20210504_Application

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APPLICATION FOR A MINING PERMIT
:tgti� Cit��t�aR
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES p
LAND QUALITY SECTION RECEIVED
APPLICATION FOR A MINING PERMIT 6EP i o i61R
(PLEASE PRINT OR TYPE) LAND QUALITY SECTION
1. Name of Mine 1��'(7 liLlz& // I (•ll✓1 All I- County raldCN e
River Basin cl laLakl . RECEIVED
Latitude(decimal degrees to four places)
Longitude(decimal degrees to four places)
MAY 0 4 2021
2. Nameol'Applicant• HO-WA'194, PautrLr a
3. Permanent address for receipt of official mail** 7 /t
a oil oie- N C D 0-6 e 5-
Telephone (91?') 7 T"t ST el Alternate No. (32?'
4. Mine Office Address / // Co�71P K S J -Lo T
�gno/r /SIC j ff 4 C/,5- �/ Telephone 02k-) 7 57 5 5-e2
5. Mine Manager LBUI rp NO7TonFtn
We hereby certify that all details contained in this Permit Application are true and correct to the best of our
knowledge. We fully understand that any willful misrepresentation of facts will be cause for permit
revocation.
***Signature ka4l � — Date 7 2 l2-
Print Name- pU ra Noiwe w�
Title P.
• This will be the name that the mining permit will be issued to and the name that must be indicated on the
reclamation bond(security)that corresponds to this site.
•* The Land Quality Section must be notified of any changes in the permanent address or telephone number.
•*• Signature of company officer required.
G.S.74-51 provides that the Department shall grant or deny an application fora permit within 60 days of receipt ofa
complete application or, if a public hearing is held, within 30 days following the hearing and the filing of any
supplemental information required by the Department. All questions must be addressed and all required maps
provided before this application can be considered complete. Attach additional sheets as needed.
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RECEIVED
SEP 19 7017
LAND QUALITY SECTION
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APPLICATION FOR A MINING PERMIT
NOTE: All of the following questions must be thoroughly answered regarding your raining operation for
the intended life of the mine. All responses must be clearly conveyed on a corresponding,detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
1. Answer all of the following that apply:
❑ If this is an application for a NEW permit,indicate the total acreage at the site to be covered by the
permit(this is the acreage that he"new permit" fee will be based upon): 6 /.)G/'e%
Of this acreage,how much is owned and how much is leased? Acres owned:
Acres leased: /a i/ Property owner if leased: P-Tt 1,ap
❑ if this is an application for RENEWAL of a mining permit,indicate the mining permit number and
the total(overall)acreage covered by the existing permit: Mining Permit No.:
Total permitted acreage(this is the acreage that the"renewal" fee will be based upon):
❑ If this is an application for a MODIFICATION to a mining permit, indicate the mining permit
number and the total (overall)acreage covered y the existing permit.
Mining Permit No.: j Y_ I-� _Total Total permitted acreage:
Does thc:.modification involve acreage within the previously approved permitted boundary'?
Yes 2� No❑. If yes,indicate the acreage to be covered by this modification(this is the acreage
that the "major modification" fee will be based upon): 6 /a(,
Does the modification involve acreage outside the previously approved permitted boundary?
Yes Q' No❑. If yes,indicate the additional acreage to be covered by this
modi fication: ( U C, . (NO'FE: you must complete all of'Section F.of this application form
entitled Notification of Adjoining Landowners).
Of this acreage to be added to the permit,will any portion of this acreage be affected(i.e.:disturbed.
round cover removed)by the mining operation? Ye`El' No❑(If no,a"minor modification"
tee of$100.00 is required, despite the "undisturbed" acreage to be added). If yes, indicate the
acreage to be affected within the acreage to be added to the permit(the total acreage u be added to
the permit is the acreage that the"maior modification" fee will he based upon): AC
If this is an application for TRANSFER of mining permit,indicate the mining permit number and
the total (overall)acreage covere b the existing permit.
Mining Permit No.: Total permitted acreage:
SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO BE
PAID FOR THE REQUESTED PERMIT ACTION(S) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined: so nvt-
3. Mining method:
❑ 1•Iydraulic Dredge Front-end Loader&Truck 0 Shovei &'truck
Drabline&Trick Sell'-loading Scraper
Other(explain):
4. a. Expected maximum depth of mine(feet)
Depth is relative to what benchmark?(c.g. natural ground level, mean sea level,road elevation,etc.)
b. Expected average depth of mine(feet)
It
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APPLICATION FOR A MINING PERMIT
5. Has any area(s)at this site been mined in the past? Yes No
If yes,when and by whom was this activity conducted?
