Buffer Authorization Application Form (1)

Water ResourcesENTAL QUALITY
A. Owner/Applicant Information
For instructions on how to fill out this form, see the Buffer Authorization Application Help Document posted on DWR's 401 & Buffer page.
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
A. Owner/Applicant Information
General Information
Primary Contact Email: *
Is this project a public transportation
project? *
Who is submitting the application?*
1. Property Owner Information:
la. Name on Recorded Deed:*
1b. Responsible Party:
1c. Mailing Address:*
1d. Telephone:* 336-376-6000
[e-mail]
Pease list the contact person's eneil for questions or payrrent on this project if needed
r Yes
r No
r- Owner
rJ Applicant other than Owner
rJ Agent
Check all that apply
Snow Camp Investment Properties, LLC
Amy Williams
(for Corporations)
Street Address
PO Box 552
Address Line 2
City
State / Province / Region
Snow Camp
NC
Postal / Zip Code
Country
27349
us
le. Email Address:* chad.threatt@alamanceaggreg
ates.com
2. Applicant's Information (if different from owner):
2a. Name:* Chad Threatt
2b. Company Affiliation: Alamance Aggregates, LLC

2c. Mailing Address:* Street Address
342 Clark Rd
Address Line 2
aty
State / Province / Fbgion
Snow Camp
NC
Fbstal / Zip Code
Country
27349-9740
US
2d.Telephone:* 9195245956
2e. Email Address:* [e-mail]
2f. Attach a signed and dated copy of the authorization granting the applicant owner approval. An agent authorization form is
acceptable.*
0ick the upload button or drag and drop files here to attach docurrent
Owner_ Applicant Authorization_signed 02282020.pdf 287.68KB
FDF only
3. Agent Information:
3a. Name:*
3b. Company Affillation:*
3c. Mailing Address:*
Martin Richmond
Lakenheath, Inc.
Street Address
2204 Lakenheath Ct
Address Line 2
aty
Raleigh
Fbstal / Zip Code
27614
State / Province / Fegion
NC
Country
USA
3d. Telephone:* 9192710368 3e. Email Address:* [e-mail]
3f. Attach a signed and dated copy of the agent authorization form.*
Click the upload button or drag and drop files here to attach docurrent
Agent Authorization_signed 02262020.pdf 343.97KB
FDF Only
If the applicant is not the property owner, in addition to providing the Agent's information, select Applicant other than Owner' above, enter the applicant's
information, and attach an authorization granting the applicant owner approval.

B. Project Information and Prior Project History
B. Project Information and Prior Project History
1. Project Information
u
1 a. Name of Project: * Alamance Aggregates/Snow Camp Mine
(Subdivision, facility, or establishment narre)
If your project has a formal name please use this. If your project does not have a formal name, please identify your project by the owner name and
proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any other names that have been used to identify the
project in the past.
1b. Is this a publicly -funded transportation project?*
r Yes
r No
1d. Subdivision Name:
le. Nearest
Municipality:
1f. Property Size:
Snow Camp, NC
125.00
acres
1g. County (or Counties) where the project is located:*
1h. Property ID# Date of Purchase
8777506532 11/3/2017
Tax RN or Parcel id
1 i. Deed Information
Type of Book Book# Page#
Deed 03714 0667
Map IF
0021
1j. Attach a copy of the recorded map that indicates when the lot was last platted.
Click the upload button or drag and drop files here to attach docurrent
Alamance Co GIS Property Record.pdf 675.75KB
R7F only
1k. How would you like to provide the Latitude and Longitude information?*
r Address Lookup
r Manually
Latitude * 35.870832
Longitude*-79.418553
11. Is the project located in any of North Carolina's twenty coastal counties?
r Yes
r No
Coastal Management information can be found at:
o About Coastal Management

