20210830_Application

.A)k
ENVIRONMENTAL
AT SOLUTIONS
August 30, 2021
Mr. Adam Parr, Assistant State Mining Specialist
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699
RE: Application for a New Mining Permit
Indiantown Farm, LLC- Proposed Cherry Island Mine
Martin County - Roanoke River Basin
Dear Mr. Parr:
RECEIVED
AUG 3 0 2021
LAND DUALITY
MINING PROGRAM
As a consultant working on behalf of my client, Indiantown Farm, L-C, we hereby submit
the attached mining permit application for a new mining permit to mine sand and gravel on 70.9
acres of agricultural land located off NC 125 in Martin County. The proposed affected acreage
will be 50.5 acres and will consist of a site access road, temporary stockpile areas, perimeter
screening berms, three mine excavation areas, and temporary erosion and sedimentation
control measures that will be installed and maintained until all site runoff is directed internal to
the mine excavations. There will be no mine dewatering of the mine excavations and no
processing plant located onsite. The proposed reclamation plan is to restore the mine
excavations to viable lakes, remove all mining equipment from the site, grade all remaining
affected areas, and establish permanent groundcover throughout the site.
The detailed responses provided within the attached mining permit application form
along with the comprehensive mining plan set support our contention that we have addressed
all of the environmental and public safety aspects of the NC Mining Act and corresponding
administrative rules, and that none of the permit denial criteria listed under GS 74-51(d) (1)-(7)
will be triggered by the proposed mining operation. Lastly, we have attached the $5,000 mining
permit application processing fee to initiate the review of this mining permit application.
Thank you for your consideration in this matter. If you should have any questions
regarding this mining permit application package, please contact me at [phone] or Mr.
Skip Valentine, Owner of Indiantown Farm, LLC, at [phone].
cer
ee
PEavSEnvironmental Solutions, PLLCAT
Attachments: $5,000 Mining Permit Application Processing Fee
Mining Permit Application Package-6 Copies

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

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.

MINING PERMIT APPLICATION REVIEW
PROCESS FLOWCHART
BEGINNING OF PROCESS
Application received by
State Mining Specialist
I Applicant issues I
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
- Regional Office
I- Division of Air Quality I
- Division of Water Resources
....................................
Review Public Comments;
Public Hearing Possible
:.....*so ......................... • :
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
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
1. Name of Mine Cherry Island Mine County
River Basin Roanoke
Latitude (decimal degrees to four places) 35.86920
Longitude (decimal degrees to four places)-77.0780'
Martin
2. Name of Applicant*- Indiantown Farm, LLC -
3. Permanent address for receipt of official mail** 1500 Sunday Drive, Suite 300, Raleigh, NC 27607
Telephone _ [phone] Alternate No. ( )
4. Mine Office Address 23721 NC Highway 125, Williamston, NC 27892 Telephone [phone]
5. Mine Manager Melton E. "Skip" Valentine, III
6. E-mail Address: skipmev ,gmail.com
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 Date 7X,4:�?rZ�aZ
Print Name Melton E. "Skip" Valentine, III
Title Owner
* 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.
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.
-1-

APPLICATION FOR A MINING PERMIT
NOTE: All 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:
//
n
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): 70.9
Of this acreage, how much is owned and how much is leased? Acres owned: 70.9
Acres leased: Property owner if leased:
If this is an application for a MODIFICATION to a mining permit,
number and the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage:
indicate the mining permit
Does the modification involve acreage within the previously approved permitted boundary?
Yes ❑ NoFT 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 ❑. 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 mining 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):
If this is an application for TRANSFER of 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: Sand and Gravel
3. Mining method:
Hydraulic Dredge
Dragline & Truck
Other (explain):
Front-end Loader & Truck ® Shovel & Truck
Self -loading Scraper
4. a. Expected maximum depth of mine (feet) Approximately 30 feet
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
Natural around level
b. Expected average depth of mine (feet) Approximately 30 feet
5. Has any area(s) at this site been mined in the past? Yes ❑
If yes, when and by whom was this activity conducted?
—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): A22roximatel,0years
B. MAPS
I. Clearly mark and label the location of your mining operation on six (6) copies of 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, 5th Floor
Raleigh, North Carolina 27699-1612 Raleigh, North Carolina 27604
[phone]
http://portal.ncdenr.ora/web/Ir/p-eolop-ical 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:
NCDOT GIS Unit
1587 Mail Service Center
Raleigh, North Carolina 27699-1587
Physical Address:
NCDOT GIS Unit
3401 Carl Sandburg Court
Raleigh, North Carolina 27610
[phone]
http://www.ncdot.orgLgis/
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.
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.
-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—

NCDOT ROAD MAP

USGS QUAD MAP
Indiantown Farm, LLC. - Cherry Island Mine - Martin County
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13_ Williams nNA
. _ MARTIN, COUNTY
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_ - i 171 1

