20220203_Application

Anderson En
P.O. Box 1736
305 North Chippewa
Luinberton, NC 28359
Licensare No.: C-0793
January 28, 2022
NCDEQ
Division of Energy, Mineral,
Mining Program
Attn: Adam Parr
1612 Mail Service Center
Raleigh, NC 27699-1612
and Land Resources
Ref: Parkton Borrow Pit # 78-50 Modification
Mining Application in Parkton, NC
Dear Mr. Parr,
& Assoc., P.A.
Lari.v Anderson, P.E.
President
FES 0 3 2022
I Y
�IL-.IICv "—..JCir, P,I,VI
Please find enclosed an Application for a Mining Permit and documentation as described
below for your review and approval:
• One original and five copies of the Application for a Mining Permit
• Six copies of the Mine & Reclamation Plans
• Six copies of the supporting calculations
• Six copies of the Notification of Jurisdictional Determination
• Six copies of the Quad Map & Location Map
• One copy of the Mining Permit Application Notice for each adjacent landowner and
the corresponding Certified Mail Receipts
• One copy of the NCG020000 application
• Application fee of $750.00
The purpose of this modification is to add 10.80 acres of land to Phase 1 and add an office and
Terex Sand Washing System in the Phase 3 area of the mine. Phase 1 wetlands were
delineated by ECS Southeast and the Preliminary Determination was approved by the Corps
of Engineers. (See documentation enclosed) The Skaggs method was used to determine the
undisturbed buffer from the wetlands. (See Skaggs Methods calculation enclosed.) Erosion
control measures for Phase 1 are still in place and will be installed in the proposed locations
upon approval of this application. The owner is also planning to dig below the water table,
which will now require de -watering. When that time arises, the existing sediment basin will
be enlarged and converted to a dewatering basin. An NCG02 1}�t&��}R@IVA-ety of
calculations is enclosed and was sent to DEMLR - Stormwat JYi's &v9hgineersw
NSPE Licensed Member
Phone: [phone] • Fax: [phone] • E-mail: [e-mail]

NCDEQ Mining Program
Parkton Borrow Pit # 78-50 Modification
January 18, 2022
Page 2
Phase 2 of the mine remains unchanged at this point.
Phase 3 will become a Terex Sand Washing System including four settling basins that are a
part of a Closed Loop Recycling System. Two wells will be installed; one for the Terex system
and one for the office. A septic tank will also be installed for the office. The used process
water will be pumped to the first settling basin. As the water transfers to each basin, the
particulates will settle out until re -useable "clean" water is left in the last basin which will
then be pumped back to the Terex system. The only time the system should overflow is
during a 10-yr, 24-hr storm or worse. A 15"o HDPE overflow pipe will be installed in the last
basin to allow storm water to drain to the existing ditch.
Phase 1 is adding 10.80 acres to the permit; however, the Terex system is causing 4.50 acres
of previous mineable land to now be unmineable, due to the addition of the office site, scales,
unexcavated buffer, and Terex system. This makes the actual total acreage to be added to
the permit to be 6.30 acres.
At the time of this letter, no return receipts have been received. I will email all receipts once
received.
Should you have any questions or need additional information, please feel free to contact
me.
Sincerely,
ANDERSON ENGINEERING & ASSOCIATES, P.A.
Renee Taylor
Engineering Technician
Enclosures

