20210413_Application

3M Industrial Minerals Product Division
4191 Hwy 87 South
Moncure, NC 27559
CiV\tf 0-Q
Mr. David Miller
NC Department of Environmental Quality RECEIVED
Division of Energy, Minerals, and Land Resources
512 North Salisbury Street, 51^ Floor
Raleigh, NC 27604 APR 13 1011
Re: 3M Pittsboro Mine LAND QUALITY
MINING PROGRAM
Dear Mr. Miller:
3M Company (3M) is pleased to submit this mine application to the North Carolina Division of
Energy, Minerals, and Land Resources (DEMLR), a division of the Department of Environmental
Quality (DEQ). 3M owns and operates the Pittsboro Mine located at 4191 NC Highway 87 S
Moncure, NC. The Pittsboro Mine consists of a quarry, a roofing shingle granule manufacturing
facility, and an excavated materials stockpile area. The facility is located on approximately 2,200
acres of land in Pittsboro and Moncure, NC owned by 3M. Within the 2,200-acre tract
approximately 2,038.7 acres were previously permitted as the mine boundary with 895.4 acres
currently allowed to be disturbed by the mining operation.
This request for permit modification is for changes to stormwater control features on the mine
property and does not change the total affected acreage within the mine boundary. The
�./ proposed change would add one acre to the existing sediment pond acreage (from 49.4 acres to
50.4 acres) and decrease the processing area by one acre (148.8 acres to 147.8 acres). The
specific changes to stormwater best management practices (BMPs) include:
Area 1:
• Addition of anew stormwater sediment basin, 'Basin 4".
Rock Dam Q-2 will remain and now function as a forebay which will flow into this new
wet detention basin
• Installation of 24" culvert into Rock Dam Q-2.
Area 2:
• Removal of Rock Dam Q-3 and associated diversions
This removed rock dam is replaced by Installation of a new forebay and channel
between the stockpile and the creek to divert upstream flow to existing Basin 3
eventually to Basin 2 and outfall 002. Basin 2 has been analyzed and meets the general
wet detention pond sizing criteria per the North Carolina Stormwater Design Manual.
Area 3:
• Remove Rock Dam Q-13
• Remove Silt Trap Q-9
• General re -grading of the surfaces throughout area to divert stormwater that currently
flows to these BMPs to existing Rock Dam Q-9
♦./'

• Rock Dam Q-9 to be converted into a traditional sediment basin, a new outlet structure
with riser and skimmer to be installed and embankment to be modified
• Rock Dam Q-10 to be modified with a culvert discharge to Rock Dam Q-9. New 24"
1%./ culvert to be installed.
Basic housekeeping changes:
• Removed pipe Q-2 from the drawing. This pipe is not there currently, nor is it needed
• Relocated RD Q-2 to its correct location, it was shown incorrectly on the drawing
This submittal includes the following information:
• Six copies of the design summary
• Six copies of the mine permit application.
• Six copies of project drawings/mine maps/reclamation plan
• Six copies of best management practices
• Two copies of calculations
• A check for $750.00 made payable to DEQ
As required by DEMLR, 3M has provided six hard copies (one original, five copies) and one
electronic copy. Due to volume size only two hard copies of the calculations and modeling
results are provided.
Please do not hesitate to contact me should you have any questions or comments. I can be
reached at [phone] or via email at [e-mail]. 3M greatly appreciates the
opportunity to continue working with the DEMLR.
'%� Sincerely,
Blake Arnett
Plant Manager
Cc: Trevor Crawford, 3M Company
Christopher Wu, ECT

O Design & Calculation Summary — 3M SPPP Project
Date:4/11/21
Engineer of Record: Trevor Crawford, PE, 3M IMPD
Area 1: Basin 4
Background:
Basin 4 is to be added to the site as an enhanced best management practice (BMP) to the general
aggregate processing area, in addition to the current adjacent rock dams. Generally, the whole west side
of quarry plant area will drain to this new basin. 3M's stormwater outfall 006 will be relocated to the
outlet of this new basin.
Basin 4 is designed to meet the general design standards for a Sediment Basin in the Stormwater Design
Manual and is designed to be permanent. This design criteria exceeds the requirements under the North
Carolina Erosion and Sediment Control Planning and Design Manual.
There is a culvert planned upstream of basin 4, which will divert a quarry equipment maintenance area
to basin 4
The general design criteria for sizing (Basin 4):
• Drainage Area:22.03 ac
• Percent Impervious: 64%
• Sediment storage required: 1,800 cubic feet per acre = 39,654 cubic feet required
o Designed sediment storage:
• Approximately 138,636 cubic feet provided above the inlet invert elevation
■ Additional sediment storage in permanent pool: 74,374 cubic feet
• Conclusion: the designed basin storage conservatively exceeds requirement.
• Surface Area requirements: 435 square feet per cfs of Q10 peak inflow:
o Q10 inflow = 78.46 cfs
o Required surface area: (435) x (78.46) = 34,130 sf
• Surface area of Basin 4 at 439.00' msl = 31,429 sf
• Forebay 1 surface area = 5,118 sf
• Forebay 2 surface area = 2,609 sf
• Forebay 3 surface area =1,541
• Total Surface area = 40,697 sf
• Conclusion: the designed surface area meets requirement
• Permanent Pool Depth: 5 feet, meets minimum depth of 2 feet.
• Length to Width ratio: approximately 2:1
• No baffles are included due to the permanent pool design. The permanent pool will provide the
same goals as the baffles.
r./