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
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:
CATEGORY
AFFECTED ACREAGE
Tailings/Sediment Ponds
1.1
Stockpiles
1.0
Wastepiles
0
Processing Area/Haul Roads
1.4
Mine Excavation
35.0
Other (Explain) Berms, Diversions, etc.
12.0
Total Disturbed Acreage
50.5
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 ofthe mine and reference the
sequence to the mine map(s). Attach additional sheets as needed.
The proposed operation will involve the removal of sand and gravel by dragline or long reach
excavator from three mine excavation areas without dewatering the mine excavations. Any excess
overburden will be placed back into the mine excavations as the mine progresses. Mined material
will be placed adjacent to the excavations to allow drainage back into the excavations. Material will
then be placed into trucks and hauled directly offsite without further processing. No mining activities
will commence until all erosion and sedimentation control measures have been installed and
maintained. In addition to the erosion and sedimentation control measures, the mine excavations,
temporary stockpile areas, and visual screening berms will be located as shown on the attached
mining plan set.
A detailed construction sequence has been provided on Sheet C4 of the attached mining plan set.
Once all mining activities are completed, final reclamation of the entire site will be completed as
indicated in the Reclamation Plan (see Sheet C7).
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.
Erosion and sedimentation control measures have been proposed throughout the project area to protect
surrounding properties. These include a paved construction entrance, buffer zones, perimeter silt fence
with silt fence outlets, temporary diversions, earthen berms for screening as well as sediment
containment, and temporary skimmer basins for each of the three mine excavation areas that will be
maintained until they have been incorporated into the mine excavations at which time all runoff will be
directed into the mine excavations.
All erosion and sedimentation control measures are shown on Sheet C4. The installation and removal of
all erosion and sedimentation control measures are specified within the construction sequence also
provided on Sheet C4.
The skimmer basins and all diversions have been designed using a 25-year design storm event, the design
calculations of which are provided on Sheets C 13 and C 14.
The construction and maintenance notes and details for each erosion and sedimentation measure are
provided on Sheets C8—C12.

APPLICATION FOR A MINING PERMIT
3. a. Will the operation involve washing the material mined, recycling process water, or other waste water
handling? Yes ❑ No Z. Ifyes, briefly describe all such processes including any chemicals to be used.
Sand and gravel will be removed from the mine excavations without pit dewatering, temporarily
stockpiled adjacent to the mine excavations, and allowed to gravity flow back into the mine excavations.
No processing plant is proposed as moist mined material will be loaded from the temporary stockpiles
into trucks and hauled directly offsite.
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 ❑. Ifyes, briefly describe the nature of the discharge and locate
all proposed discharge points (along with their method of stabilization) on your mine map(s).
During the initial preparation of each of the three excavation areas within the overall project area,
skimmer basins with temporary diversions will be used to capture stormwater runoff. After the sediment
contained in the water has had a chance to settle to the bottom of the basins, water from the surface of the
basins will be removed by the skimmer and discharged via the basin outlet dissipator as shown on Sheet
C4. This process is further described in the construction sequence and on the construction detail sheets.
NOTE: Once each of the three mine excavations is enlarged to incorporate its corresponding skimmer
basin, all drainage from the site will be directed into and held within the three mine excavations —which
will eliminate any further discharge from the site.
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 E.
Ifyes, what impact, if any, will mine dewatering have on neighboring wells? Estimated withdrawal rate
in gallons per day: . Locate all existing wells on the mine map(s) that lie within
500 feet of the 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.
The estimated maximum depth of the mine will be around 30 feet with the water table depth estimated to
be around 12 feet below the natural ground surface. As the material to be mined will be removed
without dewatering the excavations, no impacts to surrounding properties are anticipated.
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.
No mine dewatering is proposed for this operation. See response provided in Item 3c. above.
In addition, a Notice of Intent (NOI) form for coverage under the NPDES NCG02 General Stormwater
Permit for Mining, including the required processing fee and attachments, has been submitted to
DEMLR's Stormwater Program for review and approval to cover the temporary discharge from the six
temporary skimmer basins until internal drainage to the mine excavations can be achieved. A copy of
the NO1 and its attachments are attached to this mining permit application. Once the Certificate of
Coverage is issued by the Stormwater Program, a copy will be provided to your office.
—7—

APPLICATION FOR A MINING PERMIT
4. a. Will the operation involve crushing or any other air contaminant emissions? Yes ❑ No Z.
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.
No processing of sand and gravel removed from the three proposed mine excavations will take place at
the site. Mined material will be removed from impounded mine excavations (no pit dewatering will
take place), so the temporarily stockpiled material will be moist when loaded onto trucks and hauled
directly offsite.
b. How will dust from stockpiles, haul roads, etc., be controlled?
The access road, temporary stockpiles, and internal haul roads will be sprayed with water from the
mine excavation several times a day, as needed, to control fugitive dust.
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).
A proposed 50-foot minimum undisturbed buffer with an additional 50 foot wide by 6.25-foot-high
vegetated earthen berm will provide an overall minimum vegetated buffer of 100 feet between
mining related activities and any mining permit boundary.
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 widerthan 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).
A proposed 50-foot minimum undisturbed buffer with an additional 50 foot wide by 6.25-foot-high
vegetated earthen berm will provide an overall minimum vegetated buffer of 100 feet between
mining related activities and any neighboring stream or wetland.

APPLICATION FOR A MINING PERMIT
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.
Removal of sand and gravel from below the water table within the mine excavations will result in the
side slopes reaching their natural angle of repose in water. However, any excavation that occurs
above the water table will be conducted at a 3 horizontal to I vertical or flatter slope.
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 of any benches
and/or slope drains (with supporting design information) if needed, and the method of final
stabilization.
Cross -sections and labels defining a minimum slope of horizontal to 1 vertical or flatter for all fill
slopes have been provided in the mining plan set. The method of final stabilization for all fill slopes
and other areas affected by the mining operation are provided on Sheet C8 to protect their integrity
and promote slope stability.
c. In excavation(s) 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).
The cut slopes of all excavated diversion ditches and walls of the skimmer basin will be maintained
at a minimum of 2 horizontal to 1 vertical or flatter. The cut slopes around the perimeter ofthe mine
excavations will be maintained at a minimum of 3 horizontal to I vertical or flatter. All cut slopes
and other areas affected by the mining operation will be stabilized with vegetation as indicated on
Sheet C8 to protect their integrity and promote slope stability.
d. In hardrock excavations, specify proposed bench widths and heights in feet. Provide cross -sections
of the mine excavation clearly noting the angles ofthe cut slopes, widths of all safety benches and
mine benches, and the expected maximum depth of the excavation.
There are no hard -rock excavations planned for this mining operation.
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.
A lockable gate will be maintained at the site's entrance to prevent access by others outside of normal
business hours. Vegetated earthen berms are also provided around the entire perimeter of the mining
operation to prevent inadvertent entry. Lastly, at the completion of final reclamation ofthe site, barbed wire
fencing will be installed for safety purposes.
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).
A lockable gate will be maintained at the site's entrance to prevent access by others outside of normal
business hours. Vegetated earthen berms are also provided around the entire perimeter of the mining
operation to prevent inadvertent entry. Lastly, at the completion of final reclamation of the site, barbed wire
fencing will be installed for safety purposes.
ME

APPLICATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes ❑ No ®.
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 map(s) and provide cross -
sections through all proposed berms or proposed spacing, sizes and species for tree plantings.
Vegetated earthen berms will be constructed and stabilized with vegetation around the entire
perimeter of the mining operation to screen the operation from view of the public.
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 known publicly owned parks, forests, or recreation areas in close proximity to this
proposed mining operation.
11. Will explosives be used? Yes ❑ No N.
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.
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).
No fuel tanks, solvents, or other chemical reagents will be stored on -site. Fuel and other operational and
maintenance items will be brought onto the site for direct service to the equipment, then removed from the
site and properly stored offsite.
-10-

APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
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.
Upon completion of mining activities, the mine excavations will be reclaimed as lakes and the remainder of
the site will be reclaimed as outlined in the Reclamation Plan on Sheet C7. This includes removal of any
mining related equipment, grading of any affected areas to avoid ponding of noxious or foul water,
achieving final slopes around the three mining excavations, installing a barbed wire fence around the final
lake areas, and establishing a permanent groundcover using native species throughout the site.
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 beat least 4 feet,
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.
Will the body(s) of water be stocked with fish? Yes ❑ No ❑.
If yes, specify species.
The final lake depths will be at least 4 feet throughout with an average depth of approximately 30 feet. See
the Reclamation Plan on Sheet C7 for more detailed information.
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.
There will be no excavations in rock at this mine site.
-11-

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 locationsfor
such areas must be provided on the reclamation map.
The visual barrier berms proposed around the entire perimeter of the mining operation will be
approximately 6.25 feet tall and 50 feet wide at the base with a minimum of 4 horizontal to 1 vertical
slope as shown on Sheet C2. In addition, these berms will be stabilized with temporary and permanent
groundcover as outlined on Sheet C8.
5. a. Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
All mining related equipment will be removed from the mine site. Stockpiles will be removed from the
site and the remaining footprints of all stockpile and other work areas will be graded level with
surrounding natural ground elevation and permanently stabilized as outlined in the Reclamation Plan on
Sheet C7 and the seeding schedules provided on Sheet C8. All on -site roadways and the lockable
entrance gate will remain to allow ongoing access to the property.
b. Will any on -site roadways be left as part of the reclamation? Yes ® No ❑.
Ifyes, identify such roadways on the reclamation map and provide details on permanent road and ditch
line stabilization.
All on -site roadways and the lockable entrance gate at the site entrance will remain to allow ongoing
access to the property.
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 map(s) and reclamation map, along with a list of items to be disposed in said areas.
Any refuse (trash, debris, etc.) or other unsaleable material that is generated onsite will be removed from
the site and properly disposed at an offsite permitted landfill as it is generated during the active mining
operation. Any such items that may remain at the time of final reclamation will be taken offsite and
properly disposed. As stated earlier, all mining related equipment will be removed from the site at the
end of the active mining operation.
-12-

APPLICATION FOR A MINING PERMIT
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):
FERTILIZER - ANALYSIS AND RATE OF APPLICATION (pounds/acre):
SEED - TYPE(S) AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds/acre): [NOTE: Include Legumes]
Seed Types: Seeding Dates: Seeding Rates:
See the Temporary and Permanent Seeding Types, Dates, and Rates provided on Sheet C8 attached
to this mining permit application.
MULCH - TYPE AND RATE OF APPLICATION (pounds/acre) AND METHOD OF ANCHORING:
OTHER VEGETATIVE COVERS — TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre, trees/acre, spacing of trees/shrubs, etc):
Revegetation and/or reforestation plan approved by: 11
Signature 4��� Date 1
Print Name Michael Blakley
Title Owner/President
Agency Drafting and Design Services, Inc.
—13—

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 miningpermit. Please insert the approximate acreage, for each
aspect o the mining operation, that you intend to a ect during the life of this minimyermit (in addition, please
insert the appropriate reclamation cost/acre for each category from the Schedule of Reclamation Costs
provided with this application form) OR you can defer to the Department to calculate your bond for you based
upon your maps and standard reclamation costs:
AFFECTED RECLAMATION RECLAMATION
CATEGORY ACREAGE COST/ACRE* COST
Tailings/Sediment Ponds:
1.1
Ac.
Stockpiles:
1.0
Ac.
Wastepiles:
0
Ac.
Processing Area/Haul Roads:
1.4
Ac.
Mine Excavation:
35.0
Ac.
Other: (Berms, Diversions, Etc.)
12.0
Ac.
TOTAL AFFECTED AC.:
50.5
Ac.
(TOTAL PERMITTED AC.: 70.9 Ac.)
X $
500
/Ac. _
$
550
X $
1,800
/Ac. _
$
1,800
X $
0
/Ac. _
$
0
X $
1,800
/Ac. _
$
2,520
X $
500
/Ac. _
$
17,500
X $
2,000
/Ac. _
$
24,000
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) Internal Drainage 41.4 Ac.
b) Positive Drainage 9.1 Ac. X $1,500.00 = $ 13,650
SUBTOTAL COST: $ 60,020
Inflation Factor:
0.02 X SUBTOTAL COST: $ 1,200.40 X Permit Life Provided by Applicant (Life of the Mining
Operation or Life of Lease from Public Entity (in Years)): 10
INFLATION COST: $ 12,004
Total Reclamation Bond Cost: $ 72,000
(round down to the nearest $100.00)
(NOTE: The reclamation bond cannot exceed $1 million per GS 74-54)
-14-

