20240206_Application

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
NOTE:It is recommended that you contact the appropriate Regional Office or the Raleigh Central Office for a PRE-
APPLICATION MEETING to discuss your intentions and address any questions.
1. Name of Mine The Sandlot
County Currituck River Basin Pasquotank
Latitude(decimal degrees to four
places) 36.152674 N
Longitude(decimal degrees to four
places) -75.853232 W
2. Name of Applicant TR Equipment Company, Inc.
Applicant contact R. Gary Thompson Consultant Contact Elliott Consulting
Applicant Email [e-mail] Consultant Email [e-mail]
Telephone [phone] Telephone [phone]
Cell Phone [phone] Cell Phone [phone]
Permanent Address for Receipt of
3' Official Mail PO Box 190, Harbinger, NC 27941
4. Mine Office Address 7831 Caratoke Hwy., Powell's Point, NC 27966
5. Mine Manager Gary Thompson
Mine Manager Email [e-mail]
Telephone [phone] Cell Phone [phone]
I certify that all details contained in this permit application are true and correct to the best of our knowledge.We
fully understand that any willful misrepresentation of facts will be cause for permit revocation.
Signature Date 01/15/2024
Print Name R. Gary Thomp on
Title President
'This will be the name that the mining permit will be issued to and the name that must be indicated on the reclamation Mond(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.
Revised September 21, 2021 P a g e 11

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
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
I. 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 16.06
(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: 0.00 Acres leased: 16.06
Property owner if leased: Lyn Van Lurette Trust, LLC
F-1 This is an application for a MODIFICATION to a mining permit.
Mining Permit Number. Total permitted acreage:
Does the modification involve acreage within the previously approved permitted boundary?
YES F�NO
If yes,indicate the acreage to be covered by this modification
Does the modification involve acrea a outside the previously approved permitted boundary?
r-]YES NO
If yes,indicate the additional acreage to be covered by this modification
NOTE:You must complete all of Section F of this application form entitled Notification of Adjoining
Landowners
Of the acreage to be added to the permit,will any portion be affected(i.e.:disturbed,ground cover
removed)by the mining operation?
MYES FNO
If yes,indicate the acreage to be affected within the acreage to be added to the permit
The modification fee is based upon the proposed new affected acreage within the previously
approved permitted boundary plus the proposed total acreage to be added outside the previously
approved permitted boundary.
This is an application for TRANSFER of a mining permit.
Mining Permit Number: Total permitted acreage:
Revised September 21, 2021 P a g e ( 2

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
MINING FEE SCHEDULE
A nonrefundable permit application processing fee when filing for a new mining permit,permit modification,or transferred permlt 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 & topsoil
3. Mining Method:
Hydraulic Dredge Q Front-end Loader&Truck ^,Shovel&Truck
Dragline&Truck 0 Self-loading scraper ©Excavator&Truck
Other(please explain):
4. Expected maximum depth of mine(feet)35
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) 30
5. Has anv area at this site been mined in the past?
YES NOF-1
If yes,when and by whom was this activity conducted?TR Equipment, 1-acre pond, 2023
6. Estimated life of the operation(years):10
NOTE:The Department may request clarification on how life of mine was calculated.
Revised September 21, 2021 P a g e 3

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC27699-1612
Division of Energy,Mineral,and Land Resources [phone]
B.MAPS
1. Clearly mark and label the location of your mining operation on six(6)copies of a 7.5-minute quadrangle and a county
highway map.These maps,in addition to six(6)copies of all mine maps and reclamation maps,must be submitted
with each permit application.
7.5-minute quadrangles may be obtained from the N.C.Geological Survey:
Mailing Address Physical Address
1612 Mail Service Center 512 N.Salisbury St.,51h Floor
Raleigh,NC 27699-1612 Raleigh,NC 27604
Httl)://I)ortal.ncdenr.org/web/Ir/geological home [phone]
County highway maps may be obtained from the N.C.Department of Transportation:
Mailing Address Physical Address
NCDOT GIS Unit NCDOT GIS Unit
1587 Mail Service Center 3401 Carl Sandburg Court
Raleigh,NC 27699-1687 Raleigh,NC 27610
http://www.ncdot.rgrt/gis [phone]
2. A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailingstsediment ponds,
stockpiles,waste piles,processing areas/haul roads,mine excavations and any other major aspect of the mining
operation that is proposed to be affected/disturbed during the life of the mining permit.A table/chart similar to the
following will be acceptable:
AFFECTED ACREAGE TABLE:
For new permits,complete only the total affected acreage column.
For modifications,complete all columns.
CATEGORY CURRENT AFFECTED PROPOSED CHANGE TO TOTAL AFFECTED
ACREAGE AFFECTED ACREAGE ACREAGE
TailingslSediment Ponds
Stockpiles 0.40
Waste piles
Processing Areas/Haul Roads 0.24
Mine Excavations 6.12
Other(Please explain) Unex vatedBuffers 0.91
Total Affected Acreage 7.67
Total Permitted Acreage 16.06
Revised September 21, 2021 P a g e 14

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
3. Mine maps must be accurate and appropriately scaled drawings,aerial photographs,or enlarged topographic maps of
the entire mine site.All aspects of the mine site must be clearly labeled on the maps along with their
corresponding(approximate)acreage.Thus,all mine and reclamation maps must denote those activities that
are intended to be conducted during the life of the mining permit.All maps must be of a scale sufficient to clearly
illustrate the following,at a minimum:
a) Property lines of the tract or tracts of land on which the proposed mining activity is to be located including
easements and rights-of-way.
b) Existing or proposed permit boundaries with geographic controls(e.g.metes and bounds,coordinates)labeled
c) Initial and ultimate limits of clearing and grading
d) Outline and width of all buffer zones(both undisturbed and unexcavated)
e) Outline and acreage of all pits/excavations
f) Outline and acreage of all stockpile areas
g) Outline and acreage of all temporary and/or permanent overburden disposal areas
h) Location and acreage of all processing plants(may be described as to location and distance from mine if
sufficiently far removed)
i) Locations and names of all streams,rivers,and lakes
j) Outline and acreage of all settling and/or processing wastewater ponds
k) Outline and acreage of all planned and existing access roads and on-site haul roads
1) Location of planned and existing on-site buildings
m) Location and dimensions of all proposed sediment and erosion control measures
n) Location of 100-year floodplain limits and wetland boundaries
o) Names of owners of record,both public and private,of all tracts of land that are adjoining the mining permit
boundary;if an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,
names of owners of record of tracts adjoining these tracts that are within 1,000 feet of the mining permit boundary
must be provided on the mine map.
p) Names of owners of record,both public and private,of all tracts of land that are adjoining the mining permit
boundary which lie directly across and are contiguous to any highway,creek,stream,river,or other watercourse,
railroad track,or utility or other public right-of-way.If an adjoining tract is owned or leased by the applicant or is
owned by the lessor of the mine tract,names of owners of record of tracts adjoining these tracts,that are within
1,000 feet of the mining permit boundary,must be provided on the mine map(s).NOTE:"Highway"means a road
that has four lanes of travel or less and is not designated as an Interstate Highway.
q) Map legend
1) Applicant name 5) Scale
2) Mine name 6) Symbols used and corresponding names
3) North arrow 7) Date prepared and revised
4) County 8) Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP SCALE
0—49 acres 1"=50'
50—199 acres 1"=100'
200+acres 1"=200'
NOTE:Smaller scaled maps may be acceptable if they clearly illustrate the above items.
NOTE:In addition to the above,the maps must also include any site-specific information that is provided in
the answers to the following questions(italicized questionststatements)in this application form.This
application will not be considered complete without all relevant items being adequately addressed on the mine
maps.
Revised September 21, 2021 P a g e 15

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
C.PROTECTION OF NATURAL RESOURCES
I. 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.
Long narrative in Addendum-1, attached.
2. Describe specific erosion control measures to be installed prior to land disturbing activities and during mining to
prevent offsite sedimentation(include speck 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 secUonskonstruction details of each measure.Engineering designs and calculations are required
to justify the adequacy of any proposed measures.
1 -Sedimentation-control berm ( 2' T x 10' W, foliated) to be constructed inside
unexcavated buffer around perimeter of excavation area. 2 - Diversion ditches
constructed inside unexcavated buffer to divert stormwater internally to
excavation. 3 - 30' W x 200' L paved construction entrance to be constructed at
intersection of mine access road and US 158 Caratoke Hwy. 4- Sediment pond
outfall ditch to be lined with riprap for 20' length from discharge point for
sedimentation control.
3. A)Will the operation involve wash in the material mined,recycling process water,or other wastewater handling?
FIYES X 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 �NO
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).
Bermed sediment pond overflow discharge through ditch to adjacent wetland
through one discharge point(SDO-1). Discharge ditch will have 20-ft long riprap
lining to prevent erosion of ditch bank.
Revised September 21, 2021 P a g e 16

