20240925_RELEASE REQUEST FORM

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RELEASE REQUEST FORM 0�y9T0pRoc
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
Raleigh, NC 27699-(16612
OPERATOR: S( X S!3 A ti 1 (Yn kl it,a L L(.z IVl ra nc r�ut
Ctl
ADDRESS: — as t, q-- Y1Cl ^RAJ I� ali I
MINE NAME: I i T4 r r�, �'t�ti(�
PERMIT NO.: — C(
7
COUNTY: (�� '1,win S�v%( C,
TOTAL ACRES RECLAIMED:
Vd
TAILINGS PONDS: C9 STOCKPILES: 0 _ WASTEPILES:
PROCESSING PLANT: > ACTIVE MINE AREA:
it, t.'.-ci4-c tit
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.
Signeo--Z- —
Title
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Date 9 E 9 3 1 a_!/
9103

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Revised 2/2012
RELEASE —OF-MINING PERMIT C EC IST
(Release of the Entire Permitted Area)
In order for the permittee to be released from further reclamation responsibility for the
mine site with respect to The Mining Act of 1971, the following is required:
1. A Release Request Form or letter requesting release of the entire mine site must be
submitted by the permittee to the appropriate Land Quality section Regional Office.
A copy of the Release Request Form may be obtained from the Land Quality
Section Regional Office servicing your area.
2. A. The subject site will be inspected by a representative of the Department in
accordance with G.S. 74-56 to determine whether the operator has
complied with the reclamation plan, the requirements of The Mining Act of
1971, and the terms and conditions of the mining permit. If the reclamation
has been properly completed at the site, a memo will be sent from or
through the Regional Engineer to the Mining Specialist noting the date the
site was last inspected and recommending that the site be released. The
memo should include the reclamation methods employed at the site. A
copy of the completed inspection report and the Release Request Form
should be attached to the memo.
B. If the reclamation has not been sufficiently completed at the site, the
inspector will advise the permittee of any deficiencies noted during the site
inspection. The operator must commence action to rectify these
deficiencies and must diligently proceed until they have been corrected.
The Regional Office staff may extend performance periods referred to in
G.S. 74-53 (Reclamation Plan) for delays clearly beyond the permittee's
control, but only in cases where the Department finds that the permittee is
making every reasonable effort to comply. Upon completion of the
necessary reclamation, the permittee must contact the Land Quality section
Regional Office staff for an onsite inspection to determine whether or not the
-site is releasable. If releasable,-a memo must be sent from or through the
Regional Engineer as described in 2.A above.
3. Upon receipt of the above, the Director (or his designee)will notify the permittee in
writing that the permittee is released from further obligations for the site with
respect to The Mining Act of 1971. At that time, the Director (or his designee) will
release all or the appropriate portion of any performance (reclamation) bond or
other security which the permittee has posted under G.S. 74-54.
For more information, contact the Land Quality Section Regional Office serving your area
or the Central Office at [phone].

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1615 Landfall Drive RECE��/ED
Wilmington,\tom 28-.105
SEP 42024
DEMLR-STORMWATER PROGRAM
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