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Home My WebLink About20240523_Greencard_Receipts NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612 Division of Energy,Mineral,and Land Resources (919)707-9220 AFFIDAVIT OF NOTIFICATION I o r,314ne, , 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 Castle Bay Corp 107 Links Ct. Hampstead, NC 28443 Castle Bay Property Owners Assoc 1628 Doctors Cir Wilmington NC 28401 James Glenn Capps 973 Royal Tern Dr Hampstead NC 28443 NCDOT 1546 Mail Service Center Raleigh NC 27611 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: David Andrews P.O. Box 5 Burgaw NC 28425 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 notifyail 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 513.0004(d).I understand that it is the responsibility of the applicant to retain the receipts of mailing Zi at the a,4Zaused to be mailed and to provide them o the Department upon request. ture of Appent Dat If person executing Affidavit is an agent or employee of an applicant,provide the following information: Name of Applicant Sl a In cM a rzk Title of person executing Affidavit ��G.P Preskdc�ni, J 1 YY, &Okyxclna_ INSSOC.1 C. Marten C�(atnclrlar� a Notary Public of the County of n lm t!n - State of North Carolina,do hereby certify that Robert g(a Vl GI iay-d appeared before me this day and under oath acknowledged that the above Affidavit was made by him/her. = Witness my hand and notarial seal,this l5"�day of MaN 20 2-4 Notary: l�.x My commission expires: Revised September 21, 2021 Page 18 PostalU.S. Postal Service'- U.S. CERTIFIED o RECEIPT CERTIFIED o RECEIPT s Domestic . m Domestic m r 1 9 Ski a epc , ++ ur9=S4.4- _n {yIT_I VM � 6hwdllied Mail Fee 11��4'� NCertiRetl Ma$4 4ii il, $to Ln �I2 Extra Services&F6es(checkbu,eddfoeas�PM-N/ Fxtm Services fees(crreckbox,edtl lee 1mo re ❑Rehm Receipt(nadcaPYl $ nI' ❑Ceram flecelpt(nadcoPY) $ J. �a ) 1-3 ❑fldurn Recept(eledmnlc) $ 1",1111 Postmarl, 0 ❑Rehm Ro I Ipt(dectnnic) $ Postmark 17 ❑Cenmed Mal Reetncled Delivery $ 611.1111 Hera O Cy}Mod Melt Reokrod mlier $ kii_ilrl Here C3 ❑Adua Sgnatun,RK ed $ Q:a--- � ❑Nult Signature Re ulred $ 4� •_ �Muh SgreMe Rovinsd tMlivary$ ❑Mutt Slgme a RInmcNId DMlvery$ M Postage o O Postage $[I bo $11,6 C3 $ fi5/31/2i124 0 $ I Roctago and Fees � W1 P�ylose and Fees ��% 1/2tJ24 �. 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