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"
-15-

NOTICE
Pursuant to provisions G.S. 74-50(bI) of The Mining Act of 1971, Notice is hereby given tha /�,
Indiantown Farm, LLC has applied on ��°
(Applicant Name) (Date)
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):
® a new surface mining permit,
❑ a modification of an existing surface mining permit to add land to the permitted area; or
❑ a 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 Sand and Gravel on 70.9 acres located approx. 2.0
(Mineral, Ore) (Number) (Miles)
West of Williamston off/near road NC Highway 125
(Direction) (Nearest Town) (Number/Name)
in Martin County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bI), 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 orthe 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
contact
707-9220.
(see attached list of names and addresses used here)
(Addressee/Owner of Record's
Name and Addr ss)
c 1" 1021
to Addressee/Owner of Record)
—16—
[.m
process,
Indiantown Farm. LLC
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)

APPLICATION FOR A MINING PERMIT
AFFIDAVIT OF NOTIFICATION
I, Indiantown Farm, LLC , 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 sworn, 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 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
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)
(see attached list) (see attached list)
(Attach additional list if necessary)
I 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:
(Chief Administrative Officer Name)
[i.e.: City Manager, County Manager, Mayor, etc.]
(Address)
Cameron Braddy, Town Planner/Zoning Administrator 112 E. Main Street, Williamston, NC 27892
Joyce Whichard-Brown, Mayor of Town of Williamston 112 E. Main Street, Williamston, NC 27892
U. James Bennett, Martin County Manager 305 E. Main Street, Williamston, NC 27892
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 that the
above notices were caused to be m& an) >/pvi them to the Department upon request.
Signature of Applicant or
71X 7
Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
Name of applicant: Indiantown Farm, LLC
Title of person executing AffidAvit Melton E. "Skip'' Valentine, III, Owner
I,
a Notary Public of the County of An 0 Pn
State of North Carolina, do hereby certify that Melton E. "Skip" Valentine, III
appeared before me this day and under oath acknowledged that the above Affidavit was made by him/her.
Witness my and and tarial se , this(a9±-"nw.0my
'day of 2091.
Notary: Commission expires: a`1'/'1'0a';L�
LESLIE A CATAGNUS _17_
Notary Public, North Carolina
Edgecombe County
My Commission Expires
February 27, 2026
Ll- UZ6 1 1% L, I

Adjoining Landowner Public Notification List
Indiantown Farms, LLC - Proposed Cherry Island Mine, Martin County
PIN
Owner Name
Owner Address
Owner City
Owner State
Owner Zip
0503311
BIGGS, KEITH S ETALS
2725 PRISON CAMP RD
WILLIAMSTON
NC
27892
0505729
ROEBUCK, WILLIAM ALLEN; ROEBUCK, GAIL POSTON 23559 NC 125
WILLIAMSTON
NC
27892
0504629
NORTH CAROLINA STATE
STATE PROPERTY OFFICE
RALEIGH
NC
27699
0505446
ROEBUCK, BARBARA J
2219 RAY TURNER RD
OAK CITY
NC
27857
0501788
LASSITER, WILLIAM MICHAEL
23825 NC 125
WILLIAMSTON
NC
27892
0505447
ROEBUCK, WILLIAM ALLEN; ROEBUCK, GAIL POSTON 23559 NC 125
WILLIAMSTON
NC
27892
0504704
WHITLEY, SAMUEL BIGGS
24125 NC 125
WILLIAMSTON
NC
27892
0505563
CHESSON, LARRY W; CHESSON, FRANCES E
100 SHORT DR
WILLIAMSTON
NC
27892
0506011
LASSITER, W L HEIRS; C/O WM E LASSITER
23825 NC 125
WILLIAMSTON
NC
27892
0501789
LASSITER, MARY LILLEY
3785 JOE MOBLEY RD
WILLIAMSTON
NC
27892
0502763
SIMPSON, DELMA; SIMPSON, BETTY G
23704 NC 125
WILLIAMSTON
NC
27892
0501755
MCKEEL, RAYMOND HEIRS; MCKEEL BRENDA
23736 NC 125
WILLIAMSTON
NC
27892
0501605
JOHNSON, DANNY W
23758 NC 125
WILLIAMSTON
NC
27892
0501648
VANN, ALBERT NEIL
23786 NC 125
WILLIAMSTON
NC
27892
0501961
WEBB, TONY DALE; WEBB, CYNTHIA SLOAN
23804 NC 125
WILLIAMSTON
NC
27892
0502975
BROWN, IRVING B; BROWN, JO ANN
23832 NC 125
WILLIAMSTON
NC
27892
0501.132
HAISLIP, MILDRED L HEIRS
23856 NC 125
WILLIAMSTON
NC
27892
0500233
HOLLIS, JEANNIE LYNN
18300 NC 125
WILLIAMSTON
NC
27892
0501848
LEGGETT, JOSEPH C
P 0 BOX 1190
WILLIAMSTON
NC
27892