,%M� Flow & Outlet Structure Summary:
The following parameters for flow calculations are the following:
Parameter
Remarks
Stormwater Calculation Methodology
SCS TR-20
Stormwater Software
HydroCAD Version 10
Precipitation Quantity
NOAA Atlas 14, Moncure, NC Station
1-year
2.96"
2-year
3.57"
5-year
4.47"
10-year
5.18"
25-year
6.13"
100-year
7.67"
Precipitation duration
24 hours
Precipitation distribution
SCS Type II
Water Quality target drawdown time
3 days targeted
The outlet structure is designed with a Faircloth Skimmer with an overflow weir. This structure is to be
constructed at the inlet of an existing 54" RCP culvert. Skimmer sizing was completed using resources at
Faircloth Skimmers (www.fairclothskimmer.com).
Skimmer Summary:
• Volume of water to treat: 138,636 cubic feet*
• Draw downtime: 3 days
• Output:
o Skimmer size: 6"
o Orifice radius: 2.8"
o Orifice diameter: 5.7"
• 6" skimmer flow capacity: 51,840 cf/day = 0.60 CFS
*elevation 434.00' (permanent pool) to elevation 439.50 (top of box structure)
Flow summary table:
Storm (year) - 24
hour, type II
distribution
Precipitation
(inches)
Q - Pre-
development
(cfs)
Q-in Post
Development
(cfs)
Q-out Post
Development
(cfs)
Elevation
(ft. msl)
1
2.96
7.1
30.56
0.60
437.09
2
3.57
11.7
43.06
0.60
438.41
5
4.47
19.4
62.55
1.92
439.57
10
5.18
26.1
1 78.46
1 7.05
1439.69
25
6.13
35.7
100.15
22.95
439.93
100
7.67
51.93
135.82
43.78
440.17

Emergency/Peak Capacity:
• The low -point along the existing access road adjacent to the outlet structure has been surveyed
to be approximately 441.40' msl.
• This basin will be able to pass the 25yr-24hr event with over 12" of freeboard.
• The existing 54" RCP culvert will effectively pass the 100yr-24hr storm event, with 12" of
freeboard.
• The proposed 24" culvert diversion will pass the 25yr-24hr and larger storm events.
Conclusions:
• This proposed basin meets sizing requirements under the North Carolina Erosion and Sediment
Control Planning Manual.
• This basin's capacity is greatly oversized to provide additional treatment through traditional wet
detention settling.
• This area is currently draining to several existing rock dams and then discharging off -site. These
rock dams provide little attenuation to off -site peak flow discharges. This proposed pond will
reduce off -site flows from this drainage area and will be more in -line with historic pre -
development conditions.
• The skimmer outlet structure was chosen to be the most effective primary outlet since it will be
discharging water from the surface and allowing for properly designed drawdown times (3
days).
• Storm events through the 2yr-24hr storm will be routed 100%through the skimmer without
discharging over the overflow weir
�,/ • Storm events 5yr-24hr and above will discharge through the overflow weir at peak stage (for a
very short period).
Area 2: Upgraded Channel Diversion
Background.
The "Area 2" portion of the project will add additional drainage area to 3M's main stormwater basin
system and outfall. Approximately 18.47 acres of Luck Stone's aggregate processing area is planned to
be diverted to existing Basin 3 which will flow to existing Basin 2, ultimately to 3M's outfall 002. This
proposed diversion will eliminate the need for Rock Dam Q-3 and it will be removed.
Since additional stormwater is being designed to flow to 3M's existing Basin system, calculations were
done to verify the downstream BMPs are suitably designed for this additional 18.47 acres. Specifically,
Basin 2 and Basin 3 were analyzed, summary is below.
There is an old non-functioning diversion that is directly below the planned diversion at the bottom of
the slope that is thought to once serve this purpose, however it is unknown due to the age and
condition of the site.
The general design criteria for sizing (existing Basin 2):
• Drainage Area: 53.86 ac (Current drainage area = 35.39 ac, planned additional area = 18.47 ac)
• Sediment storage required: 1,800 cubic feet per acre = 96,948 cubic feet required