6. Number of years for which the permit is requested(10 years maximum): 16 Vgez n
B. MAPS
1. Clearly mark and label the location of your mining operation on six 6 coyies of a 7.5-minute quadrangle
and a county highway map. These maps,in addition to six M copies of all mine maps and reclamation
maps,must be submitted with each permit application.
7.5-minute quadrangles may be obtained from the N.C. Geological Survey:
Mailing;,Address: Physical Address:
1612 Mail Service Center OR 512 North Salisbury Street,5 h Floor
Raleigh,North Carolina 27699-1612 Raleigh,North Carolina 27604
[phone]
http://portal.ncdenr.or��%•eb/ir/j;eolu,ical home
County highway maps may be obtained from the N.C. Department of'transportation:
North Carolina Department of Transportation—Geographic Information Systems(GIS)
Mailing Address. Physical Address:
NCDOT GIS Unit NCDO'1'GIS Unit
1587 Mail Service Center 3401 Carl Sandburg;Court
Raleigh,North Carolina 27699-1587 Raleigh,North Carolina 27610
[phone]
littR://www.iicdot.orplit/gis
it/g s
2. Mine maps must be accurate and appropriately scaled drawings, aerial photographs or enlarged
topographic maps of the entire mine site. All aspects of the mine site must he clearly labeled on the
maps along with their corresponding(approxima(e)acreage. As a reminder,mining permits can
only he issued for up to 10 years; thus, all mine and reclamation maps must only denote those
activities that are intended to be conducted during the life of the mining permit. All maps must be
of a scale sufficient (see minimum requirements listed below) to clearly illustrate the following, at a
minimum:
a. Property lines of the tract or tracts of land on which the proposed mining activity is to be located
including easements and rights-of-way.
b. Existing or proposed permit boundaries.
c. initial and ultimate limits of clearing and grading.
d. Outline and width of all buffer zones(both undisturbed and unexcavated).
e. Outline and acreage of all pits/excavations.
f. Outline and acreage of all stockpile areas.
g. Outline and acreage of all temporary and/or permanent overburden disposal areas.
h. Location and acreage of all processing plants(processing plants may be described as to location and
distance from mine if sufficiently far removed).
i. Locations and names of all streams,rivers and lakes.
j. Outline and acreage of all settling and/or processing wastewater ponds.
k. Location and acreage of all planned and existing access roads and on-site haul roads.
1. Location of planned and existing on-site buildings.
m. Location and dimensions of all proposed sediment and erosion control measures.
n. Location of I00-year floodplain limits and wetland boundaries.
o. Names of owners of record,both public and private,of all tracts of land that are adjoining the mining
permit boundary;if an adjoining tract is owned or leased by the applicant or is owned by the lessor of
the mine tract,names of owners of record of tracts adjoining these tracts,that are within 1,000 feet of
the mining permit boundary,must be provided on the mine map.
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APPLICATION FOR A MINING PERMIT
p. Names of owners of record,both public and private,of all tracts of land that are adjoining the mining
permit boundary which lie directly across and are contiguous to any highway,creek,stream,river,or
other watercourse,railroad track,or utility or other public right-of-way.If an adjoining tract is owned
or leased by the applicant or is owned by the lessor of the mine tract,names of owners of record of
tracts adjotning these tracts, that are within 1,000 feet of the mining permit boundary, must be
providelon the mine map(s). NOTE: "Highway"means a road that has four lanes of travel or less
and is not designated as an Interstate Highway.
q. Map legend:
1. Name of applicant
2. Name of mine
3. North arrow
4. County
5. Scale
6. Symbols used and corresponding names
7. Date prepared and revised
R. Name and title of person preparing man
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP SCALI=
049 Acres 1 inch=50 feet
50-199 Acres I inch= 100 feet
200+Acres 1 inch^200 feet
(NOTE:Smaller scaled maps may be acceptable if they clearly illustrate the above items)
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APPLICATION FOR A MINING PERMIT
A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment
ponds,stockpiles,wastepiles,processing arca/haul roads,mine excavation and any other maj*or aspect of the
mining operation that is proposed to be affected/disturbed during the life of the mining permit. A table/chart
similar to the following will be acceptable:
CATEGORY AFFECTED ACREAGE
"failings/Sediment Ponds 41C
Stockpi les ,g f
Wastepiles y ,a r,
Processing Area/Haul Roads
iQL-
Mine Excavation
Other(Explain)
'total Disturbed Acreage r
NOTE:
IN ADDITION TO THE ABOVE, THE MAPS MUST ALSO INCLUDE ANY SITE-SPECIFIC
INFORMATION THAT IS PROVIDED IN THE ANSWERS TO THE FOLLOWING QUESTIONS IN
THIS APPLICATION FORM {PLEASE NOTE THE ITALICIZED QUESTIONS/STATEMENTS
THROUGHOUT THE FORM. THIS APPLICATION WILL NOT BE CONSIDERED COMPLETE
WITHOUT ALL RELEVANT ITEMS BEING ADEQUATELY ADDRESSED ON THE MINE MAPS.
