Well Survey Report 2-24-2020

GMA
GROUNDWATER MANAGEMENT ASSOCIATES, INC.
February 24, 2020
Mr. Chad M. Threatt
Alamance Aggregates, LLC
PO Box 552
Snow Camp, NC 27349
Groundwater Management Associates, Inc.
2205-A Candun Drive
Apex, NC 27523
Telephone [phone]
RE: Residential Water -Supply Well Survey, Snow Camp Mine
Mr. Threatt:
www.Qmo-nc.com
Groundwater Management Associates, Inc. (GMA) completed the residential water -supply well
survey as requested by the North Carolina Department of Environmental Quality (NC DEQ) in
their letter dated January 9, 2020. Reinhardt (2018) completed an earlier water -supply well
survey for the area about two years ago. Reinhardt's report was prepared for Alamance
Aggregates LLC and was titled "Revised Groundwater Monitoring Plan for the Proposed Snow
Camp Quarry, Snow Camp, Alamance County, North Carolina". During Reinhardt's
investigation, 89 parcels were identified within a 1,500 foot radius surrounding the mining
Permit Boundary. The owners of those parcels were contacted during that survey to obtain any
water -supply well construction information relevant to their property. Well construction
information could not be obtained for 22 of those properties. In their January 9, 2020 letter,
NC DEQ requested that Alamance Aggregates LLC contact those property owners again to seek
that information.
GMA was asked by Alamance Aggregates LLC to conduct this additional well survey. Our efforts
are documented in this letter report. GMA retained the Map ID numbering system for the
parcels used in Reinhardt (2018) for easy reference to the original survey. A copy of the Well
Survey Map used by Reinhardt (2018) is attached in Appendix A. The yellow highlighted Map
ID numbers on that map are the properties included in GMA's supplemental survey.
An example of the letter and survey sent to property owners on January 29, 2020 is attached in
Appendix A. Also included in Appendix A is a summary table showing Map ID, parcel address
and owner, and any data received from the property owner during this survey. Each letter was
mailed Certified with Return Receipt Requested. Each property owner was asked to complete
the survey form and return the form to GMA in a provided stamped and addressed envelope by
February 17, 2020. Copies of each return and certified mail receipt sent are attached to this
letter (Appendix B). A copy of each signed receipt returned to GMA is attached in Appendix C.

Page
GMA received completed survey forms from 11 property owners, and the forms are attached in
Appendix D. The new information provided by property owners is summarized in the table in
Appendix A. For the remaining 11 parcels, 8 property owners received the survey but did not
respond by the date of this letter. As of February 24, 2020, no response or return receipts
were received from property owners of parcels with Map ID numbers 71 and 79. One letter
was returned as "unclaimed and unable to forward" for the parcel with Map ID number 21.
Please do not hesitate to contact me with any questions.
I, William L. Lyke, a Licensed Geologist for Groundwater Management Associates, Inc. (GMA),
do certify that the information contained in this report is correct and accurate to the best of my
knowledge. GMA is a professional corporation licensed to practice geology (Greenville and
Apex, NC #C-121) and engineering (Apex, NC #C-0854) in the state of North Carolina.
Sincerely,
Groundwater Management Associates, Inc.
nl0,r
William L. Lyke, PG, PE
Senior Hydrogeologist/Civil Engineer
Cc: Richard K. Spruill, PhD, PG, GMA;
John J. Wise, PE, GMA,
James K. Holley, PG, GMA
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Enclosures: Appendix A — Example Survey Letter, Summary Table, and Map
Appendix B — Certified Mail Receipt for Items Sent by GMA
Appendix C — Copies of Signed Receipts Received for Certified Mail
Appendix D — Completed Survey Forms Received from Property Owners

Appendix A — Example Survey Letter, Summary Table, and Map

GMA
MOSENONMk
ON -DU DWAIER MANA15EMEME OkKMXLKM,EM[.
January 29, 2020
SAMPLE LETTER
Millikan Lloyd Earl Jr & Millikan Barbara Fayne
8638 Snow Camp Road
Snow Camp, NC 27349-9726
RE: Residential Water -Supply Well Survey for the Proposed Snow Camp Mine
Dear Mr. and Ms. Millikan:
2205-A Candun Drive
Apex, NC 27523
Telephone [phone]
www.cimo-nc.com
Alamance Aggregates has applied for a permit to operate a mine in southern Alamance County. Your property
is located near the site and potentially within what is called the "zone of influence" for groundwater in the
area. Alamance Aggregates previously reached out to neighbors for whom we did not find current well data in
the Alamance County Health Department. Your property is among those whose data is not in county
records. Because you did not respond to the previous well survey, you are being contacted again for
information regarding your well or wells.
The attached form identifies the information we are seeking. Please complete the form and mail it to
Groundwater Management Associates, Inc. by February 17, 2020.
Thank you in advance for your assistance.
Sincerely,
Groundwater Management Associates, Inc.
William L. Lyke, P.E., P.G.
Senior Hydrogeologist/Civil Engineer

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Millikan Lloyd Earl Jr & Millikan Barbara Fayne
8638 Snow Camp Road
Snow Camp, NC 27349-9726
Parcel Site Address:
8638 Snow Camp Road
Parcel ID:
102680
Old Tax ID:
8-25-38
MAP ID #:
4
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Driller Name/Company:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

Well Survey Findings- 1,500' Radius from the Permit Boundary- January 29, 2020- Snow Camp Quarry.
Map ID
Property Information
Well Information
4
Parcel ID: 102680 Old Tax ID: 8-25-38
Parcel Site Address: 8638 Snow Camp Road
Owner Information: Millikan Lloyd Earl Jr &
Millikan Barbara Fayne
8638 Snow Camp Road
Snow Camp, NC 27349-9726
A signed Return Receipt was received by
GMA. No owner response.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
21
Parcel ID: 102714 Old Tax ID: 8-25-48
Parcel Site Address: 185 Workman Rd
Owner Information: Sink Bradley
185 Workman Rd
Snow Camp, NC 27349
Letter/Survey was returned undelivered,
unclaimed and unable to forward.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
23
Parcel ID: 102734 Old Tax ID: 8-25-14
Parcel Site Address: 330 Workman Rd
Owner Information: Mcnees James W &
Mcnees Kristina A
330 Workman Rd
Snow Camp, NC 27349
A signed Return Receipt was received by
GMA. No owner response.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:

Well Survey Findings- 1,500' Radius from the Permit Boundary- January 29, 2020- Snow Camp Quarry.
Map ID
Property Information
Well Information
28
Parcel ID: 171482 Old Tax ID: 8-25-101
Parcel Site Address: Roselle Road
Owner Information: Brande Norma Jean
Clark
3012 Robinhood Dr
Greensboro, NC 27408
Owner Responded to the Survey.
Use of Well: inactive, no information available
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
30
Parcel ID: 102733 Old Tax ID: 8-25-22
Parcel Site Address: 1503 Quackenbush Rd
Owner Information: Stuart Danny Ray
1503 Quackenbush Rd
Snow Camp, NC 27349
Owner Responded to the Survey.
Well #1
Use of Well: drinking water
Total Depth of Well: 90 feet
Casing Depth:
Static Water Level: 70 feet
Well Yield: 10 gallons per minute
Pump Type: submersible
Date Drilled: 1981
Driller Name/Company: Maness & Son Inc.
30
Parcel ID: 102733 Old Tax ID: 8-25-22
Parcel Site Address: 1503 Quackenbush Rd
Owner Information: Stuart Danny Ray
1503 Quackenbush Rd
Snow Camp, NC 27349
Owner Responded to the Survey.
Well #2
Use of Well: drinking water, used for animals
Total Depth of Well: 50 feet
Casing Depth:
Static Water Level:
Well Yield: 2 gallons per minute
Pump Type:
Date Drilled: 1950
Driller Name/Company: hand dug

Well Survey Findings- 1,500' Radius from the Permit Boundary- January 29, 2020- Snow Camp Quarry.
Map ID
Property Information
Well Information
35
Parcel ID: 1027772 Old Tax ID: 8-25-93
Parcel Site Address: 1755 Quackenbush Rd
Owner Information: Ratcliffe Heather
1722 Quackenbush Rd
Snow Camp, NC 27349
A signed Return Receipt was received by
GMA. No owner response.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
36
Parcel ID: 102769 Old Tax ID: 8-25-72
Parcel Site Address: 1732 Quackenbush Rd
Owner Information: Alicia White
1732 Quackenbush Rd
Snow Camp, NC 27349
Former Owner: Lee
9448 NC Highway 49 S
Liberty, NC 27298-9087
Owner Responded to the Survey.
Use of Well: active, no information available
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
38
Parcel ID: 102791 Old Tax ID: 8-25-29
Parcel Site Address: 1902 Quackenbush Rd
Owner Information: Carter Bonnie S
1902 Quackenbush Rd
Snow Camp, NC 27349
Owner Responded to the Survey.
Use of Well: active
Total Depth of Well: 200 feet
Casing Depth:
Static Water Level:
Well Yield: ?
Pump Type: submersible
Date Drilled: 1986 & 1987
Driller Name/Company: ?

Well Survey Findings- 1,500' Radius from the Permit Boundary- January 29, 2020- Snow Camp Quarry.
Map ID Property Information
Parcel ID: 102793 Old Tax ID: 8-25-98
Parcel Site Address: 1954 Quackenbush Rd
Owner Information: Crawford Barry Lynn
1918 Quackenbush Rd
40 Snow Camp, NC 27349
A signed Return Receipt was received by
GMA. No owner response.
Parcel ID: 102770 Old Tax ID: 8-25-28
Parcel Site Address: 1841 Quackenbush Rd
Owner Information: Ray Wanda W
1841 Quackenbush Rd
45 Snow Camp, NC 27349-8701
Owner Responded to the Survey.
Parcel ID: 102790 Old Tax ID: 8-25-20
Parcel Site Address: 1907 Quackenbush Rd
Owner Information: Poe William R & Donna L
1907 Quackenbush Rd
47 Snow Camp, NC 27349
Owner Responded to the Survey.
Well Information
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
Use of Well: active
Total Depth of Well: 180 feet
Casing Depth: 21 feet
Static Water Level: n/a
Well Yield: n/a
Pump Type: submersible
Date Drilled: 10/23/1998
Driller Name/Company: Maness & Sons Inc
Use of Well: no information available
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:

Well Survey Findings- 1,500' Radius from the Permit Boundary- January 29, 2020- Snow Camp Quarry.
Map ID
Property Information
Well Information
49
Parcel ID: 102789 Old Tax ID: 8-25-81
Parcel Site Address: Whitehouse Ct
Owner Information: Poe William R & Donna L
1907 Quackenbush Rd
Snow Camp, NC 27349
Owner Responded to the Survey.
Use of Well: no water -supply well on property
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
61
Parcel ID: 102607 Old Tax ID: 8-26-33
Parcel Site Address: 732 Clark Rd
Owner Information: Parker Eddie Dean
732 Clark Rd
Snow Camp, NC 27349
A signed Return Receipt was received by
GMA. No owner response.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
67
Parcel ID: 102597 Old Tax ID: 8-6-51
Parcel Site Address: 575 Clark Rd
Owner Information: Kime David & Lisa
575 Clark Rd
Snow Camp, NC 27349
Owner phoned GMA with questions
regarding the Survey. Contact information
was provided to Alamance Aggregates LLC
for a response. Owner Responded to the
Survey.
Use of Well: active, no information available
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:

Well Survey Findings- 1,500' Radius from the Permit Boundary- January 29, 2020- Snow Camp Quarry.
Map ID
Property Information
Well Information
71
Parcel ID: 102578 Old Tax ID: 8-6-19
Parcel Site Address: 9312 Snow Camp Rd
Owner Information: Prusik Anthony K
9312 Snow Camp Rd
Snow Camp, NC 27349
Former Owner: Woody JP Isley JP
2415 Orice St
Burlington, NC 27215
Former Owner responded they no longer
owned the property. A signed Return
Receipt from the new owner was not
received by GMA.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
74
Parcel ID: 102670 Old Tax ID: 8-26-55
Parcel Site Address: 123 Clark Rd
Owner Information: Kornberg Grant C &
Holly
123 Clark Rd
Snow Camp, NC 27349
Owner Responded to the Survey.
Use of Well: active
Total Depth of Well: 160 feet
Casing Depth: 45 feet
Static Water Level: 25 feet
Well Yield: 8 gallons per minute
Pump Type: submersible
Date Drilled: 6/25/1985
Driller Name/Company: not specified
77
Parcel ID: 102674 Old Tax ID: 8-25-34
Parcel Site Address: 8950 Snow Camp Rd
Owner Information: Graves Eula A'Judy'
Heirs
237 Graves Watlington Rd
Yanceyville, NC 27379
Owner Responded to the Survey.
Use of Well: active
Total Depth of Well: 145 feet
Casing Depth: 20 feet
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company: Brown Brothers
Drilling, Registration No. 652

