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20211108_application
CAROLINA GEOLOGICAL SERVICES, INC November 3, 2021 Mr. Adam Parr NCDEQ 1612 Mail Service Center Raleigh, NC 27699-1612 Subject: Modification Application, Thomas Borrow Pit, Permit # 16-83, Carteret County Dear Mr. Parr; Please find enclosed the application for modification of the Thomas Borrow Pit, permit # 16- 83, Carteret County. This modification simply adds approximately 7 acres to the mining area and allows for dewatering the excavation. The new mining area is simply an expansion into an area adjacent to the existing mine. Note that the area was included in the original wetland JD and 401 and 404 permitting, so all of that is already approved and in place. The water in the pit will be pumped into a small pond onsite, which as actually an area mined many years ago. If the pond overflows, it will discharge into an area of wetlands. Please note that application has been made simultaneously for the NPDES General Stormwater Permit for Mining (NCG020) and for the Central Coastal Plain Capacity Use Permit. Please let me know if you need any additional information. Since ely, Gavr I/A James Izzell Carolina Geological Services, Inc. enclosures PO Box 429, GARNER, NC 27529 DECEIVED NOV 0 8 2021 LAN!' C.'JALITY MIS"';: PROGRAM DiZI C,.t NPC 51 c'v-,-> c. o i)� 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 (919) 707-9220 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 County Latitude (decimal degrees to four places) Longitude (decimal degrees to four places) 2. Name of Applicant Applicant Contact Applicant Email Telephone Cell Phone 3 Permanent Address for Receipt of Official Mail" 4. Mine Office Address Thomas Borrow Pit (permit # 16-83) Carteret River Basin Neuse 34.7753 -76.6306 Ralph Thomas Jr Consultant Contact James Izzell ralphthomasjr@hotmail.com Consultant Email ncgeology@yahoo.com 252-728-5138 Telephone 919-302-4411 Cell Phone 106 Pleasant Dr, Beaufort, NC 28516 5. Mine Manager Ralph Thomas Mine Manager Email ralphthomasjr@hotmail.com Telephone Cell Phone 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' R44A � Date Print Name A 1 iP ( 1w/+ft-45 it Title Q W i�t GY )d —24 "This will be the name that the mining permit will be issued to and the name that must be indicated on the reclamation bond (secudw 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. G.S. 74-51 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a 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. Revised July 13, 2021 Page 11 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 (919) 707-9220 NOTE: All 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 the following that apply: F] 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 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: This is an application for a MODIFICATION to a mining permit. Mining Permit Number: 16-83 Total permitted acreage: 6.96 Does the modification involve acreage within the previously approved permitted boundary? FIYES NO If yes, indicate the acreage to be covered by this modification Does the modification involve acreage outside the previously approved permitted boundary? a YES FX]N0 If yes, indicate the additional acreage to be covered by this modification 7.75 NOTE: You must complete all of Section F of this application form entitled Notification of Adjoining Landowners Of the acreage to be added to the permit, will any portion be affected (i.e.: disturbed, ground cover removed by the mining operation? X YES NO If yes, indicate the acreage to be affected within the acreage to be added to the permit 7.00 The modification fee is based upon the proposed new affected acreage within the previously approved permitted boundary plus the proposed total acreage to be added outside the previously approved permitted boundary. This is an application for TRANSFER of a mining permit. Mining Permit Number: Total permitted acreage: Revised July 13, 2021 Page 12 i 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 (919) 707-9220 MINING FEE SCHEDULE A nonrefundable permit application processing fee when filing for a new mining permit, permit modification, or transferred permit is required as follows: APPLICATION TYPE 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 to be covered by the permit. Acres for modification of permits means the new affected acres within the previously approved permitted boundary plus the proposed total acreage to be added outside the previously approved permitted boundary. 