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APPLICATION FOR A MINING PERMIT
C. PROTECTION OF NATURAL RESOURCES
l. Describe in detail the sequence of events for the development and operation ofthe mine and reference the
sequence to the mine map(s). Attach additional sheets as needed.
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2. Describe specific erosion control measures to be installed prior to land disturbing activities and during
mining to prevent offsite sedimentation(include specific plans for sediment and erosion control for mine
excavation(s), waste piles, access/mine roads and process areas), and give a detailed sequence of
installation and schedule for maintenance of the measures. Locate and label all.sediment and erosion
control measures on the mine map(,) and provide typical cross-sections/construction details ojeach
measure. Engineering designs and calculations are required to justify the adequacy of any proposed
measures.
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3. a. Will the operation involve washing the material mined, recycling process water.or other waste water
handling? Ycs❑ No Q'If yes,briefly describe all such processes including any chemicals to be used.
b. Will the operation involve disc rging sh or waste water from the mine or plant as a point discharge to
the waters of the State? Yes Lj No lfyes, hriefly describe the nature ujthe discharge and locate
all proposed dischurAw points(along►vith their method(fstahilization) on your mine mup(s•).
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APPLICATION FOR A MINING PERMIT
c. Will any part of the:proposed mine excavation(s)extend be ow the water table`? Yes ❑ No
If yes,do you intend to dewater the excavation(s)'? Yes (� No❑.
If yes,what impact,if any,will mine dewatering have on neighboring wells? Estimated withdrawal rate
in gallons per day: Locate all existing►i>>ell.+on the mine maps)that lie within
500 feet qJ the prolysed excavation area. Provide data to support any conclusions or statements made,
including any monitoring;well data,well construction data and current water withdrawal rates. Indicate
whether the proposed mine locale is served by a public water system or private wells.
d. If you answered yes to any of the above questions, provide evidence that you have applied for or
obtained the appropriate water quality p,crmit(s)(i.e.,non-discharge,NPDES,Stormwater,etc.)from the
Division of Water Quality,Water Quality Section. In addition,the applicant is required to register water
use with the Division of Water Resources if the operation withdraws more than 10,000 gallons per day
and needs a capacity use permit from the Division of Water Resources if the operation ties in a capacity
use area and withdraws more than 100,000 gallons per day.
4. a. Will the operation involve crushing or any other air contaminant emissions'? Yes ❑ No '�
If yes, indicate evidence that you have applied for or obtained an air quality permit issued by the
Division of Air Quality or local governing body.
b. How will dust from stockpiles,haul roads,etc.,be controlled?
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APPLICATION FOR A MINING PERMIT
5. a. A buffer will be required between any mining activity and any mining permit boundary or right-of-
way. It may be an unexcavated liuffer (no excavation, but roadways, berms and erosion &
sedimentation control measures may be installed within it), an undisturbed buffer(no disturbance
within the buffer whatsoever),or a combination of the two,depending upon the site conditions. Note
that all buffers must be located within the mining permit boundaries.
How wide a buffer will be maintained between any mining activity and any mining permit boundary
or right-of-way at this site? A minimum buffer of 25 feet is recommended,although a wider buffer
may be needed depending on site conditions. Show all buffer locations and widths on the mine
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b. A minimum 50 foot wide undisturbed buffer will be required between any land disturbing activities
within the mining permit boundaries and any natural watercourses and wetlands unless smaller
undisturbed buffers can be justified. Depending on site conditions,a buffer wider than 50 feet may
be needed.
How wide an undisturbed buffer will be maintained between any land disturbing activities within the
mining permit boundaries and any natural watercourses and wetlands at this site? Show all buffer
locatioav and widths on the mine map(s).
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6. a. Describe methods to prevent landslide or slope instability adjacent to adjoining permit boundaries
during mining. Minimum 2 horizontal to I vertical slopes or (latter for clayey material and
minimum 3 horizontal to I vertical slopes or flatter for sandy material are generally required,unless
technical justification can be provided to allow steeper slopes.
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APPLICATION FOR A MINING PERMIT
b. Provide a cross-section on the mine maps)for all fill slopes (berms, K,asiepiles. overburden
disposal areas,etc),clearly indicating the intended side slope gradient. installation of arty benches
and/or slope drains (with supporting design information) if needed and the method of final
stabilization.
c. In excavation(s)of unconsolidated(non-rock)materials.s ecify the angle of all cut slopes including
specifications for benching and sloping. Cross-sections f r all cut slopes must he provided on the
mine map(•).
d. In hardrock excavations,specify proposed bench widths and heights in fecal. Provide cross-sections
of the mine excavation clearly noting the angles of the cut slopes, widths of all safety benches and
mine benches, and the expected maximum depth of the excavation.