Addendum-1
Page 6-Mine Permit Application—The Sandlot(Excavation)
C.Protection of Natural Resources
1.Sequence of Events for Development and Operation:
a. Operator will obtain all required mining permits from NCDEQ.
b. Operator will construct one 24'wide paved construction entrance joining intersection of
mine access road and US 158 Caratoke Highway. Paved entrance will be 200 feet long.
c. Operator will construct a locking gate to be located across the mine access road entrance
80 feet from its intersection with the Caratoke Highway right-of-way.
d. Operator will remove topsoil down to 2.5 feet below natural ground level, and stockpile
overburden for use in erosion control berms.
e. Operator will construct a 2-ft tall x 10-ft wide (2:1) vegetated berm for erosion control
along the perimeter of the affected areas.
f. Operator will construct a 6-ft tall x 26-ft wide (2:1) vegetated berm for visual screening
along the southwestern border of the permit area. The berm will be located
approximately 65 feet from the Caratoke Highway right-of-way and will be approximately
770 feet long with 60-ft wide opening for mining equipment and haul truck usage.
g. Operator will maintain existing foliage and cultivated field visual screen along perimeter
of the affected area.
h. Operator will install three groundwater level monitoring wells between the mining
activity area and residences located west and south of the mine permit area.
a. MW-1—36.151298 N,-75.853049 W, 150 feet from excavation edge.
b. MW-2—36.151046 N,-75.853625 W,290 feet from excavation edge.
c. MW-3—36.152923 N,-75.855435 W,310 feet from excavation edge.
L Operator will utilize existing 0.87-acre pond 25 feet north of the main excavation as a
sedimentation pond for dewatering the main excavation. Operator will construct a sand
berm around the sediment pond 4'tall x 16'wide sown with groundcover to fully contain
dewatering discharge. Operator will install a PVC pipe riser overflow at the north corner
of sediment pond, connected to a minimum 18-in PVC pipe leading to existing
groundwater-levelling ditches draining through wetlands to North River.
j. Operator will install dewatering pump between northeast corner of sediment pond and
the main excavation area. Dewatering pump will be 8-in Godwin Dri-Prime model running
at 1200 rpm with 8,000 gallons per hour flow through buried PVC pipe into sediment
pond. Pump will operate intermittently for average 12 hours per day upon need.
k. Operator will begin excavation of the main pond(6.12 acres)approximately 25 feet south
of sediment pond by digging with excavator and removing sand & topsoil to maximum
depth feasible without dewatering the excavation.
I. Operator will dewater main excavation into sediment pond, discharging overflow water
from sediment pond through PVC discharge pipe into ditch leading to wetlands and North
River. Operator will dewater main excavation down approximately 20 feet below normal
groundwater level.

m. 3:1 cut slopes will be constructed around excavation edge down to normal groundwater
level. As water is removed from 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 while dewatering is maintained. Excavated material (sand) will be stockpiled in
unexcavated portion of proposed excavation area. Sand will be loaded onto trucks and
removed from area via paved construction entrance to US 158 Caratoke Highway.
o. When final excavation of pond is complete,dewatering will be discontinued. Pump shut
down and removed, and discharge pipe will be removed. Groundwater will refill the
excavation to normal seasonal high groundwater level.
p. Separation berm between pond and sediment pond will be removed by
excavation. Ponds will be joined into one 6.12-acre pond.
q. 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.
r. Sediment pond will be drained through the overflow riser down to normal water level,
and then the riser and discharge pipe will be removed. Operator will remove buried
discharge pipe from main excavation and remove sediment pond berms. Sediment pond
disturbed area will be graded,leveled,and sown with groundcover. Area will be allowed
to return to previous field state.
s. 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.
t. Internal roadways and haul roads will be graded, leveled,seeded with groundcover, and
allowed to return to natural field state. A field path will remain around the perimeter of
the excavated pond.
u. Remaining affected areas inside main permit area will be fertilized and returned to natural
field state.
v. 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 [phone]
C)Will any part of the proposed mine excavation(s)extend below the water table?
AYES F�NO
If yes,do you intend to dewater the excavation(s)?
1^1YES 1:1 NO
Estimated withdrawal rate in gallons per day. 96 000.00
If yes,what impact,if any,will mine dewatering have on neighboring wells?Locate all existing wells on the mine
map(s)that lie within 500 feet of the proposed excavation area.Provide data to support any conclusions or statement
made,including any monitoring well data,well construction data,and current water withdrawal rates.Indicate whether
the proposed mine locale is served by a public water system or private wells.
No impact expected,Seven homes within 500 feet of excavation,four with ground water wells. No
other wells within 500 feet of excavation. The estimated depth of the mine will be 30 feet+/-with the
water table depth to be estimated at 4-5 feet below the natural ground surface.The material will be
removed wet and in the event the pit needs to be dewatered,the water will be pumped into the
sediment pond which has emergency outlet in the event its volume is exceeded with rain or high water
table. Operator will install three groundwater monitoring wells between excavation and neighboring
homes and will post bond for repairs to water supply wells at all homes within 1500 feet of excavation
and provide guarantee to repair water supply wells to homes within 2000 feet of excavation.
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.
Copy of NPDES NCG020 application for mine dewatering wastewater discharge
attached. Copy of DWR water use registration attached.
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?
The access road, stockpiles, and internal haul roads will be sprayed with water
from the mine excavation several times a day, as needed, to control fugitive
dust.
Revised September 21, 2021 P a g e 17

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
5. A)A buffer will be required between any mining activity and any mining permit boundary or right-of-way.It may be an
unexcavated buffer(no excavation,but roadways,berms,and erosion&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).
Minimum 25-ft wide unexcavated buffer to be maintained between permit
boundary and excavation area. Buffer will contain E&SC measures, berms,
diversion drains, and haul roads. 300-ft undisturbed buffer within permit area will
be maintained between mine activity area and US 158 Caratoke Hwy. 100-ft
undisturbed buffer within permit area will be maintained between mine activity
area and adjacent property lines.
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 buftr locations and widths on the mine
map(s).
No natural watercourses or wetlands adjacent to permit area, no undisturbed
buffers needed. 300-ft undisturbed buffer within permit area will be maintained
between mine activity area and US 158 Caratoke Hwy. 100-ft undisturbed buffer
within permit area will be maintained between mine activity area and all adjacent
property lines.
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.
Excavation will be surrounded by 25-ft wide unexcavated buffer containing
perimeter berm and diversion drains to prevent stormwater damage to lands
outside of permit area. Cut slopes of excavation will have 3:1 slope above pond
water level, and 2:1 slope below water level.
B)Provide a cross-section on the mine maps)for all fill slopes(berms,waste piles,overburden disposal areas,etc.),
clearly indicating the intended side slope gradient,installation of any benches and/or slope drains(with supporting
design information)if needed,and the method of final stabilization.
Revised September 21, 2021 Page 18

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
C)In excavation(s)of unconsolidated(non-rock)materials,specify the angle of all cut slopes including specifications
for benching and sloping.Cross-sections for all cut slopes must be provided on the mine map(s).
The cut slopes of all excavated diversion ditches and walls of the sediment basin will be
maintained at a minimum of 2 horizontal to 1 vertical or flatter.The cut slopes around the
perimeter of the mine excavation will be maintained at a minimum of 2 horizontal to 1 vertical
or flatter.All cut slopes and other areas affected by the mining operation will be stabilized with
vegetation as indicated on attached sheets to protect their integrity and promote slope stability.
D)In hardrock excavations,specify proposed bench widths and heights in feet.Provide cross-sections of the mine
excavation clearly noting the angles of the cut slopes,widths of all safety benches and mine benches,and the
expected maximum depth of the excavation.
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.
Operator will construct 6' tall x 26'wide x 815' long vegetated berms between
excavation area and US 158 Caratoke Hwy for visual screen. Operator will
provide gated entrance to single access road to excavation area.
8. Describe what kind of barricade will be used to prevent inadvertent public access along any high wall area and when it
will be implemented.Vegetated earthen berms,appropriate fencing and adequate boulder barriers may be acceptable
high wall barricades.A construction detaftross-section and location of each type of barricade to be used must be
indicated on the mine map(s).
A lockable gate will be maintained at the site's entrance to prevent access by
others outside of normal business hours. Vegetated earthen berms are also
provided around the entire perimeter of the mining operation to prevent
inadvertent entry.
9. Are acid roducing minerals or Wimp esent?
YES IXINO
If yes,how will acid water pollution from the excavation,stockpiles,and waste areas be controlled?
Not applicable.
Revised September 21, 2021 P a g e 9

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
10. A)Describe specific plans(including a schedule of implementation)for screening the operation from public view such
as maintaining or planting trees,bushes or other vegetation,building berms or other measures.Show the location of all
visual screening on the mine map(s)and provide cross-sections through all proposed berms or proposed spacing,
sizes and species for tree plantings.
Natural vegetation and vacant land is existing around all sides of excavation
area. Operator will construct 6' tall x 26'wide x 815' long vegetated berms
between excavation area and US 158 Caratoke Hwy for additional visual screen.
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 impacts. Closest public-owned park is 2.6 miles southeast.
11. Will explosives be used?
YES D NO
If yes,specify the types of explosive(s)and describe what precaution(s)will be used to prevent physical hazard to
persons or neighboring property from flying rocks or excessive air blasts or ground vibrations.Depending on the mine's
location to nearby structures,more detailed technical information may be required on the blasting program(such as a
third-party blasting study).Locate the nearest offsde 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?
RYES �NO
If yes,describe these materials,how they will be stored and method of containment in case of spill.Indicate the
locafion(s)of all storage fadiNes on the mine map(s).
If a fuel tank is to be stored on site, storage tank will be a double wall tank within
a secondary containment(concrete/composite style). There will be no solvents
or chemicals reagents stored on-site. If these are required at the site they will be
stored off- site and brought to the site when required.
Revised September 21, 2021 Page 110

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
D.RECLAMATION PLAN
1. Describe your intended plan for the final reclamation and subsequent use of all affected lands and Indicate the
sequence and general methods to be used in reclaiming this land.This must include the method of reclamation of
settling ponds and/or sediment control basins and the method of restoration or establishment of any permanent
drainage channels to a condition minimizing erosion,siltation and other pollution. This information must be illustrated
on a reclamation map and must correspond directly with the information provided on the mine map(s).In addition,
design information,including typical cross-sections,of any permanent channels to be constructed as part of the
reclamation plan and the location(s)of all permanent channels must be indicated on the reclamation map.
Upon completion of mining activities, the mine excavation will be reclaimed as a
lake and the remainder of the site will be reclaimed as outlined in the
Reclamation Plan. This includes removal of any mining related equipment,
grading of any affected areas to avoid ponding of noxious or foul water,
achieving final slopes around the mining excavation, maintaining vegetated
berms along the perimeter of the site for safety purposes, and establishing a
permanent ground cover using native species throughout the site.
2. Is an excavated or impounded bodENO
water to be left as part of the reclamation?
©YES
If yes,illustrate the location of the body(s)of water on the reclamation map and provide a scaled cross-section(s)
through the proposed body(s)of water.The minimum water depth must be at least 4 feet,measured from the normal
low water table elevation,unless information is provided to indicate that a shallower water body will be productive and
beneficial at this site.
The final pond depth will be at least 4 feet throughout with an average depth of
approximately 25 feet.See the Reclamation Plan for more detailed information.
Will the body(s)of water be stocked with fish?
©YES �NO
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.
There will be no excavations in rock at this mine site.
Revised September 21, 2021 Page 111