`/'
o Designed sediment storage:
• Approximately 544,587 cubic feet provided above the inlet invert elevation
• Conclusion: the designed basin storage conservatively exceeds requirement.
• Surface Area requirements: 435 square feet per cfs of Q10 peak inflow:
o Q10 inflow=103.38 cfs
o Required surface area: (435) x (103.38) = 44,970 sf
• Surface area of Basin 4 at 439.00' msl = 207,550 sf
Conclusion: the designed surface area conservatively meets requirement
Flow & Outlet Structure Summary (Basin 2):
General structure configuration:
• h" perforated holes (7 rows of 20 each) starting at low elevation 391.00', rows spaced at 6"
• Top of box structure, weir overflow at elevation 396.00'
• Emergency spillway at elevation 397.00'
• Top of embankment at elevation 400.00'
Flow summary table:
Storm (year) - 24
hour, type II
distribution
Precipitation
(inches)
Q-in Post
Development
(cfs)
Q-out Post
Development
(cfs)
Elevation
(ft. msl)
1
2.96
25.50
0.98
393.94
2
3.57
40.24
1.38
394.89
5
4.47
73.10
3.12
396.07
10
5.18
103.38
8.13
396.19
25
1 6.13
108.86
25.10
396.44
100
1 7.67
121.30
57.71
396.80
Emergency/Peak Capacity:
• The proposed diversion channel (upstream of Basin 3) will pass the 25yr-24hr storm.
• Basin 3 will pass the 25yr-24hr storm event with over 12" of freeboard, to Basin 2:
o Peak Elevation: 400.58'
o Top of embankment: 402.00
• Basin 2 will pass the 300yr-24hr event with a considerable amount of freeboard under normal
unrestricted flow conditions:
o 3.2 ftof freeboard
• Basin 2 was modeled with the outlet structure plugged, to verify the performance of the
emergency overflow spillway. If the main discharge piping becomes clogged or restricted, flows
out of the emergency overflow spillway will occur.
o Peak elevation (100yr-24hr): 397.70'
o Freeboard: 2.3 ft
o Peak flowrate: 47.30 cfs

Conclusions'
• The proposed diversion will adequately flow demands.
• Basin 3 is suitable for this additional drainage area and will pass the additional flow adequately.
• The existing Basin 2 meets sizing requirements under the North Carolina Erosion and Sediment
Control Planning Manual very conservatively.
• Basin 2 appears to have been designed to handle even more surface area than is currently or
planned to flow to it.
o Using the Q10 flowrate as a general guide for basin sizing, possibly up to double the
surface area could be routed to this pond. Additional evaluation should take place if
additional flow is to be directed here.
Area 3: Basin 5
Background:
Basin 5 is planned to take place of the existing "Rock Dam Q-9" via modification to this rock dam.
Essentially, the existing rock dam will be transformed into a skimmer sediment basin. Several areas will
be diverted into this basin via surface grading, or culverting. This will allow for removal of two existing
temporary Rock Dams and one silt trap.
Basin 5 is designed to meet the general design standards for a Sediment Basin in the Stormwater Design
Manual.
The general design criteria for sizing (Basin 5):
• Drainage Area: 16.75 ac
• Percent Impervious: 52%
• Sediment storage required: 1,800 cubic feet per acre = 30,150 cubic feet required
o Designed sediment storage:
• Approximately 76,578 cubic feet provided above the inlet invert elevation
• Additional sediment storage in permanent pool: 75,260 cubic feet
• Conclusion: the designed basin storage conservatively exceeds requirement.
• Surface Area requirements: 435 square feet per cfs of Q10 peak inflow:
o Q10 inflow = 59.82 cfs
o Required surface area: (435) x (59.82) = 26,021 sf
• Surface area of Basin 5 at 399.00' msl = 23,286 sf
• Channel Extension at 399.00' msl = 3,200 sf
■ Forebay 1 surface area = 4,535 sf
• Total Surface area = 31,021 sf
• Conclusion: the designed surface area meets requirement
• Permanent Pool Depth: 5 feet, meets minimum depth of 2 feet.
• Length to Width ratio: approximately 2:1
• No baffles are included due to the permanent pool design. The permanent pool will provide the
same goals as the baffles.

N%./
Flow & Outlet Structure Summary:
See table in section 1, same parameters used for this basin.
The outlet structure is designed with a Faircloth Skimmer with an overflow riser and discharge pipe.
Skimmer sizing was completed using resources at Faircloth Skimmers (www.fairclothskimmer.com).
Skimmer Summary:
• Volume of water to treat: 76,578 cubic feet'
• Draw down time: 3 days
• Output:
o Skimmer size: 5"
o Orifice radius: 2.2"
o Orifice diameter: 4.5"
• 5" skimmer flow capacity: 32,832 cf/day = 0.38 CFS
`elevation 395.50 (permanent pool) to elevation 399.00 (top of box structure)
Flow summary table:
Storm (year) - 24
hour, type II
distribution
Precipitation
(inches)
Q-in Post
Development
(cfs)
Q-out Post
Development
(cfs)
Elevation
(ft. msl)
1
2.96
22.79
0.38
379.80
2
3.57
32.41
0.38
398.90
5
4.47
47.48
3.16
399.14
10
5.18
59.82
10.70
399.34
25
6.13
76.71
22.69
399.67
100
7.67
104.82
43.69
400.28
Emergency/Peak Capacity.,
• The proposed outlet structure discharge pipe (24") will allow for flows up through the 10yr-24
hour storm event.
• This basin will be able to pass the 25yr-24hr event with over 12" of freeboard.
• The proposed 24" culvert from Rock Dam Q-13 will pass the 25yr-24hr event.
Conclusions:
• This proposed basin meets sizing requirements under the North Carolina Erosion and Sediment
Control Planning Manual.
• This basin's capacity is greatly oversized to provide additional treatment through traditional wet
detention settling.
• The skimmer outlet structure was chosen to be the most effective primary outlet since it will be
discharging water from the surface and allowing for properly designed drawdown times (3
days).
• Storm events through the 2yr-24hr storm will be routed 100%through the skimmer without
discharging over the overflow riser.