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Date: 8/27/2021
RE: Adjoining Property Owner Notification Pursuant to NCGS 74-50(bI) of The Mining Act of 1971
Indiantown Farm, LLC — Proposed Cherry Island Mine
23721 NC Highway 125
Williamston, North Carolina 27892
Martin County
Dear Adjoining Landowner and Local Government Official
The purpose of this letter is to notify you of Indiantown Farm, LLC's intent to apply for a Mining Permit
from the NC Department of Environmental Quality to mine sand and gravel from the above referenced
property.
The sand and gravel will be removed from the mine excavations by dragline or long reach excavator
without pumping any water to avoid any impacts to public water supply wells in the area and neighboring
wetlands. Dust will be controlled by wetting onsite haul roads and sand stockpiles as necessary. A gate
at the entrance and berms and buffers around the perimeter of the mine will be maintained at all times to
screen the operation from public view and prevent inadvertent entry. Lastly, erosion and sedimentation
control measures will capture any sediment runoff during the operation and the site will be reclaimed as
viable lake areas once mining activities are completed. The State of North Carolina requires us to notify
adjoining owners of record and the chief administrative officer of the town or county with local
jurisdiction over the site based upon the provisions N.C.G.S. 74-50(b1) of the Mining Act of 1971.
Attached to this letter is the completed official State of North Carolina Public Notice form. For your
information, we have also included a copy of our overall site plan showing our proposed mining permit
boundaries as well as our proposed mining operation layout.
If you would like any further information or have any questions pertaining to this application, please feel
free to contact our environmental consultant, Mr. Tracy E. Davis, PE of ATS Environmental Solutions,
PLLC at [phone] or email at tract'davis(catsenvirosolutions.com OR me at [phone] or
email at skiomeWaNamail.com
Sincerely,
Melton E. "Skip" Valentine, III, Owner
Indiantown Farm, LLC
Attachments: NC Department of Environmental Quality Mining Permit Application Notice Form
Overall Site Plan for Proposed Cherry Island Mine
Mine Location Map

NOTICE
Pursuant to provisions G.S. 74-50(bI) of The Mining Act of 1971, Notice is hereby given that
Indiantown Farm. LLC has applied on ?70
(Applicant Name) (Date)
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):
M a new surface mining permit,
❑ a modification of an existing surface mining permit to add land to the permitted area; or
❑ a 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 Sand and Gravel on 70.9 acres located aoorox. 2.0
(Mineral, Ore) (Number) (Miles)
West of Williamston off/near road NC Highway 125
(Direction) (Nearest Town) (Number/Name)
in Martin County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bI), the mine operator is required to make a reasonable effort, satisfactory to the
Department, to notify all owners ofrecord, both public and private, ofall tracts of land that are adjoining the mining
permit boundary; ifan adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,
all owners ofrecord oftracts adjoining these tracts must be notified (that are within 1,000 feet ofthe 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 ofthe issuance ofthis 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 reearding
contact
19) 707-9220.
on the in
(see attached list of names and addresses used here) Indiantown Farm. LLC
(Addressee/Owner of Record's (Name of Applicant: Include Contact Person
Name and Address) & Company Name, if Applicable)
f1J-wy,'� 1-;0#7,1 I M gnnrinv Drive gnitr'inn RnlPiah NIC
to Addressee/Owner of Record)
—16—

NCDOT ROAD MAP

GENERALNOTEA
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PROPOSES MOM AREAS
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PIT#!
PIT aS
7 3 AC
133AC
1SA AC
TOTAL Mfg EXCAVATION
380AC
TAIUNCSISEDMENT PONDS 1.1 AC
PROCESSING, AREAM1NLX ROADS 1.4 AC
OTHER ►OSC. AREA 12D AC
mra nw r•fw�ur rn.
TOTAL AFFECTEDAREA
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TOTAL PROJECT AREA
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LEGEND
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OOaJWa2M42 AM Mrl

APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose of making necessary field inspections or investigations as
may be reasonably required in the administration of the Mining Act of 1971 pursuant to G.S. 74-56.
We further grant to the Department or its appointed representatives the right to make whatever entries on the
land as may be reasonably necessary and to take whatever actions as may be reasonably necessary in order to carry
out reclamation which the operator has failed to complete in the event a bond forfeiture is ordered pursuant to G.S.
74-59.
LANDOWNER:
Print Name: _ Melton E. "Skip" Valentine, III, Owner
(Title, if applicable)
Company: Indiantown Farm, LLC
(If applicable)
Print Name: Melton E. "Skip" Valentine, III
Title: Owner
Address: 1500 Sunday Dr, Suite 300, Raleigh, NC 27607 Company: Indiantown Farm, LLC
Telephone: [phone]
Date Signed. Z/ZZUz /
Mine Name: Chem Island Mine
Telephone: [phone]
Date Signed: loz-1f;r
*Signature must be the same as the individual who signed Page 1 of this application.
and reclamation maps, and the appropriate processing fee (see next page for fee schedule) 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
[phone].
mr-1c

APPLICATION FOR A MINING PERMIT
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:
0-25 acres
26+acres
New Permit Applications
$3,750.00
$53,000.00
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.
- 19-

APPLICATION FOR A MINING PERMIT
There 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]
aim

APPLICATION FOR A MINING PERMIT
LAND 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]
-21-

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, Ml,
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)
PE, 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.00039 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.
-22-

ATSENVIRONMENTAL
SOLUTIONS
August 30, 2021
Ms. Annette Lucas, PE
Stormwater Program Manager
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699
RE: NPDES Application for Coverage Under General Permit NCG02
Indiantown Farm, LLC- Proposed Cherry Island Mine
Martin County— Roanoke River Basin
Dear Ms. Lucas:
On behalf of Indiantown Farm, LLC, I hereby submit the attached NPDES Application for
Coverage under General Permit NCG02 for a proposed sand and gravel mine at 23721 NC
Highway 125 in Martin County. While the permitted acreage at the site will be 70.9 acres, only
50.5 acres will be affected as part of the proposed mining operation. No pit dewatering is
proposed and, as there will be no processing plant onsite, no washing of material or plant
process water will be generated. Our methods for capture and treatment of surface water
runoff during the initial and ongoing site development are described in detail in the attached
NPDES application and the attached mine plan sheets. We have also attached our $100
stormwater permit application processing fee to Initiate the review of our application.
Copies of the detailed mining permit application form and its attachments have been
filed separately with DEMLR's Mining Program for its review in issuing the mining permit. Your
staff may want to review this information as well as it provides additional details regarding the
proposed mining operation.
Thank you for your consideration. If you should have any questions regarding this
NPDES application package, please contact me at [phone].
Ancerely,
c Davis, PE
ner President
Attachments: $100 Stormwater Permit Application Processing Fee
NPDES Application for Coverage Under NCG02 and Associated Maps — 2 Copies

Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG020000
This general permit covers STORMWATER AND/OR WASTEWATER DISCHARGES
associated with activities under SIC (Standard Industrial Classification) Code 14
[Mineral Mining Industry] except for: peat mining, coal mining, metal mining,
oil and gas extraction, tourist gem mines, NCDOT borrow pits, in -stream sand
mining, and discharges from mining operations which are intermixed on site
with stormwater from concrete operations. You can find information on the
DENILR Stormwater Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application form. Send the original,
signed application with all required items listed in Item (9) below to: NCDEMLR
Stormwater Program, 512 N. Salisbury St...1612 MSC, Raleigh, NC 27699-1612.
The submission of this form does not guarantee coverage under the General Permit. Prior to coverage under this
General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Certificate of Coverage
NICIGIO121
IT-F
Check #
Amowit
Permit Assigned to
Name of legal organizational entity:
Legally responsible person as signed in Item (10) below:
Indiantown Farm, LLC
:Melton E. "Skip" Valentine, III
Street address:
City.
State and zip code:
1500 Sunday Drive, Suite 300
Raleigh
NC 27607
Telephone number:
Email address:
919-395-4592
[e-mail]
2. Industrial Facility (facility .being permitted):
Facility name:
Facility environmental contact:
Cherry Island Mine
Melton E. "Skip" Valentine, III
Street address: ; : ' > ;
.City- .,
State and zip code:
INC
23721 NC Highway 125
Williamston
27892
Telephone Number:
Email address:
919-395-4592
[e-mail]
Latitude of entrance: 35.8692
Longitude of entrance:-77.0780
Parcel Identification Number (PIN)
0504927
4-digit SIC code:
1
Facility is:
Date operation is to begin or began:
1442
❑ New [Z] Proposed E]Existing
September 2021
Brief description of the types of minerals mined at this facility:
construction sand and gravel
Is this a processing -only facility for materials mined elsewhere?
Is this an inactive mine site?
ElYes
❑ Yes
0 No
0 No
Does total area of this mine site include ready -mixed concrete plant and/or asphalt plant areas?
[:]Yes, and has separate NPDES stormwater permits (provide permit numbers):
[]Yes, and does not have separate NPDES stormwater permits
[D No
Does this facility already have a valid Mining Permit from DEMLR's Land Quality Section?
[:]Yes (please provide the Mining Permit Number)
[�✓ No (please indicate the status of the Mining Permit application) mining permit application package submitted simultaneously
Page 1 of 8

Are you applying for a discharge permit in the same location as a previously permitted mine?
❑ Yes (please provide permit number and mine name)
a No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑✓ N/A
3. Consultant (if annlicable):
Name of consultant:
Consulting firm:
Tracy E. Davis, PE
ATS Environmental Solutions, PLLC
Street address:
City:
State and zip code:
8109 Mourning Dove Road
Raleigh
NC 27615
Telephone number:
Email address:
919-368-0246
[e-mail]
4.
5. Mine Dew►atering
Mine dewatering will occur at this site:
❑ Yes [D No (mark N/A for the rest of this section)
Mine dewatering-'from this #acility will ''be discharged to:
❑Surface Waters and/or Wetlands
❑Other (specify)
[]Mine will not discharge dewatering to Surface Waters and/or Wetlands; specify how dewatering will occur and where
water will be directed:
❑✓ N/A
Wetlands and/or Surface Waters are within 400' of the mine pit perimeter:
404/401 Certification permits required:
[:]Yes (specify distance)
❑ Yes (briefly describe)
❑ No
❑ No
0 N/A
❑ N/A
Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
❑ Yes (please attach to this application) E]No
6. Wastewater Treatment
Will this facility wash mined materials?
❑ Yes B No
Will discharges of process wastewater treatment systems occur (including possible recycle system overflows)
❑ Yes (please describe)
0 No
Page 2 of 8

Will this facility employ chemical additives to flocculate suspended solids?
❑ Yes (specify name/manufacturer/quantity of daily use)
0 No
Note: please visit: https:Hfiles.nc.gov/ncdea/Water+Quality/Environmental+Sciences/ATU/PAM8 30 18 pdf for list of
approved PAMS
Will any of the wastewater treatment facilities at this mine overflow only during rainfall events that exceed the 10-yr, 24-hr
rainfall event?
❑✓ Yes (specify which systems) six temp skimmer basins and diversions designed for 25yr/24hr design storm; will be incorp into mine pits
❑ No
Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
❑ Yes E] No
Wastewater Treatment Alternative Review as required by 15A NCAC 2H.0105(c)(2)
Types of wastewater this mine site will discharge: ❑ Mine Dewatering ❑ Process Wastewater
Types of wastewater considered for this alternative review: ❑ Mine Dewatering ❑ Process Wastewater
Are there existing sewer lines within a one -mile radius?
❑ Yes
❑ Wastewater treatment plant will accept wastewater
❑ Is feasible to connect (explain)
❑ Is not feasible to connect (explain)
❑ Wastewater treatment plant will not accept wastewater (please attach letter documenting this)
❑ No
Are you already proposing a closed -loop recy..cle system (�CLRS). that meets ,design requirements of 15A NCAC 2T .10000?
❑ Yes, for dewatering
❑ Yes, for process wastewater.
❑ Yes, for both
❑ No, this option.is tichnologkally feasible (.explain)
❑ No, this option is not -technologically feasible•(explain)
(] No, this option is otherwise feasible (explain)
no mine dewatering arvyashing ;of mined materials_ rt�aterial ;stockpiled to dram to pit with no discharge; temp basins for initial site dev only
❑No, this option is otherwise not feasible (explain)
What is the feasibility of building a CLRS compared to direct surface water discharge?
Surface or Subsurface Disposal System
0 A surface or subsurface disposal system is technologically feasible (explain)
six temp skimmer basins implemented during initial site development; once mine pits created, all drainage will be Internal to the pits
❑ A surface or subsurface'disposal system is not technologically feasible (explain)
❑ A surface or subsurface disposal system is otherwise feasible to implement (explain)
❑A surface of subsurface disposal system is not otherwise feasible to implement (explain)
What is the feasibility of employing a subsurface of surface discharge as compared to a direct discharge to surface waters?
Direct Discharge to surface waters is the most environmentally sound alternative to all reasonably cost-effective options
for the wastewaters being considered?
B Yes
❑ No
Page 3 of 8