7. Describe other methods to be taken during mining to prevent physical halard to any neighboring dwelling
house, public road,public,commercial or industrial building from any mine excavation. Locate all such
structures on the mine map if they are within 300 feet of any proposed excavation.
g. Describe what kind of barricade will be used to prevent inadvertent public access along any high wall area
and when it will be implemented. Vegetated earthen berms, appropriate fencing and adequate boulder
barriers may be acceptable high wall barricades. A construction detail/cross-section and location af'each
type o/fbarricade to be used must he indicated on the mine map(s).
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APPIACATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes❑ No
If yes,how will acid water pollution from the excavation.stockpiles and waste areas be controlled?
10. a. Describe specific plans(including a schedule of implementation) for screening the operation from
public view such as maintaining or planting trees,bushes or other vegetation,building berms or other
measures. Show the location of all visual screening on the mine map(.$)and provide cross-sections
through all proposed berms or proposed spacing, sizes and species for tree plantings_
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b. Could the operation have a significantly adverse effect on the purposes of a publicly owned park,
forest or recreation area? If so,how will such effects(i.e.,noise, visibility,etc.)be mitigated?
NO
11. Will explosives he used? Yes ❑ No
It'yes,specify the types of explosive(s)and describe what precaution(s)will be used to prevent physical
hazard to persons or neighboring property from flying rocks or excessive air blasts or k1round vibrations.
Depending on the mine's location to nc<vby structures. more detailed technical information may be
required on the blasting program(such as a third-party blasting study). locate the nearest ojjsite occupied
structures) to the proposed excavation(s)on the mine map and indicate its approximate distance to the
proposed excavation.
12. Will fuel tanks,solvents,or other chemical reagents be stored on-site'? Yes❑ No
1f fyes, describe these materials,how they will he stored and method ofconiai►iment in case ufspi1L Indicate
the location(v)of till storage fcrcilities on the mine rnap(s).
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APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
1. Describe your intended plan for the final reclamation and subsequent use of all affected lands and indicate
the sequence and general methods to be used in reclaiming this land. This must include the method of
reclamation of settling ponds and/or sediment control basins and the method of restoration or establishment
of any permanent drainage channels to a condition minimizing erosion,siltation and other pollution. This
information mast be illustrated on a reclamation map and mast correspond directly with the information
provided on the mine nrap(s). In addition, design information, inchtdnrg hpical cross-sections, of arn,
permanent channels to be constructed as part of the reclamation plan and the location(s)of all permanent
channels must be indicated on the reclamation trap.
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2. Is an excavated or impounded body of water to be left as a part of the reclamation?Yes 21/1"'No❑.
If yes, illustrate the location of the bodv(s) of water on the reclamation trap and provide a scaled
cross-sections)through the proposed bodv(s)of water. The minimum water depth must be at least 4 feet,
measured from the normal low water table elevation,unless information is provided to indicate that a more
shallow water body will be productive and beneficial at this site.
Will the booy(s)of water be stocked with fish? Yes U No❑.
If yes,specify species.
3. Describe provisions for safety to persons and to adjoining property in all completed excavations in rock
including what kind of permanent barricade will be left. Acceptable permanent barricades are appropriate
fencing, large boulders placed end-to-end, etc. Construction details and locations of all permanent
barricades must be shown on the reclamation map.
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APPLICATION FOR A MlN1NG PERMIT
7. Describe your plan for rcvegctation or other surface treatment of the affected areas. This plan must
include recommendations for year-round seeding,including the time of seeding and the amount and type
of seed, fertilizer, lime and mulch per acre. The recommendations must include general seeding
instructions for both permanent and temporary revegetation. Rcvegctation utilizing only tree plantings is
not acceptable. Recommendations can be sought from:
a. Authorized representatives of the local Soil and Water Conservation District;
b. Authorized representatives of the Division of Forest Resources, Department of Environment and
Natural Resources;
c. Authorized county representatives of the North Carolina Cooperative Extension Service,specialists
and research faculty with the Colleges of Agriculture and Life Sciences and Forest Resources at
North Carolina State University;
d. North Carolina licensed landscape architects;
e. Private consulting foresters referred by the Division of Forest Resources, Department of
Environment and Natural Resources;
f. N.C. Erosion and Sedimentation Control Planning and Design Manual;
N.C.Surface Mining Manual: A Guide for Permitting,Operation and Reclamation;
Others as may be approved by the Department.
