Loading...
HomeMy WebLinkAbout20230206_Application Elliott Consulting 202 Elliott Road PO Box 112 Aydlett, North Carolina 27916 Adam Parr Phone: 252-339-9021 NC Department of Environment and Natural Resources Division of Energy, Mineral and Land Resources Land Quality Section 1612 Mail Service Center Raleigh, North Carolina 27699-1612 ------------ - -------- --- - - -- - - ---------- ReCEIVED Subject: Wildcat Road Mine-Permit Modification Application �P Dear Mr. Parr: LAND QUALITY SECTION On behalf of Mr. George C. Cowand, Jr., Elliott Consulting is requesting review of an Application to modify Mining Permit #21-03 slated for development in Middle Township, Chowan County, North Carolina. The operation is referred to as the Wildcat Road Mine based on family ownership of the property and includes a total new permit area of 11.44 acres. This modification entails both addition of new excavation acreage outside of the existing mining permit area, and partial release of reclaimed existing mining permit area. Details are as follows: Current Permit Release Remainder Add to Permit Modified Permit Sediment Pond 3.05 ac 3.05 ac Stockpile, Berms 0.11 ac 0.11 ac 0.74 ac 0.85 ac Roads Proc. 4.33 ac 3-75 ac 0.58 ac 0.30 ac 0.88 ac Excavation 19.59 ac 16.41 ac 3.18 ac 5.21 ac 8.39 ac Unexcavated Buff 1.49 ac 1.00 ac 0.49 ac 0.83 ac 1.32 ac Total 28.57 ac 24.21 ac 4.36 ac 7.08 ac 11.44 ac The following documents are enclosed to support the Application (4 copies of each): • Mining Permit Modification Application R CE�VED • $750 permit Processing Fee FEB p g p023 • Mine Map and Reclamation Map • Adjoinder Notification Map M 1AING PROGRAM • USGS Quad Site Map RO • County Highway Site Map • GPS Coordinate Site Map • Copy of application previously submitted for partial release of reclaimed acreage from current permit. • Copy of application previously submitted for recission of NCG020807 NPDES coverage. We respectfully ask for your review of the above-listed enclosures as they support the requested mining permit application for the proposed modified Wildcat Road Mine permit. Should you have any questions or - - - -- - - --------------... _- ---- ------ - - -------- - - - Elliott Consulting need any additional information, please do not hesitate to contact me. We thank you for your time and review of this request. Regards, �4u-:'-- i-- Ken Elliott Elliott Consulting 2/3/2023 P";c: :_ trGEORGE C COWAND,JR. 11/16 66-704/2531 1965 221 OLD MERRY HILL RD. MERRY HILL,NC^^27957 p,tte PAY TO �G d� C LAC -_ $ rrirLLo2uneor �\�-..,_\ I o ' State Em to ees' Credit Unions Windsor.North Carolina 173 r _ ------- NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NG27699.1612 Division of Energy,Mineral,and Land Resources (919)707.9220 NOTE:it Is recommended that you contact the appropriate Regional Office or the Raleigh Central Office for a PRE- APPLICATION MEETING to discuss your intentions and address any questions. 1. Name of Mine Wildcat Road Mine County Chowan River Basin Chowan Latitude(decimal degrees to four RECEIVED places) 36.096434 N Longitude(decimal degrees to four JAW 0 6 2023 places) -76.660592 W 2. Name of Applicant George C. Cowand, Jr. LANDQUALITVSE TION Applicant Contact George C. Cowand, Jr. Consultant Contact Ken Elliott Applicant Email d.cowand@mchsi.com Consultant Email ken@kenobx.com Telephone 252-482-4379 Telephone 252-339-9021 Cell Phone 252-333-6567 Cell Phone 252-339-9021 Permanent Address for Receipt of 3' Official Mail" 221 Old Merry Hill Rd., Merry Hill, NC 27957 4. Mine Office Address 414 Wildcat Rd., Edenton, NC 27932 5. Mine Manager George C. Cowand, Jr. Mine Manager Email d.cowand@mchsi.com Telephone 252-482-4379 Cell Phone 252-333-6567 1 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 misrepresenta ' n of facts will be cause for permit revocation. Signature' a Date 01/11/2023 Pdnt Name Geor C. Cowand, Jr Title Owner/Operator 'This will be the name that the mining permit vdll be issued to and the name that must be indicated on the reclamation bond fsecudN)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. "Siunalure of comoanv officer reouired. G.S.74-51 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a complete application or,if a public hearing is held,within 30 days following the hearing and the filing of any supplemental information required by the Department.All questions must be addressed,and all required maps provided before this application can be considered complete.Attach additional sheets as needed. Revised September 21, 2021 P a g e l l NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 NOTE:All the following questions must be thoroughly answered regarding your mining operation for the Intended life of the mine.All responses must be clearly conveyed on a corresponding,detailed mine map. A.GENERAL CHARACTERISTICS OF THE MINE 1. Answer all the following that apply: This is an application for a NEW permit. Indicate the total acreage at the site to be covered by the permit (This is the acreage the new permit fee will be based upon.) Of this acreage,how much is owned and how much is leased? Acres owned: Acres leased: Property owner if leased: FX-] This is an application for a MODIFICATION to a mining permit. Mining Permit Number. 21-03 Total permitted acreage: 28.57 Does the modification involve acreage within the previously approved permitted boundary? 1^1YES F]NO If yes,indicate the acreage to be covered by this modification 4.36 Does the modification involve acre[ a outside the previously approved permitted boundary? RIYES NO If yes,indicate the additional acreage to be covered by this modification 7.08 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 rem9YES by the mining operation? RNO If yes,indicate the acreage to be affected within the acreage to be added to the permit 7.08 The modification fee is based upon the proposed new affected acreage within the previously approved permitted boundary plus the proposed total acreage to be added outside the previously approved permitted boundary. This is an application for TRANSFER of a mining permit. Mining Permit Number: Total permitted acreage: Revised September 21,2021 Page 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 (919)707-9220 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: Sand & gravel 3. Mining Method: Hydraulic Dredge Q Front-end Loader&Truck 1/\1 l&Truck Dragline&Truck 0 Self loading Scraper ©Excavator&Truck ❑Other(please explain): 4. Expected maximum depth of mine(feet)30 Depth is relative to what benchmark?