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
NOTE: It is recommended that you contact the appropriate Regional Office or the Raleigh Central Office for a PRE -
APPLICATION MEETING to discuss your intentions and address any questions.
1. Name of Mine
PARKTON BORROW PIT
County
ROBESON River Basin
CAPE FEAR
Latitude (decimal degrees to four
places)
34.93450
Longitude (decimal degrees to four
places)
-79.03940
2. Name of Applicant
AUTRY GRADING, INC.
Applicant Contact
KENNETHAUTRY Consultant Contact
LARRYANDERSON
Applicant Email
monorgan@autrygrading.00m Consultant Email
[e-mail]
Telephone
910-424-3458 Telephone
910-671-9530
Cell Phone
Cell Phone
910-608-2808
3 Permanent Address for Receipt of
Official Mail"
PO BOX 368
HOPE MILLS, NC 28348-0368
4. Mine Office Address
PO BOX 368
HOPE MILLS, NC 28348-0368
5. Mine Manager
KENNETH AUTRY
Mine Manager Email
[e-mail]
Telephone
910-424-3458 Cell Phone
I certify that all details contained in this permit application are true and correct to the best of our knowledge. We
fully understand that any willful misrepresentation of facts will be cause for permit revocation.
Signature' Date
Print Name Kenneth Autry
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 fling of any supplemental information
required by the Department. All questions must be addressed, and all required, maps`providvtbb ore this application can
be considered complete. Attach additional sheets as needed. , .
FEB 0 3 2022
LAND QUALITY
Revised July 13, 2021 9
P a e i
MINING PROGRAM

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
NOTE: All the following questions must be thoroughly answered regarding your mining operation for the intended
life of the mine. All responses must be clearly conveyed on a corresponding, detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
1. Answer all the following that apply:
❑ This is an application for a NEW permit.
Indicate the total acreage at the site to be covered by the permit
(This is the acreage the new permit fee will be based upon.)
Of this acreage, how much is owned and how much is leased?
FX-1
Acres owned:
Acres leased:
Property owner if leased:
This is an application for a MODIFICATION to a mining permit.
Mining Permit Number: 78-50 Total permitted acreage: 48.29
Does the modification involve acreage within the previously approved permitted boundary?
RXYES FNO
If yes, indicate the acreage to be covered by this modification 3.23
Does the modification involve acreage outside the previously approved permitted boundary?
RXYES FINO
If yes, indicate the additional acreage to be covered by this modification 10.80
NOTE: You must complete all of Section F of this application form entitled Notification of Adjoining
Landowners
Of the acreage to be added to the permit, will any portion be affected (i.e.: disturbed, ground cover
removed by the mining operation?
X YES NO
If yes, indicate the acreage to be affected within the acreage to be added to the permit 6.30
The modification fee is based upon the proposed new affected acreage within the previously
approved permitted boundary plus the proposed total acreage to be added outside the previously
approved permitted boundary.
F-1 This is an application for TRANSFER of a mining permit.
Mining Permit Number: Total permitted acreage:
Revised July 13, 2021 Page 12

NORTH CAROLINA MINING
PERMIT APPLICATION
MINING FEE SCHEDULE
State of North Carolina
Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
[phone]
A nonrefundable permit application processing fee when filing for a new mining permit, permit modification, or transferred permit is
required as follows:
APPLICATION TYPE
0 — 25 ACRES
26+ ACRES
New Permit Applications
$3,750.00
$5,000.00
Permit Modifications
$750.00
$1,000.00
Permit Transfers
$100.00
$100.00
Annual Operating Fee
$400.00
$400.00
Acres for new permits means the total acreage at the site to be covered by the permit. Acres for modification of permits means the
new affected acres within the previously approved permitted boundary plus the proposed total acreage to be added outside the
previously approved permitted boundary.
2. Name of all materials mined: SAND
3. Mining Method:
Hydraulic Dredge
❑ Dragline & Truck
Other (please explain):
❑ ^ Front-end Loader & Truck Shovel & Truck
Self -loading Scraper
4. Expected maximum depth of mine (feet) 30
5.
Depth is relative to what benchmark? (e.g., natural ground level, mean seal level, road elevation, etc.)
NATURAL GROUND
Expected average depth of mine (feet) 20
Has Ranrea at this site been mined in the past?
YES NOF]
If yes, when and by whom was this activity conducted? 2020, AUTRY GRADING, INC
6. Estimated life of the operation (years): 20
NOTE: The Department may request clarification on how life of mine was calculated.
Revised July 13, 2021 Page 13

