as a part of the reclamation?Yes ® No ❑.
If yes, illustrate the location of the body(s) of water on the reclamation map and provide a scaled
cross-section(s) through the proposed body(s) of water. The minimum water depth must be at least 4 feet,
measured from the normal low water table elevation,unless information is provided to indicate that a more
shallow water body will be productive and beneficial at this site.
Will the body(s) of water be stocked with fish? Yes ❑ No Z.
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.
No rock excavation is anticipated.
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APPLICATION FOR A MINING PERMIT
4. Indicate the method(s) of reclamation of overburden, refuse, spoil banks or other such on-site mine
waste areas,including specifications for benching and sloping. Final cross-sections and locations for
such areas must be provided on the reclamation map.
Overburden and reclaimed mine fill areas will be leveled, seeded, and stabilized as needed.
5. a. Describe reclamation of processing facilities, stockpile areas, and on-site roadways.
Portions of the on-site roadways may be kept for lake access and/or utilized as subgrade for possible
future development. Stockpile areas will be leveled, seeded, and stabilized as needed.
b. Will any on-site roadways be left as part of the reclamation? Yes ® No ❑.
Ifyes, identify such roadways on the reclamation map and provide details on permanent road and ditch
line stabilization.
Portions of the on-site roadways may be kept for lake access and/or utilized as subgrade for possible
future development.
b. 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.
No bulk waste,hazardous waste,commercial waste,garbage,construction,or demolition waste shall be
placed on the site.
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APPLICATION FOR A MINING PERMIT
7. Describe )our plan for revegetation or other surface treatment of the affected areas. This plan must
include recommendations for year-round seedine, including the time of seeding and the amount and t)pe
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 ofthe North Carolina CooperatiNe Extension Service. specialists
and research faculty �N ith the Colleges of Agriculture and Life Sciences and Forest Resources at
North Carolina State University:
d. North Carolina licensed landscape architects:
e. Private consulting foresters referred by the NC Forest Service, Department of Agriculture and
Consumer Services:
f. N.C. Erosion and Sedimentation Control Planning and Design Manual:
g. N.C. Surface Mining Manual: A Guide for Permitting. Operation and Reclamation:
h. Others as may be approved by the Department.
LIME - RATE OF APPLICATION (tons/acre):
FERTILIZER-ANALYSIS AND RATE OF APPLICATION (pounds"acre):
SEED - TYPE(S) AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds acre): [NOTE: Include Legumes]
Seed Twes: Seeding Dates: Seeding Rates:
Permanent - Korean or Kobe Lespedeza Year Round 30#1ac.
German Millet April 1 August 15 10#/ac.
Bermudagrass April 1 August 15 10#/ac.
Centipedegrass April 1 August 15 5#/ac.
Temporary - Winter Rye (grain) August 15 - April I 120#'ac.
German Millet April 1 August 15 40#/ac.
MULCH-TYPE AND RATE OF APPLICATION (pounds/acre)AND METHOD OF ANCHORING:
OTHER VEGETATIVE COVERS -TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (poundsiacre. trees acre. spacing of trees/shrubs, etc):
Revegetation and/or-re forestation plan approved b):
Signature G �' Date_
Print Name (oo L ld d
Title Soil $ 5ferw, wv%+tr Mh r
Agency 816cmarlt S 0d G 0
-14-

APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond(based upon a range
of$500 to $5,000 per affected acre)for each permitted mine site based upon the acreage approved by the
Department to be affected during the life of the mining permit.Please insert the approximate acreage,for each
aspect of the mining operation, that you intend to affect duringthe life o this mining permit(in addition,please
insert the appropriate reclamation cost/acre for each category from the Schedule of Reclamation Costs
provided with this applicationform)OR you can defer to the Department to calculate your bond for you based
Upon your maps and standard reclamation costs:
AFFECTED RECLAMATION RECLAMATION
CATEGORY ACREAGE COST/ACRE* COST
Tailings/Sediment Ponds: 5.16 Ac. X $ 500 /Ac. _ $ 2,580
Stockpiles: 6.00 Ac. X $ 1800 /Ac. _ $ 10,800
Wastepiles: 0.00 Ac. X $ 2000 /Ac. _ $ 0
Processing Area/Haul Roads: 7.23 Ac. X $ 1800 /Ac. _ $ 13,014
Mine Excavation: 57.36 Ac. X $ 2000 /Ac. _ $ 114,720
Other: 7.10 Ac. X $ 1800 /Ac. _ $ 12,780
TOTAL AFFECTED AC.: 82.85 Ac.
(TOTAL PERMITTED AC.: 99.87 Ac.)
Temporary &Permanent Sedimentation & Erosion Control Measures:
Divide the TOTAL AFFECTED AC. above into the following two categories: a) affected acres that drain into
proposed/existing excavation and/or b)affected acres that will be graded for positive drainage where measures will
be needed to prevent offsite sedimentation and sedimentation to onsite watercourses and wetlands.
a) Internal Drainage Ac.
b) Positive Drainage 82.85 Ac. X $1,500.00 = $ 124,275
SUBTOTAL COST: $ 278,169
Inflation Factor:
0.02 X SUBTOTAL COST: $ 278,169 X Permit Life Provided by Applicant(Life of the Mining Operation
or Life of Lease from Public Entity (in Years)): 20
INFLATION COST: $ 111,267.6
Total Reclamation Bond Cost: $ 389,400
(round down to the nearest$100.00)
(NOTE: The reclamation bond cannot exceed $1 million per GS 74-54)
-14-

APPLICATION FOR A MINING PERMIT
F. NOTIFICATION OF ADJOINING LANDOWNERS
The"Notice" form,or a facsimile thereof,attached to this application must be sent certified or registered mail,
return receipt requested, to:
(1) the chief administrative officer of each county and municipality in which any part of the permitted
area is located as indicated on the mine map(s);
(2) all owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary;if an adjoining tract is owned or leased by the applicant or is owned by the lessor
of the mine tract, all owners of record of tracts adjoining these tracts must be notified (that are
within 1,000 feet of the mining permit boundary) as indicated on the mine map(s); and
(3) all owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary which lie directly across and are contiguous to any highway,creek,stream,river,
or other watercourse,railroad track,or utility or other public right-of-way.If an adjoining tract is
owned or leased by the applicant or is owned by the lessor of the mine tract,all owners of record of
tracts adjoining these tracts must be notified (that are within 1,000 feet of the mining permit
boundary)as indicated on the mine map(s). "Highway"means a road that has four lanes of travel
or less and is not designated as an Interstate Highway.
The only exception to the above method of giving notice is if another means of notice is approved in advance
by the Director, Division of Energy, Mineral, and Land Resources.
A copy of a tax map (or other alternative acceptable to the Department) must be mailed with the completed
"Notice" form (the proposed overall permit boundaries and the names and locations of all owners of
record of lands adjoining said boundaries must be clearly denoted on the tax map).
The"Affidavit of Notification" attached to this application must be completed,notarized and submitted to the
Department, with the remainder of the completed application form,before the application will be considered
complete.
NOTES:
THIS SECTION MUST BE COMPLETED FOR ALL APPLICATIONS FOR NEW MINING PERMITS
AND ALL MODIFICATIONS OF A MINING PERMIT TO ADD LAND TO THE PERMITTED AREA,AS
REQUIRED BY NCGS 74-50(bl).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
-15-

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971,Notice is hereby given that
Allied Properties LLC has applied on 12-10-2020
(Applicant Name) (Date)
to the Division of Energy, Mineral, and Land Resources, North Carolina Department of Environmental Quality,
1612 Mail Service Center, Raleigh,North Carolina 27699-1612, for (check one):
® a new surface mining permit,
❑ a modification of an existing surface mining permit to add land to the permitted area; or
❑ a modification of an existing surface mining permit to add land to the permitted area with no disturbance
in the area proposed. Please note that future modification(s) may be submitted by the applicant to
allow disturbance within this area without re-notification of adjoining landowners.
The applicant proposes to mine Sand on 99.87 acres located Approx. 5
(Mineral, Ore) (Number) (Miles)
South of Movock off/near road NC 168/Caratoke Hwy
(Direction) (Nearest Town) (Number/Name)
in Currituck County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bl), 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:
252-261-3266 . For information on the mining permit application review process, please
contact the Mining Program staff at [phone]. Please note that the D partment 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 Allied Properties LLC c/o Justin Old, Agent
(Addressee/Owner of Record's (Name of Applicant: Include Contact Person
Name and Address) & Company Name, if Applicable)
12-10-2020 417 Caratoke Hwy, Unit D Movock,NC 27958
(Date of Issuance of this Notice/ (Address of Applicant)
Mailed to Addressee/Owner of Record)
-16-