Well Survey Findings- 1,500' Radius from the Permit Boundary- January 29, 2020- Snow Camp Quarry.
Map ID
Property Information
Well Information
79
Parcel ID: 102672 Old Tax ID: 8-25-15g
Parcel Site Address: Snow Camp Rd
Owner Information: Graves William J Jr
2109 Yorkshire Drive
Greensboro, NC 27406
A signed Return Receipt was not received by
GMA.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
83
Parcel ID: 102671 Old Tax ID: 8-25-2a
Parcel Site Address: 8825 Snow Camp
Owner Information: Braxton Carol S
PO Box 596, 8825 Snow Camp Rd
Snow Camp, NC 27349
A signed Return Receipt was received by
GMA. No owner response.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:
85
Parcel ID: 102677 Old Tax ID: 8-25-15d
Parcel Site Address: 8809 Snow Camp Rd
Owner Information: Stout
2680 S. Mebane St, Apt 125
Burlington NC 27215-5999
A signed Return Receipt was received by
GMA. No owner response.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:

Well Survey Findings- 1,500' Radius from the Permit Boundary- January 29, 2020- Snow Camp Quarry.
Map ID
Property Information
Well Information
86
Parcel ID: 102678 Old Tax ID: 8-25-15a
Parcel Site Address: Snow Camp Rd
Owner Information: Sanders Deborah Anne
8900 Snow Camp Rd
Snow Camp, NC 27349
Owner response. This information is for
Parcel 102675. Owner also owns 8822 Snow
Camp Road parcel, for which she did not
receive a survey.
Use of Well: active, drinking water
Total Depth of Well: 190 feet
Casing Depth: unknown
Static Water Level: unknown
Well Yield: 10 gallons per minute
Pump Type: 190 feet
Date Drilled: 3/31/2017
Driller Name/Company: Eddies Pump &Well
Service
88
Parcel ID: 102679 Old Tax ID: 8-25-15
Parcel Site Address: Snow Camp Rd
Owner Information: Stout
2680 S. Mebane St, Apt 125
Burlington NC 27215-5999
A signed Return Receipt was received by
GMA. No owner response.
Use of Well:
Total Depth of Well:
Casing Depth:
Static Water Level:
Well Yield:
Pump Type:
Date Drilled:
Driller Name/Company:

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Property With Confirmed Well (County or Owner Response) (50)
23
Developed Property— No Owner Response or County Record (18)
31
Undeveloped Property (21)
OWN
vUPermit
1,500' Radius From Permit Boundary
Boundary
r—
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1:1
Parcel Boundary
Well Survey Search Radius Map
Proposed Alamance Aggregates
Quarry
Snow Camp
Alamance County, North Carolina
Base Map Courtesy of Alamance County GIS
Approximate Scale
0 500 1000
1" = 1,000'
RCR Project No.: 18-M-14-02-R
Figure 1
Robert Christian Reinhardt, PG
Geology • Hydrogeology • Environmental Science
7620 Mine Valley Road, Raleigh, NC
[e-mail]

Appendix B — Certified Mail Receipt for Items Sent by GMA

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1. Article Addressed to:
Millikan Lloyd Earl Jr & Millikan Barbara
Fayne
8638 Snow Camp Road
Snow Camp, NC 27349-9726
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9590 9402 1472 5329 5891 66
2. Article Number (transfer from service labeq
PS Form 3811, July 2015 PSN 7530-02-000-9053
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1. Article Addressed to:,
Sink Bradley
185 Workman Road
Snow Camp, NC 27349
11111111111111111111111111111111111111111111
9590 9402 1472 5329 5891 73
2. Article Number (Transfer from service
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Signature
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Mcnees James W & Mcnees Kristina A
330 Workman Road
Snow Camp, NC 27349
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1. Article Addressed to:
Brande Norma Jean Clark
3012 Robinhood Dr
Greensboro, NC 27408
11111111111111111111111111111111111 I I l l 1
9590 9402 1472 5329 5891 59
2. Article Number (transfer from service labeq
PS Form 3811, July 2015 PSN 7530-02-000-9053
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1. Article Addressed to:
Stuart Danny Ray
1503 Quackenbush Rd
Snow Camp, NC 27349
1111111 I I 11111111111111111 111I I H
9590 9402 1472 5329 5891 97
2. Article Number Mransfer from service
PS Form 3811, July 2015 PSN 7530-02-000-9053
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1, Article Addressed to:
Ratcliffe Heather
1722 Quackenbush Rd
Snow Camp, NC 27349
Hill II 1111111111111 III
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1. Article Addressed to:.
Lee Brian 1 & Carrie T
1732 Quackenbush Rd
Snow Camp, NC 27349
9590 9402 1472 5329 5892 10
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Carter Bonnie S
1902 Quackenbush Rd
Snow Camp, NC 27349
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1, Article Addressed to:
Crawford Barry Lynn
1918 Quackenbush Rd
Snow Camp, NC 27349
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1. Article Addressed to:
Ray Wanda W
1841 Quackenbush Rd
Snow Camp, NC 27349-8701
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1. Article Addressed to:
Poe William R & Donna L
1907 Quackenbush Rd
Snow Camp, NC 27349
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1. Article Addressed to:
Poe William R & Donna L
1907 Quackenbush Rd
Snow Camp, NC 27349
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1. Article Addressed to:
Parker Eddie Dean
732 Clark Rd
Snow Camp, NC 27349
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1. Article Addressed to:
Kime David & Lisa
575 Clark Rd
Snow Camp, NC 27349
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9590 9402 1472 5329 5892 89
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1. Article Addressed to:
Woody Janet P Joanna P Isley
2415 Orice St
Burlington, NC 27215
9590 9402 1472 5329 5892 96
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Kornberg Grant C & Holly C
123 Clark Rd
Snow Camp, NC 27349
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I. Article Addressed to:
Graves Eula A'Judy' Heirs
237 Graves Watlington Rd
Yanceyville, NC 27379
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■ Attach this card to the back of the mailpiece, B. Received by (printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to:
Graves William J Jr
2109 Yorkshire Drive
Greensboro, NC 27406
11 111111 1111 11111 l
9590 9402 1472 5329 5889 54
2. Article Number (Transfer from service label)
D. Is delivery address different from item 19 O Yes
If YES, enter delivery address below: ❑ No
3. Service Type
0 Priority Mail Express®
❑ Adult Signature
0 Registered MaliT"'
❑ Adult Signature Restricted Delivery
❑ Reeggistered Mall Restricted
❑ Certified Mall®
D3livery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
0 Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
❑ Insured Mail
❑ Signature Confirmation
O Insured Mail Restricted Delivery
Restricted Delivery
(over$500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Retum Receipt
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on'the front if space permits.
1. Article Addressed to:
Braxton Carol S
PO Box 596, 8825 Snow Camp Rd
Snow Camp, NC 27349
9590 9402 1472 5329 5889 61
2. Article Number (transfer from service label)
A. Signature
❑ Agent
X ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
if YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
❑ Adult Signature
❑ Registered Mall"'
❑ Adult Signature Restrkted Delivery
❑Registered Mail Restricted
0 Certified Mall®
❑ Certified Mall Restricted Delivery
Delivery
0 Return Receipt for
❑ Collect on Delivery
0 Collect on Delivery Restricted Delivery
e ndise
0 Signature ConfirmationTM
❑ Insured Mail
0 Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
rnvpr V5001
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt ;