If this review included all wastewater discharge types, would excluding some types make any of the above non -discharge
options feasible for some the wastewaters?
❑ Yes
No
7. Outfalls(s) At least one outfall is required to be elieible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
001
Conohoe Creek, then Roanoke River
WSIV
❑ This watershed has a TMDL.
Discharge from this outfall is from:
0 Stormwater ❑ Mine Dewatering ❑ Process Wastewater
Discharge occurs from this outfall:
0 Only during a rainfall event
❑ Intermittently (please indicate how often)
❑ Continuously (please indicate flow in CFS)
Latitude of outfall: 35.8699
Longitude of outfall:-77.0731
Brief description of the industrial activities that drain to this outfall:
Initial grading of agricultural field will drain to six skimmer basins until each of three mine pits Incorporate such basins, at which time all drainage will be internal to each mine pitlno discharge
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier.,
Name of receiving water.:
Classification:
❑This water.is impaired.
002
lConohoe Creek, then Roanoke River IWSIV
❑ This watershed has a-TMDL.
Discharge from this outf. 01s from:
0 Stormwater: ...❑ Mrhe Dewatering ❑ Process Wastewater
Discharge occurs from this outfall;
0 Only during a rainfall event
❑ Intermittently (please indicate how often)
❑ Continuously (please indicate flow in CFS)
Latitude of outfall:' 35.8712
Longitude of outfall:-77.0706
Brief description of the industrial activities that drain to this outfall:
Initial grading of agricultural field will drain to six skimmer basins until each of three mine pits incorporate such basins, at which time all drainage will be internal to each mine piVno discharge
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes S No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
iConohoe
Classification:
IWSIV
❑ This water is impaired.
003
Creek, then Roanoke River
❑ This watershed has a TMDL.
Discharge from this outfall is from:
21 Stormwater ❑ Mine Dewatering ❑ Process Wastewater
Discharge occurs from this outfall:
0 Only during a rainfall event
❑ Intermittently (please indicate how often)
[:]Continuously (please indicate flow in CFS)
Latitude of outfall: 35.8731
Longitude of outfall:-77.0719
Brief description of the industrial activities that drain to this outfall:
Initial grading of agrtcultuml field will drain to six skimmer basins until each of three mine pits incorporate such basins, at which time all drainage will be internal to each mine pit/no discharge
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 4 of 8

All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last page of this NOI.
8. Other Facility Conditions (check all that apply and explain accordingly):
❑This facility has any other NPDES permits. If checked, list the permit numbers for all current NPDES permits:
❑This facility has Non -Discharge permits (e.g. recycle permit). If checked, list the permit numbers for all current Non -
Discharge permits:
El This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Initial grading of site drains to six temp skimmer basins and diversions designed for 25 yd24 hr storm event; 100 foot buffers including perimeter berm to contain and treat stormwater onsite
OThis facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list date that SWPPP was implemented:
Detailed EBSC Plan as part of mining permit application package attached to this form; full SWPPP being prepared for owner's review
El This facility stores hazardous waste stored in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
Kilograms oaf waste generated -each month:
Type(s) of�waste:
How material .is stored:
Where material fis,stgred:
Number of waste shipments per year:
Name of transport/disposal vendor:
Transport/disposal vendor EPA ID:
Vendor address:
❑ This facility is located on a Brownfield or SUPERFUND site
If checked, briefly describe the site conditions:
❑ Facility provides appropriate secondary containment for bulk storage of liquid materials
If checked, briefly describe these measures:
❑ Site has an active landfill within the mining permit boundary
If checked, please indicate type:
a) ❑ LCID (Land clearing and Inert Debris)
b) ❑ other (specify)
9. Required Items (Application will be returned unless all of the followine items have been includedl:
Check for $100 made payable to NCDEQ
0 Copy of most recent Annual Report to the NC Secretary of State
[EThis completed application and any supporting documentation
[�] Copy of the approved mining permit or indication of mining permit application status
❑ Copy of US Army Corps — approved wetland delineation (if applicable)
Page 5 of 8