LIME-RATE OF APPLICATION(tons/acre):
FERTILIZER-ANALYSIS AND RATE:OF APPLICATION(poundstacre):
SEED - TYPE(S) AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE(pounds/acre): [NOTE: include Legumes]
Seed Tunes: Seedin Dates: Seeding Rates:
MULCH-TYPE AND RATE OF APPLICATION(pounds/acre)AND METHOD OF ANCI-IORING:
OTHER VEGETATIVE COVERS—'TYPE(S)AND RATE(S) OF APPLICATION INCLUDING
SEEDING SCHEDULE(pounds/acre,trees/acre,spacing of trees/shrubs,etc):
Revegetation and/or reforestation plan approved by:
Signature Datc
Print Name
Title
Agency
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APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to he used to establish an appropriate bond(based upon a range
of$500 to S5,000 per aj ected acre)for each permitted mine site bused upon the acreage approved by the
Department to be affected during the life ojthe mining permit. !'lease insert the approximate acreages for ouch
aspect of the mining operation that you intend to affect during the life olthis mining permit Lin addition,Please
insert fire u ro riate reclamation cost/acre for each calegoly from the Schedule of Reclamation Costs
roWded u4th this a licationform)OR you run defer to the De ortment to calculate vo,ur hond or you based
ypon your maps and standard reclamation costs:
AFFECTED RECLAMATION RECLAMATION
CATEGORY ACREAGE COST/ACRE* COST
Tailings/Sedimcnt Ponds: Ac. X $ /Ac. _ $
Stockpiles: Ac. X $ /Ac. - $
Wastepiles: Ac. X $ /Ac. - $
Processing Area/Haul Roads: Ac. X $ /Ac. _ $
Mine Excavation: Ac. X $ /Ac. - $
Other: Ac. X $ /Ac. - $
TOTAL AFFECTED AC.: Ac.
(TOTAL PERMITTED AC.: Ac.)
Temporary&Permanent Sedimentation&Erosion Control Measures:
Divide the TOTAL AFFECTED AC.above into the following two categories:a) affected acres that drain into
proposcd/cxisting excavation and/or b)affected acres that will be graded for positive drainage where measures will
be needed to prevent offsite sedimentation and sedimentation to onsite watercourses and wetlands.
a) Internal Drainage Ac.
b) Positive Drainage. Ac. X $1,500.00 = $
SUBTOTAL COST: $
Inflation Factor:
0.02 X SUBTOTAL COS'f': $ X Permit Lile(I to 10 years):
INFLATION COST: $
TOTAL COST = SUBTOTAL COST+ INFLATION COST = $
Total Reclamation Bond Cost: $
(round down to the nearest$1W.00)
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APPLICATION FOR A MINING PERMIT
F. NOTIFICATION OF ADJOINING LANDOWNERS
The"Notice"form,or a facsimile thereof,attached to this application must be sent certified or registered mail,
return receipt requested,to:
(1) the chief administrative officer of each county and municipality in which any part of the permitted
area is located as indicated on the mine map(s);
(2) all owners of record,both public and private,of all tracts of land that are adjoining the mining
permit boundary;if 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 must be notified (that are
within 1,000 feet of the mining permit boundary)as indicated on the mine map(s);and
(3) all owners of record,both public and private,of all tracts of land that are adjoining the mining
permit boundary which lie directly across and are contiguous to any highway,creek,stream,river,
or other watercourse,railroad track,or utility or other public right-of-way.If 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 must be notified (that are within 1,000 feet of the mining grmit
boundary)as indicated on the mine map(s). "Highway"means a road that has four lanes oravel
or less and is not designated as an Interstate Highway.
The only exception to the above method of giving notice is if another means of notice is approved in advance by
the Director,Division of Land Resources.
A copy of a tax map (or other alternative acceptable to the Department) must be mailed with the completed
"Notice" form (the proposed overall permit boundaries and the names and locations of all owners of
record of lands adjoining said boundaries must be clearly denoted on the tax map).
The"Affidavit of Notification"attached to this application must be completed,notarized and submitted to the
Department,with the remainder of the completed application form,before the application will be considered
complete.
THIS SECTION MUST BE COMPLETED FOR ALL APPLICATIONS FOR NEW MINING PERMITS
AND ALL MODIFICATIONS OF A MINING PERMITTO ADD LANDTOTHE PERMITTED AREA,AS
REQUIRED BY NCGS 74-50(bl).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
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APPLICATION FOR A MINING PERMIT
4. 1ndicatc the method(s)of reclamation ofoverburden,refuse,spoil banks or other such on-site mine waste
areas, including specifications for benching and sloping. Final cross-sections and locations for such
areas must be provided on the reclamation map.
5. a. Describe reclamation of processing facilities,stockpile areas,and on-si(e roadways.
yetc"
b. Will any on-site roadways be lcli as part of the:reclamation? Yes Ej No❑.
1A,es.identif .mch roadumui.ti on they reclamation Harp and provide details on permanent road and ditch
lisle stabilizUliwi.