Ballance Tract Mine
Applicant
Name jAddress
Allied Properties, LLC 1417 Caratoke Hwy., Unit D Moyock, NC 27958
Property Owners
Name jAddress
Jackson & Lynn Greene, Sr. 2693 Lake Cohoon Rd.Suffolk,VA 23434
Burlin &Susan Rogers,Jr. 4613 Massena Dr.Williamsburg,VA 23188
William E. Creekmore
Keith &Charlene Darden 5302 Captains Wy. Nags Head, NC 27959
Clay&Teresa Martin 204 S. Fourth St. Murfreesboro, NC 27855
Victor& Hortencia Ballance 323 Maple Rd. Maple, NC 27956
Ronnie W. Ballance 159 S.Currituck Rd. Currituck, NC 27929
Olie A. Ballance 13299 Caratoke Hwy. Currituck, NC 27929

APPLICATION FOR A MINING PERMIT
AFFIDAVIT OF NOTIFICATION
I, David M. Klebitz , an applicant, or an agent, or employee of an applicant, for a new
Mining Permit, or a modification of an existing Mining Permit to add land to the permitted area, from the N.C.
Department of Environmental Quality, being first duly sworn, do hereby attest that the following are all known
owners of record, both public and private, of all tracts of land that are adjoining the mining permit boundary
(including,where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,
all owners of record of tracts adjoining these tracts,that are within 1,000 feet of the mining permit boundary) and
that notice of the pending application has been caused to be mailed,by certified or registered mail,return receipt
requested,to said owners of record at their addresses shown below, such notice being given on a form provided by
the Department:
(Adjoining Landowner Name) (Address)
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:
(Chief Administrative Officer Name) (Address)
[i.e.: City Manager, County Manager, Mayor, etc.]
Ben Stikeleather, County Manager of Currituck 153 Courthouse Rd., Suite 204,Currituck,NC 27929
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.
lZ 10- ZoZo
Signature of Applic or Agent Date
If person executin Affidavit ' an agent or employee of an applicant, provide the following information:
Name of applicant. AllIed Properties, LLC c/o Justin Old, Agent
Title of person executing Affidavit David M. Klebitz, P.E., Engineer for Application
a Notary Public of the County of `l)C V-f— ,
State of North Carolina, do hereby certify that yNC)l�Xz'
appeared before me this day and under oath acknowledged that the above Affidavit was made by him/her.
Witnes hand and al seal, this day of ZeLe-r,�c 2010
Notary: my Commission expires:
MARCIE R RESPASS
NOTARY PUBLIC -1 7-
Dare County
North Carolina
My Commission Expires 10/27/2024

BELL, ROBERT F.JR GREGORY,THOMAS G. FORBES,JOSEPH
PO BOX 144 10006 PURCELL RD. PO BOX 3
SHAWBORO, NC 27973 RICHMOND,VA 23228 SHAWBORO, NC 27973
FEREBEE,JAMES H.JR WILSON,VIVIAN WILSON,STEPHEN HEIRS
DIANE H. FEREBEE ET.Al. C/O MARC ARNOLD WILSON
PO BOX 110 PO BOX 391 7106 RIGGS ROAD CT
SHAWBORO, NC 27973 MOYOCK, NC 27958 HYATTSVILLE, MD 20783
PERRY, NICHOLAS A BALDWIN,ANDREW SAUNDERS,JOYCE BAILEY
1592 CARATOKE HWY BALDWIN, EMILY BAILEY, FLOYD EUGENE
MOYOCK, NC 27958 1594 CARATOKE HWY 1598 CARATOKE HWY
MOYOCK, NC 27958 MOYOCK,NC 27958
GREGORY,AMANDA HEIRS BILLUPS,JACKLYN W.
C/O ELEAZER,LEAH;Et.Al. SPELLMAN, M. BILLUPS,STANLEY M.
21
86 HILLCREST AVE. PO BOXX 38 728A OAK STUMP RD
SOUTHAMPTON, NY 11968 MOYOCK, NC 27958 ELIZABETH CITY, NC 27909
COPELAND,ANDREW SAMUEL CHAPEL HOLINESS CHURCH HAMMON,VICTORIA
176 BLUE HERON DR PO BOX 547 ARNEY,TOM E
HERTFORD, NC 27944 MOYOCK, NC 27958 1121 KATHLEEN LN
CHESAPEAKE,VA 23322
CAHOON,PAMELA H GREER,CONSTANCE GAY COWELL, ROBIN D
CAHOON,CHARLES E 6310 WOODCREST DR 1675 CARATOKE HWY
1667 CARATOKE HWY ELLICOTT CITY, MD 21043 MOYOCK, NC 27958
MOYOCK, NC 27958
CURRITUCK COUNTY
BEN STIKELEATHER, MANAGER
153 COURTHOUSE ROAD
CURRITUCK, NC 27929