(e.g.,natural ground level,mean seal level,road elevation,etc.) Natural ground level Expected average depth of mine(feet) 25 ft 5. Has an area at this site been mined in the past? YES X NOF� If yes,when and by whom was this activity conducted?George C. Cowand & Jr., since 1960's 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 13 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 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.,5r^Floor Raleigh,NC 27699.1612 Raleigh,NC 27604 Hfi)://Portal.ncdenr.omlwebAu/ eological home (919)733-2423 County highway maps may be obtained from the N.C.Department of Transportation: Mailing Address Physical Address NCDOT GIS Unit NCDOT GIS Unit 1587 Mail Service Center 3401 Carl Sandburg Court Raleigh,NC 27699-1587 Raleigh,NC 27610 http://www.ncdot.mfiUgis (919)212-6000 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 areasthaul roads,mine excavations and any other major aspect of the mining operation that is proposed to be affected/disturbed during the life of the mining permit.A table/chart similar to the following will be acceptable: AFFECTED ACREAGE TABLE: For new permits,complete only the total affected acreage column. For modifications,complete all columns. CATEGORY CURRENT AFFECTED PROPOSED CHANGE TO TOTAL AFFECTED ACREAGE AFFECTED ACREAGE ACREAGE TailingstSediment Ponds 3.05 0.00 3.05 Stockpiles 0.11 0.74 0.85 Waste piles Processing Areas/Haul Roads 4.33 0.30 4.63 Mine Excavations 19.59 5.21 24.80 Other(Please explain) Unexcave ted Buffer 1.49 0.83 2.32 Total Affected Acreage 28.57 7.08 35.65 Total Permitted Acreage 28.57 7.08 35.65 *Numbers shown are calculated before proposed release of 24.21 acres. See addendum-1 for details. Revised September 21, 202' �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 (919)707-9220 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 Page 5 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 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. See Addendum#1, attached. 2. Describe specific erosion control measures to be installed prior to land disturbing activities and during mining to prevent offske 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 secUonslconstrucUon details of each measure.Engineering designs and calculations are required to justify the adequacy of any proposed measures. a. Operator will maintain existing mine access roads and will construct gravel construction entrance at intersection of access road and SR 1208 Wildcat Road. b. Operator will construct 2-ft tall x 8-ft wide (2:1) vegetated berms for erosion control along the permit area perimeter of the affected areas. c. Operator will maintain existing foliage visual screen along perimeter of the affected area. 3. A)will the operation involve wash in the material mined,recycling process water,or other wastewater handling? DYES NO If yes,briefly describe all such processes including any chemicals to be used. Not applicable. B)will the operation involve discharging fresh or wastewater from the mine or plant as a point discharge to the waters of the State? YES ZNO 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). Not applicable, no wastewater discharge. Operator is rescinding current NPDES discharge permit. Revised September 21, 2021 Page 16 Addendum-1 Page 6-Mine Permit Application for Modification—Wildcat Road Mine C. Protection of Natural Resources 1.Sequence of Events for Development and Operation: a. Operator will obtain all required mining permits from NCDEQ. b. Of the currently permitted 28.57 acres,the operator proposes to release 24.21 acres from permit(16.41-ac excavation,3.75-ac roads&processing,3.05-ac sediment pond,1.00-ac unexcavated buffers). c. Permit release will leave 4.36 acres remaining of the old permit(3.18-ac excavation,0.11- ac stockpiles,0.58-ac roads&processing,0.49-ac unexcavated buffers). d. Operator proposes to add 7.08 acres of new permitted area (5.21-ac excavation,0.74-ac stockpiles,0.30-ac roads&processing,0.83-ac unexcavated buffers). e. Total new proposed permit area is 11.44 acres. f. There will be no dewatering of the new proposed permit area. g. Operator will construct one gravel construction entrance at intersection of mine access road and SR 1208 Wildcat Road. h. Operator will remove topsoil down to 2.5 feet below natural ground level,and stockpile overburden for use in erosion control berms. i. Operator will construct 2-ft tall x 8-ft wide(2:1)vegetated berm for erosion control along the perimeter of the affected areas. j. Operator will maintain existing foliage and cultivated field visual screen along perimeter of the affected area. k. Operator will continue and complete excavation of east pond(3.18 acres)by digging with excavator and removing sand &topsoil to maximum depth feasible without dewatering the excavation. I. Operator will begin excavation of the new west pond (5.21 acres) by digging with excavator and removing sand &topsoil to maximum depth feasible without dewatering the excavation. m. 3:1 cut slopes will be constructed around excavation edge down to normal groundwater level. During below-water excavation, 2:1 cut slopes will be constructed below normal groundwater level around excavation edge. n. Pond will be excavated to average 25 feet and maximum 30 feet below natural ground level without dewatering. Excavated material (sand) will be stockpiled in unexcavated portion of proposed excavation area or adjacent processing areas. Sand will be loaded onto trucks and removed from area via construction entrance to SR 1208 Wildcat Road. o. When final excavation of pond is complete,water depth will be 20-25 feet below natural ground level. Groundwater will refill the excavation to normal seasonal high groundwater level. p. After all excavation is complete,operator will establish groundcover on 3:1 above-water slopes