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6. Describe the method of control of contaminants and disposal of scrap metal,j unk machinery,cables,or
other such waste products of mining. (Note definition of refuse in The Mining Act of 1971.)
No off-site generated waste shall be disposed of on the mine site without prior written approval
from the NC Department of Environment and Natural Resources,Land Quality Section and either
the Division of Waste Management(DWM)or local governing body. If a disposal permit has been
issued by DWM for the site, a copy of said permit must be attached to this application. All
iem orary and permanent refuse disposal areas must be clearly delineated on the mine maps) anti
reclamation map, along with a list oJ'items to be disposed in said areas.
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NOTICE
Pursuant to provisions G.S.74-50(b])of The Mining Act of 1971,Notice is hereby given that
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(�/'O �� �h G. has applied on 7 Z2
(Applicant Name) (Date)
to the Land Quality Section,Division of Land Resources,North Carolina Department of Environment
and Natural Resources, 1612 Mail Service Center,Raleigh,North Carolina 27699-1612,for(check one):
❑ a new surface mining permit,
[ a modification of an existing surface mining permit to add land to the permitted area;or
❑ a modification of an existing surface mining permit to add land to the permitted area with no disturbance
in the area proposed. Please note that future modification(s)may be submitted by the applicant to
allow disturbance within this area without re-notification of adjoining landowners.
The applicant proposes to mine S4&n on 6 acres located
(Mineral,Ore) (Number) (Miles)
N©► t 0 sLevrLm! of 10n0 1 t' off/near road u .Kn rwo/c A�
(Dir�cti9 d (Nearest'Town) (N rnber/Name)
in ((,o_1I �s�� County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bl),the mine operator is required to make a reasonable effort,satisfactory to the
Department,to notify all owners of record,both public and private,of all tracts of land that are adjoining the mining
permit boundary;if an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,
al I owners of record of tracts adjoining these tracts must be notified(that are within 1,000 feet of the mining permit
boundary). In addition, the mine operator must also notify the chief administrative officer of the county or
municipality in which any part of the permitted area is located. Any person may file written comment(s)to the
Department at the above address within thirty(30)days of the issuance of this Notice or the filing of the application
fora�4-5
ennit,whichever is later. Should the Department determine that a significant public interest exists relative to
G.S. 1,a public hearing will be held within 60 days of the end of the 30-day comment period specified above.
A copy of the permit application materials is on file and available for public review during normal business
hours at the above listed address as well as at the appropriate regional office. For information regarding the
s1lecifics of the proposed mining activity.elease contact the aDDlicant at the following telephone number:
. For information on the mining permit application review process,p ease contact
the Mining Program staffat(919)707-9220. Please note that the De artment will consider an relevant written
comments/documentation within the provisions of the Mining Act of 1971 throughout the application review
Rrocess until a final decision is made on_the application.
coUr4 Ha*Vr+arti
K�. Dor PY140 [� K
(Addressee/Owner of ecord's (Name of Applicant: Influde Contact Perscfn
Name and Address) &Company Name,if Applicable)
7 711 CoWW-7/PX
(Date of Issuance of this Notice/ (Address of Applicant) // IYC �2"qd-
Mailed to Addressee/Owner of Record) dEho�r
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APPLICATION FOR A MINING PERMIT
goAFFIDAVIT OF NOTIFICATION
I, J)�LU �� 74M Q. ,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 Environment and Natural Resources,being first duly sworn,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)
(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:
(Chief Administrative Officer Name) (Address)
[i.e.: City Manager,County Manager,Mayor,etc.] p
/� / f�- J / q ��- I U Box. ,2.z00, A/c, e6 t f S
rvIlaalfa �� �IfIA✓�Ri/' 1Wbd Wl�c.(� �t0/v
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 notify 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 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(bl)and 15A NCAC 5B.0004(d).
I understand that it is the responsibility of the applicant to retain the receipts of mailing showing that the above
notices were caused to be mailed and to provide them to the Department upon request.
&I /A&L.:��_ 7 --a p - l 2
Signature 6f Applicant or Agent Date
If person executing Affidavit is an agent or employee of an applicant,provide the following information:
Name of applicant:
Title of person executing Affidavit
I, a Notary Public of the County of ,
State of North Carolina,do hereby certify that
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 day of 20
Notary: my Commission expires:
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APPLICATION FOR A MINING [*MIT
MINING FEE SCHEDULE
A nonrefundable permit application processing fee when filing for anew mining permit,a major permit modification or a renewal permit is
required as follows:
0-25 acres 26+acres
New Permit Applications $3,750.00 $5,000.00
Permit Modifications $750.00 $1,000.00
Permit Renewals $750.00 $1,000.00
Transfers/Minor Modifications* $100.00 $100.00
• A noorerundeble S100.00 permit application processing fee is required for minor permit modifications. Minor permit modifications Include ownership transfers.came
changes.hand substitutions and permit renewals where the mine is inactive nod fully stabilised.A minor permit modification also includes lands added ton permitted area,
outsidt of the minimum permit buffer sane requirements.where no plans for mining related disturbance of the added lands have been approved. All other changes are
considered major permit mWificatlons.
