20240425_DWR

Return PDF of this form to DEMLR CO by email. cc DEMLR RO, DWR SPU. Send a copy to the permittee.
DIVISION OF WATER RESOURCES
MINING PERMIT APPLICATION REVIEW FORM
SECTIONTHIS TO BE OUT BY DEIVILR
DEMLR PERMIT: 54-72 Project Action New Modification Transfer Release
Applicant Name: James E. &Susan S. Rouse X
Applicant's Email: [e-mail] County: Lenoir
Project Name: Rouse Pit YES NO Date Commencing
Have land disturbing activities started?? X
Latitude: 35.2120 Longitude: -77.7586
Please return comments to (at DEMLR CO): Adam Parr [e-mail]
Comments due by: = 04/23/2024 SECTION BELOW TO BE FILLED OUT BY DWR
YES NO
Is this mine an active permit in BIMS? El 1XI
Is the RO concerned that the operation, as proposed, would violate standards of water quality? F IX
Comments: As proposed, project sufficiently avoids impacting surface waters and potential buffers.
Does this mine (or previous owner) have DWR back fees to pay? X
(If Yes, amount):
Watershed/Stream Name & Classification: I Drainage area feeds Belch Branch, classified as a WS-IV:Sw,NSW
DWR Compliance Status of Mine: New (Complaint)
401 Wetland Cert. required? 0
401 Wetland Cert. existing? I Ll 0
(If Yes, Permit#):
Does DWR RO have enough information to determine if a 401 certification is required? ❑X
Central Coastal Plain Capacity Use Area (CCPCUA). Required? ILlI X
Central Coastal Plain Capacity Use Area (CCPCUA). Existing? I I 0
(If Yes, Permit#):
Does DWR RO have enough information to determine if a CCPCUA is required? X
Is an O & M Plan needed? Ll X
Are wetlands disturbed at this site? X
Does DWR RO suspect or know of nearby wetlands to the site? X
Is a wetland delineation required prior to DWR issuing the permit? X
JD
Consultant
Onsite
Offsite
Stream Determination Needed? X
Stream Determination Completed? I 0
Does DWR RO need a statement that no wetlands/streams are disturbed for this project
from applicant?
Rev November 2021 r0

Return PDF of this form to DEMLR CO by email. cc DEMLR RO, DWR SPU. Send a copy to the permittee.
Buffer Determination Needed? X
Buffer Determination Completed? X
Recycle system permit existing? LI X
(If Yes, Permit#):
New Recycle System permit required? X
Enough information to determine? X
Non-discharge permit existing? LI I X
(If Yes, Permit#):
Will wastewaters discharge to HQW waters with a 7Q10=0? LI I X
7Q10 Flow:
Unknown Permittee must determine
Does DWR require DEMLR to hold the permit (e.g. so DWR can review it further or ❑ I 0
because DWR requires more information)?
Has Violation
O&M Requirements
HQW/7Q10 Concerns
IT-
Pay back fees or renew DWR permit LI
Other
Please describe
the reason to
hold the permit:
RO contact: Hold Until:
Mine must wait to dewater until an O&M plan is approved?
( -
CentralOffice Date Regional Office I Date
DWR RO Surface Water Brooks Sherman 04/22/2024
RO Aquifer Protection Section
Rev November 2021 r0