2. Name of all materials mined: borrow 3. Mining Method: ❑ Hydraulic Dredge ❑ Dragline & Truck ❑ Other (please explain): N Front-end Loader & Truck 0 Shovel & Truck ❑Self -loading Scraper 4. Expected maximum depth of mine (feet) 20 Depth is relative to what benchmark? (e.g., natural ground level, mean seal level, road elevation, etc.) natural ground level 5. Expected average depth of mine (feet) 20 Has Ranarea at this site been mined in the past? YES NO ❑ If yes, when and by whom was this activity conducted? current permit 6. Estimated life of the operation (years): 5 NOTE: The Department may request clarification on how life of mine was calculated. Revised July 13, 2021 Page 13 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 (919) 707-9220 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 Htti)://i)ortal.ncdenr.org/web/ir/geological home (919) 733-2423 County highway maps maybe obtained from the N.C. Department of Transportation: Mailing Address NCDOT GIS Unit 1587 Mail Service Center Raleigh, NC 27699-1587 hfti)://www.ncdot.rqfiYqis Physical Address NCDOT GIS Unit 3401 Carl Sandburg Court Raleigh, NC 27610 (919)212-6000 2. A table/chart must be provided on the mine map that clearly 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: I'a1 a d x11141LTI I AeCe] 4 V —.1 I A4 For new permits, complete only the total affected acreage column. For modifications, complete all columns. CATEGORY CURRENT AFFECTED ACREAGE PROPOSED CHANGE TO AFFECTED ACREAGE TOTAL AFFECTED ACREAGE Tailings/Sediment Ponds 0.00 0.00 0.00 Stockpiles 0.00 0.00 0.00 Waste piles 0.00 0.00 0.00 Processing Areas/Haul Roads 1.07 0.00 1.07 Mine Excavations 4.82 7.00 11.82 Other (Please explain) 1.07 0.75 1.82 Total Affected Acreage 6.96 7.75 14.71 Total Permitted Acreage 6.96 14.71 Revised July 13, 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 (919) 707-9220 3. 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 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 with geographic controls (e.g. metes and bounds, coordinates) labeled 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 (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) Outline 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 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 of tracts adjoining these tracts that are within 1,000 feet of the mining permit boundary must be provided on the mine map. 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) Applicant name 5) Scale 2) Mine name 6) Symbols used and corresponding names 3) North arrow 7) Date prepared and revised 4) County 8) Name and title of person preparing map Map scales should meet the following guidelines: PERMITTED ACREAGE MAP SCALE 0 — 49 acres 1 " = 50' 50 —199 acres 1" =100' 200+ acres 1 " = 200' NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items. 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 (italicized questions/statements) in this application form. This application will not be considered complete without all relevant items being adequately addressed on the mine maps. Revised July 13, 2021 Page 15 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 (919) 707-9220 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. Mining will continue in the manner established in the current operation. The excavation will gradually extend into the new mining area. 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(s) and provide typical cross-sections/construction details of each measure. Engineering designs and calculations are required to justify the adequacy of any proposed measures. All runoff is to be directed into the existing excavation. A perimeter silt fence and flat topography prevents any off site sedimentation. 3. A) Will the operation involve wash in the material mined, recycling process water, or other wastewater handling? FIYES X NO If yes, briefly describe all such processes including any chemicals to be used. B) Will the operation involve discharging fresh or wastewater from the mine or plant as a point discharge to the waters of the State? YES FNO RX if yes, briefly describe the nature of the discharge and locate all proposed discharge points (along with their method of stabilization) on the mine map(s). This modification specifically requests to change Operating Condition 4-C. Pit water is to be pumped from the excavation as necessary. The water will flow via ditch to an existing pond (previously excavated area), then occasionally overflow into a wetland area. Revised July 13, 2021 Page 16 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 (919) 707-9220 C) Will any part of the proposed mine excavation(s) extend below the water table? IYES 1-1 NO If yes, do you intend to dewater the excavation(s)? FIYES 1:1 NO 144 000.00 Estimated withdrawal rate in gallons per day. If yes, what impact, if any, will mine dewatering have on neighboring wells? Locate all existing wells on the mine map(s) that lie w9hin 500 feet of the proposed excavation area. Provide data to support any conclusions or statement 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. There are no neighboring wells within 500 