2021_Annual Reclamation Report_68-04

DocuSign Envelope ID:16C7ED96-F583-40BA-AC09-5CDE9E31 F536 RECEIVE®
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES AUG 18 2022
MINING PROGRAM
2021 Annual Reclamation Report
LAND QUALITY
GENERAL INFORMATION MINING PROGRAM
Legal Corporate/Owner Name: MerritPs Gravel Pit,Inc.
Mine Name:Tony Merritfs Gravel Pit
Mine Permit No•68"04 Mine Phone Number,if any(919)9325263
Mine Address(911 Address)Line 1: 3200 Damascus Church Road
Mine Address Line 2-
City: Chapel Hill State: NC Zip Code: 27516 County: Orange
Facility Coordinates: Latitude:35.8821 Longitude:-79.0866 River Basin: Cape Fear
Responsible Official/Authorized Contact: Invoice Contact:
Name/Title: Katelin Merritt Check if same as Responsible Official/Authorized Contact-
Mailing Address Line 1: 3200 Damascus Church Road Name Title:
Mailing Address Line 2: Mailing Address Line 1:
City/State/Zip Code: Chapel Hill,NC 27516 Mailing Address Line 2:
Primary Phone No. (919)9325263 Fax No. City: State: Zip Code:
Secondary Phone No. Primary Phone No. Fax No.
Email Address: [e-mail] Secondary Phone No.
ICI Email Address:
Is the site Active? M Yes EJ No Estimate land to be newly disturbed by mining in the 2022 calendar
year. 0.00 Acres
If mine is now Inactive,when did mining stop?
Date:
Check here if no new acreage was to be affected in 2022:�
Is this stoppage permanent? F-1 Yes El No List by category the total amount of disturbed and unreclaimed land
present at this site at the end of the 2021 calendar year.
If yes,do you wish to have thi We site re ed from
your reclamation bond? 7nYes No TAILINGS PONDS 0.48 Acres
STOCK PILES 323 Acres
Was new land affected in 2021? Yes 0 No WASTE PILES Acres
PLANTAREA Acres
If yes,how much? Acres MINE EXCAVATION 12.40 Acres
Is map on file current? M Yes =No I TOTAL DISTURBED AREA AT SITE: 16.13 Acres
If the map Is not current,submit updated map showing "Note:WASTE PILES should include overburden storage/disposal
affected acreage. areas and berms.
State and describe the amount and type of reclamation carried out in 2021 calendar year:
Check here if no reclamation completed in 2021: o•�•sio/nn�•a e�/y:
Signature of Responsible Official/Authorized Contact: 1� v Date: 08117/2022
COAar3EBFW40C..
Print Name: Katelin Merritt Title: Vice President
"Complete and return by September 1,2022,with the annual fee,and two copies of this form along with two copies of an updated mine
map(if needed).
Shaded areas are not required,but are useful to the Mining Program.