Acres for new permits and renewal permits means the total sereage at The site.Acres for major modification of permits means that area of land affected by the modification
within the permitted mine area.or may additional land that is to be disturbed and added to an esisdog permitted area.or both.
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APPLICATION FOR A MINING I#MIT
There are seven Land Quality Section(I,QS) Regional Offices. Use the map below to locate the Regional Office
serving your county.
. a
Win to Sale l
of gh
r in o
gals to ,
F a" 'Ile �
Wit ngton
Asheville Regional Office
• Counties: Avery, Buncombe, Burke,Caldwell,Cherokee,Clay,Graham, Haywood, Henderson.Jackson,
Macon,Madison, McDowell, Mitchell,Polk, Rutherford, Swain,Transylvania, Yancey
• Address: 2090 U.S. Highway 70,Swannanoa,NC 28778
• Voice: 828.296.4500
• FAX: [phone]
Fayetteville Regional Office
• Counties: Anson,Bladen,Cumberland,Harnett,Hoke,Montgomery, Moore, Richmond, Robeson,Sampson,
Scotland
• Address: 225 Green Street,(Systel Building), Suite 714, Fayetteville,NC 28301-5094
• Voice:910.433.3300
• FAX:[phone]
Mooresville Regional Office
• Counties: Alexander,Cabarrus,Catawba,Cleveland,Gaston, lredell,Lincoln, Mecklenburg,Rowan,Stanly,
Union
• Address:610 East Center Ave.,Suite 301,Mooresville,NC 28115
• Voice: 704.663.1699
• FAX:[phone]
Raleigh Regional Office
• Counties:Chatham, Durham, 1:dgecombc,Franklin,Granville, Halifax,Johnston, Lee, Nash,Northampton,
Orange, Person,Vance,Wake, Warren, Wilson
• Address: 1628 Mail Service Center,Raleigh,NC 27699-1628 or 3800 Barrett Drive, Raleigh,NC 27609
• Voice: 919.791.4200
• FAX:[phone]
Washington Regional Office
• Counties: Beaufort. Bertie,Camden,Chowan,Craven,Currituck, Dare,Gates,Greene, Hertford. Hyde,.tones,
Lenoir,Martin, Pwnlico, Pasquotank,Perquimans, Pitt,1'yrrell, Washington,Wayne
• Address: 943 Washington Square Mall, Washington,NC 27889
• Voice:252.946.6481
• FAX:[phone]
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APPLICATION FOR A MINING FOMIT
LAND QUALITY REGIONAL OFFICES(continued)
Wilmington Regional Office
• Counties: Brunswick,Carteret,Columbus,Duplin.New Hanover,Onslow,Pender
• Address: 127 Cardinal Drive Extension,Wilmington,NC 28405
• Voice:910.796.7215
• FAX:[phone]
Winston-Salem Regional Office
• Counties: Alamance,Alleghany,Ashe,Caswell, Davidson,Davie,Forsyth,Guilford,Rockingham,Randolph,
Stokes,Surry, Watauga,Wilkes,Yadkin
• Address:585 Waughtown Street,Winston-Salem,NC 27107
• Voice: 336.771.5000
• FAX: [phone]
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APPLICATION FOR A MINING *MIT
SCHEDULE OF RECLAMATION COSTS
(Based upon range of$500-$5,000 per affected acre)
COMMODITY CODES: SG=Sand and/or Gravel,GS=Gemstone,Borrow=Borrow/fill dirt,CS=Crushed Stone,
DS=Dimension Stone, FS= Feldspar,MI=Mica, LI =Lithium, PF=Pyrophyllite,OL=Olivine,
KY=Kyanite/Sillimanite/Andalusite,PH=Phosphate,CL=Clay/Shale,PE=Peat,AU=Gold,TI=Titanium,and OT
=Other
Tyne T/S_Ponds S.piles W.piles P.area/H.R. Mine Excay.