of excavation and will construct 8-ft wide 4:1 berm around excavation edge to prevent erosion of pond slopes, with outside edge of berm graded down to natural ground level. q. Former stockpile/berm areas and processing areas outside of main excavations will be graded, leveled, and seeded with groundcover. Areas will be allowed to return to previous non-erosive field state. r. Internal roadways and haul roads will be graded,leveled,seeded with ground cover,and allowed to return to natural field state. A field path will remain around the perimeter of the excavated pond. s. Operator will grade and level access road to Wildcat Road back to original non-erosive state. t. Remaining affected areas inside main permit area will be fertilized and returned to natural field state. u. Remaining pond will be utilized by landowner for scenic&recreational purposes,and for wildlife habitat. NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 C)Will any part of the proposed mine excavation(s)extend below the water table? AYES FINO If yes,do you intend to dewater the excavation(s)? FTES M NO Estimated withdrawal rate in gallons per day: 0.00. If yes,what impact,if any,will mine dewatering have on neighboring wells?Locate all existing wells on the mine maps)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. Not applicable, no dewatering. 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. NPDES discharge permit NCG020807 for Wildcat Road Mine in process of being rescinded. Mining permit modification will not utilize dewatering. 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. Not applicable. B)How will dust from stockpiles,haul roads,etc.,be controlled? Spraying or spreading water from water supply trucks or excavator on dirt haul roads and process areas will control dust. Stockpiles will also be sprayed with water weekly if necessary, to control dust. Revised September 21, 2021 P a g e 17 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 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). Permit area will have 25-ft or 30-ft wide unexcavated buffers between excavation areas and 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). No undisturbed buffers in permit area, no wetlands or natural watercourses in permit boundaries. 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. Exposed excavation slopes will be constructed at a 3:1 gradient during mining. All sediment&erosion control berms will be constructed with minimum 2:1 slope grades, cross-sections attached to mine & reclamation map. Fill slope will be established at excavation edge during reclamation of mine. Slope will have 4:1 grade. 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. 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 (919)707-9220 C)In excavations)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). Cut slope from natural ground level to water level will have 3:1 grade and cut slope from water level to bottom of excavated area will have 2:1 grade. 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. Not applicable, no hard-rock excavation. 7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling,house, public road,or public,commercial or industrial building from any mine excavation.Locate all such structures on the mine map if they are within 300 feet of any proposed excavation. No dwellings or buildings within 300 feet of excavation, closest dwelling is 800 feet from excavation, closest public road is 700 feet from excavation. Access road to SR 1208 Wildcat Road goes through farm area owned by mine operator, and will have rock& gravel construction entrance maintained by operator. 8. Describe what kind of barricade will be used to prevent inadvertent public access along any high wall area and when it will be implemented.Vegetated earthen berms,appropriate fencing and adequate boulder barriers may be acceptable high wall barricades.A construction detaillcross section and location of each type of barricade to be used must be indicated on the mine map(s). No high wall areas in permit area. Access to excavation area will be by private gated access road through landowner's private property. "No Trespassing" signs will be installed around affected area boundaries. 9. Are ff roducing minerals or soils present? YES ©NO If yes,how will acid water pollution from the excavation,stockpiles,and waste areas be controlled? Not applicable. Revised September 21,2021 Page 19 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 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. Proposed mine activity area is 700 feet from closest public highway, SR 1208 Wildcat Road, separated by natural foliage and cultivated fields. Mine will have foliated berm around active area. No additional screening planned. 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? Bennett's Millpond is closest public owned recreation facility, located 2.84 miles north, no impact expected. 11. Will tnslves 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 thins-party blasting study).Locate the nearest offsife occupied structure(s)to the proposed excavation(s)on the mine map and indicate its approximate distance to the proposed excavation. Not applicable. 12. Will fuel tanks,solvents,or other chemical reagents be stored on-site? ©YES RNO If yes,describe these materials,how they will be stored and method of containment in case of spill.Indicate the locagon(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. Revised September 21, 2021 Page 110 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 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, sediment 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 part of the reclamation? N YES HNO if yes,illustrate the location of the body(s)of water on the reclamation map and provide a scaled cross-sections) through the proposed body(s)of water.The minimum water depth must be at least 4 feet,measured from the normal low water table elevation,unless information is provided to indicate that a shallower water body will be productive and beneficial at this site. Will the body(s)of water be stocked with fish? RX YES RNO If yes,specify species. Bass, bream&crappie. 