2023_Annual Reclamation Report_19-16

Action History(UTC-05:00)
Submit by Anonymous User 8/29/2024 12:24:13 PM (Start)
Approve by Kelly Jonas 9/6/2024 9:59:26 AM (ARR Review-19-16 Pittsboro Quarry)
• The task was assigned to DEMLR Mining ARR Team.The due date is:September 12,2024 5:00 PM
8/29/2024 12:24:27 PM
• Kelly Jonas assigned the task to Kelly Jonas 9/3/2024 11:19:26 AM

2023 Annual Reclamation Report
Complete and submit by September 1,2024 in
N.C. Department of Environmental Quality-Division of Energy,Mineral,and Land Resources
GENERAL INFORMATION
Mining Permit No.(?)
19-16
Once the permit number is entered,click outside the field box to prompt more information to pre-populate
Release Date(If Applicable) Original Issued Date Mine Data Current as of:
03/27/1997 07/30/2024
Legal Corporate/Owner Name*
3M Company
Mine Name*
Pittsboro Quarry
Mine Address(You Must Enter)*
(The 911 Address)
Street Address
4191 Hwy 87 South
Address Line 2
City State/Province/Region
Moncure North Carolina
Postal/Zip Code
27559
County* River Basin*
Chatham Cape Fear
Dropdown list Dropdown list
County Prefix Code*
19
Variable available for repository routing
Facility Coordinates:
Latitude:* Longitude:
35.66100 -79.17140
Responsible Official/Authorized Contact Information:
Name and Title*
Blake Arnett/Plant Director

Mailing Address*
4191 Highway 87 South,Moncure,NC 27559
Primary Phone No.* Secondary Phone No.
919-642-4011
E-mail Address*
[e-mail]
Invoice Contact Information:
(Contact info from above is carried below-please revise if needed)
Name and Title*
Andrew Miller/EHS Manager
Mailing Address*
4191 Highway 87 South,Moncure,NC 27559
Primary Phone No.* Secondary Phone No.
919-642-4005 [phone]
E-mail Address*
[e-mail]
Is the site Active?*
Yes No
Was new land affected in 2023?*
Yes No
Is the map on file current?*
Yes No
If the map is not current,submit updated map(s)showing affected acreage:
Must be.pdf format(Max size 100 MB each)
2024 Report-takeoff.pdf 3.7MB
Check here if no reclamation was completed in 2023
State and describe the amount and type of reclamation carried out in 2023 calendar year:
9.4 acres of reclamation completed in 2023. West berm was completed and seeded.
List by category the total amount of disturbed and unreclaimed land present at this site at the end of the 2023 calendar year:
Tailings Ponds* Stock Piles* Waste Piles*
18.9 6.9 126.3
Acres Acres Acres(WASTE PILES should include
overburden storage/disposal areas and
berms)

Plant Area* Mine Excavation* TOTAL DISTURBED AREA*
111.7 165.5 429.3
Acres Acres Acres(Calculated Sum)
Is there any other supplemental information you want to upload to submit with this report?
Must be.pdf format(Max size 100 MB each)
Check Request Processing.pdf 36.83KB
(If applicable)Please explain additional attachments that were uploaded:
Internal check request processing form attached. Check number 0080272 from JP Morgan Chase Bank has been sent separately from the ARR.
NEW DISTURBANCE ESTIMATES FOR 2024
Check here if no new acreage to be affected in 2024
Estimate land to be newly disturbed by mining in the 2024 calendar year:
5.0
Certification and Signature*
By checking the box and signing box below, I certify that:
• I have given true,accurate,and complete information on this Annual Reclamation Report form and in the uploaded map document(s);
• I agree that submission of this Annual Reclamation Report Upload form is a"transaction"subject to Chapter 66,Article 40 of the NC
General Statutes(the"Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes(the"Uniform
Electronic Transactions Act');
• I understand that an electronic signature on this form has the same legal effect and can be enforced in the same way as a written
signature;
• I intend to electronically sign and submit this Annual Reclamation Report form;AND
• I have the authority to submit this Annual Reclamation Report on behalf of this Mining Permittee.
Signature of Responsible Official/Authorized Contact:* Date*
08/29/2024
o�lake atwlm
Type Name* Title
Blake Arnett Plant Director
Email Confirmation will be sent to:*
[e-mail],[e-mail]
Additional E-mail Contact for Confirmation(if desired)
[e-mail]
This submission is associated with Business Process Instance ID 214970.