Ballance Tract Mine
Applicant
Name jAddress
Allied Properties, LLC 1417 Caratoke Hwy., Unit D Moyock, NC 27958
Property Owners
Name Address
Jackson & Lynn Greene,Sr. 2693 Lake Cohoon Rd.Suffolk,VA 23434
Burlin &Susan Rogers,Jr. 4613 Massena Dr.Williamsburg,VA 23188
William E. Creekmore
Keith &Charlene Darden 5302 Captains Wy. Nags Head, NC 27959
Clay&Teresa Martin 204 S. Fourth St. Murfreesboro, NC 27855
Victor& Hortencia Ballance 323 Maple Rd. Maple, NC 27956
Ronnie W. Ballance 159 S. Currituck Rd. Currituck, NC 27929
Olie A. Ballance 13299 Caratoke Hwy. Currituck, NC 27929

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose 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: (SEE ATTACHMENTS) Signature:*
Print Name: Print Name: Justin M. Old
(Title, if applicable)
Company Title: Registered Agent
(If applica 1>)
Address: Company: Allied Properties, LLC
Mine Name: Balance Tract Mine
Telephone: ( ) Telephone: [phone]
Date Signed: _ Date Signed:
*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(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
—19—

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose 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:*
�ytiK 8• Gr�.�.�
Print Name•..1.9ck.9,a / A - 6'R6ryE Print Name:
(Title,if applicable)
Company Title:
(If applicable)
Address: 2 G f-? 11�kc 10a 4,u, k' Company:
'5�f%/k z-Y Mine Name:
Telephone: (7�7) Telephone: ( )
0 7;r / 7,71 /
Date Signed: /I//G/l-d Date Signed:
*Signature must be the same as the individual who signed Page 1 of this application.
One original and five(5)conies of the completed application,six(6)conies of all location maps,mine maps
and reclamation maps,and the appropriate processing fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
In uiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
-18-

APPLICATION FOR A MINING PERAUT
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:
�t/ Signature:*
Signature � .�� L Sia#ure:*
Print Name: R1/41�i U
Print Name:
(Title,if applicable)
Company Title:
(If applicable)
Address: Company:
Mine Name:
Telephone: ( ) Telephone: ( )
Date Signed: Date Signed:
*Signature must be the same as the individual who signed Page 1 of this application.
One original and five(5)conies of the completed application.six(6)copies of all location mans.mine mans
and reclamation maps.and the ARPropriateprocessinefee(see next page for fee schedule)in the forma check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
-18-

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose 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.
74-59.
LANDOWNER: APPLICANT:
Signature:j Signature:*
Print N Print Name:
(Title,if app oop
! /(/. 1116R0 eS4 PM W
Company doer-4Fze-+eecarFlle:
(If applicable
Address: � PI-company:
Mine Name:
Telephone: elephone: ( )
Date Signed: �l� 1 r Z�ZV Date Signed:
*Signature must be the same as the individual who signed Page 1 of this application.
One original and five(5)copies of the completed application,six(6) copies of all location mans.mine mans
and reclamation mans,and the appropriate processing fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
-18-