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■ Complete items 1, 2, and 3. A. Signature
® Print your name and address on the reverse X ❑Agent
so that we can return the card to you. ❑ Addressee
■ Attach this card to the back of the mailpiece, B. Received by (Printed Name) C. Date of Delivery
or on the front If space permits.
1. Article Addressed to:
Stout Mary Allen Life Estate
C/O Gayle Stout Rayfield
8767 Snow Camp Rd
Snow Camp, NC 27349
111111 # # 11111H 111111111111111111
9590 9402 1472 5329 5889 78
2. Article Number (transfer from service
I PS Form 3811, July 2015 PSN 7530-02-000-9053
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
❑ Adult Signature
❑ Registered Ma11T-
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Recelpt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmaticnTM
❑ Insured Mail
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
(over$500)
Domestic Return Receipt ��

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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1 _ ArtiCIA Aririrwc¢r i to
Sanders Deborah Anne
8900 Snow Camp Rd
Snow Camp, NC 27349
1111111111111 111HIIIIII 11111111111111111111
9590 9402 1472 5329 5889 92
2. Article Number {Transfer from service label)
A. Signature
❑ Agent
X ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? 0 Yes
if YES, enter delivery address below: p No
3. Service Type
❑ Priority Mall Express®
• Adult Signature
❑ Registered MailTM
❑ Adult Signature Restricted Delivery
❑ Registered Mali Restricted
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
0 Retu for
O Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Merctiandi�
0 Signature ConfirmatlonTM
❑ Insured Mall
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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Snow Canny NG 1734 1
■ Complete (terns 1, 2, and 3.
® Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article addressed to:
Stout Mary Allen Life Estate
C/O Gayle Stout Rayfield
8767 Snow Camp Rd
Snow Camp, NC 27349
9590 9402 1472 5329 5889 85
2. Article Number (Transfer from service label)
PS Form 3811, July 2015 PSN 7530-02 000-9053
A. Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from Item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
O Priority Mail Express®
❑ Adult Signature
❑ Registered MaiITM
❑ Adult Signature Restricted Delivery
❑ Reglstered Mall Restricted
❑ Certified Mail®
Delivery
0 Certified Mail Restricted Delivery
❑ Return Recelpt for
❑ Collect on Delivery
Merchandise
❑ Coiled on Delivery Restricted Delivery
0 Signature Ccnfinnatlon^
❑ Insured Mall
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
_ (over $500)
Domestic Return Receipt

Appendix C — Copies of Signed Receipts Received for Certified Mail

• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you
a • Attach this card to the back of the mailpi
or on the front if space permits.
1. Article Addressed to:
Ratcliffe Heather
1722 Quackenbush Rd
Snow Camp, NC 27349
t
2. Article Number (rhamler from service label)
115 3430 OOD1 1995 3937
PS Form 3811, July 2015 PSN
D
by
C. Dhte of Delivery
D. Is delivery address different from item 1? 13 Yes
ff YES, enter delivery address below E] No
3. Service Type
13 Priority Mail Expresso
• Adult Signature
0 Registered MaUlm
• Adult Signature Restricted Delivery
0 Registered Mail Restricted
• Certified MaltO
Delivery
0 Certified Mail Restricted Del"
0 Return Receipt for
• Collect on Delivery
PAeachandisa
• Collect on Delivery Restricted Delivery
0 Signature Confirmatfonym
• Insured Mail
0 Signature Confirmation
• Insured Mail Restricted Delivery
Restricted Delivery
• Complete4tems 1. 2, and .4.,,
• Print your name and addreis'on the reverse X
so that we can return the Card to you.
• Attach this card to the back of the mailplece, BO
or on the front if space permits.
1. Article Addressed to: D.
Brande Norma Jean Clark
3012 Robinhood Dr
Greensboro, NC 27408
by
Domestic Return Receipt
C. I
i
Isdelivery address different from item I? Uyet
If YES, enter delivery address below. [3 No
3. Serv�
0 Riority Mail Express@
'03
S
Is Maiailm
Regist: red
AAdW-'t'
a�irloled
Rio Delivery
0 Certified Melm
00
De RVored Ml Restricted ry
9590 9402 1472 5329 5891 59
0 Cerifilled Mail Restricted Delivery
0 Fleturn Receipt for
0 Collect on Delivery
Merchandise
2. Article Number (Transfer from service label)
0 Collect on Delivery Restricted Delivery
0 Insured Mail
0 Signature Confirmation'r"
0 Signature Confirmation
2015 3430 0001 1995 3999
0 Insured
W' Restricted Delivery
Restricted Delivery
(over
Ps Form 3811, July 2015 PSN 7530
Domestic Return Receipt
• Complete Items'1, and 3.
0 Agent
• Print your name and address on the reverse
X
XR
so that we can return the card to you.
JiV
13 Addressee
• Attach this card to the back of the mailplece,
137 ad by Printed Name)
C. D a of Delivery
or on the front if space permits.
1. Article Addressed to:
D. Is delivery address different from item I? —Yes
If YES, enter delivery address below: C3 No
Kornberg Grant C & Holly C
123 Clark Rd
Snow Camp, NC 27349
2. Article Number rrhannfpr fmm -,A-lra W—n
15 3430 0001 1995 3838
3. Service Type
0 Priority Mail ExpressO
• Adult Signature
0 Registered Mal"
• Adult Signature Restricted Delivery
0 Registered Mail Restricted
• Certified Mall®
y
• Ceffied Mall Restricted Delivery
0 Mtum for
• Collect on Delivery
M ch=Pt
i
• Collect on Delivery Restricted Delivery
0 Signature ConfirmationTm
E3 lnmobd Maal
0 Signature Confirmation
0 Insioad
__!401 Restricted Delivery
Restricted Delivery
Ps Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