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. Revised September 21, 2021 P age 11 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 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 forsuch 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 graded, leveled, seeded, and stabilized as needed. 8)Will any on-site roadways be left as part of the reclamation? DYES 1^1 !f yes,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. 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 goveming body.If a disposal permit has been issued by DWM for the site,a copy of said permit must be attached to this application.A#temporary and permanent refuse disposal areas must be dearly delineated on the mine maps)and reclamation map,along with a list of items to be disposed in said areas. No off-site generated bulk waste, hazardous waste, commercial waste, garbage, construction, or demolition waste shall be placed on the site. Waste materials generated onsite will be removed during reclamation and disposed of at Tyrrell County waste disposal site in Hobbsville NC. Revised September 21, 2021 P age 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 (919)707-9220 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): 2000 Ibs/acre or follow recommendations of soil test Fertilizer Analysis and Rate of Application(lbslacre): 1000 lbs/acre 8-8-8 or 10-10-10 or follow recommendations of soil test Seed type(s)and rate(s)of application Included year-round seeding schedule(lbs/acre): NOTE:Include legumes SEED TYPES SEEDING DATES SEEDING RATES Kobe Lespedeza February 15-April 1 10 Bahiagrass 50 Redtop 1 Winter Rye(grain) 15 Common Bermuda April 1-July 31 50 Lespedeza(unscarified) August 1-October 30 German Millet 40 Rye(grain-temporary) October 25-February 15 120 Mulch Type,Rate of Application(lbslacre),and Method of Anchoring: All seeded areas will be mulched using small grain straw at a rate of 2000 lbs./acre and anchored appropriately Other Vegetative Cover(s)Type(s)and Rate(s)of Application Including Seeding Schedule(lbslacre,trees/ acre,spacing of trees/shrubs,etc.): None. Plan written from recommendations taken from NC Surface Mining Manual: A Guide for Permitting, Operation, and Reclamation. Revegetation and/or reforestation plan approved by: Signature Kenneth l l i nft` �. Date 02/03/2023 Print Name FWd PDF Editor V&*m 12.0.1 Title Consultant,Authorized Agent for George C.Cowand,Jr. Agency Elliott Consulting Revised September 21, 2021 Page 13 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 E.DETERMINATION OF AFFECTED ACREAGE AND BOND The following bond calculation worl<sheet 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 srfe based upon the acreage approved by the Department to be affected during the life of the mining permit Please insert the woroximate acreage,for each aspect of the mining gperation.that Lou intend to affect dudag the life of this mining pw#fin addit/on.please insert the appropriate reclamation cost/acre for each category from the Schedule of Reclamation Casts provided with this application form)OR you can defer to the Department to calculate your bond for you based upon your maps and standard reclamation costs.- CATEGORY AFFECTED RECLAMATION RECLAMATION ACREAGE COSTIACRE COST Tailings/Sediment Ponds Ac. X $ /Ac. = $ 0.00 Stockpiles 0.85 Ac. X $ 19800 IAc. = $1,530.00 Waste Piles Ac. X $ IAc. = $ 0.00 Processing Area/Haul Roads 0.88 Ac. X $ 1,800 IAc. = $ 1,584.00 Mine Excavation 8.39 Ac. X $ 500 IAc. = $4,195.00 Other Unexcav Buffer 1.32 Ac. X $ 1,800 IAc. = $2,376.00 TOTAL AFFECTED AC.: 11.44 Ac. TOTAL PERMITTED AC.: 11.44 Ac. Temporary S Permanent Sedimentation S 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 11.44 Ac. b) Positive Drainage Ac. X $1,500.00 = $ 0.00 SUBTOTAL COST:$9,685.00 Inflation Factor SUBTOTAL COST LIFE OF MINING OPERATION OR LIFE INFLATION COST OF LEASE(YEARS) 0.02 X $99685.00 X 10 = $1,937.00 Total Reclamation Bond Cost: ETOTALECLAMATION BOND COST= SUBTOTAL+INFLATION = $I 1,600.00 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 (919)707-9220 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) 500(L) PF,OL,KY 1840 2000 2000 1500(FI) 2500(PD) 1000(L) 2504 5400 5040 2000(L) PH 2500(FI) 5040(PD) CL 1000(L) 2500 5004 5000 2000(L) 2540(Fl) 3700(PD) 1400(L) 2000(L) PE,AU,TI,OT 2500(FI} 2540 3000 3500 5004(PD) (L)=Reclamation to a lake and revegetating side slopes (FI)=Reclamation by filling in and revegetating (PD)=Reclamation by grading for positive drainage&revegetating AS PER NCAC 15A 5B.0003,IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINED BY THE BOND CALCULATION WORKSHEET,YOU MAY SUBMIT AN ESTIMATE OF RECLAMATION COSTS FROM A THIRD-PARTY CONTRACTOR. SAID ESTIMATE MUST BE PROVIDED WITHIN 30 DAYS TO THE FOLLOWING ADDRESS: Mining Program,1612 Mail Service Center,Raleigh,North Carolina 27699.1612 ALL ESTIMATES MUST INCLUDE THE FOLLOWING,AS A MINIMUM: •FINAL GRADING COSTS PER ACRE •LIME AND FERTILIZER COSTS PER ACRE •YEAR-ROUND SEEDING MIXTURE COSTS PER ACRE(FROM APPROVED REVEGETATION PLAN IN APPLICATIONIPERMIT DOCUMENT) •MULCH AND ANCHORING COSTS PER ACRE •ANY OTHER RECLAMATION COSTS NECESSARY TO COMPLY WITH THE APPROVED RECLAMATION PLAN FOR THE SITE IN QUESTION YOU WILL BE NOTIFIED AS SOON AS POSSIBLE OF THE DIRECTOR'S FINAL BOND DETERMINATION. Revised September 21, 2021 P a g e 115 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 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 (919)707-9220 NOTICE (TYPICAL) Pursuant to provisions G.S.74-50(b1)of The Mining Act of 1971,Notice is hereby given that George C. Cowand, Jr. has applied on February 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): 1-1 a 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 He topsoil on 8.39 acres located 3.50 (Mineral,Ore) (Number) (Number) miles northwest of Edenton, NC off/near road Wildcat Road (Direction) (Nearest town) (Number,Name) in Chowan 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: 252-482-4379 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. Kevin Howard, Chowan County Manager PO Box 1030, Edenton, NC 27932 George C. Cowand, Jr. Addressee/Owner of Record's Name and Address Name of Applicant