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
4. Indicate the method(s)of reclamation of overburden,refuse,spoil banks or other such on-site mine waste areas,
including specifications for benching and sloping.Final cross-sections and locations for such areas must be provided
on the reclamation map.
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.
All mining related equipment will be removed from the mine site. Stockpiles will
be removed from the site and the remaining footprints of all stockpile and other
work areas will be graded level with surrounding natural ground elevation and
permanently stabilized as outlined in the Reclamation Plan and the seeding
schedule provided. All on-site roadways and the lockable entrance gate will
remain to allow ongoing access to the property.
B)Will any on-site roadways be left as part of the reclamation?
AYES �NO
if yes,identify such roadways on the reclamation map and provide details on permanent road and drfch line
stabilization.
All on- site roadways and the lockable entrance gate at the site entrance will
remain to allow ongoing access to the property.
6. Describe the method of control of contaminants and disposal of scrap metal,junk machinery,cables,or other such
waste products of mining.(Note definition of refuse in The Mining Act of 1971.)
No off-site-generated waste shall be disposed of on the mine site without prior written approval from the NC
Department of Environmental Quality,Division of Energy,Mineral,and Land Resources and either the Division
of Waste Management(DWM)or local governing body.If a disposal penult 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 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
Currituck County waste disposal site in Maple, NC.
Revised September 21, 2021 Page 112

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
7. Describe your plan for revegetation or other surface treatment of the affected areas.This plan must include
recommendations for year-round seeding,including the time of seeding and the amount and type of seed,fertilizer,
lime and mulch per acre.The recommendations must include general seeding instructions for both permanent and
temporary revegetation.Revegetation utilizing only tree plantings is not acceptable.Recommendations can be sought
from:
a. Authorized representatives of the local Soil and Water Conservation District;
b. Authorized representatives of the NC Forest Service,Department of Agriculture and Consumer Services;
c. Authorized county representatives of the North Carolina Cooperative Extension Service,specialists and
research faculty with the Colleges of Agriculture and Life Sciences and Forest Resources at North Carolina
State University;
d. North Carolina licensed landscape architects;
e. Private consulting foresters referred by the NC Forest Service,Department of Agriculture and Consumer
Services;
f. N.C.Erosion and Sedimentation Control Planning and Design Manual;
g. N.C.Surface Mining Manual:A Guide for Permitting,Operation and Reclamation;
h. Others as may be approved by the Department.
Lime Rate of Application(tons/acre):
Fertilizer Analysis and Rate of Application(lbs/acre):
Seed type(s)and rate(s)of application included year-round seeding schedule(lbs/acre):
NOTE:Include legumes
SEED TYPES SEEDING DATES SEEDING RATES
***See attached Addendum"**
Mulch Type,Rate of Application(lbs/acre),and Method of Anchoring:
Other Vegetative Cover(s)Type(s)and Rate(s)of Application Including Seeding Schedule(lbs/acre,trees/
acre,spacing of trees/shrubs,etc.):
Revegetation and/or reforestatio plan approved by:
Signature C 0 Date 02/01/2024
Print Name Kenneth liott
Title Consultant
Agency Elliott Consulting
Revised September 21, 2021 Page 113

NCWRC's Requested Revegetation Plan for Eastern North Carolina Mine Reclamations
Revegetation Plan:
After site preparation, all disturbed land areas shall be revegetated as per the following:
Permanent Seeding Specifications
Dates Species Rate, Lbs/Acre
February 15-April 1 Bahaigrass 50
Redtop 1
Partridge Pea 12
Winter rye (grain) 15
April 1- July 31 Common Bermuda 50
Centipede 10
August 1- October 25 Centipede 10
German millet 40
Partridge Pea 12
October 25- February 15 Annual Rye (grain-temporary) 120
Partridge Pea 20
Soil Amendments
Lime- 2000 Ibs/acre or follow recommendations from a soil test.
Fertilizer- Summer- 1000 Ibs/acre 8-8-8 or 10-10-10, or follow
recommendations from a soil test.
Fall, Winter and Spring —400 Ibs/acre 8-8-8 or 10-10-10 or follow
recommendations from a soil test.
Mulch- All seeded areas shall be mulched using small grain straw at a rate
of 2000 Ibs/acre and anchored appropriately.
Whenever possible, disturbed areas should be vegetated with native warm season
grasses such as switch grass, Indian grass, bluestem and gamma grass.
Recommendations received from Maria T. Dunn, Coastal Coordinator, NC Wildlife Resources
Commission, 943 Washington Square Mall, Washington, NC 27889, 252-495-5554.
February 01, 2024

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
E.DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond(based upon a range of$500 to$5,000
per affected acre)for each permitted mine site based upon the acreage approved by the Department to be affected during the
life of the mining permit Please insert the approximate acreage,for each aspect of the mining operation,that you intend to affect
during the life of this mining permit(in addition,please insert the appropriate reclamation cost/acre for each category from the
Schedule of Reclamation Costs provided with this application form)OR you can defer to the Department to calculate your bond
for you based upon your maps and standard reclamation costs:
CATEGORY AFFECTED RECLAMATION RECLAMATION
ACREAGE COST/ACRE COST
Tailings/Sediment Ponds Ac. X $ /Ac. = $ 0.00
Stockpiles 0.40 Ac. X $ 1,800 /Ac. = $720.00
Waste Piles Ac. X $ /Ac. = $ 0.00
Processing Area/Haul Roads 0.24 Ac. X $ 1,800 /Ac. _ $432.00
Mine Excavation 6.12 Ac. X $ 500 /Ac. = $3,060.00
Other Unexcavated Buff. 0.91 Ac. X $ 1,800 /Ac. = $ 1,638.00
TOTAL AFFECTED AC.: 7.67 Ac.
TOTAL PERMITTED AC.: 16.06 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 7.67 Ac.
b) Positive Drainage Ac. X $1,500.00 = $ 0.00
SUBTOTAL COST:$5,850.00
Inflation Factor:
SUBTOTAL COST LIFE OF MINING OPERATION OR LIFE INFLATION COST
OF LEASE(YEARS)
0.02 X $5,850.00 X 10 = $1,170.00
Total Reclamation Bond Cost:
TOTAL RECLAMATION BOND COST= SUBTOTAL+INFLATION = F'000.00
Round down to the nearest 100.00
NOTE:The reclamation bond cannot exceed$1 million per GS 74.54
Revised September 21,2021 Page 114

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
SCHEDULE OF RECLAMATION COSTS
Based upon range of$500-$5,000 per affected acre
COMMODITY CODES:
SG Sand and/or Gravel DS Dimension Stone PF Pyrophyllite CL Clay/Shale
GS Gemstone FS Feldspar OL Olivine PE Peat
Borrow Borrow/fill dirt MI Mica KY Kyanite/Sillimanite/Andalusite AU Gold
CS Crushed Stone LI Lithium PH Phosphate TI Titanium
OT Other
TYPE T/S PONDS STOCKPILES WASTE PILES P.AREA/H.R. MINE EXCAVATION
SG,GS,Borrow $500/ac.(L) $1800/ac. $20001ac. $1800/ac. $500/ac.(L)
1500(FI) 2000(PD)
CS,DS,FS,MI,LI, 500(L) 500(L}
PF,OL,KY 1800 2000 2000
1500(FI) 2500(PD)
1000(L) 2500 5000 5000 2000(L)
PH 2500(FI) 5000(PD)
1000(L) 2500 5000 5000 2000(L)
CL 2500(FI) 3700(PD)
1000(L) 2000(L)
PE,AU,TI,OT 2500(FI) 2500 3000 3500 5000(PD)
(L)=Reclamation to a lake and revegetating side slopes
(FI)=Reclamation by filling in and revegetating
(PD)=Reclamation by grading for positive drainage&revegetating
AS PER NCAC 15A 5B.0003,IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINED BY THE BOND CALCULATION
WORKSHEET,YOU MAY SUBMIT AN ESTIMATE OF RECLAMATION COSTS FROM A THIRD-PARTY CONTRACTOR.
SAID ESTIMATE MUST BE PROVIDED WITHIN 30 DAYS TO THE FOLLOWING ADDRESS: Mining Program,1612 Mail
Service Center,Raleigh,North Carolina 27699-1612
ALL ESTIMATES MUST INCLUDE THE FOLLOWING,AS A MINIMUM:
•FINAL GRADING COSTS PER ACRE
•LIME AND FERTILIZER COSTS PER ACRE
•YEAR-ROUND SEEDING MIXTURE COSTS PER ACRE(FROM APPROVED REVEGETATION PLAN IN
APPLICATIONIPERMIT DOCUMENT)
•MULCH AND ANCHORING COSTS PER ACRE
•ANY OTHER RECLAMATION COSTS NECESSARY TO COMPLY WITH THE APPROVED RECLAMATION PLAN
FOR THE SITE IN QUESTION
YOU WILL BE NOTIFIED AS SOON AS POSSIBLE OF THE DIRECTOR'S FINAL BOND DETERMINATION.
Revised September 21, 2021 P a g e ( 15

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
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