feet. D) If you answered yes to any of the above questions, provide evidence that you have applied for or obtained the appropriate water quality 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 gallons per day. Applications will be made for NPDES General Stormwater Permit NCG020, and for for the Central Coastal Plain Capacity Use Permit 4. A) Will the operation involve crushing or any other air contaminant emissions? FIYES 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? Revised July 13, 2021 Page 17 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 (919) 707-9220 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). The mine excavation is located on a ±139-acre tract of property owned by Ralph Thomas. The proposed excavation limits are more than 1,000 feet from the western, southern, and eastern property boundaries. Therefore, a minimum 10-foot buffer is shown along the western and southern boundary. The eastern mining limit is bounded by an existing haul road and wetland areas. The northern mining limit is 50 feet from the property line, and is currently being used as the established haul road and/or farm path. 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). There are no natural watercourses or wetlands within the proposed permit boundary. The features within the mining permit boundary consist of jurisdictional man-made ditches. The applicant obtained a 404 NWP 44 from the USACE and a 401 Water Quality Certification from NCDWR authorizing impacts/removal of the jurisdictional ditches within the mining permit boundary. Therefore, there are no buffers required within the mining permit boundary. Copies of the 404 and 401 permits were submitted with the original application. Wetlands located adjacent to the southern edge of the existing haul road/entrance road in the eastern portion of the project area. Since the project will utilize the existing haul road in its current condition and width, a buffer will not be provided for Wetland B. In an email dated September 13, 2017, NCDCM confirmed that a CAMA permit was not required since the existing haul road through the 75-foot AEC would be utilized for access/hauling and would not be improved or widened within the AEC. A copy of the NCDCM email was submitted with the original application. 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. 3:1 slopes will be maintained within the excavation to maintain slope stability B) Provide a cross-section on the mine map(s) for all fill slopes (berms, waste piles, overburden disposal areas, etc.), clearly indicating the intended side slope gradient, installation of any benches and/or slope drains (with supporting design information) if needed, and the method of final stabilization. Revised July 13, 2021 Page 18 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 (919) 707-9220 C) In excavations) of unconsolidated (non -rock) materials, specify the angle of all cut slopes including specifications for benching and sloping. Cross -sections for all cut slopes must be provided on the mine map(s). 3:1 slopes 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. n/a 7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling, house, public road, or 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. There are no neighboring structures within 300 feet 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). The remote location from the public highway and locked gate on the haul road prevents inadvertent public access 9. Are acid roducing minerals or soils present? YES FXINO If yes, how will acid water pollution from the excavation, stockpiles, and waste areas be controlled? Revised July 13, 2021 P a g e 19 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 (919) 707-9220 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(s) and provide cross -sections through all proposed berms or proposed spacing, sizes and species for tree plantings. The distance from the public highway and topography effectively screen 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? n/a 11. Will fnsives be used? YES RX 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 oflsite occupied structure(s) to the proposed excavations) 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? FIYES FX]NO if yes, 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). Revised July 13, 2021 Page 110 C 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 (919) 707-9220 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 all permanent channels must be indicated on the reclamation map. The entire excavated area will be reclaimed as a pond. The side slopes will be graded to a minimum of 3:1. Unexcavated areas will be graded to prevent standing water. All disturbed areas not submerged will be seeded. 