• Complete items 1. 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mallplece,
or on the front if space permits.
1. Article Addressed to:
Ray Wanda W
1841 Quackenbush Rd
Snow Camp, NC 27349-8701
/ff 7
KOcelved I (Pfif rc�,
, I . Date of Delivery Ir
l`
D. is dell`e 'address different front item 1? Ca Yes
if YES, enter delivery address below. El NO
3. Ser0ce Type
13
0 Adult Signature
0 all-
�steredMxpress®ty
0 Adult Signature Restricted Delivery
0 Mail Restricted
0 Certified WHO
WtV
9590 9402 1472 5329 5892 34
0 certified Mail Restricted Delivery
0 Return Racelptior
0 Collect on Delivery
Merchandise
2. Article Number (Iransfer from service labeD
0 Collect on Delivery Restricted Delivery 0 Signature Confirmallonrm
0 Insured Mail 0 'Signature Confirmation
015 3430 0001 1995 39061.
0 to erred Mail Restricted Delivery
Restricted Delivery
(Oojo
Ps Form 3811, July 2015 PSN 7530702,
Domestic Return Receipt
• Complete items 1, 2, and 3.
• Print your name and add"On the reverse
so that we can return the care] to you.
• Attach this card to the back of the mallpiece,
or on the front if space permits.
1. Article Addressed to:
Parker Eddie Dean
732 Clark Rd
Snow Camp, NC 27349
1
I
1111111110 1I1111111111 111111111111111111111
9590 9462 1472 5329 5892 72
2. Article Number ffhansfer from service label)
7015 3430 0001 1995 38,69
Ps Form 3811. July 2015 PSN 7530-02-000-M
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mallplece,
or on the front if space permits.
1. Article Addressed to:
Millikan Lloyd Earl ir & Millikan BarLata
Fayne
8638 Snow Camp Road
Snow Camp, NC 27349-9726
x 0 Agent
0 Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from ftern 1? [3 yes
If YES, enter delivery address below: [3 No
I Service Type
0 Adult Signature
0 Priority Mail Express@
0 Registered MaIlTm
0 Adult Signature Restricted Delivery
0 Certified Maly
0 Registered Mail Restricted
Balgivery
0 Certified Mail Restricted Delivery
Return
0 R ecelptfor
• Collect on Delivery
M
• Collect on Delivery Restricted Delivery
0 Signature ConfirmationTu
• Insured Mail
0 Signature Confirmation
[3 Insured Mail Restricted Delivery
. (over$5W) --
Restricted Delivery
Domestic Return Receipt
7777777
THIS SECTION ON DEUVERY
U13 Agent
4,L—fl Addressee
by (Pfinley,N.qp), 10. Datejo!fjAv
D. Is delivery address different from item 1? "y
If YES, enter delivery address below: C3 No
3. Service Type
0 Adult Signature
a Registered Ml Exprass*
0 stMal Im
0 Adult Signature Restricted Delivery
Cerfified MailO
0 Regist
Iir Mal: Restricted
9590 9402 14.72 5329 5891 66
0 certified Mail Restricted Delivery
0 Return Recelpt for
E3 Collect on Delivery
Merchandise
2, Aflnla Fj, fmhMmmfir fm— ..MI— 1�Delivery
Restricted Delivery 0 Signature Confirmation'"
7015 3430 0001 1995
3975
0 Signature Confirmation
Restricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

• Complete items 1, 2, and 3. A.
a Print your name, and address on the reverse .
X
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to: D.
Lee Brian J & Carrie T
LN U I -L 1: j-
LEE
9448 NC HIGHW 49 S
LIBERTY i9y
8-9087
� i � 1 ail f �? � �I (� I �
9590 9402 1472 5329 5892 10
2. Article Number frransfer from service label)
7015 3430 0001 1995 3929,
PS Form 3811, July 2015 PSN 75304k404W'
• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1, Article Addressed to:
Braxton Carol S
PO Box 596, 882r `now Camp Rd
Snow Camp, NC 27349
13 Agent
RecelvajjDy (P rated Name) C. Qaje ofPq
") Pery
rn
Is delivery address different from Item 1? 171 Yes
If YES, enter delivery address below: (3 No
3. Service Type
0 Priority Mail ExpressO
• Adult Signature
13 Registered Mail-
• Adult Signature Restricted Delivery
• CorUPW Mail@
0 P stered Mail Restricted
very
• Certified Mail Restricted Delivery
13 Return Recelpt,for
• Collect on Delivery
Merchandise
0 Collect on Delivery Restricted Delivery
0 Signature Confirmationm
El Insured Mall
0 Signature Confirmation
EI W Mail Restricted Delivery
Restricted Delivery
(In=
$500)
Domestic Return Receipt
WUS SECTION ON DELIVERY
rat
,J' 13 'ge
JEKAddreswe
by (Printed Name) I C. Date ~ery
D. Is dblivery address different from item ly LI)l'a:
If YES, enter delivery address below. 0 No
3. Service Type
j i �� I SWAO
10
1 Adult Signature
r Ad
• ult Signature Restricted Delivery
Mail@
9590 9402 1472 5329 58& 61 0 so Mail Restricted Delivery
• Collect on Delivery
2. Article Number (Transfer from seivice�) Deliver ely
0 Collect on
0
0 Insuredd Mall
Ins". I
,,,5 3430 0001 1995 380? 'o P insured Mait'assw tkf
0.0
PS Form 3811, July 2015 PSN 7530-02- "�'
11 Complete items 1, 2,4nd 3.
0 Print your name and addItess on the reverse
so that we can returnl�"ard to you.
E Attach this card to the-o'qk- of the mailpled , a,
or on the front if spacopIOrmits.
1. ArtirIA Mflmr ,qM in -
Sanders Deborah Anne
8900 Snow Camp Rd
Snow Camp, NC.:27349
9590 94-02 1472 5329 5889 92
2. Article Number (Transfer from service lahail
3430 0001 1995 3???
0 Priority Mail &Presse
0 Registered Mail-
OS21s ,vr Mail Restricted
0 R R0000 for
M n
=a dise
13 Signature ConfirmationTu
0 Signature Confirmation
Restricted Delivery
Me Return Receipt
C.
is delivery address different from Item 1 ?
if YES, enter delivery address below. 13
3. Service Type
El Priority Mail ExpressO
• Adult Signature
n Registered Mail-
• Adult Signature Restricted Delivery
• Certified
0 02�r ❑Mail Restricted
MaI10
• Certified Mall Restricted DsWery
0 ==Pt for
• Collect on Delivery
• Collect on Delivery Restricted Delivery
0 Signature ConfirmaonTm
• k1surad mail
0 Signature Confirmation
0 Insured Mail Restricted Delivery
Restricted Delivery
Ps Form 3811, July 2015 PSN 7530-02-000-9= Domestic Return Receipt :