Typical Adjacent Owner Notification Form Cover Letter
ELLIOTT CONSULTING
December 14,2023
Donald"Ike" McRee,Jr.
Currituck County Manager
153 Courthouse Road,Ste. 204
Currituck,NC 27929
Dear Mr. McRee:
I am writing to you on behalf of Mr.R.Gary Thompson,president of TR Equipment Company,Inc.,
PO Box 190,Harbinger,NC 27941, to let you know that Mr.Thompson intends to apply to the State
of North Carolina to excavate a 6.12-acre pond, to be known as "The Sandlot°' at 7831 Caratoke
Highway, Powell's Point, NC 27966, on land he leases from Lyn Van Lurette Trust, LLC, PO Box
1450, Kitty Hawk, NC 27949. Total permit area will be 16.06 acres with 7.67 acres affected. The
pond will be located on former cut-over land, 0.75 miles south of the U. S. Post Office at Powell's
Point. This letter is to notify you that Mr. Thompson is applying to the NC Department of
Environmental Quality, Division of Energy, Mineral and Land Resources, for a mining permit to
perform the excavation.
One part of the permit process requires Mr. Thompson to send all adjacent landowners and the
Currituck County Manager a certified and dated notice of his intention to excavate the pond. This
letter and notice represent only a required part of the paperwork process for his permit with the NC
Department of Environmental Quality and does not t�quire any action on your part regarding
NCDEQ.
Mr.Thompson seeks to assure you that he will take all measures necessary to prevent physical hazard
to any neighboring dwellings,roads or public facilities and will also provide adequate fencing or notices
to prevent inadvertent public access to the mining permit area. The pond will be located on private
property off Caratoke Highway leased by Mr. Thompson, and the excavation area will only be
accessible by a private gated entrance. Please find attached to this letter a map showing the location
of the proposed permit and excavation area.
We appreciate your help and cooperation on these matters. Mr. Thompson is always available to
answer any questions you may have and can be reached at 252-435-4019. I am also available for any
questions and please do not hesitate to call me at 252-339-9021 if I can be of assistance.
Sincerely,
<< kes C
Ken Elliott
For R. Gary Thompson
TR Equipment Company,Inc.
PO BOX 112 • AYDLETT, NORTH CAROLINA • 27916
PHONE: [phone] • EMAIL: KEN®KENOBX.COM

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
NOTICE (TYPICAL)
Pursuant to provisions G.S.74-50(b1)of The Mining Act of 1971,Notice is hereby given that
TR Equipment Company, Inc. has applied on 01/31/2024 to the Division of Energy,
(Applicant Name) (Date)
Mineral,and Land Resources,North Carolina Department of Environmental Quality,1612 Mail Service Center,Raleigh,North
Carolina 27699-1612,for(check one):
a new surface mining permit,
Fla 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 and topsoil on 6.12 acres located 0.75
(Mineral,Ore) (Number) (Number)
miles South of Powell's Point Post Office off/near road 7831 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(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: 252-435-4019
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.
Donald "Ike" McRee, Jr., Currituck County Manager R. Gary Thompson, President
153 Courthouse Rd., Ste. 204, Currituck, NC 27929 TR Equipment Company, Inc.
Addressee/Owner of Record's Name and Address Name of Applicant Include Contact Person&Company Name,if Applicable
12/15/2023 PO Box 190, Harbinger, NC 27941
Date of Issuance of this Notice/Mailed to AddresseelOwner 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 [phone]
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 swom,do hereby attest that the following are all known owners of record,both public and
private,of all tracts of land that are adjoining the mining permit boundary(including,where an adjoining tract is owned or leased
by the applicant or is owned by the lessor of the mine tract,all owners of record of tracts adjoining these tracts,that are within
1,000 feet of the mining permit boundary)and that notice of the pending application has been caused to be mailed,by certified or
registered mail,return receipt requested,to said owners of record at their addresses shown below,such notice being given on a
form provided by the Department:
Adjoining Landowner Name Address
Roy Lee Etheridge, Jr., Leslie Etheridge 135 Trenor Lane, Powell's Point, NC 27966
Karen R. Etheridge PO Box 296, Powell's Point, NC 27966
Phillip W. Stallings 4105 Ivey Lane, Kitty hawk, NC 27949
Shawn Karl Daniels PO Box 567, Kitty Hawk, NC 27949
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:
Donald MCRee, Jr., County Manager 153 Courthouse Rd., Ste. 204, Cur6tuck, NC 27929
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
showin that the abov notices were caused to be mailed and to provide them to the Department upon request.
L .,% 02/01/2024
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 R. Gary Thompson
Title of person executing Affidavit Agent for R. Gary Thompson
�°t t tll a Nota Public of the County of C a-r-r.-4..L CA
��.'
`�.
��� � Carolina,do hereby certify that l�n.�.� ..off appeared before me this day an�di math acknowledged that the above Affidavit was made by hammer.
Q,
Ncyif ss %rG and notarial seal,this day of 20.
nn Li
A �L Z:\J— Y- - My commission expires: W:;d SE:11
Notary:IbIl
�V
ek GR0 ^1itember 21,2021 Page ( 18
���p011111t��,`

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
AFFIDAVIT OF NOTIFICATION
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
Hunter V. Redford PO Box 362, Point Harbor, NC 27964
Richard E. Etheridge 3216 River Oak Road, Clayton, NC 27520
Jose Benitez Caballero PO Box 1090, Manteo, NC 27954
Sarah N. Griffin PO Box 237, Powell's Point, NC 27966
Attach additional list if necessary.
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:
Donald McRee, Jr., County Manager 153 Courthouse Rd., Ste. 204, Cumtuck, NC 27929
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 th notify all known owners of record,both public and private,of all tracts of land that are adjoining the mining
permit boundary(including,where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine
tract,all owners of record of tracts adjoining these tracts,that are within 1,000 feet of the mining permit boundary)and the chief
administrative officer of the county or municipality in which any part of the permitted area is located in compliance with N.C.G.S.
74-50(b1)and 15A NCAC 5B.0004(d).I understand that it is the responsibility of the applicant to retain the receipts of mailing
showing that the above notices were sed to be mailed and to provide them to the Department upon request.
�• 02/01/2024
Signature of Applicant or Agent Date
hPgrrfson executing Affidavit is an agent or employee of an applicant,provide the following information:
z'.�`��P�v S Mom'''%
Na f'pplicant R. Gary Thompson
No f Title o apran executing Affidavit Agent for R. Gary Thompson
CD l "
G611C I, a Notary Public of the County of ,l r�
0 State�fV%d
Carolina,do hereby certify that appeared before me this
CpUn�,�a` ener oath acknowledged that the above Affidavit was made by him/her.
I"fill hand and notarial seal,thi day of 20
Notary: 11 171 L My commission xpires: Aa
Revised September 21, 2021 P a g e l 18

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
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 swom,do hereby attest that the following are all known owners of record,both public and
private,of all tracts of land that are adjoining the mining permit boundary(including,where an adjoining tract is owned or leased
by the applicant or is owned by the lessor of the mine tract,all owners of record of tracts adjoining these tracts,that are within
1,000 feet of the mining permit boundary)and that notice of the pending application has been caused to be mailed,by certified or
registered mail,return receipt requested,to said owners of record at their addresses shown below,such notice being given on a
form provided by the Department:
Adjoining Landowner Name Address
Richard F. Davis, II 103 John Cabot court, Kill Devil Hills, NC 27948
James L. Owens PO Box 109, Jarvisburg, NC 27947
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:
Donald McRee, Jr., County Manager 153 Courthouse Rd., Ste. 204, Currituck, NC 27929
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 ve 770
used to be mailed and to provide them to the Department upon request.
02/01/2024
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 R. Gary Thompson
Title of person executing Affidavit Agent for R. Gary Thompson
� ftat "
! a Notary Public of the C unty of C�jW�4Jt C�
Nlearolma,10 hereby certify that appeared before me this
day and und4�6�acknowledged that the above Affidavit was made by him/her.
�itnets hand and notarial seal,this ` day of
g G My commission expires:
�e��l/ eJ4s, ;S,� tember 21,2021 Page 18

SENDER:�� �� ?Ude U41U uuuu -IUUU 4r.5u
COMPLETE THIS SECTION ON DELIVERY
OMPLETE
THIS SECTION
■ Complete Items 1,2,and 3. A. Signature) 1 §, g
■ Print your name and address on the reverse X �- OJA a x "
so that we can return the card to you. ❑ w c
all
■ Attach this card to the back of the mallplece, B. Receved y( nLed Name) C. atec 0 ^
or on the front If space permits.1. Article Addressed to: D, Is delivery address different from Rem 1? 13c oIf YES,enter delivery address below: ❑ , m -
Donald "Ike" McRee,Jr. z o
I
Currituck County Manager a 3 PC
153 Courthouse Road, Ste. 204 v I _ ■
Currituck, NC 27929
3. Service Type jSWahn !
Fx l0 Adult eddMaal�ResNotedDN ey +mi j9590 9402 6222 0265 6892 00 0CorWedMailReWatedDeliveryy iX❑Collect on Delivery nfirm❑Collect on Delivery Restrcted Deliveryli7022 0410 0000 9300 4750 ealiReeldetedDellvery 'Ps Form 3811,Jul 2020 PSN 7530-02-000-9053
Y D fl I
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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
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NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
G.LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands or operation
during regular business hours for the purpose of making necessary field inspections or investigations as may be reasonably
required in the administration of the Mining Act of 1971 pursuant to G.S.74-56.
We further grant to the Department or its appointed representatives the right to make whatever entries on the land as may be
reasonably necessary and to take whatever actions as may be reasonably necessary in order to carry out reclamation which the
operator has failed to complete in the event a bond forfeiture is ordered pursuant to G.S.74-59.
LANDOWNER: APPLICANT:
Signature `y a Signature
Print Name Brian K. Newman IPrint Name R. Gafy Thompson
Title(if applicable) Manager Tide President
Company(if applicable) Lyn Van Lurette Trust, LLC Company TR Equipment Company, Inc.
Address PO Box 1450 Mine Name The Sandlot
Kitty Hawk, NC 27949 Telephone [phone]
Telephone Date Signed 01/15/2024
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)conies of all location maps,mine maps and
reclamation maps,and the appropriate processing fee in the form a check or money order payable to the North Carolina
Department of Environmental Quality must be sent to the Raleigh Central Office at the address listed on the front cover
of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at(919)707-9220.
Revised September 21, 2021 P a g e 119