2. Is an excavated or impounded body of water to be left as part of the reclamation? a YES FINO if yes, illustrate the location of the body(s) of water on the reclamation map and provide a scaled cross-section(s) through the proposed body(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 shallower water body will be productive and beneficial at this site. Will the body(s) of water be stocked with fish? YES aN0 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. n/a Revised July 13, 2021 Page 111 T_ 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 (919) 707-9220 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. There are no overburden, refuse, or spoil areas in this mine plan 5. A) Describe reclamation of processing facilities, stockpile areas, and on -site roadways. The roadway will remain for farm access. B) Will any on -site roadways be left as part of the reclamation? Fv_(1YES F]NO If yes, identify such roadways on the reclamation map and provide details on permanent road and ditch line stabilization. 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.) 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 maps) and reclamation map, along with a list of items to be disposed in said areas. Any such material will be removed from site Revised July 13, 2021 Page 112 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 (919) 707-9220 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 (tonslacre): Fertilizer Analysis and Rate of Application (lbslacre): Seed type(s) and rate(s) of application included year-round seeding schedule (lbslacre): NOTE: Include legumes SEED TYPES SEEDING DATES SEEDING RATES Mulch Type, Rate of Application (lbslacre), and Method of Anchoring: Other Vegetative Cover(s) Type(s) and Rate(s) of Application Including Seeding Schedule (lbslacre, trees/ acre, spacing of trees/shrubs, etc.): See approved revegetation plan Revegetation and/or reforestation plan approved by: Signature Print Name Title Agency Revised July 13, 2021 Date Page 113 i 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 (919) 707-9220 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 aspect of the mining operation, that you intend to affect during the life of this mining permit (in addition, please insert the appropriate reclamation cosdacre for each category from the Schedule of Reclamation Costs provided with this aDDlication form) OR you can defer to the Department to calculate vour bond for you based upon your maps and standard reclamation costs: CATEGORY AFFECTED ACREAGE Tailings/Sediment Ponds 0.00 Stockpiles 0.00 Waste Piles 0.00 Processing Area/Haul Roads 1.07 Mine Excavation 11.82 Other 1.82 TOTAL AFFECTED AC.: 14.71 TOTAL PERMITTED AC.: 14.71 RECLAMATION COST/ACRE Ac. X $ Ac. X $ Ac. X $ Ac. X $ 1,800 Ac. X $ 500 Ac. X $ 1,800 Ac. Ac. RECLAMATION COST /Ac. = $ 0.00 /Ac. = $ 0.00 /Ac. = $ 0.00 /Ac. = $ 1,926.00 /Ac. = $ 5,910.00 /Ac. = $ 3,276.00 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 be needed to prevent offsite sedimentation and sedimentation to onsite watercourses and wetlands. a) Intemal Drainage 14.71 Ac. b) Positive Drainage Ac. X $1,500.00 = $ 0.00 SUBTOTAL COST: $ 111112.00 Inflation Factor: SUBTOTAL COST LIFE OF MINING OPERATION OR LIFE INFLATION COST OF LEASE (YEARS) 0.02 X $ 11,112.00 X 5 = $ 1,111.20 Total Reclamation Bond Cost: TOTAL RECLAMTION BOND COST = SUBTOTAL + INFLATION = $ 12,200.00 Round down to the nearest $100.00 NOTE: The reclamation bond cannot exceed $1 million per GS 74-54 Revised July 13, 2021 Page 114 F- NORTH CAROLINA MINING State of North Carolina PERMIT APPLICATION Department of Environmental Quality Division of Energy, Mineral, and Land Resources SCHEDULE OF RECLAMATION COSTS Based upon range of $500 - $5,000 per affected acre ; $IiIi,I6T wilDIC� 1612 Mail Service Center Raleigh, NC 27699-1612 (919) 707-9220 SG Sand and/or Gravel DS Dimension Stone PF Pyrophyllite CL Clay/Shale GS Gemstone FS Feldspar OL Olivine PE Peat Borrow Borrow/fill dirt MI Mica KY Kyanite/Sillimanite/Andalusite AU Gold CS Crushed Stone LI Lithium PH Phosphate TI Titanium OT Other PE US PONDS STOCKPILES WASTE PILES P. AREA/H.R. MINE EXCAVATION $500/ac. (L) $500/ac. (L) Borrow F $1800/ac. $2000/ac. $1800/ac. 1500 (FI) 2000 (PD) CS, DS, FS, MI, LI, 540 (L) 1800 2000 2000 500 (L) PF, OL, KY 1500 (FI) 2500 (PD) 1000 (L) 2000 (L) PH 2500 5000 5000 2500(FI) 5000 (PD) 1000 (L) 2000 (L) CL 2500 5000 5000 2500 (FI) 3700 (PD) 1000(L) 2000 (L) PE, AU, TI, OT 2500 3000 3500 2500 (FI) 5000 (PD) (L) = Reclamation to a lake and revegetating side slopes (FI) = Reclamation by filling in and revegetating (PD) = Reclamation by grading for positive drainage & revegetating 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,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 APPLICATIONIPERMIT 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. Revised July 13, 2021 Page 115 f 