• Staff Listing
o Coastal County Lookup
2. Surface Waters
2a. Name of the nearest body of water to proposed project:*
UT to Cane Creek
Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent published version.)
2b. Water Quality Classification of nearest receiving water:*
Class WS-V; NSW
2c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:*
6,038
(linear feet only)
3. Project Description:
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The project is located on Clark Rd. in Alamance County, NC. Property is currently
pasture farmland and forested woodlands. General land use in the area is primarily
agricultural use.
3b. Attach an 8'/. x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site.
Click the upload button or drag and drop files here to attach docurrent
USGS Topo.pdf 1.61 MB
FUF only
Link to TOPO Map lookup: https://viev,(er.nationaImap.gov/basic/
3c. Attach an 8 % x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the
project site.
Click the upload button or drag and drop files here to attach docunent
NRCS Soils.pdf 4.17MB
FDF only
Link to Soil Surveys for North Carolina Counties. (Please see instructions in the Help Document to determine the most recent published version.)
4. Proposed Activity
Provide a detailed description of the proposed activity including its purpose and include the type of equipment to be used:*
h
n

The proposed project is construction of an aggregate quarry, with associated work
roads and utilities, to meet increased aggregate demand in North Carolina.
The project requires the construction of an entrance roadway connecting the quarry
operations with Clark Road. This roadway will create access to the main business
office, providing access for the employees and customers, and continue into the
mining area, providing access for mining equipment and service vehicles.
Based on the mining plans, the entrance is required to be located on the west side
of the mine, avoiding the internal mining operations. For this purpose, the proposed
roadway will require crossing of an unnamed tributary (Stream 3 on the USACE
PJD), which originates near the center of the project and courses west to the
western property boundary.
The proposed entrance roadway will utilize a bottomless culvert, designed to be
seated on subsurface rock. For this design, the subsurface rock elevation is
assumed to be appro)amately the elevation of the rock stream bed. The culvert has
been sized to allowfor construction without disturbance of the stream channel,
providing for 11 ft of channel bankfull clearance (actual channel width = 4.9 ft), and
an additional 6 feet of clearance on each side of the channel (see attached site
plans).
Attach a site plan as applicable to the project:
nick the upload button or drag and drop files here to attach docurrent
Site Plan and Impact Maps.pdf 4.85MB
FDF only
** Below is a link with instructions on what you will need to show on your site plan.
http://edocs.deq.nc.gov/WaterResources/O/doc/402224/Pagel.aspx
5. Jurisdictional Determinations
5a. Have jurisdictional wetlands or stream determinations by the Corps or State been requested or obtained for this
property/project (including all prior phases) in the past?*
r•' Yes
r No
5b. Who did the determination on the jurisdictional areas?
Who did the determination?
List name if known
Date
Attach
Corps
JSACE Raleigh Regulatory
03/20/2019
20..
1
Dice, Jean Gibby ff
(Narre if know n)
01 . .
AJD
and
PJD
Te..
pdf only
State
NC DWR Winston-Salem
02/28/2019
AI... 2
Regional Office, Sue Homewood
(Narre if (mown)
Q...
St...
De..
Le..
pdf only
*** Please include the date of the determination and upload a copy of the determination.

Comments:
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
r Yes
r• No
7. Future Project Plans
7a. Is this project a phased project?* r Yes
r No
7b. If yes, explain *
The Snow Camp Mine is expected to be in operation for decades, mining different
sections of the property over different future phases and time periods. The property
is well suited for upland development, and with consideration to potential - and very
general - expansion plans, there are no intended or anticipated future activities that
will require authorization.
In addition, the current mining plans and operations, for which this authorization is
required, will meet the project goals and needs of the applicant as a single and
complete project.