Include Contact Person&Company game,if Applicable 01/09/2023 221 Old Merry Hill Rd., Merry Hill, NC 27957 Date of Issuance of this Notice/Mailed to Addressee/Owner of Record Address of Applicant Revised September 21, 2021 Page 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 (919)707-9220 AFFIDAVIT OF NOTIFICATION 1, Kenneth Elliott ,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 Brandon Shoaf, Chowan County Planner PO Box 1030, Edenton, NC 27932 Jerry Wayne, Sr. & Dorothy B. Parrish 1205 Virginia Road, Edenton, NC 27932 Eliza Satterfield (Heirs), do Daphne&Kelvin Drew 336 Wildcat Road, Edenton, NC 27932 William Hinton Holley 502 Wildcat Road, Edenton, NC 27932 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: Kevin Howard, Chowan County Manager PO Box 1030, Edenton, NC 27932 Chief Administrative Officer Name Address (i.e.:City Manager,County Manager,Mayor,etc.) The above attestation was made by me while under oath to provide proof satisfactory to the Department that a reasonable effort has been made to notify all known owners of record,both public and private,of all tracts of land that are adjoining the mining permit boundary(including,where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,all owners of record of tracts adjoining these tracts,that are within 1,000 feet of the mining permit boundary)and the chief administrative officer of the county or municipality in which any part of the permitted area is located in compliance with N.C.G.S. 74-50(b1)and 15A NCAC 5B.0004(d).I understand that it is the responsibility of the applicant to retain the receipts of mailing showing that the abo notices were caused to be mailed and to provide them to the Department upon request. �' c January 13, 2023 Signature of Applicant or gent Date If person executing Affidavit is an agent or employee of an applicant,provide the following information: Name of Applicant George C. Cowand, Jr. Title of person executing Affidavit Authorized Agent for George C. Cowand, Jr. a Notary Public of the County of - , State of North Caroli o he by rtify that O appeared before me this day and under o owled d that the above Affidavit was made by him/her. Witness my and nd notarial sea, is L_day of 20� Notary: �--My commission expires: DENISE SAWYER Revised September 21,2021 NOTARY PUBLIC p Currituck County,North rol a Page 1 18 My Commission Expires. RWration Not 201 2 0 091 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 AFFIDAVIT OF NOTIFICATION I, Kenneth Elliott ,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 William Bond 506 Wildcat Road, Edenton, NC 27932 Alice W. Perry 906 Chambers Ferry Road, Edenton, NC 27932 Krista Leigh & Stephen Alan Bond 513 Wildcat Road, Edenton, NC 27932 [Raleigh L.C. Holley &Alice Holley Roulac PO Box 893, Edenton, NC 27932 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: Kevin Howard, Chowan County Manager PO Box 1030, Edenton, NC 27932 Chief Administrative Officer Name Address (i.e.:City Manager,County Manager,Mayor,etc.) The above attestation was made by me while under oath to provide proof satisfactory to the Department that a reasonable effort has been made to notify all known owners of record,both public and private,of all tracts of land that are adjoining the mining permit boundary(including,where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,all owners of record of tracts adjoining these tracts,that are within 1,000 feet of the mining permit boundary)and the chief administrative officer of the county or municipality in which any part of the permitted area is located in compliance with N.C.G.S. 74-50(b1)and 15A NCAC 58.0004(d).I understand that it is the responsibility of the applicant to retain the receipts of mailing showing that the abov otices were cau ed to be mailed and to provide them to the Department upon request. �.�.;o January 13, 2023 Signature of Applicant or Agent Date If person executing Affidavit is an agent or employee of an applicant,provide the following information: Name of Applicant George C. Cowand, Jr. Titre of person executing Affidavit Authorized Agent for George C. Cowand, Jr. I, a Notary Public of the County of , State of North Caro i do here fy that kc��n P 1 �' appeared before me this day and under knowledg that the above Affidavit was made by him/her. Witness m an and notarial sea, is 1-3 day of-cx-nc r v 20 Notary: My commission expires: DEMISE SAWYER Revised September 21, 2021 NOTARY PUBLIC Page 18 Currituck County,North oIi My Commission Expires Registration No,301 G9 91 _..._. _._.-_. 7019 0160 013130 9887 4833 SENDER: COMPLETE . lib "' s❑❑❑❑❑ `" ` ■ Complete items 1,2,and 3, A 7f&JAd) Q ■ Print your name and address on the reverse ©Agent ., a? ■ X so that we can return the card to you. J ❑Addre o g ti o. ® ■ ■ Attach this card to the back of the mail fete, B.Recely by(Printe Name) C. Dale of Dell : ? T At { or on the front if space permits. p l ��} a f � ■ 1. Article Addressed to: D. Is delivery address different from item 1? 13 Yes 2 : 'M O If YES,enter delivery address below: ❑No o (D n t. Kevin Howard =z � � o ` :r) ? � Chowan County Manager :w � 3 a ■ 305 W. Freemason St., PO Box 1030 o@ a Edenton, NC 27932 w _ 1 [II Ir {■a■r I I i{ II 3. Service Type ❑Priority Mall Exprew 0 I 1 II I I�If I�■!1�i I I I II I I �I I! Registered L Adult Signature Restricted Delivery 12 RaQlstered MalRes • [ I ■li!111 ff !! 11 11 Certified Mail0 De rve. G 9590 9402 6222 0265 6898 97 ❑CertlfiadMoitRestrtdedDellvery 06i9natureConfi ❑Collect on Delivery El Signature Conllrmatl 2. Article Number(rransfer from service label) ❑Collect an Delivery Restricted Delivery Restricted Delivery O Insured Mail F r„ ail Restricted Detvery +u�;;y-.:. - 7D1r9 01,60 0000 9887 4833 �l . PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Rec 7019 0160 0000 9887 4796 I�ENDER: COMPLETE THIS SECTION-. COMPLETE THIS SECTION ON DELIVERY E]OODD C. ■ Complete items 1,2,and 3. A 5J� lure w �' q m ■ 11 Print your name and address on the reverse X t ❑Agent a a ilia T n so that we can return the card to you, ❑Address : 0 $ 4 B. Received by Printed Name) C. Date of Deliv � g " ■ Attach this card to the back of the maiipiece, rn W 'I � + z o, or on the front if space permits, i. Article Addressed to: D. Is delivery address different from item 1? 