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose 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 giant 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
74-59.
LANDOWNER: APPLICANT:
Signature: ,J,U. Signature:*
Print Name:�/__U 1 1 PHM print Name:
(Title,if applicable)
Company Title:
(If applic e
Address: Company:
Mine Name:
Telephone: ( ) Telephone: ( )
Date Signed: Date Signed:
*Signature must be the same as the individual who signed Page I of this application.
One orieinal and five conies of the c0milleted auDlication.six colpies of all location majos,mine maps
andreclamation mays, and the auDro riate processingfee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
Inqquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
-18-

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose 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:*
5+jAf k4�
Print Name: Print Name:
(Title, if applicable)
Company Title:
(If applicable)
Address: -`3B a, d Vt-a- ,..a t-Ja4 Company:
Mine Name:
Telephone: Telephone: ( )
Date Signed: �l %"1 - �b Date Signed:
*Signature must be the same as the individual who signed Page 1 of this application.
One orizinal and five(5)copies of the completed application,six(6)conies of all location mans,mine mans
and reclamation maps,and the appropriate.processing fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
-18-

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose of making necessary field inspections or investigations as
may be reasonably required in the administration of the Mining Act of 1971 pursuant to G.S. 74-56.
We further grant to the Department or its appointed representatives the right to make whatever entries on the
land as may be reasonably necessary and to take whatever actions as may be reasonably necessary in order to cant'
out reclamation which the operator has failed to complete in the event a bond forfeiture is ordered pursuant to G.S.
74-59.
LANDOWNER: APPLICANT:
Signature: N dSignature:*
rrP,sQ� �►��►
Print Name: C/aV 1`M►rl;l) Print Name:
(Title,if applicabl
Company Title:
(If applicable)
Address: / y S. F� � J1 , Company:
A1tr4r4e---&-1f7,151E 27655
Mine Name:
Telephone: (,�52) 3q�. �3�7 Telephone: ( )
Date Signed: &/y-,z6.2V Date Signed:
*Signature must be the same as the individual who signed Page 1 of this application.
One on 'nal and five copies of the co leted application,six copies of all location maps,mine maps
and reclamation mans,and the appropriate processing fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
-18-

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose 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:�Zj� Signature:*
Print Name: Print Name:
(Title,if applicable)
Company Title:
(If applicable) /
Address: Company:
Mine Name:
Telephone: ( )oZ�O� ' �S� Telephone: ( )
Date Signed: `/ G ` /--d Z Date Signed:
*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 mans
and reclamation maps,and the appropriate processing fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
-18-