• Storm events Syr-24hr and above will discharge through the overflow riser at peak stage or the
emergency spillway (for short period).
9

M
rol
NORTH CAROLINA
MINING PERMIT APPLICATION
State of North Carolina
Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
[phone]
Revised: 2017

1wm�
NOTE:
It is recommended that you contact the appropriate
Regional Office (see Regional Office listing in the back of this
booklet) or the Raleigh Central Office for a
PRE -APPLICATION MEETING
to discuss your intentions and address any questions.
lw ■

MINING PERMIT APPLICATION REVIEW
PROCESS FLOWCHART
BEGINNING OF PROCESS
Application received by
State Mining Specialist
Applicant issues
Public Notice
Application assigned to
Assistant State Mining Specialist
Assistant State Mining Specialist/Program Secretary
routes application for review and comment
- U.S. Fish & Wildlife Service
- N. C. Geological Survey
- Wildlife Resources Commission
- Division of Water Resources
- Division of Archives & History
- Division of Parks & Recreation
- Others as appropriate
*All application review comments forwarded to
Assistant State Mining Specialist
Is application complete?
If "YES", Assistant State Mining
Specialist drafts the proposed
permit action
11".✓
- Regional Office
- Division of Air Quality
- Division of Water Resources
Review Public Comments;
Public Hearing Possible
If "NO", Assistant State Mining
Specialist drafts a letter requesting
additional information from applicant
Additional information from applicant
received and routed to/reviewed by
Assistant State Mining Specialist and
Regional Office Staff
(go to *)

Application & proposed permit action
reviewed by State Mining Specialist
Is application &
proposed permit action
complete/acceptable??
If "Yes", the following permit actions
are issued by the State Mining Specialist:
- Draft Permits
- Permit Transfers/Name Changes
- Bond Substitutions/Cancellations
- Permit Releases
- High Airblast Remediation Plans
- Non -controversial New Permits
- - Small, Non -controversial Modifications
END OF PROCESS
If "YES", application & proposed
permit action forwarded to and
reviewed by Division Director
Is application &
proposed permit action
complete/acceptable??
If "YES", the proposed permit action is
issued by the Division Director
� END OF PROCESS
If "No", application & proposed
permit action returned to Assistant
State Mining Specialist for revision
(go to *)
For other permit actions, if "Yes",
application & proposed permit action
forwarded to and reviewed by Mining
Specialist
Is application &
proposed permit action
complete/ acceptable??
If "NO", application & proposed permit
action returned to State Mining Specialist/
Assistant State Mining Specialist for revision
(go to *)
If "NO", application & proposed permit
action returned to Section Chief/State Mining
Specialist for revision
(go to *)

APPLICATION FOR A MINING PERMIT
Nftoo, NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
APPLICATION FOR A MINING PERMIT RECEIVE®
(PLEASE PRINT OR TYPE) APR 13 Ml
LAND QUALITY
Name of Mine Pittsboro Mine County Chatham MINING PROGRM-4
River Basin Cape Fear
Latitude (decimal degrees to four places) 35.40.0000 N
Longitude (decimal degrees to four places) 79.10.0000 W
Name of Applicant* 3M Companv
Permanent address for receipt of official mail** Health/Safetv/Enviromnental Manager, Environmental
Operations, 3M Company, 3M Center Building 224-5W-03, St Paul, MN 55144-1000
Telephone [phone] Alternate No. ( )
4. Mine Office Address 4191 Highway 87 South, Moncure, NC 27312
Mine Manager Mr. Blake Arnett
6. E-mail Address: blarnettna,mmm.com
***
Telephone ( 919 ) 642-0006
I 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 gg 7 Date Z'/ Z
�-Z
Print Name Blake Arnett
Title Plant Manager
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 company officer required.
im
e this application can be considered complete. Attach additional sheets as needed.
-1-

APPLICATION FOR A MINING PERMIT
NAll of the following questions must be thoroughly answered regarding your mining 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 the "new permit" fee will be based upon):
Of this acreage, how much is owned and how much is leased? Acres owned:
Acres leased: Property owner if leased:
® If this is an application for a MODIFICATION to a mining permit, indicate the mining permit
number and the total (overall) acreage covered by the existing permit.
Mining Permit No.: 19-16 Total permitted acreage: 2,038.7
Does the modification involve acreage within the previously approved permitted boundary?
Yes ❑ No Z. If yes, indicate the acreage to be covered by this modification (this is the acreage
that the "major modification" fee will be based upon):
Does the modification involve acreage outside the previously approved permitted boundary?
Yes ❑ No Z. If yes, indicate the additional acreage to be covered by this
modification: . (NOTE: 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,
ground cover removed) by the rruning operation? Yes ® No ❑ (If no, a "minor modification"
fee 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 to be added to
the permit is the acreage that the "major modification" fee will be based upon): 400.7
❑ If this is an application for TRANSFER 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:
SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO BE
PAID FOR THE REQUESTED PERMIT ACTIONS) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined: Greenstone
3. Mining method:
Hydraulic Dredge Front-end Loader & Truck ❑ Shovel & Truck
Dragline & Truck Self -loading Scraper
Other (explain):
4. a. Expected maximum depth of mine (feet) 1376 feet
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
Measured from average natural grade adiacent to the proposed top of quarry
b. Expected average depth of mine (feet) -876 amsl
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? 3M Company
-2-

