20241101_ADI_Received

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North Carolina Environmental Quality NOV 01 2024
1 . See updated page 4. DEMLR
2. Name added to each page.
3. Maps have been updated to include wetlands, water bodies and
waterways.
4. Maps have been updated to include this.
5. Maps have been updated.
6. Updated mine map.
7. Map has been updated.
8. The pond for the sediment control has been updated to show that the
pond is only for the sediment that comes from the plant. This is not a
drain or sediment pond for the property. The only material that will be
going into this is the fine aggregates that will be coming from the
plant.
9. This section has been corrected on the mine map.
10. Revised map
11 . New map provided with details.
12. A detailed map has been provided to show the wetlands and
buffer.
13. Page 1 and page 19 have been updated.
A copy of all documents has been prepared and sent with this
information
Original documents have been mailed

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
B.MAPS
1. Clearly mark and label the location of your mining operation on six(6)copies of a 7.5-minute quadrangle and a county
highway map.These maps,in addition to six(6)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 512 N.Salisbury St.,5th Floor
Raleigh,NC 27699-1612 Raleigh,NC 27604
Http://portal.ncdenr.org/webllr/geological home [phone]
County highway maps may be obtained from the N.C.Department of Transportation:
Mailinq Address Physical Address
NCDOT GIS Unit NCDOT GIS Unit
1587 Mail Service Center 3401 Carl Sandburg Court
Raleigh,NC 27699-1587 Raleigh,NC 27610
hffp://www.ncdot.rgritlgis [phone]
2. A tabletchart must be provided on the mine map that dearly lists the approximate acreage of tailings/sediment ponds,
stockpiles,waste piles,processing areas/haul roads,mine excavations and any other major 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:
AFFECTED ACREAGE TABLE:
For new permits,complete only the total affected acreage column.
For mod'f'rcations,complete all columns.
CATEGORY CURRENT AFFECTED PROPOSED CHANGE TO TOTAL AFFECTED
ACREAGE AFFECTED ACREAGE ACREAGE
Tailings/Sediment Ponds 2.00
Stockpiles 1.00
Waste piles 1.00
Processing Areas/Haul Roads 6.50
Mine Excavations 67.80
Other(Please explain)
Total Affected Acreage 67.80
Total Permitted Acreage 87.40
Revised September 21, 2021 P a g e 14

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
NOTE:It is recommended that you contact the appropriate Regional Office or the Raleigh Central Office for a PRE-
APPLICATION MEETING to discuss your intentions and address any questions.
1. Name of Mine -0 0 n b oor Mint
County IE-Ane C River Basin Tff
places)
(decimal degrees to four , I VjVff
� r�l26.
aces :T'
Longitude(decimal degrees to flour
places) —-1"7. `p
2. Name of Applicant Y and -4Q &4 LIC
Applicant Contact Q K0 Consultant Contact
Applicant Email PW4�0 Cotshsa n a I I�,Egnr Itant Email
Telephone 101 - (p3 Ar ��(� Telephone
Cell Phone pA Zpl 21 q Cell Phone
3. Permanent Address for Receipt of
Official Mail** 0. ()', n A
aq .Trail NC, 210g-q
4. Mine Office Address ��lo C�Y1 1CS L6m&
?jQAAe WYD N►C 2-18 og
5. Mine Manager ��
Mine Manager Email 2 C GlS�1 Slat I G dYY1
v
Telephone "1*- kjht- (020(o Cell Phone �52--'�02- 040
1 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*** Date 0A y
Print Name races
Title Cp o
*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 Division of Energy,Mineral,and Land Resources must be notified of any changes in the permanent address or telephone number.
***Signature of comoany officer required.
O.S.74-51 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a comolete
app0cation 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.
Revised September 21,2021 Page 1

NORTH CAROLINA MINING State of Notch Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh,NC 27699-1612
Division of Energy,Mineral,and Land Resources [phone]
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 Signature*
�,.,�
Print Name Print Name
Title(if applicable) Title �p o
Company(if applicable) Company
CA s/-I fva J L[c
Address Mine Name
�tCr`��lr' /Vllh�
Telephone
Telephone Date Signed
Date Signed
*Signature must be the same as the individual who signed Page 1 of this application.
On�ginal and five(5)copies of the completed application,six(6)copies of all location maps,mine maps and
reclamation maps,and the appropriate processing fee in the form a check or money order payable to the North Carolina
Department of Environmental Quality must be sent to the Raleigh 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(919)707-9220.
Revised September 21, 2021 Page 119
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