0 Yes ;? 3 o v n �' � •� 'r YES,enter delivery address below: ❑ No o Brandon Shoaf v N ..,,, W O 6r w, 5 Chowan County Planner N d" :3 ,y� • ■ 305 W. Freemason St., PO Box 1030 0 0 Edenton, NC 27932 p •;3. Service Type r YAe f7 Priority Mall F�c •� r l 11111111111111111111111111111 Ir j ❑Adult Signature ❑Registered Mail'M "r' ■ 11111111110 II I III I I I I I I ( ( ) ) 0 Adult signature Restricted Delivery d Registered Maki R I I ! 111 ! Q Certified MaiI0 Dekivery 9590 9402 6222 0265 6899 34 13CeitlfledMailResWeedDavery 0SignaWmConflrm■1I ❑Collect on Delivery fl Signature Conlirmatlo ggr�. 2. Article Number(transfer from service label) 12 Collect on Delivery Restricted Delivery Restricted Delivery z• «_•;'' Ta 7019 0160 0000 9887 4796 ,tjll Restricted Delivery :IS Form 3811,July 2020 PSN 7530.02-000-9053 Domestic Return Recel .�--- - - _. -- _... - 7019 0160 0000 9887 4857 SFNDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY Complete items 1,2,and 3. A 5i�iiatura ;: a ' 8 chi ■ r / ❑Agent td m. , ■ ■ Print your name and address on the reverse x a ❑Address �i .ar , r. so that we can return the card to you. _ � d � � g 0 ' B. Recei ed b {Printed Name) Date of Deliv FL Attach this card to the back of the mall piece, y �+ or on the front If space permits. _r„ y _ ■ 1. Article Addressed to: D. Is delivery address different from item 17 © n am w , _ If YES,enter delivery address below: ❑No a rr�� �• a v Q N N N N L Raleigh L.C. Holley ;z o ro *3 Alice Holley Roulac N :0 4` PO Box $93 pf ■ N r Edenton, NC 27932 '� t i 3. Service Type D Priority Mail Express [ ! ❑Adult Signature ❑Registered Mail- r,?' Ik j}iI Q Adult Signature Restricted Delivery [IRegistered Malt Restr[..' � � '�• - • Q Certified W10 Delivery 9590 9402 6222 0265 6898 66 0CWttWMWIResirictedDelivery ❑ssgnatereconn ❑Collect on Delivery ❑Signature Conrirmatl 2. Article Number{Transfer from service label) Collect o,aDelivery Restricted Delivery Restricted Delivery j o Ir 7019 1,9 0 6 0 0000 9887 4857 fail Restricted Delivery w CD PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestc Return Race ru1y U16U ULIJ;J `188-? 4871 • ': COMPI FTE THIS SECTION • ' • ON / N M C w 'a N P a f3 � C7❑©C] � � � , tr Complete items 1,2,and 3. A Signature ■ Print our name and address on the reverse ❑Agent ■ so that we can return the card to you. X �`�' L ❑Addressee ■ Attach this card to the back of the mailpiece, B. Rece ed by(Prrnfed Name) C. Date of Delivery • or on the front if space permits. •"$a+ a 1. Article Addressed to: D. Is delivery address different from item t7 ©Yes ca Cr. f YES,enter delivery address below: ❑No Krista Leigh Bond r CL wwawc� Stephen Alan Bond 0 d Era ► 513 Wildcat Roadj 0 Edenton, NC 2793 p a3. ■ I I Illl lfl Illl l IIIi Il I II I (II I IIII •Adult Service Type 0RegiiteredMxpross9 � _ © 0 AtluVl Signature ❑Registered Mails" !' � C� Adult Signature Restricted Delivery ❑Reeggistered Mail Rsstdctad 11 ❑Certified MailO Dellvery ; t 1 9590 9402 6548 1028 0759 45 fl Certified Mail Restricted Delivery ❑Signature ConrimtatloqTM ; g . ❑Collect on Delivery a r Signature Confirmation : J W 2. Article Number(Transfer from service label} El Collect an Dellvery Restricted Delivery Restricted Dellvery 7 019 0160 0000 9887 4871 toot Restricted Delivery ,dY ':► PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt t 7019 0160 0000 9887 4840 ,-�ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY -4 40 C,El no Eli ■ Complete items 1,2,and 3. A. Signature CL .rn ■ Print your name and address on te reverse X t ❑Agent r i ■ , so that we can return the card to you. ! t ❑Addressee 0 ■ Attach this card to the back of the mailplece, El.. eiv by(P fed Name) Date of pel{very T or on the front if space permits. ,r i 40 i. Article Addressed to: . Is delivery address different m item 1? ❑Yes w' oa o+ If YES,enter delivery ad ss below: 0 Nam' � William Hinton Holley o 502 Wildcat Road J n a°, o v` Edenton, NC 27932 J a n ■ 3. Service Type ❑I Priority Mall Express® r [IZ ' Adult Signature ❑Registered Mail O I III li l i I I I #II i i I I I I I I I I n Adult Signature Restricted Doilvary 0 Reoggistered Mat Restricted I ;; -� ■ ❑CartlfledMallfl Dalhrery �� �► O 9590 9402 6222 0265 6898 73 n Certified Mail Restricted Delivery ❑SignatureConflrmatlonm ❑Cofiect on Delivery 0 Signature Confirmation "fir ?. Articte Number(Transfer from service label) C]Collect on Delivery Restrieied Dellvery, Restricted Delivery ❑Insured Malt rN(,V 7� 7019 01,6 0 0000 9887 4840 } I Restricted Delivery to :IS Form 3811,July 202D PSN 7530-02-000.9053 Domestic Return Receipt 7019 0160 0000 9887 4819 ZEN L • ! • ■ / n ■ Complete items 1,2,and 3. A Signature �; ■ ■ Print your name and address on the reverse X , ❑Agent B ❑Addressee + so that we can return the card to you. LD �l B. Received by(Printed Name) C, Date of Delivery „ o' '41 ''• ■ Attach this card to the back of the mailpiece, �- or on the front if space permits. D :D- a t. Article Addressed to: D. Is delivery address different from item 1? ❑Yes C Cr If YES,enter delivery address below: ❑ No ID 7 wawa" w� Z v Alice W. Perry nr 906 Chambers Ferry Road n o �' ■ Edenton, NC 27932 C 3. Service Type p 1 Priority Mail ExpressGl c .e, ■I[I I ICI ll l ll I I !I I I��� I i ❑Adult Signature o Registered Mails" ❑Aduh Signature Restricted Delivery ❑R"istered Mail Restricted ❑Certified Mai€D E)ohvery I 9590 9402 6222 0265 6899 10 ❑CertlBed Mali Restricted Delivery ❑S€gnatureConfirmationT" ❑Collect on Delivery ❑Signature Confirmation 2. Article N,rmhRr frransfar from.sarvica rahrall ❑Ccllect on Delivery Restricted Delivery Restricted Deliveryall ► C v r.