ELLIOTT CONSULTING
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
PROJECT DESCRIPTION The Sandlot PARCEL ID: 011100000030000
(Excavation) 9828-89-92S4
STREET ADDRESS: 7831 Caratoke Highway,Powell's Point, NC 27966
Please print:
Permit Applicant: R.Gary Thompson, President,TR Equipment Company, Inc.
Permit Applicant:
The undersigned,applicants of the above noted project,do hereby authorize
Kenneth Elliott , of Elliott Consulting
(Contractor/Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Permit Applicant's Address(if different than property above):
PO Box 190, Harbinger. NC 27941
Telephone: [phone]
This certification is valid through December 31,2026
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Sig aturefe Authorized Signature
Date: 7 Date:

ELLIOTT CONSULTING
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
PROJECT DESCRIPTION The Sandlot PARCEL ID: 011100000030000
(Excavation) 9828-89-9254
STREET ADDRESS: 7831 Caratoke Highway, Powell's Point, NC 27966
Please print:
Property Owner: Brian K. Newman, Manager, Lyn Van Lurette Trust, LLC
Property Owner:
The undersigned, registered property owners of the above noted property,do hereby authorize
Kenneth Elliott of Elliott Consulting
(Contractor/Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address(if different than property above):
PO Box 1450 Kitty Hawk, NC 27949
Telephone:
This certification is valid through: December 31, 2026
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
1"'a (I" -
X
Authorized Signatur Authorized Signature
Date: Date:

Water Height Control: Construction Details
Half-pipe Water Level Control with Flash Board Risers
NRCS Code 587
The Sandlot
Belvidere, NC
Chowan County
IL
,1 `' - it F �'►�t �r':
, Ir
a t �.I' /' • Y.,j'
emergency spillway
riser
waferdidendonli vei
riprap embankment
rip rap
-"' sediment forebay
concrete base
DESCRIPTION
A structure in a water management system that conveys water, controls the direction or rate of flow, maintains a desired
water surface elevation or measures water. Water height control structure is standard structure used by agricultural and
horticultural farms in North Carolina to raise or lower water height in ditches and ponds per need (NRCS). Water height
control structure to be installed in the north berm of the sedimentation pond at The Sandlot. Overflow to be directed down
stabilized ditch to nearby ground-levelling ditch, eventual outflow to North River and Albemarle Sound.

PURPOSE
To convey water from one elevation to a lower elevation within, to, or from a water conveyance system, such as a ditch,
channel, canal, or pipeline designed to operate under open channel conditions. Typical structures: drops, chutes,
turnouts, surface water inlets, head gates, pump boxes, and stilling basins (NRCS). This water management system will
be used to maintain a maximum water surface elevation in the sedimentation pond at The Sandlot, Caratoke Highway,
Powell's Point, NC. Sedimentation pond is a part of the dewatering management system of The Sandlot, used to remove
settleable matter and turbidity from mine dewatering wastewater.
CONSTRUCTION
Structure consists of 26'x 3' horizontal galvanized steel culvert running under the sedimentation pond berm. A vertical 6'
half pipe 52"x 30" is attached on the north end of the culvert with stacked flash boards allowing adjustable height of the
water level in the sedimentation pond. Water flows over the flash boards and into the discharge pipe and down the rip-rap
stabilized ditch.
Overflow ditch is lined with riprap for 20 feet down its length. Existing slopes adjacent to the culvert are heavily grassed
with natural grass and weeds with no erosion present.
MAINTENANCE
Structures will be checked and necessary maintenance, including removal of debris, shall be performed after major
storms and at least semi-annually.
Ken Elliott, consulting
February 1, 2024

Discharge Outfall Outlet Protection:Construction Details
Practice Standards and Specifications 6.41,6.31,6.15
The Sandlot
Powell's Point,NC
Currituck County
6.41 Outlet Stabilization Structure
6.31 Riprap and Paved Channels
6.15 Riprap
Pipe Outlet to Well-defined
Channel
A _.._ A La
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'�Iitl SectionAA =a,i �. lik
Filter
blanket
Trapezoidal Riprap Channel
Design top width
Design depth
,i!A ::i;; 1r:.,-,ltrl fir
iii:l ,.
L Filter layer,gravel
or fabric
Riprap lined apron located at end of mine dewatering overflow pipe to prevent scour and undermining
in discharge ditch,and to absorb the impact of the water flow and reduce the velocity to non-erosive
levels before flow reaches wetlands.
Riprap Apron Size: Overflow pipe discharges directly into well-defined channel. The apron will extend
across the channel bottom and up the channel banks to the top of the bank. length of apron will be 20-
feet downstream to maintain velocity control of maximum 2.0 feet per second.
Grade: Apron will have zero grade and no overfill at end of apron.
Alignment: Apron will be straight throughout entire length if possible. If curve is necessary to align the
apron with the receiving channel,the curve will be located in the upstream section of the riprap.
Materials: Riprap will consist of a well graded mixture of NCDOT Class A(2"to 6")stone or slag.
Thickness: Minimum thickness of riprap will be 1.5 times the maximum stone diameter.

Filter: Operator plans to install a layer of heavy duty silt fence filter cloth between the riprap and the
underlying soil to prevent soil movement into or through the riprap. Filter cloth will extend to the top of
both channel banks,and edges will overlap 12 inches. Upstream end will be buried 12 inches and
downstream end will be buried if necessary.
Maintenance: inspect riprap outlet structures weekly and after significant rainfall events to see if any
erosion around or below the riprap has taken place,or if stones have become dislodged. Repair all
damage immediately. Maintain all vegetation adjacent to the channel in healthy condition to prevent
scour or erosion during out-of-bank flow. Control weeds and brush growing in the riprap by cutting.
Ken Elliott,consulting
February 1,2024

Berm Construction Details
The Sandlot
Powell's Point,NC
Currituck County
Narrow-based berm
The narrow-based berm is the most common berm having a top of 2 feet (0.6 m)and side slopes of two
horizontal: 1 vertical.This berm is the most economical to build as it requires the least material.The
steep side slopes of this type of berm eliminate the possibility of working on it with farm machinery.
to,
J z, 4
� II z'
NEW BERM EXISTING
GRADE
Berm Construction
The berm construction comprises of the scraping back of the topsoil from the area where the berm and
storage basin are to be built.A subsoil material,free of stones, rubble,stumps etc.and with at least 10%
clay should be used to construct the berm.The material for the berm may be obtained from the area
behind or in front of the berm location or moved from a borrow pit located elsewhere on the farm.An
earth mover will be required to move material from a pit located a distance away while a bulldozer
would be used if material is in the berm area.
The berm material is to be placed in layers and compacted as each layer is added. After the berm has a
final shape,the sides of the berm should also be compacted.
Emergency Overflow
To provide for larger-than designed peak flows,an overflow system is used, namely:
• "The level-top vegetated berm crest"which provides for very flat berm top so that the water will
overflow along the berm length in a thin layer so as not to create erosion problems.
<< � 4
Ken Elliott,consulting
February 01,2024

Sediment Fence (Silt Fence) Construction Details:
Practice Standards and Specifications 6.62
The Sandlot
Powell's Point, NC
Currituck County
Y(y
A temporary permeable barrier erected on small,disturbed areas to capture sediment from sheet flow. It is made of
filter fabric buried at the bottom,stretched, and supported by steel posts.
Planning:Silt fence will be installed along the perimeter of a 12-ft wide access road when crossing an existing field ditch.
Narrow width of fenced area will allow only shallow pools to form behind fence while promoting deposition of sediment
and preventing sedimentation into adjacent wetlands. Ends of fence will be curled uphill in "J" pattern to prevent end
flow. Stabilized outlets will be provided to protect the fence system and release storm flow that exceeds the design.
Design considerations:Silt fence will be constructed of extra-strength synthetic filter fabric. Height of fence will not
exceed 2 feet above natural ground level,and will be constructed from a continuous roll to minimize joints. All joints
will be fastened at a support post with 4 feet minimum of overlap. Extra-strength filter fabric will be fastened to road
side of steel posts(installed 2 feet deep)every 6 feet(every 8 feet if using standard strength filter fabric with wire mesh
backing) and fastened with wire ties. Trench will be excavated along inside of fence approximately 4 inches wide by 8
inches deep, into which 12 inches of fabric will be placed along the bottom and side of the trench. Trench will be
backfilled and compacted.
Maintenance: Inspect sediment fence every week and after each rainfall. Make any required repairs immediately.
Replace any collapsed,damaged,or decomposed fence promptly. Remove all fencing materials and unstable sediment
deposits and bring the area to grade and stabilize it after the contributing drainage area has been properly stabilized.
r
Ken Elliott,consulting
February 1, 2024

Temporary Gravel Construction Entrance/ Exit Details
Practice Standards and Specifications 6.06
The Sandlot
Powell's Point, NC
Currituck County
as
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c
eJ�\/ 5p 0,
6"min
23 Lc
coarseaggregate F`
Figure Case Gran!onaareaced Waste seeimem from Waring ft mtuvucaon site(mudAled hom Va SWGG).
Graveled pad located at entrance office access road at the Sandlot, where traffic moves directly onto
Caratoke Highway.
Thickness: 6 inches minimum
Width: 25 feet
Length: 40 feet minimum
Aggregate Size:2-in to 3-in coarse slag
Maintenance: Maintain the gravel pad to prevent mud or sediment from leaving the construction site.
Periodic top dressing with 2-inch stone will occur as needed during the life of the permit. After rainfalls,
immediately remove all objectionable materials spilled, washed, or tracked onto public roadways.
Ken Elliott,consulting
February 1, 2024