■ Complete items 1, 2, and
• Print your name slid address on the reverse
so that we can return the dir8 to you.
• Attach this card to the back of the mallpi I ece,
or on the front if space permits.
1- Article Addressed to:
Stout Mary Allen Life Estate
;TOUT Ago�
680 S MEBANA1, T T,,PT 125
,URLINGTON NC- 27215-5999
I.. I I I 11. 1. 1117 H. I
9590 9402 1472 5329 5889 85
2. Article Number (Transfer fromservicelabel]
7D15 3430 0001 1995 3784
Ps Form 3811, July 2015 PSN 7530-02-000-M3
• Complete items 1, 2, and 3.
• Print your name, and address on the reverse
so that we can return the card to you.
• Attach this Card to the back of the mallpiece,
or on the front If space permits.
1. Article Addressed to:
Stout Mary Allen Life Estate
C/O Gayle Stout Rayfield
8767 Snow Rd
Snow Camp, NC 27349
2. Article Number Mansferfirom service late
3430 0001 1995 3791
A. Signature
E3 Agent
9 Addressee
B. Received by (Printed Name) C. Date of Delivery
le �) 54 1
D. is der ery address different from item 1? 171 Yes
If YES, enter delivery address below: [3 No
Service
3rvice Type
0 Priority Mail ExpressO
6 Signal"
0 Registered MaJITIA
• Adult Signature Restricted Delivery
0 V r Mail Restricted
• Certified Mai@
DJ�
• Certified Mail Restricted Delivery
0Refutefar
Ve
• Collect on Delivery
a
• coIed on Delivery Restricted Delivery
0 Signature Confirmation""
• Insured Mail
0 Signature Confirmation
• Insured Mail Restricted Delivery
Restricted Delivery
Domestic Return Receipt
x 01(gent
0 Addressee
B. Recei6ed by (PrWed Name) C. 4te of Delivery
D. Is delivery address different from Item 1? LJ Ye;
If YES, enter delivery address below: [j No
1
3. Service Type
0 Priority Mail ExpressO
1771 Adult Signature
0 Registered Mail-
0 Adult Signature Restricted Delivery
0 Registered Mail Restricted
n Certified Mail®
D tve
0 Certified Mal: Restricted Delivery
0 Return Recalpt.for
0 Collect on Delivery
Merchandise
n Collect on Delivery Restricted Delivery
0 Signature Confirmation""
0 Insured Mail
0 Signature Confirmation
0 Insured Mail Restricted Delivery
Restricted Delivery
Ps Form 3811, July 2015 PSN V3 Domestic Return Receipt
• Complete items 1, 2, andA,
• Print your name and' the reverse
so that we can returmti*, ar6 to you.
• Attach this card to th6Cack of1he mailpiece,
or on the front If space permits.
1. Article Addressed to:
Mcnees James W & Mcnees Kristina A
C=?V"rrT7TT- U.1! L\I r--VV tli
MCNEES
3815 BELL-RD 4;
jURTJONSVILLE MD 20866—LQ�
&,� 11 AZ I , ��.�gent
x , 1 0 �:L
B. geceived by(Printed Name) C. Date of Delivery
D. is delivery address different from Rem 1? 0 Yes
If YES, enter delivery address below: C3 No., —
3
3, Service Type
0 Priority Mail. W,
0 Adult Signature
0 Registered E
0 Adult Signature Restricted Delivery
0 Re 4a: 11
-690 9402 1472 5329 5891 80
0 Certified MallO
0 Certified mail Restricted Delivery
De4r
0 Re for
171 Coiled on Delivery
Coiled Delivery Restricted Delivery
M==pt
0 Signature ConfirrnatkOm
Ie Number (Transfer from service label)
u on
11 Insured Mail
11 Signature Confirmation
<''65 3430 000*1"1995 3951
2 insured Mail Restricted Do"
'aver
Restricted Delivery
S5t}0
S Form 3811, July 2015 PSN 7630-0
Domestic Return Receipt

• Complete items 1, 2, and 3. A.
• Print your name and address on the reverse x
so that we can return the card to, you.
• Attach this card to the back of the mailplece, B.
or on the front if space permits. -i
Article Addressed to. -
Poe William R & Donna L
1907 Quackenbush Rd
Snow Camp, NC 27349
0 Agent
Name) I C.
D. Is delivery addressidifierent from Rem W EJ Yes
If YES, enter delivery address below: [3 No
111111111111111111111111111111111
3. Service -VYpe
0 Priority Mail Express@
11
IIIJI
11 Adult SIgr&—
0 Registered Mal
0 Adult Signature Restricted Delivery
0 Certified Man
V Mal! Restricted
0 =
9590 9402 1472 5329 5892 65
0 Cartfied Mail Restricted DeHvM
y
0 Return Receipt for
0 Collect on Delivery
Merchandise
2. Article Number (71anster from service label)
0 Collect on Delivery Restricted Delivery
0 Insured Mail
0 Signature Confirrnatlonrm
0 Signature Confirmation
115 3430 0001 1995 3876
0 Insured Mail Restricted Delivery
Restricted Delivery
(overm)
Ps Form 3811, July 2015 PSN 7530-02-WB-9W3
• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this Card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to.
Poe William R & Donna L
1907 Quackenbush Rd
Snow Camp, NC 2*7-49
0-
WOMA
NVOWIM-711T.-T
D. Is delivery add]
It YES, enter_O
AdSig0ig
s Rests D.W;1Iv&
0 Cerfified Mai
IW
9590 9402 14725329 5892 58 0 Certified Mail W
I 1�
0 Collect: on Delivery
li=
ransfer from service label) n Collect on Del" Restri
2. Article Number M n Insured Mall
15 3430 0001-1-195 3 8 8 4- l 0 Insured Mail Restricted Delivery
(over $500)
Ps Form 3811, July 2015 PSN 7531�k
• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mallpiece,
or on the front if space permits.
1. Article Addressed to:
Kime David & Lisa
575 (Aark Rd---, w,
Snow Camp, 114-- 27349
1 1 i� 1�� i 111 1 1
9590 9402 1472 5329 5892 89
2. Article Number !Transfer from service, mhall
5 3430 Cool 1995 3852
Ps Form 3811, July 2015 PSN 7530-02-GOO-9053
B. Received by (Printed Name)
B.
TUVERY
Im AM
=11MEN—M
0 Express@
M
0 . ' allym
.0 Jai Mail Restricted
IV
50 3R for
handise
Signature
ignature Confirmationnh
0 Signature Confirmation
Restricted Delivery
Domestic Return Receipt
0 Agent
O-Kdd—ressee
C. Date of Oblivery
D. Is delivery address different from item 1? JU be.,
If YES, enter delivery address below: [3 No
3. Service Type
0 Priority Mail ExpressO
• Adult Signature
0 Registered Mail-
• Adult Signature Restricted Delivery
0 Registered Mail Restricted
• Certified Maly
D ery
13 Cefted Mail Restricted Delivery
0 Ratans Receipt for
13 Collect on Delivery
Merchandise
• Collect on Delivery Restricted Delivery
0 Signature Confirmation'm
• Insured Mail
0 Signature Confirmation
• Insured Mall Restricted Delivery
Restricted Delivery
Domestic Return Receipt

• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to:
Graves E,-..a A 'Judy' Heirs
237 Grin,,.-Js Watfington Rd
Yan-I.-:04yville, NC 27379
2. Article Number (Transfer from service label)
5 3430 0001 1995 3821
Ps Form 3811, July 2015 PSN 7530-02-000-OM
• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to:
Crawford Barry Lynn
1918 Quackenbush Rd
Snow Camp, NC 27349
9590 9402 1472 5329 5892 41
2. Article Number (transfer from service label)
115 3430 0001 1995 3890
PS Form 3811, July 2015 PSN 7530-02-000-9053
• Complete Items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mafli piece,
or on the front If space permits.
1. Article Addressed to:
Carter Bonnie S
1902 Quackenbush Rd
Snow Camp, NC 2734-9
EMM - - --- -
2. Article Number ffrensfer from service label)
015 3430 0001 1995 3913
E3 Agent
X ,, .,, r, r 0 Addressee
B. Received by (Printed Name) C. Date of Delivery
-A,
D. Is delivery address different from item I? OYes
If YES, enter delivery address below: 13 No
3. Service Type
0 Nodly Mail ExpressO
• Adult Signature
0 Registered Malls'
• Adult Signature Restricted Delivery
0 RNlr Mail Restricted
• Certified MallO
E3 Certified Mail Restric-ted Delivery
0 Return pt for
• Collect an Delivery
Merch=
• Collect on Delivery Restricted Delivery
0 Signature ConfirmatIonn'
• Insured Mail
0 Signature Confirmation
• Insured Mail Restricted Delivery
Restricted Delivery
Domestic Return Receipt
0 Agent
*ddressee
S. Received by (printed Name) C. Date of Delivery
D. Is delivery address different from item —1 ? 13 Yes
If YES, enter delivery address below. n No
3. Service Type
0 Adult Signature
0 PrWtY Mail ExpressO
0 Adult Signature Restricted Delivery
• Certified Mail@
0 Registered Mall-
0 OV
tZed mail Restricted
• Certified Mail Restricted Delivery
0 Return Receipt for
0 Collect on Delivery
Merchandise
0 Collect on Delivery Restricted Delivery
0 Signature Confirmatfonm
0 Insured Mail
0 Signature Confirmation
0 Insured Mail Restricted Delivery
Rostdcted Delivery
Domestic Return Receipt
A. Signature
E3
x 111i'A' 0��IAnedntrassee
S. Received by (Printed Name) C. Date ofDelivery
3/
D. Is delivery address different from item 11? 0 Vas
If YES, enter delivery address below. C3 No
3. Service Type
0 Priority MallExpre"
• Adult Signature
0 Registered Mail-
• Adult Signature Restricted Delivery
0 Reeggistered Mail Restricted
Melia
a y
• Certified Mail Restricted Delivery
0 Return for
• Collect on Delivery
• Coiled on Delivery Restricted Delivery
0 Signature ConfirmationVA
0 Insured Mail
0 Signature Confirmation
0 ftwed Mail Restricted Delivery
Restricted Delivery
1S=
Ps Form 3811, July 2015 PSN 7530-0V000-9053
Domestic Return Receipt

• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to:
Stuart Danny Ray
1503 Quackenbush Rd
Snow Camp, NC 27349
9590 9402 1472 5329 5891 97
2- Article Number i7innsfer from service labeh
'015 3430 0001 1995 39�
Ps Form 3811, July 2015 PSN
a Complete items 1, 2, and 3.
0 Print your name, and address on the reverse
so that we can return the card to you.
0 Attach this Card to the back of the mailplece,
or on the front If space permits.
1. Article Addressed to:
Woody Janet P Joanna P Isley
2415 Orice St
Burlington, NC-17215
9590 9402 1472 5329 5892 96
2. Article Number ffimster from service label
7015 3430 0001 1995 3845
_�ka"Cl Agent
x &—Addressee
S. Received by (Printed Name) C. Date of Delivery
I I? - (- -- ? 4F
M Is d*jery address different from Item 1? 13 Yes
If YES, enter delivery address below: [3 No
3. Service Type
0 Priority Mail Express®
11 Adult Signature
0 Registered Mall-
• AdulCertifiet Signature Restricted Delivery
0 OVIst"ed Mail Restricted
• d Made"
ary
0 Certified Mail Restricted Delivery
0 Return Recelpt-ficr
0 Collect on Delivery
Merottandisa
• Collect on Delivery Restricted Delivery
13 Signature Confirmationm
• Insured Mail
0 Signature Confimiation
• insured Mail Restricted Delivery
Restricted Delivery
(over $500)
A.
Domestic Return Receipt
Agerrt
Addressee
red Name) I C. to of Delivery
glyet,
D. Is delivery address m 1i' t7 Ye,
If YES, entercleliv4bI e 4O No
3. Service Type
0 Priority Mail EwessO
0 Adult Signature
0 Registered Mal-
0 Adult Signature Restricted Do"
0 OVIstared Mail Restricted
0 Certified Mail®
Delivery
13 Certified Mall Restricted Delivery
0 Re==Pt for
0 Collect on Delivery
• Collect on Delivery Restricted Delivery
13 Signature ConfirmationTm
• Insured Mail
0 Signature Confirmation
• Inmrod Mail Restricted Delivery
Restricted Delivery
Ps Form 3811, July 2015 PSN 7530-02-000-W53
Domestic Return Receipt

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Appendix D — Completed Survey Forms Received from Property Owners