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
B. MAPS
1. Clearly mark and label the location of your mining operation on six (6) copies of a 7.5-minute quadrangle and a county
highway map. These maps, in addition to six (6) copies of all mine maps and reclamation maps, must be submitted
with each permit application.
7.5-minute quadrangles may be obtained from the N.C. Geological Survey:
Mailing Address Physical Address
1612 Mail Service Center 512 N. Salisbury St., 5th Floor
Raleigh, NC 27699-1612 Raleigh, NC 27604
Htlp:/lportal.ncdenr.org/web/ir/geological home [phone]
County highway maps may be obtained from the N.C. Department of Transportation:
Mailing Address
NCDOT NCDOT GIS Unit
1587 Mail Service Center
Raleigh, NC 27699-1587
hUp://www.ncdot.rgriggis
Physical Address
NCDOT GIS Unit
3401 Carl Sandburg Court
Raleigh, NC 27610
[phone]
2. A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment ponds,
stockpiles, waste piles, processing areas/haul roads, mine excavations and any other major aspect of the mining
operation that is proposed to be affected/disturbed during the life of the mining permit. A table/chart similar to the
following will be acceptable:
AFFECTED ACREAGE TABLE:
For new permits, complete only the total affected acreage column.
For modifications, complete all columns.
CATEGORY
CURRENT AFFECTED
ACREAGE
PROPOSED CHANGE TO
AFFECTED ACREAGE
TOTAL AFFECTED
ACREAGE
Tailings/Sediment Ponds
0.54
0.32
0.86
Stockpiles
0.30
0.30
Waste piles
Processing Areas/Haul Roads
4.87
1.95
6.82
Mine Excavations
4.72
6.30
11.02
Other (Please explain)
1.28
1.28
Total Affected Acreage
10.43
9.85
20.28
Total Permitted Acreage
48.29
6.30
1 54.59
Revised July 13, 2021 P a g e 14

NORTH CAROLINA MINING State of North Carolina
1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
3. Mine maps must be accurate and appropriately scaled drawings, aerial photographs, or enlarged topographic maps of
the entire mine site. All aspects of the mine site must be clearly labeled on the maps along with their
corresponding (approximate) acreage. Thus, all mine and reclamation maps must denote those activities that
are intended to be conducted during the life of the mining permit. All maps must be of a scale sufficient to clearly
illustrate the following, at a minimum:
a) Property lines of the tract or tracts of land on which the proposed mining activity is to be located including
easements and rights -of -way.
b) Existing or proposed permit boundaries with geographic controls (e.g. metes and bounds, coordinates) labeled
c) Initial and ultimate limits of clearing and grading
d) Outline and width of all buffer zones (both undisturbed and unexcavated)
e) Outline and acreage of all pits/excavations
0 Outline and acreage of all stockpile areas
g) Outline and acreage of all temporary and/or permanent overburden disposal areas
h) Location and acreage of all processing plants (may be described as to location and distance from mine if
sufficiently far removed)
i) Locations and names of all streams, rivers, and lakes
j) Outline and acreage of all settling and/or processing wastewater ponds
k) Outline and acreage of all planned and existing access roads and on -site haul roads
1) Location of planned and existing on -site buildings
m) Location and dimensions of all proposed sediment and erosion control measures
n) Location of 100-year tloodplain limits and wetland boundaries
o) Names of owners of record, both public and private, of all tracts of land that are adjoining the mining permit
boundary; if an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract,
names of owners of record of tracts adjoining these tracts that are within 1,000 feet of the mining permit boundary
must be provided on the mine map.
p) Names of owners of record, both public and private, of all tracts of land that are adjoining the mining permit
boundary which lie directly across and are contiguous to any highway, creek, stream, river, or other watercourse,
railroad track, or utility or other public right-of-way. If an adjoining tract is owned or leased by the applicant or is
owned by the lessor of the mine tract, names of owners of record of tracts adjoining these tracts, that are within
1,000 feet of the mining permit boundary, must be provided on the mine map(s). NOTE: "Highway" means a road
that has four lanes of travel or less and is not designated as an Interstate Highway.
q) Map legend
1) Applicant name 5) Scale
2) Mine name 6) Symbols used and corresponding names
3) North arrow 7) Date prepared and revised
4) County 8) Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE
MAP SCALE
0 — 49 acres
1" = 50'
50 —199 acres
1" =100'
200+ acres
j 1" = 200'
NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items.
NOTE: In addition to the above, the maps must also include any site -specific information that is provided in
the answers to the following questions (italicized questions/statements) in this application form. This
application will not be considered complete without all relevant items being adequately addressed on the mine
maps.
Revised July 13, 2021 Page 15