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 (919) 707-9220 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. NOTES: 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(b1). SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF NOTIFICATION' Revised July 13, 2021 Page 116 NORTH CAROLINA MINING State of North Carolina PERMIT APPLICATION Department of Environmental Quality Division of Energy, Mineral, and Land Resources NOTICE Pursuant to provisions G.S. 74-50(b1) of The Mining Act of 1971, Notice is hereby given that Ralph Thomas Jr has applied on (Applicant Name) (Date) 1612 Mail Service Center Raleigh, NC 27699-1612 (919) 707-9220 to the Division of Energy, Mineral, and Land Resources, North Carolina Department of Environmental Quality,1612 Mail Service Center, Raleigh, North Carolina 27699-1612, for (check one): F-1 a new surface mining permit, 7 a modification of an existing surface mining permit to add land to the permitted area; or Fla 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 borrow miles north (Direction) in Carteret (Mineral, Ore) of Beaufort (Nearest town) County. on 14.71 (Number) acres located 3 (Number) offlnear road US Highway 70 (Number, Name) *SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING ADJOINING LANDOWNER NAMES AND LOCATIONS* In accordance with G.S. 74-50(b1), 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, all 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 for a permit, whichever is later. Should the Department determine that a significant public interest exists relative to G.S. 74-51, 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 specifics of the proposed mining activity, please contact the applicant at the following telephone number: (252) 728-5138 For information on the mining permit application review process, please contact the Mining Program staff at (919) 707-9220. Please note that the Department will consider any relevant written comments/documentation within the provisions of the Mining Act of 1971 throughout the application review process until a final decision is made on the application. Ralph Thomas Jr Addressee/Owner of Record's Name and Address Name of Applicant. Include Contact Person & Company Name, if Applicable 106 Pleasant Dr, Beaufort, NC 28516 Bate of Issuance of this Notice/Mailed to Addressee/Owner of Record Address of Applicant Revised July 13, 2021 Page 117 NORTH CAROLINA MINING State of North Carolina PERMIT APPLICATION Department of Environmental Quality Division of Energy, Mineral, and Land Resources AFFIDAVIT OF NOTIFICATION 1612 Mail Service Center Raleigh, NC 27699-1612 (919)707-9220 1 James Izzell, (agent) 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 Environmental Quality, being first duly swum, 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 trail 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 Richard Arthur (trustee) 3137 Hwy 70 E, Beaufort, NC 28516 Kenneth Conner 270 Squirrel Ln, New Bern, INC 28560 Elizabeth Guthrie PO Box 66503, St Louis, MO 63166 Attach additional list if necessary. 1 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: Tommy Burns, Carteret Cc Manager 302 Courthouse Sq, Beaufort, NC 28516 Chief Administrative Officer Name Address (i.e.: City Manager, County Manager, Mayor, etc.) 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 t t the above notices we aused to be mailed and to provide them to the Department upon request. M c_��s'.1 !O—Z4 _7J Signdre of Applicant o� Date If person executing Affidavit is an agent or employee of an applicant, provide the following information: Name of Applicant g4i'eo ( Title of person executing Affidavit A4G/✓i I, hw iSS0. S , a Notary Public of the County of �n h nci o h State of North Carolina, do hereby certify that Mvnes =Z ze l l appeared before me this day and under oath acknowledged that the above Affidavit was made by him/her. Wiitness'm�y�hand and notarial sealthis � day of ©ACbee— 202. Notary? ► t o,�zd Oa A Iis1ipAk.' —My commission expires: aUa I/ Revised July 13, 2021 MEtJSSA S. JOF1N.10N NOTARY PUISU Face 118 JOHNSTON COUNTY, N.C. A"H4fntail'A.s�t.gy��'1QiC iGiL�Gwllit�� .. � _. - , tl> 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 (919) 707-9220 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 cant' 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 244 wp ` C� Y"w Signature* /j �! Print Name -- G► �° ( k d #k 4S `( f Print Name �a ll� ��j,oMQs tt V Title (if applicable) Title O WNt2 Company (if applicable) Company Address 1 O (t fLE A SAN-r 71 !R Mine Name f � w 7`T 06 -83) �Q�_ &,4t/Fejzc Nc- 28516 Telephone I� i- 52 - -7Z9 - T138 Telephone 25 2 -728 -5138 Date Signed � D 2� 2 b Date Signed ` 0_ ?-I- 2 b 2, *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) 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 July 13, 2021 Page 119