C. Proposed Impacts Inventory
C. Proposed Impacts Inventory ^,
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................-...........
Buffer Impacts
1a. Project is in which protected Basin?*
r Neuse River Basin (15A NCAC 02B.0233)
f Catawba River Basin (15A NCAC 02B.0243)
r Randleman Lake Watershed (15A NCAC 02B.0250)
f Tar -Pamlico River Basin (15A NCAC 02B.0259)
r Jordan Lake Watershed (15A NCAC 02B.0267)
r Goose Creek Watershed (15A NCAC 02B.0606 & 15A NCAC 0213.0607)
You can find which river basin you live in at the link below.
http://wmw.eenorthearolina.org/riverbasins-gis-map.asp
1c. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form.
Please note: if the impact you list below requires mitigation choose "allow w/ mitigation" under impact type.
Site# -Reason
Stream Name
Buffer Impact*
Impact Type *
Zone 1
Zone 2
Road Crossing #1
Stream 3
Permanent
Allowable
2,929.
1,671.
K/hp label (e.g. Pbad
(UT to Cane
(P)
00
00
Crossing 1)
Creek)
Perm orTerrp
Square
Square
Feet
Feet
Road Crossing #1
Stream 3
Temporary
Allowable
3,006.
1,877.
rvbp label (e.g. Fbad
(UT to Cane
(T)
00
00
Crossing 1)
Creek)
Perm orTerrp
Square
Square
Feet
Feet
Total Zone 1 Impacts: 5,935.00
Total Zone 2 Impacts: 3,548.00
Total Buffer Impacts: 9,483.00
Comments:

D. Impact Justification and Mitigation
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project.*
Prior to site design, the applicant requested a delineation of wetlands, streams, and
riparian buffers, in order to avoid impacts where practicable.
Due to the design of the mine, including the location of the office and the internal,
upland mining operations, the access road is required to be situated on the western
side of the project, which requires the crossing of Stream 3.
Alternatively, constructing the roadway to the east would result in the access road
terminating into the mining operations.
The use of the bottomless culvert avoids impacts to the stream channel, and the
crossing is located in an area where no wetlands are present, avoiding wetland
impacts.
The proposed roadway is designed to cross the stream in a relatively straight reach,
perpendicular to the stream channel, minimizing the total riparian impact footage.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.*
Access road construction will be performed under an approved Sediment and
Erosion Control Plan, implemented through the NC Division of Energy, Mining, and
Land Resources.
Access to the work area will be from high ground, and construction mats will be used
if necessary. Use of heavy equipment within the riparian buffer will be avoided as
much as possible.
Permanent impacts have been minimized to least extent necessary, and
unavoidable temporary construction impacts will be restored to pre -construction
contours, re -planted, and remain undisturbed post -construction.
When possible, construction will be performed during dry periods to avoid heavy
rain events.

E. Diffuse Flow Plan
E. Diffuse Flow Plan
All buffer impacts & high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented
riparian buffer program, upload a plan that fully documents howdiffuse flowwill be maintained. All stormwater control measures (SCMs) must be
designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation must be provided.
For a list of options to meet the diffuse flow requirements, click here.
la. What type of SCM are you providing?*
I- Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
W Proposed project will not create concentrated stormwater flow through the
buffer
r Other SCM that removed minimum of 30% nitrogen
1 c. Diffuse Flow Documentation* (lick the upload button or drag and drop files here to attach docurrent
05 Mine S&EC Sheet.pdf 805.18KB
PDF only

F. Supplementary Information
F. Supplementary Information
Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
r Yes
r No
Violations
2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated Wetland Rules (15A NCAC 02H .1300), DWR
Surface Water or Wetland Standards, or Riparian Buffer Rules (15A NCAC 02B .0200)?
r Yes
r No
2b. Is this an after -the -fact buffer authorization application?
r Yes
r No
G. Additional Information
Please upload any additional information you would like the Division to consider during application review.
Additional Attachments: nick the upload button or drag and drop files here to attach docurrent
FDF only
Additional Comments:

G. Sign and Submit
G. Sign and Submitt ^
By digitally signing below, I certifythat:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act')
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the application form."
Print Name:* Martin Richmond
Signature *
�rt,Q�LTixf �fCt�,i+OnfD
Submission Date: (Auto populated field)