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Brande Norma Jean Clark
3012 Robinhood Dr
Greensboro, NC 27408
Parcel Site Address:
Roselle Road
Parcel ID:
171482
Old Tax ID:
8-25-101
MAP ID #:
28
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available� r '
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Purnp Type/Depth
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
I
Driller Name/Company:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Stuart Danny Ray
1503 Quackenbush Rd
Snow Camp, NC 27349
Parcel Site Address:
1503 Quackenbush Rd
Parcel ID:
102733
Old Tax ID:
8-25-22
MAP ID #:
30
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) o your property, please indicate so below and return this form.
Yes � No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the well:(Drinking
Water
Circle the use of the well:
rinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
_
feet below land surface):
feet below land surface):
Casing Depth (in feet
po ro
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
�� ��.�
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
; �p�s,\�\
(submersible, jet, etc):
Date Drilled:
\ ' \
Date Drilled:
\�
Driller Name/Company:
Driller Name/Company:
\far
Please return this page to GMA using�he enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
-' ..e Brian, &-`'a__:- ,Gl I i U 0 VqY] i {C: nei,J OWnCi-i
1732 Quackenbush Rd
Snow Camp, NC 27349
Parcel Site Address:
1732 Quackenbush Rd
Parcel ID:
102769
Old Tax ID:
8-25-72
MAP ID #:
36
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes ✓ No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available ✓
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top o . ing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Driller Name/Company:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Carter Bonnie S
1902 Quackenbush Rd
Snow Camp, NC 27349
Parcel Site Address:
1902 Quackenbush Rd
Parcel ID:
102791
Old Tax ID:
8-25-29
MAP ID #:
38
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes _V No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface): ZO D `
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
?
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
5ublyl
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Driller Name/Company:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Ray Wanda W
1841 Quackenbush Rd
Snow Camp, NC 27349-8701
Parcel Site Address:
1841 Quackenbush Rd
Parcel ID:
102770
Old Tax ID:
8-25-28
MAP ID #:
45
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply weli ive oor inactive, on your property? If yes, please indicate so
below, complete the table below for each we , and return this form. If you do not have any water -supply
wellrs_) on your property, please indicate so below and return this form.
es No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the we
nuking Water
}
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
i �a
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
i
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
Il �`'
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
n I
minute):
Pump Type/Depth
S�tbmfYS� b
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
+5a;\4
Driller Name/Company:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Poe William R & Donna L
1907 Quackenbush Rd
Snow Camp, NC 27349
Parcel Site Address:
Whitehouse Ct
Parcel ID:
102789
Old Tax ID:
8-25-81
MAP ID #:
49
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes No a
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation I
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per ,
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Driller Name/Corripany:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Poe William R & Donna L
1907 Quackenbush Rd
Snow Camp, NC 27349 i "�����%: CCU 11'--
1
Parcel Site Address:
1907 Quackenbush Rd
Parcel ID:
102790 i
Old Tax ID:
8-25-20
MAP ID #:
47
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Driller Name/Corripany:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Kime David & Lisa
575 Clark Rd
Snow Camp, NC 27349
Parcel Site Address:
575 Clark Rd
Parcel ID:
102597
Old Tax ID:
8-26-51
MAP ID #:
67
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes � No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available Z�f_
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Driller Name/Company:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

GMA
GROUNDWATER MANAGEMENT ASSOCIATES, INC.
­� \ 0
January 29, 2020
Woody Janet P Joanna P Isley
2415 Orice St
Burlington, NC 27215
RE: Residential Water -Supply Well Survey for the Proposed Snow Camp Mine
Dear Ms. Woody and Ms. Isley:
2205-A Candun Drive
Apex, NC 27523
Telephone [phone]
www.amo-nc.com
Alamance Aggregates has applied for a permit to operate a mine in southern Alamance County. Your property
is located near the site and potentially within what is called the "zone of influence" for groundwater in the
area. Alamance Aggregates previously reached out to neighbors for whom we did not find current well data in
the Alamance County Health Department. Your property is among those whose data is not in county
records. Because you did not respond to the previous well survey, you are being contacted again for
information regarding your well or wells.
The attached form identifies the information we are seeking. Please complete the form and mail it to
Groundwater Management Associates, Inc. by February 17, 2020.
Thank you in advance for your assistance.
s
Sincerely,
Groundwater Management Associates, Inc.
William L. Lyke, P.E., P.G.
Senior Hydrogeologist/Civil Engineer

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Woody Janet P Joanna P Isley
2415 Orice St
Burlington, NC 27215
Parcel Site Address:
9312 Snow Camp Rd
Parcel ID:
102578
Old Tax ID:
8-26-19
MAP ID #:
71
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Driller Name/Company:
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Kornberg Grant C & Holly C
123 Clark Rd
Snow Camp, NC 27349
Parcel Site Address:
123 Clark Rd
Parcel ID:
102670
Old Tax ID:
8-26-55
MAP ID #:
74
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well( s o your property, please indicate so below and return this form.
Yes No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
_
feet below land surface):
Casing Depth (in feet
t,J
Casing Depth (in feet
below land surface):
f
below land surface):
Static Water Level (in feet
--
Static Water Level (in feet
below top of casing):
c
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
U8b"ts16a
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Driller Name/Company:
i�ILi]
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.

.0 G �, TO
r YlkLO a ° ER LEVEL: - +
OATE:VAW
.�:
appe

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Graves Eula A Judy' Heirs
237 Graves Watlington Rd
Yanceyville, NC 27379
Parcel Site Address:
8950 Snow Camp Rd
Parcel ID:
102674
Old Tax ID:
8-25-34
MAP ID #:
77
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complet.�the table below for each well, and return this form. If you do not have any water -supply
well(s) on etr property, please indicate so below and return this form.
Yes No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available
Well Number:
1
Well Number:
2
Circle the use of the well:
Drinking Water
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
,
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
below land surface):
Static Water Level (in feet
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
Well Yield (in gallons per
minute):
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
(submersible, jet, etc):
Date Drilled:
Date Drilled:
Driller Name/Company:
Dr' er Name/Compan
y
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.
` y �1 �c)v­ N

RESIDENTIAL WATER -SUPPLY WELL SURVEY: PROPOSED SNOW CAMP MINE
Owner Information:
Sanders Deborah Anne
8900 Snow Camp Rd
Snow Camp, NC 27349
Parcel Site Address:
Snow Camp Rd
Parcel ID:
-1-026-78
Old Tax ID:
8-25-15a
MAP ID #:
86
Please answer the following questions and provide the requested information for the property listed above.
Do you have a residential water -supply well, active or inactive, on your property? If yes, please indicate so
below, complete the table below for each well, and return this form. If you do not have any water -supply
well(s) on your property, please indicate so below and return this form.
Yes v No
For each well (the table below will accommodate two wells), please complete the following information. This
information was provided by the drilling company when the well was installed, and it should be printed on a
thin metal plate that is attached to the top of the well. If you have no information, please indicate so here
and return this form.
No Information Available I I
Well Number:
1
Well Number:
2
Circle the use of the well:
�rinking Water-)
Circle the use of the well:
Drinking Water
Irrigation
Irrigation
Total Depth of Well (in
Total Depth of Well (in
feet below land surface):
feet below land surface):
Casing Depth (in feet
Casing Depth (in feet
below land surface):
�(`rl
below land surface):
Static Water Level (in feet
��,,
�'�n
Static Water Level (in feet
below top of casing):
below top of casing):
Well Yield (in gallons per
10
Well Yield (in gallons per
minute):
awl
minute):
Pump Type/Depth
Pump Type/Depth
(submersible, jet, etc):
11.101
(submersible, jet, etc):
Date Drilled:
13/ Ll-/
Date Drilled:
Driller Name/Company:
F-del.;r's
•r G[�c'_ fin'
Driller Name/Company:
u.�tL',
...)C'f YILOr
Please return this page to GMA using the enclosed stamped, self-addressed envelope by February 17, 2020.
Thank you again for your assistance.
p'� :��!' ref �' � VAa
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