20210622_Release_request

RELEASE REQUEST FORM
Instructions: Fill out this form if all mining has ceased,you have completed all of the required
reclamation work and you wish to be released from the conditions of your permit. Retain the
pink copy for your records and return the yellow and white copies to the Land Quality Section
Regional Office serving your area or to:
N. C. Department of Environment and Natural Resources
Land Quality Section
1612 Mail Service Center RECEIVED
Raleigh,NC 27699-1612
OPERATOR: _Wayne Smith, .ION 2 2 2021
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ADDRESS: _20 Thomasboro Rd SW, Calabash, NC 28467 MI LA4"up!!TY
NING PROGRAM
MINE NAME: _The Lakes of Lockwood 11 Mine
PERMIT NO.: 10-62
COUNTY: Brunswick
TOTAL ACRES RECLAIMED:
TAILINGS PONDS: .C11 RG STOCKPILES:..(A AC- WASTEPILES: _
PROCESSING PLANT: .� A c . ACTIVE MINE AREA: y-,7).7 9, AC,
I have completed all of the required reclamation work at the above referenced site. I am
hereby requesting to be released from the conditions of this mining permit and that the posted
bond be returned to my attention.
Signe�
Title Q1t )npX
Date
9103