SG,GS, $500/ac.(L) $1800/ac. $2000/ac. $1800/ac. $500/ac.(L)
Borrow 1500(F1) $2000(PD)
CS, I)S, 500(L) 1800 2000 2000 500(L)
FS, MI, 1500(FI) 2500(PD)
LI, PF,OL,KY
PH 1000(L) 2500 5000 5000 2000(L)
2500(FI) 5000(PD)
CL 1000(L) 2500 5000 5000 2000(L)
2500(FI) 3700(PD)
PE,AU, 1000(L) 2500 3000 3500 2000(L)
TI,O'I- 2500(FI) 5000(PD)
(L) =reclamation to a lake and rcvcgetating sideslopes
(FI)=reclamation by filling in and revegetating
(PD)=reclamation by grading for positive drainage&rcvcgctating
AS PER NCAC 15A 513.0003, IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINED BY THE
BOND CALCULATION WORKSHEET,YOU MAY SUBMIT AN ESTIMATE OF RECLAMATION COSTS
FROM A THIRD PARTY CONTRACTOR. SAID ESTIMATE MUST BE PROVIDED WITHIN 30 DAYS TO
THE FOLLOWING ADDRESS: Mining Program, Land Quality Section, 1612 Mail Service Center, Raleigh,
North Carolina 27699-1612
ALL ESTIMATES MUST INCLUDE THE FOLLOWING,AS A MINIMUM:
• FINAL GRADING COSTS PER ACRE
• LIME AND FERTILIZER COSTS PER ACRE
• YEAR-ROUND SEEDING MIXTURE COSTS PER ACRE(FROM APPROVED REVEGETATION
PLAN IN APPLICATIONMERMIT DOCUMENT)
• MULCH AND ANCHORING COSTS PER ACRE
• ANY OTHER RECLAMATION COSTS NECESSARY TO COMPLY WITH THE APPROVED
RECLAMATION PLAN FOR THE SITE IN QUESTION
YOU WILL BE NOTIFIED AS SOON AS POSSIBLE OFTHE DIRECTOR'S FINAL BOND DETERMINATION.
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AP%rj ICATION FOR A MINING ER UT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose of making necessary field inspections or investigations as
may be reasonably required in the administration of the Mining Act of 1971 pursuant to G.S. 74-56.
We further grant to the Department or its appointed represcntatives the right to make whatever entries on the
land as may be reasonably necessary and to take whatever actions as may be reasonably necessary in order to carry
out reclamation which the operator has failed to complete in the event a bond forfeiturc is ordered pursuant to G.S.
74-59.
LANDOWNER: APPLICANT:
Signature: Signature:*
Print Name: Print Name: go
(Title,if applicable)
Company Title: (Z..
(If applicaglel
Address: Company:
Mine Name: �► o0
'telephone:{ ) Telephone:0.28') �' 5� , =
Date Signed: Date Signed: 7
*Signature must be the same as the individual who signed Page 1 of this application.
One orildual and five 5 co ies of the com feted aiDDlication,six co vies of all location maps.,mine ma s
and reclamation maps,and the appro2riate ipracessingLee see next page for fee schedule) the forma check
or money order payable tote North Carolina Department of Environment and Natural Resources must be
sent to the Land Quality Section Central Office at the address listed on the front cover of this application
form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
,O
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Hoffman Materials Company
LENOIR,NORTH CAROLINA 28645
Off(cc: Mailing:
711 Complex Street 417 Sharon Ave.
Lenoir,NC 28645 Lenoir,NC 28645
828-754-5582
828-754-0188(Fax)
July 25.2012
Michael&Mary Moore
125 Tarlton Road
Statesville,NC 28625
Mr. &Mrs. Moore,
Please sign this entry agreement;we have to have this before we can dig another section
up. Also,please return this as soon as possible so I can return it to the Land Quality
Section.
Thank you,
David Hoff nun
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APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose of making necessary field inspections or investigations as
may be reasonably required in the administration of the Mining Act of 1971 pursuant to G.S. 74-56.
We further grant to the Department or its appointed representatives the right to make whatever entries on the
land as may be reasonably necessary and to take whatever actions as may be reasonably necessary in order to carry
out reclamation which the operator has failed to complete in the event a bond forfeiture is ordered pursuant to G.S.
74-59.
LANDOWNER: APPLICANT:
Signature: 'GU�'Z.�- Signature:*
Print Name: m JCha,Q.j 1) Print Name: �,�Ly� c•Q
(Title,if applicable)
Company 'ritic:
(If applicable)
Address:L .S :22ia^LL Company:140 9- -tvy 4 r1- 1*vj Ao 41 6)r4ids 1AC.
Mine Name: ovri
Telephone: "Telephone: 75-
Date Signed: ,�'=- a/—I' _ Date Signed: 7 -/: .
*Signature must be the same as the individual who signed Page I of this application.
One original and five 5 co ies of the com leted 8DDlication six 6 copies of all location maps,mine maps
and reclamation maps,and the appropriate processigg fee(see next page for fee schedule)in the form a check
or money order payable to the North Carolina Department of Environment and Natural Resources must he
sent to the Land Quality Section Central Office at the address listed on the front cover of this application
form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
to
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