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
C. PROTECTION OF NATURAL RESOURCES
1. Describe in detail the sequence of events for the development and operation of the mine and reference the sequence
to the mine map(s). Attach additional sheets as needed.
1. Flag construction limits for additional acreage in Phase 1.
2. Clear land, strip, & stockpile topsoil.
3. Begin excavating
4. Complete final grading of Phase 1 disturbed land.
5. Prepare areas for seeding, lime, and fertilizing.
6. Complete seeding, lime, and fertilizing. Reseed as necessary.
7. Maintain erosion control measures in Phase 1 until it is reclaimed.
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.
1. Ensure grading to existing sediment skimmer basin to control sedimentation.
2. Maintain existing skimmer basin, weir, and rip rap aprons
3. Temporary seeding & mulching of any waste/stockpile remaining in place for
21 days or more.
3. A) Will the operation involve washing the material mined, recycling process water, or other wastewater handling?
a YES nNO
If yes, briefly describe all such processes including any chemicals to be used.
Terex Washing System - excavated material will be processed through a Terex
Aggresand 206-3-Deck2Sand Wash Plant utilizing 100% recycled water. No
chemicals will be used.
B) Will the operation involve discharging fresh or wastewater from the mine or plant as a point discharge to the waters
of the State?
IX-1 YES FINO
If yes, briefly describe the nature of the discharge and locate all proposed discharge points (along with their method of
stabilization) on the mine map(s).
Mine de -watering will discharge stormwater/wastewater from the basin. The
basin will be utilized to control turbidity and settle particulates before slowly
discharging clean water into the existing permitted discharge location.
Revised July 13, 2021 P a g e 16

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
C) Will any part of the proposed mine excavation(s) extend below the water table?
1^1YES FINO
If yes, do you intend to dewater the excavation(s)?
YES NO
Estimated withdrawal rate in gallons per day. 75,000.00
If yes, what impact, if any, will mine dewatering have on neighboring wells? 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 statement
made, including any monitoring well data, well construction data, and current water withdrawal rates. Indicate whether
the proposed mine locale is served by a public water system or private wells.
We are proposing a small well at the proposed office building that is approx. 400
If from the mining area. We do not expect any impact from de -watering to occur
at this location. We will be utilizing a CLRS near this well.
There are no other wells within 500 ft from any mineable area.
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.
See attached application
4. A) Will the operation involve crushing or any other air contaminant emissions?
FIYES D NO
If yes, indicate evidence that you have applied for or obtained an air quality permit issued by the Division of Air Quality
or local governing body.
B) How will dust from stockpiles, haul roads, etc., be controlled?
The stockpiles, roads, etc., will be soaked with water when necessary to control
dust.
Revised July 13, 2021 Page 17

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
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).
See enclosed plans for locations of specific buffers.
25 ft. minimum undisturbed buffer at wetlands delineation
10 ft. minimum unexcavated buffer between undisturbed buffer and pit 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 wider than 50 feet may be needed.
How wide an undisturbed buffer will be maintained between any land disturbing activities within the mining permit
boundaries and any natural watercourses and wetlands at this site? Show all buffer locations and widths on the mine
map(s).
25 ft minimum undisturbed buffer at wetlands.
A 43 ft undisturbed buffer at additional acreage that abuts wetlands. See
calculations for buffer width.
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.
A minimum of 3:1 side slope shall be maintained around the perimeter of the
mine with bench every 10 feet and will be seeded according to the turfing
schedule.
B) Provide a cross-section on the mine map(s) for all fill slopes (berms, waste piles, overburden disposal areas, etc.),
clearly indicating•the intended side slope gradient, installation of any benches and/or slope drains (with supporting
design information) if needed, and the method of final stabilization.
Revised July 13, 2021 P a g e 18