[�] Line drawing of the water flow through the facility or block flow diagram
[�] Pictorial description of the nature of any sources of water and any collection and treatment measures
0 A site diagram showing, at a minimum, existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where materials are stored
g) impervious areas
h) site property lines
02 copies of large scale (24"x36" minimum) site plan showing:
a) topographical lines
b) all outfall locations
c) applicable buffers and delineated wetlands
d) receiving waters
e) 100- ear flood plain (if applicable)
Copy of county map or USGS quad sheet with the location of the facility clearly marked
If mines site is in one of the 20 Coastal Counties (if applicable)
[] Applicant has check with the appropriate regional office to verify the need for a Coastal State Stormwater permit.
a) Indicate the Regional Office Contact: Washington Regional Office; only impervious surface is concrete entrance apron
0 Detailed list of:
a) impervious surface areas -and percentages
b) sub -drainage areas
c) total drainage,area
If mine is dewatering and near wetlands, or may otherwise impact surface waters or. groundwater (if
applicable)
❑ 2 copies of large scale (24"x36" minimum) plans delineating areas on the listing acreage including,.
a) wetlands
b) ditches{
c) well -placements
d) pits
e) borrow areas
f) overburden storage
g) stormwater controls/BMPs
h) vehicle maintenance areas
i) settling basins
j) product process (such as screening, stockpiles, and waste piles)
k) total drainage area
1) impervious surface percentages (if state Stormwater programs apply)
m) applicable buffers
n) access and/or haul roads
❑ Pump dewatering size and information on its specifications
❑ Well information (design, depths, maintenance)
❑ Physical monitoring for the wetland areas
❑Settling pond size information, if applicable
❑ Level spreader design, if applicable
❑ Details about dewatering method
❑ Cone of influence calculations
Page 6 of 8

❑ Description of measures to prevent erosion and flooding
❑ Description and information about 401/404 permits that have been obtained
❑ Copy of US Army Corps of Engineers wetlands delineations or approved wetland delineation (if applicable)
❑ I have contacted my local regional office about a Pumping Operation and Monitoring (POM) plan
a) Regional Office Contact:
b) Date Contacted:
10. Applicant Certification:
North Carolina General Statute 143-215.613 (i) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000). 1 hereby request coverage under the referenced General Permit.
Under penalty of law, I certify that:
0 I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for
any civil or criminal penalties incurred due to violations of this permit.
0 The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
❑✓ I will abide by all conditions of the NCG02 permit. I understand that coverage under this permit will constitute the
permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
0 I hereby request coverage under the NCG020000 General Permit and understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
Printed Name of Person Signing: Melton E. "Skip" Vatenttne, III
Title: Owner, Indlantown Farm, LLC
8/27/2021
(Signature of Applicant)
(Date Signed)
Mail the entire package to: DEMLR — Stormwater Program
Department of Environmental Quality
512 N. Salisbury Street, 61" floor
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 7 of 8

Additional Outfalls
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is on the 303(d) list.
004
Conohoe Creek, then Roanoke River
WSIV
❑ This watershed has a TMDL.
Discharge from this outfall is from:
0 Stormwater ❑ Mine Dewatering ❑ Process Wastewater
Discharge occurs from this outfall:
[a Only during a rainfall event
❑ Intermittently (please indicate how often)
O Continuously (please indicate flow in CFS)
Latitude of outfall: 35.8730
Longitude of outfall:-77.0756
Brief description of the industrial activities that drain to this outfall:
Initial grading of agricultural held will drain to six skimmer basins until each of three mine pits Incorporate such basins, at which time all drainage will be Internal to each mine pit/no discharge
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is on the 303(d) list.
005
iConohoe Creek, then Roanoke River jWSIV
❑ This watershed has a TMDL.
Discharge from this outfall is from:
[21 Stormwater ❑ Mine Dewatering 'OProcess Wastewater
Discharge occurs from this outfall:
Only during a rainfall event
❑ Intermittently (please indicate how often)
O Continuously .(please indicate flow in CFS) .
Latitude of outfall: 35.8741 .
Longitude -of outfall:_-77.0751
Brief description -of -the industrial activities that drain to this outfall:
Initial grading of agricultural field will drain to six skimmer basins untiif each of three mine pits Incorporate such basins, at which time all drainage will,be Internal to each mine pit/no discharge
Do Vehicle Nta16t-enence'Activities occur in the -`drainage are of this'o.utfall? ❑ Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is on the 303(d) list.
006
lConohoe Creek, then Roanoke River
IWSIV
❑This watershed has a TMDL.
Discharge from this outfall is from:
Stormwater ❑ Mine Dewatering ❑Process Wastewater
Discharge occurs from this outfall:
0 Only during a rainfall event
❑ Intermittently (please indicate how often)
❑ Continuously (please indicate flow in CFS)
Latitude of outfall: 35.8725
Longitude of outfall:-77.0741
Brief description of the industrial activities that drain to this outfall:
Initial grading of agricultural field will drain to six skimmer basins until each of three mine pits incorporato such basins, at which time all drainage will be internal to each mine pit/no discharge
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes El No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 8 of 8

NCDOT ROAD MAP

USGS QUAD MAP
Indiantown Farm, LLC. - Cherry Island Mine - Martin County
-t. \ 1X
r1. ;
i 4._
142, c
SITE
n!t f;Io
903
t
t
y � ,
r

t LIMITED LIABILITY COMPANY ANNUAL REPORT
i•f�l
I �)
10/2017
NAME OF LIMITED LIABILITY COMPANY: Indiantown Farm LLC
SECRETARY OF STATE ID NUMBER: 1496413 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2020
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Valentine, Melton E. , Jr.
2. SIGNATURE OF THE NEW REGISTERED AGENT:
F[Ung Office Use Only
E - Filed Annual Report
1496413
CA202015001427
5/29/2020 01:45
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
1500 Sunday Drive Suite 300 1500 Sunday Drive Suite 300
Raleigh, NC 27607 Wake County Raleigh, NC 27607
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Farming
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
S. PRINCIPAL OFFICE MAILING ADDRESS
1500 Sunday Drive Suite 300 1500 Sunday Drive Suite 300
Raleigh, NC 27607 Raleigh, NC 27607
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Melton E Valentine, Jr
TITLE: Managing Member
ADDRESS:
3016 Hillsborough Street
Raleigh, NC 27607
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Melton E Valentine Jr
SIGNATURE
Form must be signed by a Company Official fisted under Section C of This form.
Melton E Valentine Jr
5/29/2020
Managing Member
DATE
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State. Business Registration Division, Post Office Box 29525. Raleigh. NC 27626-0525
■