FILE COPS Elliott Consulting
202 Elliott Road
PO Box 112
Aydlett, North Carolina 27916
NC Department of Environmental Quality Phone: [phone]
Division of Energy, Mineral and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
----------------------------------------------------------------------------------------------
Subject: The Sandlot—NPDES NCG020000 NOI - Permit Application
To Whom It May Concern:
On behalf of Mr. R. Gary Thompson, Elliott Consulting is requesting review of this NCG020000 Notice of
Intent for an NPDES General Permit for Mine Dewatering, slated for development in Poplar Branch Township,
Currituck County, North Carolina. The operation is referred to as The Sandlot based on owner preference
and includes a total permit area of 16.06 acres.
The following documents are enclosed to support the Application (2 copies of each):
Application for NCG020000 coverage for proposed dewatering activity.
$120 permit Processing Fee
• Copy of submitted NCDEQ DEMLR Mining Permit Application
• Copy of submitted NCDEQ DWR Registration Application for Water Usage
• Mine and Reclamation Maps
• Adjoinder Notification Map
• USGS Quad Site Map
• GPS Coordinates Site Map
We respectfully ask for your review of the above-listed enclosures as they support the requested mining
permit application and NPDES General Permit application for the proposed The Sandlot excavation. 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.
Regards,
Ken Elliott
Elliott Consulting
02-01-2024

FOR AGENCY USE ONLY
NCG02
Assigned to:
ARO FRO MRO FRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG020000 Notice of Intent
This General Permit covers STORMWATER AND/OR WASTEWATER DISCHARGES associated with activities under
SIC(Standard Industrial Classification)Code 14[Mineral Mining Industry]except for:peat mining, coal mining,
metal mining, oil and gas extraction, tourist gem mines, NCDOT borrow pits, in-stream sand mining, and
dischargesfrom mining operations which are intermixed on site with stormwaterfrom concrete operations. You
can find information on the DEMLR Stormwater Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (9) below to: NCDEMLR Stormwater Program, 1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General 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(10)below:
TR Equipment Company, Inc. R. Gary Thompson
Street address: City: State: Zip Code:
PO Box 190 Harbinger NC 27941
Telephone number: Email address:
252-435-4019, 252-202-1770 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑ State
Non-government
® Business(If ownership is business,a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility(facility being permitted):
Facility name: Facility environmental contact:
The Sandlot R_QaM_TJ2QmpsQn
Street address: City: State: Zip Code:
7831 Caratoke Hwy. Powell's Point NC 27966
Parcel Identification Number(PIN) County:
Telephone number: Email address:
252-435-4019, 252-202-1770 [e-mail]
Latitude of entrance: Longitude of entrance:
36.151891 N -75.854660 W
4-digit SIC code: Tac"it"s
: Date operation is to begin or began:
1442 New ❑ ProposedApril 2024
Existing
Types of minerals mined at this facility:
❑ Clay ❑ Feldspar Ore ❑ Lithium Ore ❑ Phosphate ®Soil IN Construction Sand ❑ Industrial Sand
❑ Other:
Page 1 of 12

Is this a processing-only facility for materials mined elsewhere? Is this an inactive mine site?
❑Yes ❑Yes
® No 1 ® No
Does total area of this mine site include ready-mixed concrete plant and/or asphalt plant areas?
❑Yes,and has separate NPDES stormwater permits(provide permit numbers):
❑Yes,and does not have separate NPDES stormwater permits
IN No
Does this facility already have a valid Mining Permit from DEMLR's Land Quality Section?
❑Yes(please provide the Mining Permit Number)
® No(please indicate the status of the Mining Permit application) Application for new permit in process now.
Are you applying for a discharge permit in the same location as a previously permitted mine?
❑Yes(please provide permit number and mine name)
31 No
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
® N/A
3. Consultant(if applicable):
Name of consultant: Consulting firm:
Ken Elliott li ultin
Street address: City: State Zip Code
PO Box 112 Aydlett NC 27916
Telephone number: Email address:
252-339-9021 [e-mail]
4. Develo ment Activities and Buffers
Mining operation will precede development activities at this site:
❑Yes
® No
Mine is located within one of the 20 Coastal Counties,and will it add more than 10,000 ftz of impervious surface:
❑Yes(to both)
IN No,this mine is within one of the 20 Coastal Counties,but will not at more than 10,000 ft=of impervious surface
❑ No,this mine is not within one of the 20 Coastal Counties
Mine Is in the Neuse,Tar-Pamlico,or Catawba River Basins,OR in the Randleman or Jordan Water supply Watersheds?
❑Yes(specify size of stream buffers)
In No
Mine site will include wastewater discharges from a ready-mix concrete batch plant?
❑Yes(please seek additional coverage under General Permit NCG140000:Ready-Mix Concrete)
10 No
S. Mine Dewatering
Mine dewatering will occur at this site:
®Yes ❑ No(mark N/A for the rest of this section)
Mine dewatering from this facility will be discharged to:
®Surface Waters and/or Wetlands
❑Other(specify)
❑Mine will not discharge dewatering to Surface Waters and/or Wetlands;specify how dewatering will occur and where
water will be directed:
❑N/A
Page 2 of 11

Wetlands and/or Surface Waters are within 400'of the mine pit perimeter: 404/401 Certification permits required:
❑Yes(specify distance) ❑Yes(briefly describe)
® No Closest wetlands are 648 feet from mine pit perimeter. ❑ No
❑ N/A ❑ N/A
Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
❑Yes(please attach to this application) ® No
6. Wastewater Treatment
Will this facility wash mined materials?
❑Yes ® No
Will discharges of process wastewater treatment systems occur(including possible recycle system overflows)
❑Yes(please describe)
® No
Will this facility employ chemical additives to flocculate suspended solids?
❑Yes(specify name/manufacturer/quantity of daily use)
® No
Note:please visit:httos://files.nr.goy/ncdea/Water+Quality/Environmental+Sciences/ATU/PAM8 30 18.odf for list of
approved PAMS
Will any of the wastewater treatment facilities at this mine overflow only during rainfall events that exceed the 10-yr,24-hr
rainfall event?
❑Yes(specify which systems)
® No
Are wastewater treatment facilities(including recycle systems)planned In the 100-year flood plain?
❑Yes ® No
Wastewater Treatment Alternative Review as required by 15A NCAC 211.0105(c)(2)
Types of wastewater this mine site will discharge: ❑ Mine Dewatering ❑ Process Wastewater
Types of wastewater considered for this alternative review: ❑ Mine Dewatering ❑Process Wastewater
Are there existing sewer lines within a one-mile radius?
❑Yes
❑Wastewater treatment plant will accept wastewater
❑ Is feasible to connect(explain)
❑ Is not feasible to connect(explain)
❑Wastewater treatment plant will not accept wastewater(please attach letter documenting this)
M No
Page 3 of 11

Are you already proposing a closed-loop recycle system(CLRS)that meets design requirements of 15A NCAC 2T.10000?
❑Yes,for dewatering
❑Yes,for process wastewater
❑Yes,for both
❑ No,this option is technologically feasible(explain)
® No,this option is not technologically feasible(explain) Inadequate space for system.
❑ No,this option is otherwise feasible(explain)
❑No,this option is otherwise not feasible(explain)
What Is the feasibility of building a CLRS compared to direct surface water discharge?
Building and maintaining a treatment system prior to discharge is more feasible than a CLRS.
Surface or Subsurface Disposal System
❑ A surface or subsurface disposal system Is technologically feasible(explain)
10 A surface or subsurface disposal system is not technologically feasible(explain) Inadequate space and power source.
❑A surface or subsurface disposal system is otherwise feasible to implement(explain)
❑ A surface of subsurface disposal system is not otherwise feasible to implement(explain)
What is the feasibility of employing a subsurface of surface discharge as compared to a direct discharge to surface waters?
Building and maintaining a treatment system prior to discharge is more feasible than a subsurface or surface discharge system.
Direct Discharge to surface waters is the most environmentally sound alternative to all reasonably cost-effective options
for the wastewaters being considered?
©Yes
❑ No
If this review included all wastewater discharge types,would excluding some types make any of the above non-discharge
options feasible for some the wastewaters?
❑Yes
I@ No
7. Outfalis(s)At least one outfall is required to be eligible for coverage.
3-4 digit identifier: Name of receiving water: Classification: ❑This water is Impaired.
SDO-1 North River SC ❑This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater ®Mine Dewatering ❑Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HOW,
ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event Rl Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
vg 12 hrs/day(daily upon need, 12-16 b es per year)
Latitude of outfall: Longitude of outfall:
36.154091 N -75.853378 W
Brief description of the industrial activities that drain to this outfall:
Dewatering 6.12-acre sand mine excavation to 0.87-acre sediment pond to treat wastewater. Outfall is sediment pond overflow.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ® No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is Impaired.
❑This watershed has a TMDL.
Page 4 of 11

Discharge from this outfall is from:
❑Stormwater ❑ Mine Dewatering ❑ Process Wastewater
7Q30 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW,
ORW,Tr,WS-I,WS-II,WS•III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? [] Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit Identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL
Discharge from this outfall is from:
❑ Stormwater ❑ Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW,
ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(Indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the Industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3.4 digit Identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater ❑ Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW,
ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is Impaired.
❑This watershed has a TMDL
Discharge from this outfall Is from:
❑Stormwater ❑ Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW,
ORW,Tr,WS-I,WS-II,WS•III,SA,or PNA :
Discharge occurs from this outfall:
Page S of 11

❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur In the drainage area of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required.Additional outfalls may be added in the section
"Additional Outfalls"found on the last page of this N01.
8. Other Facility Conditions(check all that apply and explain accordingly):
❑This facility has other NPDES permits. If checked,list the permit numbers for all current NPDES permits:
Na
❑This facility has Non-Discharge permits(e.g.recycle permit). If checked,list the permit numbers for all current Non-
Discharge permits:
Na
M This facility uses best management practices or structural stormwater control measures.
If checked,briefly describe the practices/measures and show on site diagram: 20V paved construction entrance,sediment
pond, riprap outfall protection, berm around active areas of mine, positive stormwater drainage into pit.
®This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
SWPPP has been developed,will be implemented upon approval of all Stae&County permits.
❑This facility stores hazardous waste in the 100-year floodplain.
If checked,describe how the area is protected from flooding:
Na
❑This facility is a(mark all that apply) n/a
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked,indicate:
Kilograms of waste generated each month: Type(s)of waste:
How material is stored: Where material is stored:
Number of waste shipments per year: Name of transport/disposal vendor:
Transport/disposal vendor EPA ID: Vendor address:
❑This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions:
Na
❑ Facility provides appropriate secondary containment for bulk storage of liquid materials
If checked,briefly describe these measures:
Na
❑ Site has an active landfill within the mining permit boundary n/a
If checked,please indicate type:
a) ❑ LCID(Land clearing and Inert Debris)
b) ❑other(specify)
Page 6 of 11

