2020.11.17 Release Request Form - Gulf 3_S

DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
MINING PROGRAM
PARTIAL RELEASE REQUEST FORM
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 a
copy for your records and return a copy to the Land Quality Section Regional Office serving
your area or to:
N. C. Department of Environmental Quality
Land Quality Section
1612 Mail Service Center
Raleigh, NC 27699-1612
Legal Corporate/Owner Name: Meridian Brick LLC
Mine Name: Gulf Mine No. 3 Mine Permit Number: 19-11
Mailing Address: 5100 Brickyard Road
City/Town: Columbia State: SC Zip Code: 29203
Mine Address: 421 Murchison Road
City/Town: Goldston County:
Chatham
Per GS 74-55, an Annual Reclamation Report is required for each year of operation. This
includes the partial year the site is released. The following must be completed:
TOTAL ACRES:
The acreage disturbed by mining since
Tailing Ponds
2.75
Acres
January 1, 2017
Stock Piles
0.15
Acres
0 Acres
Waste Piles
0.45
Acres
Plant Area
2.75
Acres
State and describe amount and type of
Mine Excavation
31.5
_Acres
reclamation carried out since January 1?
Natural
Total Area at the site 37.6 Acres
Retain 21.3 acres un-reclaimed as depicted
on the attached aerial
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.
Signed: I . %_yll.' ---`
Print Name: 3. David McKeown
Title: Corp. Environmental Manatier
Date:
2020/10