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose 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 piay 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:A
If KZjfXC70111dBf Signature:*
Print NamAlilje)e�Z
P/ J �, Print Name:
(Title, if a
Company Title:
(If apphca e
Address: 1�� S • �/1�r r Kl� Company:
h rr �� C"P Mine Name:
*r—
Telephone: ( ) Telephone: ( )
Date Signed: </ � ��G�v Date Signed:
*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(61 conies of all location mans,mine mans
and reclamation maps.and the appropriate processing fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
(9q9)707-9220.
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APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose 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��� At0c----J4-,Sipature:*
Print Name//'f— U7• ��}��9.��-` Print Name:
(Title, if applicable)
Company Title:
(If applicable)Address: �jJ� 7 v Company:
Mine Name:
Telephone: �U� r L 90 Telephone: ( )
Date Signed: ��^ �U Date Signed:
*Signature must be the same as the individual who signed Page 1 of this application.
One original and five(5)conies of the completed application,six(6)copies of all location mans,mine mans
and reclamation maps,and the appropriate processing fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Raleigh Central Office at the address listed on the front cover of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
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APPLICATION FOR A MINING PERMIT
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:
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. Acres for modification of permits means that area of land affected by the modification within the permitted mine
area,or any additional land that is to be disturbed and added to an existing permitted area,or both.
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APPLICATION FOR A MINING PERMIT
There are seven Division of Energy, Mineral, and Land Resources (DEMLR) Regional Offices. Use the map below to
locate the Regional Office serving your county.
Win n sale+ `
.4"L a- r `a! 4
yle r Is
Wil ngton
If
Asheville Regional Office
• Counties: Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey
• Address: 2090 U.S. Highway 70, Swannanoa,NC 28778
• Voice: 828.296.4500
• FAX: [phone]
Fayetteville Regional Office
• Counties: Anson, Bladen, Cumberland, Harnett, Hoke, Montgomery, Moore, Richmond, Robeson, Sampson,
Scotland
• Address: 225 Green Street, (Systel Building), Suite 714, Fayetteville,NC 28301-5094
• Voice: 910.433.3300
• FAX: [phone]
Mooresville Regional Office
• Counties: Alexander, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly,
Union
• Address: 610 East Center Ave., Suite 301, Mooresville,NC 28115
• Voice: 704.663.1699
• FAX: [phone]
Raleigh Regional Office
• Counties: Chatham, Durham, Edgecombe, Franklin, Granville, Halifax, Johnston, Lee,Nash,Northampton,
Orange, Person, Vance, Wake, Warren, Wilson
• Address: 1628 Mail Service Center, Raleigh,NC 27699-1628 or 3800 Barrett Drive, Raleigh,NC 27609
• Voice: 919.791.4200
• FAX: [phone]
Washington Regional Office
• Counties: Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates, Greene, Hertford, Hyde, Jones,
Lenoir, Martin, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Wayne
• Address: 943 Washington Square Mall, Washington,NC 27889
• Voice: 252.946.6481
• FAX: [phone]
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APPLICATION FOR A MINING PERMIT
LAND QUALITY REGIONAL OFFICES (continued)
Wilmington Regional Office
• Counties: Brunswick, Carteret, Columbus, Duplin,New Hanover, Onslow, Pender
• Address: 127 Cardinal Drive Extension, Wilmington,NC 28405
• Voice: 910.796.7215
• FAX: [phone]
Winston-Salem Regional Office
• Counties: Alamance, Alleghany, Ashe, Caswell, Davidson, Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes,Yadkin
• Address: 1450 Hanes Mill Road, Suite 300, Winston-Salem, NC 27103
• Voice: 336.776.9800
• FAX: [phone]
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APPLICATION FOR A MINING PERMIT
SCHEDULE OF RECLAMATION COSTS
Based upon range of$500- $5,000 per affected acre)
COMMODITY CODES: SG=Sand and/or Gravel,GS=Gemstone,Borrow=Borrow/fill dirt,CS=Crushed Stone,
DS =Dimension Stone, FS = Feldspar, MI =Mica, LI =Lithium, PF=Pyrophyllite, OL=Olivine,
KY=Kyanite/Sillimanite/Andalusite,PH=Phosphate,CL=Clay/Shale,PE=Peat,AU=Gold,TI=Titanium,and OT
= Other
Type T/S Ponds S.piles W.piles P.area/H.R. Mine Excay.
SG, GS, $500/ac.(L) $1800/ac. $2000/ac. $1800/ac. $500/ac.(L)
Borrow 1500(FI) $2000(PD)
CS, DS, 500(L) 1800 2000 2000 500(L)
FS, MI, 1500(FI) 2500(PD)
LI, PF, OL, KY
PH 1000(L) 2500 5000 5000 2000(L)
2500(FI) 5000(PD)
CL 1000(L) 2500 5000 5000 2000(L)
2500(FI) 3700(PD)
PE, AU, 1000(L) 2500 3000 3500 2000(L)
TI, OT 2500(FI) 5000(PD)
(L) =reclamation to a lake and revegetating sideslopes
(FI) =reclamation by filling in and revegetating
(PD) =reclamation by grading for positive drainage&revegetating
AS PER NCAC 15A 5B.0003, IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINED BY THE
BOND CALCULATION WORKSHEET,YOU MAY SUBMIT AN ESTIMATE OF RECLAMATION COSTS
FROM A THIRD PARTY CONTRACTOR. SAID ESTIMATE MUST BE PROVIDED WITHIN 30 DAYS TO
THE FOLLOWING ADDRESS: Mining Program,1612 Mail Service Center,Raleigh,North Carolina 27699-1612
ALL ESTIMATES MUST INCLUDE THE FOLLOWING,AS A MINIMUM:
• FINAL GRADING COSTS PER ACRE
• LIME AND FERTILIZER COSTS PER ACRE
• YEAR-ROUND SEEDING MIXTURE COSTS PER ACRE (FROM APPROVED REVEGETATION
PLAN IN 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.
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