9. Required Items(Application will be returned unless all of the following items have been Included):
®Check for$120 made payable to NCDEQ
® Copy of most recent Annual Report to the NC Secretary of State(if applicable)
®This completed application and any supporting documentation
® Copy of the approved mining permit or indication of mining permit application status
❑ Copy of US Army Corps—approved wetland delineation(if applicable)
® Line drawing of the water flow through the facility or block flow diagram
91 Pictorial description of the nature of any sources of water and any collection and treatment measures
®A site diagram showing,at a minimum,existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where process materials are stored
g) Impervious areas
h) site property lines
®2 copies of large scale(24"x36"minimum)site plan showing:
a) topographical lines
b) all outfall locations
c) applicable buffers and delineated wetlands
d) receiving waters
e 100- ear flood plain(if applicable)
® Copy of county map or USGS quad sheet with the location of the facility clearly marked
If mines site is in one of the 20 Coastal Counties(if applicable)
®Applicant has check with the appropriate regional office to verify the need for a Coastal State Stormwater permit.
a) Indicate the Regional Office Contact: WaRO Varun Prakash
® Detailed list of:
a) impervious surface areas and percentages
b) sub-drainage areas
c) total drainage area
If mine is dewatering and near wetlands,or may otherwise impact surface waters or groundwater
® 2 copies of large scale(24"x36"minimum)plans delineating areas on the listing acreage including:
a) wetlands
b) ditches
c) well-placements
d) pits
e) borrow areas
f) overburden storage
g) stormwater controls/BMPs
h) vehicle maintenance areas
i) settling basins
j) product process(such as screening,stockpiles,and waste piles)
k) total drainage area
1) impervious surface percentages(if state Stormwater programs apply)
m) applicable buffers
n) access and/or haul roads
® Pump dewatering size and information on Its specifications
Page 7 of 11

® Well information(design,depths,maintenance)
® Physical monitoring for the wetland areas
® Settling pond size information,if applicable
❑ Level spreader design,if applicable
® Details about dewatering method
❑ Cone of influence calculations
® Description of measures to prevent erosion and flooding
❑ Description and information about 401/404 permits that have been obtained
❑ Copy of US Army Corps of Engineers wetlands delineations or approved wetland delineation(if applicable)
® 1 have contacted my local regional office about a Pumping Operation and Monitoring(POM)plan
a) Regional Office Contact: WaRO Varun Prakash
b) Date Contacted: 01-16-2024
10.Applicant Certification:
North Carolina General Statute 143-215.6B(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).
Under penalty of law,I certify that:
M I am the person responsible for the permitted industrial activity,for satisfying the requirements of this permit,and for any
civil or criminal penalties incurred due toviolations of this permit.
®The information submitted in this NO1 is,to the best of my knowledge and belief,true,accurate,and complete based on
my Inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the
information.
® I will abide by all conditions of the NCG020000 permit.I understand that coverage under this permit will constitute the
permit requirements for the discharge(s)and is enforceable in the same manner as an individual permit.
R) I hereby request coverage under the NCG020000 General Permit.
Printed Name of Applicant: R. Gary Thompson
Title: President, TR Equipment Company,Inc.
i ' / *V-Z --� January 15,2024
(Signature o Applicant) (Date Signed)
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh,NC 27699-1612
Page 8 of 11

PUMPING OPERATION AND MAINTENANCE PLAN
SAND MINE DEWATERING WITH SEDIMENTATION POND
Operator: TR Equipment Company, Inc., R.Gary Thompson, President
PO Box 190, Harbinger, NC 27941
Job Location: The Sandlot,7831 Caratoke Hwy., Powell's Point,NC 27966
County: Currituck County
Prepared by: Ken Elliott,consulting
Date: January 13,2024
This plan defines responsibilities for operating, inspecting,and maintaining equipment and structures
used for dewatering The Sandlot sand mine safely,and that dewatering will not degrade or negatively
impact any wetlands or waters of the state.
Description and Current State of The Sandlot Mine Site and Mining Application:
The Sandlot is a proposed 6.12-acre sand mine excavation to be operated by R.Gary Thompson,
president of TR Equipment Company, Inc.,applicant,in a 16.06-acre permit area,of which 7.67 acres will
be affected,located at 7831 Caratoke Highway, in Powell's Point, NC in Currituck County.The permit
area is on cultivated,sandy land at 10-ft elevation, leased by the applicant from Lyn Van Lurette Trust,
LLC, PO Box 190, Kitty Hawk, NC 27949. The site is located 0.5 mile east of North River,which flows
southward from there 0.75 mile to Albemarle Sound.
In August 2023, Mr.Thompson received an approved zoning compliance permit from Currituck County
Planning&Inspections to construct a 0.87-acre sand pit excavation on the subject property. This
excavation is located inside the proposed State mining permit area and will serve as a separate sediment
pond for the State-permitted excavation and will be incorporated into the main excavation upon
reclamation.
Currently Mr.Thompson is applying for a mining permit with the NCDEQ Division of Energy, Mineral and
Land Resources to construct the sand mine and begin operation in March or April 2024. An NPDES
General Permit application for dewatering is being submitted to NCDEQ and registration for water usage
has been submitted to the Division of Water Resources. A Stormwater Pollution Prevention Plan is
under development and will be implemented upon approval of the discharge permit application.
Sand Mine Dewatering:
It will be necessary to dewater the pond as it is being excavated to allow excavating equipment to enter
the area safely and efficiently remove sand from the pond bottom. This will allow for full permitted
depth of excavation of the pond and proper reclamation of the edges of the pond. It is the intention of
the operator to only dewater the excavation as needed,which will not entail full-time dewatering.
For excavation purposes,dewatering will occur intermittently 12-16 times per year. The operator plans
to excavate approximately 25,000 cubic yards of sand at a time while dewatering and stockpile it for

later usage. Once the stockpiled sand is depleted,the operator will dewater the excavation again and
remove another quantity of sand.
Mine dewatering wastewater will be treated before release to the Waters of the State. Use of a
sedimentation pond separate from the excavated mine is a traditional and effective means to remove
sediment from wastewater generated during mine dewatering operations.
Sedimentation Pond Construction and Overflow Discharge:
The operator plans to utilize his existing 0.87-acre sand pit located 25 feet northeast of the main
excavation area as a sedimentation pond for dewatering the main pond. The sediment pond will have a
4-ft tall berm constructed around the pond perimeter to help maintain dewatering volume. The pond
berms will have a minimum of 1.5 feet of freeboard between the water surface and the top of the
sediment pond bank. The sediment pond will be located adjacent to an existing groundwater-levelling
ditch which flows westward 1100 feet to wetlands draining to North River.
Sediment pond water level will be controlled by a half-pipe flash-board water height control device
installed in the northern corner of the sediment pond berm.The control structure will allow water to
flow across the flash boards into a 125'long x 24"wide PVC discharge pipe running northward through
the sediment pond berm to an outlet discharging to a 20-foot-long riprap-protected apron in the
discharge ditch,leading 1100 feet to wetlands. From there,discharge water will drain 0.5 mile to North
River and Albemarle Sound.
Dewatering Procedure:
The operator will install an 8-inch dewatering pump between the main excavation and sediment pond at
the north end of the excavation. Discharged water from the dewatering pump will enter the sediment
pond at its southern corner and will overflow through a constructed half-pipe flash board water height
control device discharge point located on the northern corner of the sediment pond.The discharge
point will release clear water through the water-height control device into the existing discharge ditch
draining to wetlands and North River.
Water will be pumped from the excavated pond to the sediment pond by the 8-in gasoline-powered
transfer pump operating at idle speed,approximately 1100 rpm. Estimated maximum flow from the
pump will be 8,000 gallons/hour,operating 12 hours per day,0.096-mgd. It is the intention of Mr.
Thompson to lower the water level in the excavation approximately 20-25 feet below normal ground
level as needed.
Time and distance will allow all sedimentation to occur to acceptable levels before the overflow water
reaches its outfall and then the waters of the State. Water will flow a minimum of 250 feet to reach the
overflow point which will give enough surface area to allow sufficient sedimentation to occur. There will
be a minimum of 1.5 feet of freeboard between the water surface in the sediment pond and the top of
the sediment pond bank. Stormwater drainage will be unable to enter the sediment area and damage
the sediment pond rates,due to the height of a surrounding 4-ft tall sediment pond berm.

Wetlands Protection:
Removing water from the excavation using a sedimentation pond with overflow is a valid dewatering
method for this size excavation. The pond can be dewatered quickly,and water removed from the pond
will be used to uniformly hydrate adjacent wetlands.
Once dewatered,excavation activity will be focused on removing sand from the pond as quickly as
possible to shorten the periods of dewatering. This will allow the groundwater level in the pond to
return to normal as soon as possible to lessen possible impacts to adjacent wetlands,once dewatering
ceases.
Groundwater Control:
Groundwater levels are not expected to be impacted in areas outside of the immediate excavated
dewatering area. Groundwater levels are expected to remain stable despite dewatering of the
excavation. The excavation site is located 1100 feet east of a 1500-acre North River wetlands area,
which serves to drain and hydrate the area adjacent to the proposed permit area.
Groundwater level depletion is not expected to affect any neighboring groundwater wells.The closest
residences to excavation are located 330 feet from the proposed excavation,with others further.
Properties along Caratoke Highway are served by the Currituck County Water System.
The operator will construct and install three groundwater level monitoring wells between the proposed
mining area and adjacent residences to the south and west. The wells will be installed before
dewatering activity begins,and the wells will be checked monthly for groundwater levels once
dewatering begins. Locations of the monitoring wells are shown on the attached mining maps.
In addition,per Currituck County ordinances,the mine operator will post a$3,000 bond for active
groundwater wells located within 1,500 feet of the mine excavation area. The bond will provide funds
to repair any problems with neighboring water supply wells within 1500 feet of The Sandlot excavation
edge,if the problems occur during times of dewatering activity. The operator will also provide a written
performance guarantee to repair any problems with neighboring water supply wells within 2000 feet of
The Sandlot excavation edge, if they occur during times of dewatering activity.
Sedimentation and Erosion Control:
The operator will maintain a minimum 25-ft wide unexcavated buffer on the north,south,east,and
west sides of excavation activity.
All erosion and sedimentation will remain inside the permit area.The operator will construct and
maintain a 10-ft wide x 2-ft tall grass-covered sand berm around the perimeter of the current affected
area of the excavation during all phases of operation,inside the unexcavated buffer.Stormwater falling
inside the active mining area will be directed to drain into the excavation by diversion drains.