APPLICATION FOR A MINING PERMIT
6. Number of years for which the permit is requested (Life of the Mining Operation or Life of Lease from
Public Entity): 10 years
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 OR 512 North Salisbury Street, 5'" Floor
Raleigh, North Carolina 27699-1612 Raleigh, North Carolina 27604
[phone]
htto://t)ortal.ncdenr.org/web/lr/geological 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: Phvsical Address:
NCDOT GIS Unit NCDOT GIS Unit
1587 Mail Service Center 3401 Carl Sandburg Court
Raleigh, North Carolina 27699-1587 Raleigh, North Carolina 27610
[phone]
ham://www.ncdot.org/it/gis/
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 be clearly labeled on the
maps along with their corresponding (approximate) acreage. Thus, all mine and reclamation maps
must 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.
in. Location and dimensions of all proposed sediment and erosion control measures.
n. Location of 100-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 oftracts adjoining these tracts, that are within 1,000 feet
of the mining permit boundary, must be provided on the mine map.
-3-

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 adjoining these tracts, that are within 1,000 feet of the mining permit boundary, must
be provided on 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
8. Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP SCALE
0-49 Acres 1 inch = 50 feet
50-199 Acres 1 inch = 100 feet
200+ Acres 1 inch = 200 feet
(NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items)
-4-

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 area/haul roads, mine excavation and any other major aspect of the
nuning 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
Tailings/Sediment Ponds
50.4*
Stockpiles
11.3
Wastepiles
371.4
Processing Area/Haul Roads
147.8*
Mine Excavation
276.1
Other (Explain) Visual Screening Berm
38.4
Total Disturbed Acreage
895.4
*note: the proposed change will remove 1 acre from Processing Area and add 1 acre to sediment ponds
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.
-5-

APPLICATION FOR A MINING PERMIT
C. PROTECTION OF NATURAL RESOURCES
1. Describe in detail the sequence of events for the development and operation of the mine and reference the
sequence to the mine map(s). Attach additional sheets as needed.
The following list indicates the order of events for installation of E&SC modifications planned as
part of this submittal.
• Install temporary E&SC, silt fence, misc check dams, etc.
• Clearing/Grubbing
• Earthwork, excavation/backfill
• Install outlet structure(s)
• Final Sloping
• Final vegetation establishment
• Construction per plans
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 maps) and provide typical cross-sections/construction details of each
measure. Engineering designs and calculations are required to justify the adequacy of any proposed
measures.
Sequence (in order):
1. Install temporary silt fence around the perimeter of the proposed sediment basin and
perimeter channel area.
2. Conduct tree clearing/grubbing and topsoil stripping at proposed sediment pond and channel
location.
3. Construct sediment basin(s) and BMPs per drawings.
4. Once the work is completed for the basin and channel(s) and the area has been stabilized,
remove the temporary erosion control measures.
3. a. Will the operation involve washing the material mined, recycling process water, or other waste water
handling? Yes ® NoEl. If yes, briefly describe all such processes including any chemicals to be used.
Quarry Pond — The quarry stormwater/sediment pond will discharge to Rocky Branch if the water
cannot be used for recycling.
Aggregate Process Ponds — All process water from power washing will be recycled in a closed loop
system.
Manufacturing Facility — All process waters generated in the manufacturing area will be recycled in a
closed loop system.
b. Will the operation involve discharging fresh or waste water from the mine or plant as a point discharge to
the waters of the State? Yes ® No ❑. If yes, briefly describe the nature of the discharge and locate
all proposed discharge points (along with their method of stabilization) on your mine map(s).
Quarry dewatering and work area runoff will be recycled to the extent possible. Surplus water will be
discharged through a network of sedimentation ponds, with final discharge through a grass -lined
channel to Rocky Branch.
Accumulated stormwater from the fines/waste piles will be collected in one of eight stormwater
detention ponds, three of which discharge to Rocky Branch while the other five will discharge to the
Stinking Creek watershed.
M�

APPLICATION FOR A MINING PERMIT
M
Accumulated stormwater from the visual screening berm located south of Charlie Brooks Road will
be collected in one of two stormwater detention ponds, both of which discharge to unnamed
tributaries to Robeson Creek.
All discharges are currently permitted under a National Pollutant Discharge Elimination System
(NPDES) general stormwater permit (NCG020330), and the proposed expansion will continue to
operate under the same permit.
-7-