� } 7 019 0160 0000 9887 4 819 ail Restricted Delivery " i ?5 Form 3$11,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt l �y; USPS Tracking® FA°s ' Track Packages Get the free Informed Deliveryer feature to receive Learn More Anytime,Anywhere automated notificE dons.on your packages Innpsxrfvq.L,p,,�mneen7 app.tlope7oola8M=ho mpaq*asr &appURL.https%aA%V%2FNformed"lvefy.usps.comfboalpeges/lntrofzunsctim) Tracking Number. Remove X 70190160000098874826 Copy Add to Informed Delivery(httpsJ/informoddelivary.uspa.com/) Alert Latest Update Unclaimed/Betng Returned to Sender EDENTON,NO 27932 Your item could not be delivered on January 31,2023 at 9:28 am in January 31,2023,9:28 am EDENTON,NO 27932.It was held for the required number of days and Is being returned to the sender. Notice Left(No Authorized Recipient Available) EDENTON,NO 27932 Get More Out of USPS Tracking: January 11.2023,12:16 pm USPS Tracking Plus• • Out for Delivery EDENTON.NO 27932 January 11.2023,8:03 am • Arrived at Poet Office EDENTON,NO 27932 January 11,2023.7:52 am Postal CERTIFIED i RECEIPT • Departed USPS Regional Facility ROCKY MOUNT NC DISTRIBUTION CENTER `D fU Domestic Mail Oniy January 11,2023,4:03 am PQ .EdUl.>G• j7 • Arrived at USPS Regional Facility T ROCKY MOUNT NC DISTRIBUTION CENTER � $ ertined ad Fea �4��•i� .. r ,y���` �a�} January 10,2023,12:55 pm Er - ebb(tlle[k bet add ref � .�; L� , O (andLenFl Wpeprrdcopyl 3 hJ �y h,I • Departed USPS Regional Facility Q []Rehm Racalpl tMsptrarict rP !f P imark � [IcerlifiedMa% oeFyery S rl� � RALEIGH NO DISTRIBUTION CENTER © �AdLAt`mane January 9,2023,9:11 pm []Adult siWmu+Rsohkted 0*wY Paslsge �161� • Arrived at USPS Regional Facility 202- RALEIGH NO DISTRIBUTION CENTER O Tout slap~ � �� �a'S January 9.2023,8:52 pm - ra SON TO Jerry Wayne Parrish,Jr. • ••---------••••---...----- - Departed Post Office a C3 -iiuldA, DorothY B,Parrish 17� 205 Virginia Road ..........----•-------- WILLIAMSTON,NO 27892 CIry:3Yaie, January 9,2023,5:02 pm Edenton,NC 27932 • USPS in posseulon of Item WILLIAMSTON,NO 27892 January 9,2023,9:28 am • Hide irackfng History See More V Track Mother Package Enter tracking or barcode numbers USPS Tracking" FAQ& ' Track Packages Get the froo Informrd Delivory'D feature to receive Loam More Anytime,Anywhere automated notiticE dons on your packages IhtlpeJ1re9.Uapa.com/Rse1? app=llapaToel*drwfaho nepegeBwn raappaRLdhtlps`3A%2F%7PInfw* k$dhnry.uap&com+Dox/pegos/lnhdatmrLactlon) Tracking Number: Remove X 70190160000098874802 Copy Add to Informed Delivery(https:!/informeddelivery.usps.comf) Alert Latest Update Unclaimed/Being Returned to Sender EDENTON,NC 27932 Your item could not be delivered on January 31,2023 at 9:28 am in January 31.2023.9:28 am EDENTON,NC 27932.It was hold for the required number of days and is being returned to the sender. • Notice Lett(No Authorized Recipient Available) EDENTON,NC 27932 Got More Out of USPS Tracking: January 11.2023. 12:39 pm USPS Tracking Plus' • Out for Delivery EDENTON,NC 27932 January 11,2023,8:03 am Arrived at Post Office EDENTON,NC 27932 January 11.2023,7:52 am ■ • Departed USPS Regional Facility CERTIFIED MAVRECEIPT ROCKY MOUNT NO DISTRIBUTION CENTER nj r mestic Mad .nly January 11.2023.4:03 am O For delivery information.visit 4ji www usps.com • Arrived at VSPS Regional Facility en on r ROCKY MOUNT NO DISTRIBUTION CENTER rD Gertcfiad MaJ Fea # I3E_I '1 ` ¢,�4 January 10,2023.12:55 pm l �14 - i ©� E%trg Services {check adp ha yr e}F []nalurn nwcwlpt(hrdoppyl r3� " �ff'ffl'r , Departed LISPS Regional Facility 0Rewr,pMrr�rfa>Ktro,>:�l 3 �- 9 2021 RALEIGH NO DISTRIBUTION CENTER []canikd Me4 Fleatrkted Dell - #ttl H January 9,2023,9:11 pm CD 0Ad03ignehre ANvbvd - t lJ AdO 3,gnaly RcSVV@d S 0 Postage • Arrived at USPS Regional Facility [3 9 $I�l.i4U ' $ f RALEIGH NO DISTRIBUTION CENTER © TotalPostage and Fy�p ,�r' I [l?'' January 9,2023,8:52 pm r-q Sent To Eliza Satterfield(Heirs) • Departed Post Office � C/o Daphne Drew,Kevin Drew WILLIAMSTON,NG 27892 �iiy,',3Yete; 336 Wildcat Road --•--••••--••................ January 9,2023,5:02 pm Edenton, NC 27 • USPS in possession of item WILLIAMSTON,NO 27892 January 9,2023,9:24 am • Hide Trucking History See More Track Mother Package - - -. .. ...................... Enter tracking or barcode numbers — USPS Tracking FAQs > Track Packages Get the free Informed Dalivery'f'feature to receive Learn More Anytime,Anywhere automated nobliepfions on your packages (hitpal/rcg.espa,co nlxsall7 appalhpfTooteamf.ho n.payo9nnnar&nppeRL-h",-"A%UV,2Finlw adtldiwry.uspn.conVboxlpagasllnbutstarLacuonl Tracking Number: Remove X 70190160000098874864 Copy Add to Informed Delivery(https:Nlnformeddelivery,usps.comll Alert Latest Update Unclalmedl9eing Returned to Sender EDENTON,NC 27932 Your item could not he delivered on,January 31,2023 at 9:26 am in January 31,2023,9:28 am EDENTON,NC 27932,It was held for the required number of days and is being returned to the sender. • Notice Left(No Authorized Recipient Available) EDENTON,NC 27932 Get More Out of USPS Tracking: January 11,2023.12:48 pm USPS Tracking Plus' Out for Delivery EDENTON.NC 27932 January 11,2023,8:03 am • Arrived at Post Office EDENTON,NC 27932 January 11,2023,7:52 am MAIL)U.S. Postal Service"' CERTIFIED RECEIPT Departed USPS Regional Facility S ROCKY MOUNT NC DISTRIBUTION CENTER cc ccliCMailOnl ,January 11,2023,d:03 am Lti For 4�"' ��: • Arrived at USPS Regional Facility � Certilied Mali Fee l ROCKY MOUNT NC DISTRIBUTION CENTER Cc $ #{•IJfJanuary 10,2023,1:01 pm - lra a oa$ ees fcheck rl� Petro FteaOW twdcepoQt+ +onfo) v� wi Departed USPS Regional Facility C3 CeddW MalRsoicted 00%v � i Arn ti• RALEIGH NC DISTRIBUTION CENTER C3 ❑A"Svnalure`'leqWu'94 � January 9,2023,9:11 pm ClAdufr sow, Hestr}cfed Delivery -_ C3 Postage • Arrived at USPS Regional Facility a Total oetage and Fels o� 4/2Lt RALEIGH NG DISTRIBUTION CENTER $ '' January 9,2023.8:52 pm D' Sent To �C3 William Bond S{iael'andAF •-•---•-----•--------------- � Departed Past Office 505 Wildcat Road WILLIAMSTON,NC 27892 �r7y,-$Foie, Edenton, NC 27932 January 9,2023,5:02 pm USPS in possession of item WILLIAMSTON,NC 27892 January 9,2023,9:24 am • Hide Tracking History Text&Email Updates V USPS Tracking Plus® V NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 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: PPLICANT: Signature Signature* Print Name Ge ge C. Cowart , Jr. rint Name G rge C. C , Jr. Title(if applicable) Owner / Operator Title Owner / O p e rato r Company(if applicable) Company Address 221 Old Merry Hill Rd. Mine Name Wildcat Road Mine Merry Hill, NC 27957 Telephone 252-482-4379 Telephone 252-482-4379 Date Signed 01/11/2023 Date Signed 01/11/2023 *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 reclamatlon maps,and the appropriate processing fee In the form a check or money order payable to the North Carolina Department of Environmental Quality must be sent to the Raleigh Central Office at the address listed on the front cover of this application form. Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at(919)707-9220. Revised September 21,2021 Page 119 THIS MAP IS NOT A CERTIFIED MODIFIED PERMIT A& SURVEY AND HAS NOT BEEN REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE WITH ANY APPLICABLE ji i LAND DEVELOPMENT REGULATIONS. N/F i JERRY&DOROTHY N/F PARRISH JERRY&DOROTHY PARRISH MACEDONIA CHURCH FORMER SEDIMENT POND AREA-WOODED RMER EXISTING POND PERMIT AREA ------- NIF NIF ...... GC COWAND R GC:COWAND JR NIF ......... i i GC COWAND[[I GC COWAND JR GC COWAN III UNEXCAVATED BUFFER GC COWAND 1111 SR 1200 MACEDONIA ROAD (60-ROWl z NEW W co F EXCAVATEDATED PROPO D RELEASE AREA POND 0 Z, j .87 AC Lu 0. 5.21 AC -r LIZASATTERFIELD (HEIRS) PERmrvm EXCAVATION N/F EDGE JERRY&DOROTHY PARRISH GC:COWAND JR GC COWAND[[I If Q, /* R NIF FR NfF HINTON GC:COWAND JR HOLLEY: j GC COWAND III NIF PERRY j. N/F RALEIGH HOLLEY SRI PARCEL MAP WILDCAT D WILDCAT ROAD MINE SAUCE ROULAC (W ROW) An MODIFICATION GEORGE CLAY COWAND JR. GEORGE CLAY COWAND III j Boo 0 200 400 sm MAP BY ELLIOTT CONSULTING JANUARY 13,2023 I (IN FEET) NATIONAL Edenhouse, NC ® USGS 7.5' Map Series O e i GEOGRAPHIC E 348 76.41- 349 76.40' `.ValhallV.N 3C T6.39' S2aoo mE 76.36'W g _ o 6/1 rn / i / m , e - e r ! L. / `"'' G.C. Coward,Jr. �� I•�. + Macedonl6' Wildcat Road Mine •�' .. ,a• Hancock.. .A \•'• •�'1N fn,C1 7. � t e CV iwro..• {' ` C v -,i ° - P - m .. A. f _ \ y ^ i PI 1. .. - - - A. `. _ _ 1'\ �� •' T r . N OI - S dp'l Je '.. 348 76.41- 349 76°40- 3s1 16.39' 352000 ME ••76.36'W•.. 0 .5 1 0 1000 3000 4000 5000 1 .5 0 KILOMETERS 1 NM83/W6664 UlN Zone 16 MILES FEET 1000 0 METERS Iwo 201E National Geographic Partners Please refer �,�a all risk a550C1a[ed with the Use of th=nlap. d. w t Cowand Wildcat Sand Pit, - 1.1 t.l y � , fF♦ TONN !—�:P� / LJ2`' �•[ J I T .. :... p� w t �• roe. - - Y ♦ i • (..y' ('P � v� � Y MI�IPIOIR I �. I �` .a l T` _ • _.� .moo -.�' IA L R t-4\f A R I. E S o U N D - A Abes.n 1 ,�l � �..� �. I� --ram �.�m° ��°»�°° I �♦ \� �� FOR AGENCY USE ONLY Assigned to: ARO FRO MRO RRO WARO WIRO WSRO Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System Rescission Request Form Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit. Directions: Print or type all entries on this application form. Send the original,signed application to: NCDEMLR Stormwater Program,1612 Mail Service Center,Raleigh,NC 27699-1612. The submission of this form does not guarantee recission of your NPDES stormwater permit.Prior to the recission of your NPDES stormwater permit,a site inspection will be conducted. 1. Owner/Operator(to whom all permit correspondence will be mailed): Name of legal organizational entity: Legally responsible person as signed in Item(4)below: George C. Cowand, Jr. George C. Cowand, Jr. Street address: City: State and zip code: 221 Old Merry Hill Road Merry Hill NC 27957 Telephone number: Email address: 252-482-4379,252-333-6567 d.cowand@mchsi.com 2. Industrial Facility(facility requesting rescission): Facility name: Wildcat Road Mine, Mining Permit#2103 Street address: 414 Wildcat Road City: State: Zip Code: County: Edenton I NC 27932 Chowan Permit Number to which this request applies: NCG020807 3. Reason for rescission Request This is required information.Attach separate sheets if necessary. ❑Facility is closed or closing.All industrial activities have ceased such that no discharges of stormwater are contaminated by exposure to industrial activities or materials. Date closed/closing: ❑Facility sold. Sold to: On date: El Other(please explain): Wildcat Road Mine still active but excavation no longer requires dewatering. There has been no discharge from excavated area. 4. Applicant Certification: North Carolina General Statute 143-215.68(i)provides that: Any person who knowingly makes any false statement, representation,or certification in any application,record,report,plan,or other document filed or required to be maintained under this Article or a rule implementing this Article. ..shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000).1 hereby request exclusion from NPDES stormwater permitting. Under penalty of law,I certify that: O I,as an authorized representative, hereby request recission of coverage under the NPDES stormwater Permit for the subject facility.I am familiar with the information contained in this request and to the best of my knowledge and belief such information is true,complete,and accurate. Printed Name of Person Signing: George C. Cowand, Jr. Title:Owner/Operator 2" a P, /'� January 11, 2023 (Signature Applican (Date Signed) Mail the entire package to: DEML —Stormwater Program Department of Environmental Quality 1612 Mail Service Center Raleigh, NC 27699-1612 Page 2 of 2 RELEASE REQUEST FORM Instructions: Fill out this form if all mining has ceased,you have completed all of the required reclamation work and you wish to be released from the conditions of your permit. Retain the pink copy for your records and return the yellow and white copies to the Land Quality Section Regional Office serving your area or to: N. C.Department of Environment and Natural Resources Land Quality Section 1612 Mail Service Center Raleigh,NC 27699-1612 OPERATOR: George C. Cowand,Jr. ADDRESS: 221 Old Merry Hill Road, Merry Hill, NC 27957 ARNE NAME: Wildcat Road Mine, 414 Wildcat road, Edenton, NC 27932 PERMIT NO.: 21-03 COUNTY: Chowan TOTAL ACRES RECLAIMED: TAILINGS PONDS: 3.05 STOCKPILES: 0.0 WASTEPILES: 0.0 PROCESSING PLANT: 3.75 ACTIVE MINE AREA: 16.41 Unexcavated Buffers- 1.00 ac,Total Proposed Release-2&.1hi`-ac I have completed all of the required reclamation work at the above referenced site. I am hereby requesting to be released from the conditions of this mining permit and that the posted bond be returned to my attention. Signed ,�" A - Title Owner/Operator Date January 11, 2023 9/03