Maintaining the Dewatering Equipment and Erosion Control Measures:
Inspections and maintenance are required to obtain the intended function of safely dewatering the sand
mine,and to maintain the life of any nearby wetlands or waters of the State. Items to inspect and
maintain during the anticipated 10-year life of the mine dewatering permit are:
• Inspect embankments, berms and appurtenant structures,and repair as needed.
• Monitor overflow ditches for damage or stoppage from beaver activity, repair as needed.
• Repair any damage to vegetated areas or berms with compacted earth fill,reshaping,sodding,
reseeding,and mulching as needed.
• Promptly repair all leaks in delivery facilities by replacing valves,fittings,gaskets,and worn or
damaged parts.
• Maintain all screens,filters,valves,timers,and other electrical and mechanical equipment in
good operating condition,following manufacturer's recommendations.
Monitoring the Dewatering Process and Effects of Dewatering:
Analytical and qualitative monitoring of mine dewatering wastewater will be in accordance with the
NCG020000 permit,as follows:
• The Sandlot excavation will discharge mine dewatering wastewater into wetlands draining to
North River,classified as SC,and to Albemarle Sound,classified as SB.
• Per requirements of the NPDES permit,discharge water will be sampled quarterly and analyzed
for pH,Total Suspended Solids(TSS),turbidity,and salinity. Samples with benchmark
exceedances will require the operator to increase sampling, per NPDES permit,until sample
results are cleared.
• All excavated ponds in The Sandlot excavation area will be inspected daily by the operator to
Identify any abnormal conditions.
• All berms and erosion control structures will be inspected for damages monthly and within 24
hours after every storm event greater than 1.5 inches,and all structures will be repaired
immediately.
• Special inspections will be conducted immediately following severe storms,vandalism,and
other significant events.
• Dewatering process will be inspected daily during periods of dewatering the excavation.
• Rain gauge data will be collected by monitoring local rain gauge data monthly and after each
rain event.
Wetlands Monitoring:
Wetlands are located westward of the proposed Sandlot mine site. Level 1 wetlands landscape
assessment by US Fish&Wildlife Service indicate one type of wetlands near the parcel in question:
• PFO1Cd—Freshwater Forested/Shrub Wetland, partially drained,700 ft west of excavation
boundary.

Level 2 wetlands assessment has not been performed on the site. Discharge ditches will serve as
hydration devices to help maintain normal groundwater levels. Operator will monitor drainage ditches
weekly to always ensure presence of water in the ditch.
Records
Data will be collected as follows:
• Visual monitoring of adjacent wetlands and farmland for potential dehydration during mining or
dewatering activities will take place weekly. Solutions to any degradation caused by any mining
activity will include alteration of dewatering process. DWQ will be consulted as needed;
alterations to process will be recorded.
• Elliott Consulting will maintain the following records in a permanent file at the Elliott Consulting
office at PO Box 112, 202 Elliott Road,Aydlett, NC 27916: a record of all significant actions
taken;as-built drawings; permits; analytical results from sampling; and related material. Copies
of all inspections, monitoring reports and lab analyses shall be provided to NCDWQ on a regular
basis and as requested.
• Stormwater Pollution Prevention Plan and other pertinent documents and records will be
available online for inspection at www.thompson-sp3.com.
BMP Conditions
• The permittee will utilize best management practices to ensure that dewatering The Sandlot
excavation will not degrade or negatively impact any wetlands or waters of the State. BMP's
will include:
o All berms and erosion control and sedimentation control structures will be inspected for
damages monthly and within 24 hours after every storm event greater than 1.5 inches,
and all structures will be repaired immediately.
o A paved construction entrance will be maintained at intersection of the mine access
road and Caratoke Highway.
o Operator will maintain riprap outfall protection on the overflow drainage ditch
downstream of sediment pond.
o Groundcover will be established on all sections of the permit area when not in use by
mining activities.
Signed,
Ken Elliott
for TR Equipment Company, Inc., Operator
The Sandlot, Powell's Point, NC
January 13, 2024

NCDEQ
WATER WITHDRAWAL AND Division of Water esources
1611 Mail Service Center
TRANSFER REGISTRATION Releh.NC Te:(919)707 021G7
Fax:[phone]
Web:htto:/Iwww.ntwater.om
SECTION 1: FACILITY INFORMATION
1-A. Facilitv Name: The Sandlot For nfflrA URA Only
1-B. Owner Name: R Gary Thompson Reaistration#:
1-C. Address:
City: Facility—7831 Caratoke Hwy.. Powell's Point.NC 279M State: Zio Code:
1-D. Countv: C rrriluck 1-E. River Sub-Basin: Pasguotank
1-F. Contact Person: Ken Elliott 1-G. Title: Consultant
1-H. Telephone: [phone] Fax: ( 1
1J. Email: ken0kenolox cam
1-K...Water Use.TYPe..(selectone):..................................................................................___..........._............_..........................................._ .. __.... ......................
❑ Agriculture-aquaculture ❑ Industrial-metaVplastic/fiberglass manufacturing
❑ Agriculture-row-crop fanning and research ❑ Industrial-animal processing
❑ Agriculture-land drainage/waterfowl impoundments ❑ Industrial-textile manufacturing
❑ Agriculture-plant nursery ❑ Industrial-wood/paper products
❑ Agriculture-sod and turf production ❑ Industrial-environmental remedistion
❑ Agriculture-Christmas tree production X Mining-mineral extraction
❑ Agriculture-animal production ❑ PWS-drinking water(ID# )
❑ Energy-hydropower ❑ Recreation-temporary filling of ponds
❑ Energy-pipeline testing(temporary) ❑ Recreation-golf course
❑ Energy-thermal-electric(steam-electric power,nuclear,
❑ Recreation-snow making
turbine generator)
❑ Industrial-chemical and pharmaceutical ❑ Recreation-water sports
manufacturin rocessin
SECTION 2: WITHDRAWAL INFORMATION
2-A. Avers a daltv withdrawal and maximum da withdrawal by month in million aalillons Der day, MGD.
Average Daily Maximum Day Average Dairy Maximum Day
Month #of Days Withdrawal Withdrawal Month #of Days Withdrawal Withdrawal
UsedMGD MGD UseddMGD MGD
Jan July
Feb Aug
Mar Sep
Apr Oct
May Nov
Jun Dec
2-8. Ground Water Information—Please complete a row for each around water withdrawal source used in 2009.
Well or Sump Latitude Longitude Well PumPtak® Screen Depth Well Average
era e #of Pumping
Identifier (35.123456) (-77.123456) Depth Depth op Bot Diameter
Withdrawal used Capacity
Feet (Feet) (Feet) MGD
2-C. Surface Water Information—Please complete a row for each surface water withdrawal source used In 2009.
Source Latitude Longitude Average Daily #of Pumping
Source Identifier Withdrawal days Sub-Basin Capacity
Type (35.123456) (-77.123456) MGD used MGD
The Sandlot Quarry 36.153742 -75.853156 Pasquotank 0.096
'Source Type—Choose one of the following: Lake,Pond,Quarry,Reservoir,River,or Stream.
Rev.05/08/2017 1

SECTION 3:DISCHARGE INFORMATION
3-A. Enter the average daily amount of water disc ha ed each month in million gallons per day MGD.
Average Dally Maximum Day Average Daily Maximum Day
Di ed
Month #of Days Discharge Discharge Month of Days Discharge Discharge
Discharged MGD MGD Discharged MGD MGD
Jan July
Feb Aug
Mar Sep
Apr Oct
May Nov
Jun Dec
3-B. Please complete a row for each dischar a method.
Identifier or "Discharge Latitude Longitude Average Daily #of Permitted
Permit Number Type (35.123456) (-77.123456) Discharge Days Sub-Basin Capacity
MGD Used MGD
SDO-1 Discharge 36.154091 -75.853378 Pasquotank 0.096
"Discharge Type-Choose one of the following: Discharge,Hydropower,Land Application,Subsurface,or To Another System.
SECTION 4:SURFACE WATER BASIN TRANSFER
Complete this section If you withdraw or purchase water that is not returned to the river sub-basin from which it was withdrawn.
4-A. Please complete a row for each transfer of surface water from one sub-basin to another.
Daily Transfer
Description of Transfer Source Sub-Basin Receiving Sub-Basin Capacity
MGD
4-B. Enter the average daily and maximum day surface water transfer amounts by month In million allons per day MGD:
Average Daily Maximum Day Average Daily Maximum Day
Month #of Days Transfer Transfer Month #of Days Transfer Transfer
Transferred MGD MGD Transferred MGD MGD
Jan July
Feb Aug
Mar Sep
Apr Oct
May Nov
Jun Dec
ff latitude and longitude are unknown for any water withdrawal or discharge location listed above please submit a map clearly
marking and labeling all water withdrawal and discharge locations on an appropriate US Geological Survey topographic map or a
comparable map.
Do you have any comments? Mine dewatering wastewater withdrawn from mining operation discharges to sediment pond
which then overflows&discharges to ditch draining to North River.
R. Gary Thompson January 15,2024
PRINT/TYPE Name of Person Registering Si naturLe Date
Rev.05/08/2017 2