APPLICATION FOR A MINING PERMIT
c. Will any part of the proposed mine excavation(s) extend below 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: 378,667 . Locate all existing wells on the mine map(s) that lie within
500 feet ohe proposed 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.
3M identified only one well located within 500 feet of the quarry excavation (PIN 9659-194946).
Exploratory borings in the vicinity of the quarry indicate that the subsurface geology consists of
metamorphosed volcanic rock with low porosity and low permeability. The soils and weathered rock
overlying this layer are also of low porosity and low permeability. Accordingly, 3M does not believe
that quarry excavation and operation will impact this well as supported by a hydrogeologic impact
analysis conducted in February 1997. However, there are currently five (5) observation wells installed
around the quarry to monitor effects to the water table. Four (4) of these well are located in the
proposed quarry expansion area. 3 wells will be relocated to continue to observe the effects to the
water table. A public water system is also available on the western and southern side of the site.
The estimate of 378,667 gpd is based on pumping information provided to NC DEQ on an annual
basis as required by 3M's water withdrawal certification. However, the number is misleading as it is
largely comprised of precipitation collected from the quarry.
d. If you answered yes to any of the above questions, provide evidence that you have applied for or
obtained the appropriate water duality permit(s) (i.e., non -discharge, NPDES, Stormwater, etc.) from the
Stormwater Program. In addition, the applicant is required to register water use with the Division of
Water Resources, Ground Water Management Branch, if the operation withdraws more than 10,000
gallons per day and needs a capacity use permit from the Division of Water Resources, Ground Water
Management Branch, if the operation lies in a capacity use area and withdraws more than 100,000
\4w/ gallons per day.
Stormwater discharges for the Pittsboro Mine are currently covered certificate of coverage
NCG020330.
3M is registered with the Division of Water Resources for its water withdrawal (facility ID 0831-
0001).
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.
3M has obtained a Title V permit for the air quality emissions. The permit number is 09006T01,
Facility ID# 1900104
Luck Stone Corporation has Air Quality Permit 0901101 for the rock crushing plant.
b. How will dust from stockpiles, haul roads, etc., be controlled?
Haul roads, working stockpiles, and crushing residues will be sprayed with water from the quarry as
necessary. Upon reaching their final design limits inactive stockpiles will be vegetated to control wind
and water erosion.
-8-

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 buffer (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
map(s).
Consistent with Chatham County zoning regulations, a 500 foot minimum buffer inside the permit
boundary from Highway 15-501 right-of-way is provided. A minimum undisturbed 25 foot buffer will
be provided in areas adjacent 3M tracts. See the buffers shown on the mine map.
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
locations and widths on the mine map(s).
14� As displayed in the attached drawings, 50-foot buffers for stream and wetland features will be
observed.
144 ►
6. a. Describe methods to prevent landslide or slope instability adjacent to adjoining permit boundaries
during mining. Minimum 2 horizontal to 1 vertical slopes or flatter for clayey material and
minimum 3 horizontal to 1 vertical slopes or flatter for sandy material are generally required, unless
technical justification can be provided to allow steeper slopes.
Existing topography was considered in the design and layout of the facility to minimize landslides and
slope instabilities. Final grades will be left with stable slopes and walls. Earthen cut and fill slopes
have 2:1 proposed slopes to reduce the possibility of landslide or slope instability. A soil/clay cap will
be installed on the side slopes of the overburden fines pile and then vegetated to provide stabilization.
WE

APPLICATION FOR A MINING PERMIT
b. Provide a cross-section on the mine maps) for all fill slopes (berms, wastepiles, overburden
�.../ disposal areas, etc.), clearly indicating the intended side slope gradient, installation ofany benches
and/or slope drains (with supporting design information) if needed, and the method of final
stabilization.
"VW/
See applicable cross -sections on the sheet PBOR-888-C-631 (previously submitted).
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 fpor all cut slopes must be provided on the
mine map(s).
Slope faces will be graded to a 2:1 horizontal to vertical configuration, minimum bench widths will
be 30 feet. See the applicable cross -sections on the drawing detail sheets.
d. In hardrock excavations, specify proposed bench widths and heights in feet. 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.
Maximum bench heights for all final lifts will be 100 feet. Absolute minimum bench widths will be
10 feet as shown on the cross section drawing sheet, however 20' minimum will be targeted during
mine development to create a safe working environment and comply with MSHA
recommendations.
7. Describe other methods to be taken during mining to prevent physical hazard 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.
Existing buffers will be maintained to limit accessibility and visibility from adjacent properties and
roadways. In areas where the buffers are the vegetation is not sufficient, and additional tree plantings
will be provided. There are no neighboring structures within 300 feet of the proposed excavation. A
visual screening berms will be provided along Charlie Brooks Road.
8. 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 of each
type of barricade to be used must be indicated on the mine map(s).
Large boulders, earthen berms, or temporary fencing will be used to barricade the quarry high wall.
As the quarry expands these items will be moved to maintain a continuous barrier along all high
walls.
The property is presently posted and paint -marked for "No Trespassing" as part of the existing
forestry program.
Locked roadway gates are presently installed at all property access points as part of the existing
forestry program.
-10-

APPLICATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes ❑ No ®.
"04� 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 maps) and provide cross -
sections through all proposed berms or proposed spacing, sizes and species for tree plantings.
The property is currently administered under a forestry management program. Except for the
area proposed for disturbance to accommodate the quarry and other facilities, the existing
managed forestry program would be continued on the bermed and uncleared areas.
The perimeter of the permit area is currently forested and to the extent possible a 100-foot
46unexcavated" buffer of trees will remain.
A 20 foot high screening berm with tree plantings is proposed along Charlie Brooks Road to
provide screening on the northern side of the site.
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?
There are no such areas located in the immediate area adjacent to the quarry.
110� 11. Will explosives be used? Yes ® No ❑.
If 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 ground vibrations.
Depending on the mine's location to nearby structures, more detailed technical information may be
required on the blasting program (such as a third -party blasting study). Locate the nearest offsite occupied
structures) to the proposed excavations) on the mine map and indicate its approximate distance to the
proposed excavation.
Please refer to previously submitted information.
12. Will fuel tanks, solvents, or other chemical reagents be stored on -site? Yes ® No ❑.
Ifyes, describe these materials, how they will be stored and method of containment in case of spill. Indicate
the location(s) of all storage facilities on the mine map(s).
Prepackaged aboveground storage tanks (gasoline, diesel, oil and lubricants), with double -walled spill
containment, will be located within the facility area of the aggregate operation and within the area
associated with the manufacturing facility. A Spill Prevention Control and Countermeasure (SPCC)
plan has been developed for the mine and will be updated upon expansion approval.
Prepackaged above ground tanks for storing chemicals used in the coloring process are located within
a tank farm with concrete containment within the 3M manufacturing facility area.
-11-

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 must be illustrated on a reclamation map and must correspond directly with the information
provided on the mine map(s). In addition, design information, including typical cross sections, of any
permanent channels to be constructed as part of the reclamation plan and the location(s) of allpermanent
channels must be indicated on the reclamation map.
Equipment will be dismantled and removed from the quarry operations area. The sediment control
pond(s) will either be drained and graded to surrounding grade level or turned into a wetland area
unless other permit obligations persist (Chatham County stormwater ordinance will require that most
new basins remain permanently). The stockpiles will be constructed to have side slopes no steeper
than 211:1 V; any berms installed as part of the mining operation will be retained to provide screening;
and the quarry pit will be allowed to revert to natural groundwater levels, posted, and barricaded.
Sedimentation pond(s) will be turned into wetlands.
The graded surface will be adequately prepared for use as a planting medium for herbaceous
groundcovers and coniferous overstory species. Fertilizing and soil amending will be done prior to
seeding and planting as discussed in seeding specifications. Ground covers will be planted during the
first growing season after site final grading to establish soil protection.
2. Is an excavated or impounded body of water to be left as a part of the reclamation? Yes ® No ❑.
If yes, illustrate the location of the body(s) of water on the reclamation map and provide a scaled
cross -sections) through the proposed body(s) of water. The minimum water depth must be at least 4 feet,
�..d 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.
IVW/
Will the body(s) of water be stocked with fish? Yes ❑ No Z.
If yes, specify species.
The elevation of top of proposed water is 4101. The quarry floor will be at elevation -876 (below sea
level). This will result in a water depth of approximately 1286 feet.
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.
The excavations to remain on site after reclamation are the quarry, the sedimentation pond(s), and
potentially several wetland mitigation areas. The quarry will be barricaded and posted as set forth in
Chatham County ordinances and the State of North Carolina Department of Environment Quality
guidelines. Any berms and vegetation placed during the mining activities shall remain to screen the
site from pedestrians. Wetland mitigation areas and remaining ponds will have sides sloped to no
more than 6:1 or will have fencing and/or sign posting to prevent inadvertent entry.
-12-

APPLICATION FOR A MINING PERMIT
4. Indicate the method(s) of reclamation of overburden, 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.
Overburden stockpile and mineral fines stockpile slopes will be vegetated as per the reclamation
plan and planted in the ongoing forestry management program.
5. a. Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
Processing facilities and buildings with no future on -site usage will be dismantled and removed
from the site, with the associated ground areas graded and seeded as per the reclamation plan.
However, the manufacturing facilities and the main entrance road will likely have a future use and
will be retained after mining operations cease. Stockpile areas, which remain after completion of
mining will be vegetated as per the reclamation plan. The main entrance road to the plant areas,
in addition to select on -site roads, will be retained for usage in the forestry management program
(see below).
b. Will any on -site roadways be left as part of the reclamation? Yes ® No ❑.
If yes, identify such roadways on the reclamation map and provide details on permanent road and ditch
line stabilization.
The main entrance road and the on -site access and haul roads will be retained to provide access to
the site for forestry management and fire protection.
6. Describe the method of control of contaminants and disposal of scrap metal, junk machinery, cables, or
other such waste products of mining. (Note definition of refuse in The Mining Act of 1971.)
11qWV No off -site generated waste shall be disposed of on the mine site without prior written approval from the
NC Department of Environmental Quality, Division of Energy, Mineral, and Land Resources 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 temporary
and permanent refuse disposal areas must be clearly delineated on the mine map(s) and reclamation
map, along with a list of items to be disposed in said areas.
Scrap metal, machinery, cables, and similar waste products will be removed by licensed local
waste operators for recycling or disposal in approved off -site locations. Scrap tires will be
removed for off -site disposal/recycling by licensed facilities.
-13-

APPLICATION FOR A MINING PERMIT
7. Describe your plan for revegetation 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. Revegetation 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 NC Forest Service, Department of Agriculture and Consumer
Services;
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 NC Forest Service, Department of Agriculture and
Consumer Services;
f. N.C. Erosion and Sedimentation Control Planning and Design Manual;
g. N.C. Surface Mining Manual: A Guide for Permitting, Operation and Reclamation;
h. Others as may be approved by the Department.
LIME - RATE OF APPLICATION (tons/acre):
This is consistent with past submittals and no changes are proposed.
FERTILIZER - ANALYSIS AND RATE OF APPLICATION (pounds/acre):
This is consistent with past submittals and no changes are proposed.
SEED - TYPE(S) AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
w.w✓ SCHEDULE (pounds/acre): [NOTE: Include Legumes]
Seed Types: Seeding Dates: Seeding Rates:
This is consistent with past submittals and no changes are proposed.
MULCH - TYPE AND RATE OF APPLICATION (pounds/acre) AND METHOD OF ANCHORING:
This is consistent with past submittals and no changes are proposed.
OTHER VEGETATIVE COVERS — TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre, trees/acre, spacing of trees/shrubs, etc):
This is consistent with past submittals and no changes are proposed.
Revegetation and/or reforestation plan approved by:
Signature
Print Name
Title
Agency
-14-
Date

APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond (based upon a range
of $500 to $5, 000 per affected acre) for each permitted mine site based upon the acreage approved by the
Department to be affected during the life of the mining permit. Please insert the approximate acreage, for each
r.�
AFFECTED
RECLAMATION
RECLAMATION
CATEGORY
ACREAGE
COST/ACRE*
COST
Tailings/Sediment 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
proposed/existing excavation and/or b) affected acres that will be graded for positive drainage where measures will
e 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 COST: $ X Permit Life Provided by Applicant (Life of the Mining Operation
or Life of Lease from Public Entity (in Years)):
INFLATION COST: $ 3M's existing reclamation bond is
sufficient
Total Reclamation Bond Cost: $
(round down to the nearest $100.00)
(NOTE: The reclamation bond cannot exceed $1 million per GS 74-54)
-15-

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 permit boundary) as indicated on the mine
map(s). "Highway" means a road that has four lanes of travel 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 Energy, Mineral, and 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 PERMIT TO ADD LAND TO THE PERMITTED AREA, AS
REQUIRED BY NCGS 74-50(bl).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
-16-

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
*ro
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: �9 C I l�j✓ �l%�'1-Print Name: 619 �(�✓!C�
(Title, if applicable)
Company 3►�
(If applicable)
,,,Address: 4119 ( NC. 97 S
�rn�uec, MC.. 2,7SS5
Telephone: 0141 4q2-- zlo u
Date Signed:
Title: P lq r4 h i f 4�r
Company: J ft
Mine Name: J tA 'P► '5)gO (b n Yl e_
Telephone: (R 19 ) & Li 2--140 11
Date Signed:
*Signature must be the same as the individual who signed Page 1 of this application.
One original and five (5) copies of the completed application, six (6) conies of all location mans, mine mans
and reclamation maps, and the appropriate processing fee (see next page for fee schedule) in the forma 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.
'%. nquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
-19-

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t � _
3 •�� •�'ti —ter t '{ } 4IL
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�;•rs tt. � �}- �- � f .: .i l.e :i.''-. .� !I.'�. •r - e�.�7- - - � '! • . t".. t� _ ♦. .if: .!. .., 1:�_}: .. t-`:T
'! .. ,� ;t: r' i.. - ( - .fir. i; .. 1, i '_... - � :l. r j _ •.t.. •I'
5
/

APPLICATION FOR A MINING PERMIT
�'kINING FEE SCHEDULE
A nonrefundable permit application processing fee when filing for a new mining permit, permit modification or transferred 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 Transfers
$100.00
$100.00
Annual Operating Fee
$400.00
$400.00
Acres for new permits means the total acreage at the site. Acres for modification of permits means that area of land affected by the modification within the permitted mine
area, or any additional land that Is to be disturbed and added to an existing permitted area, or both.
fir/
-20-

APPLICATION FOR A MINING PERMIT
'here are seven Division of Energy, Mineral, and Land Resources (DEMLR) Regional Offices. Use the map below to
'-locate the Regional Office serving your county.
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, Iredell, 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, Edgecombe, 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, Jones,
Lenoir, Martin, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Wayne
• Address: 943 Washington Square Mall, Washington, NC 27889
• Voice:252.946.6481
• FAX:[phone]
u
21-

APPLICATION FOR A MINING PERMIT
T,AND 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: 1450 Hanes Mill Road, Suite 300, Winston-Salem, NC 27103
• Voice:336.776.9800
• FAX:[phone]
-22-

APPLICATION FOR A MINING PERMIT
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
Type
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(FI)
$2000(PD)
CS, DS,
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)
'APE, AU,
1000(L)
2500
3000
3500
2000(L)
TI, OT
2500(FI)
5000(PD)
(L) = reclamation to a lake and revegetating sideslopes
(FI) = reclamation by filling in and revegetating
(PD) = reclamation by grading for positive drainage & revegetating
AS PER NCAC 15A 5B.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,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 APPLICATION/PERMIT 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 OF THE DIRECTOR'S FINAL BOND DETERMINATION.
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