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
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).
See enclosed plans.
D) In hardrock excavations, specify proposed bench widths and heights in feet. Provide cross -sections of the mine
excavation clearly noting the angles of the cut slopes, widths of all safety benches and mine benches, and the
expected maximum depth of the excavation.
NIA
7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling, house,
public road, or public, commercial or industrial building from any mine excavation. Locate all such structures on the
mine map if they are within 300 feet of any proposed excavation.
An existing ditch is located at the property lines. A gate with a lock is installed at
the entrance. A safety bench is and will be constructed at every 10 feet of
depth.
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).
Existing ditches are located around the perimeter of the mine.
9. Are acid roducing minerals or soils present?
YES FX NO
If yes, how will acid water pollution from the excavation, stockpiles, and waste areas be controlled?
See Geologic Investigation Report by BDX Environmental, PLLC dated
November 5, 2019
Revised July 13, 2021 Page 19

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
10. A) Describe specific plans (including a schedule of implementation) for screening the operation from public view such
as maintaining or planting trees, bushes or other vegetation, building berms or other measures. Show the location of all
visual screening on the mine map(s) and provide cross -sections through all proposed berms or proposed spacing,
sizes and species for tree plantings.
The adjacent properties to the west are unpopulated within 400-500 feet of the property line
and are densely forested.
The eastern property lines are screened with trees/shrubs per the Conditional Use Permit
(See enclosed plans)
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?
No
11. Will Msives be used?
YES ❑^ NO
If yes, specify the types of explosive(s) and describe what precaution(s) will be used to prevent physical hazard to
persons or neighboring property from flying rocks or excessive air blasts or ground vibrations. Depending on the mine's
location to nearby structures, more detailed technical information may be required on the blasting program (such as a
third -party blasting study). Locate the nearest offsite occupied structures) to the proposed excavation(s) 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 1NO
If yes, describe these materials, how they will be stored and method of containment in case of spill. Indicate the
location(s) of all storage facilities on the mine map(s).
Revised July 13, 2021 Page 110

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
D. RECLAMATION PLAN
1. Describe your intended plan for the final reclamation and subsequent use of all affected lands and indicate the
sequence and general methods to be used in reclaiming this land. This must include the method of reclamation of
settling ponds and/or sediment control basins and the method of restoration or establishment of any permanent
drainage channels to a condition minimizing erosion, siltation and other pollution. This information must be illustrated
on a reclamation map and must correspond directly with the information provided on the mine map(s). In addition,
design information, including typical cross -sections, of any permanent channels to be constructed as part of the
reclamation plan and the location(s) of all permanent channels must be indicated on the reclamation map.
Once mining activities are completed, this mine will be reclaimed as a pond. All
disturbed areas will be graded, seeded, and fertilized until established;
reseeding as required by the turfing schedule. Once established, all erosion
control measures will be removed.
2. Is an excavated or impounded body of water to be left as part of the reclamation?
FX-1YES FINO
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 be at least 4 feet, measured from the normal
low water table elevation, unless information is provided to indicate that a shallower water body will be productive and
beneficial at this site.
Will the body(s) of water be stocked with fish?
X YES FINO
If yes, specify species.
Bass, Brim, Catfish
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.
NIA
Revised July 13, 2021 P a g e 111

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
4. Indicate the method(s) of reclamation of overburden, refuse, spoil banks or other such on -site mine waste areas,
including specifications for benching and sloping. Final cross -sections and locations for such areas must be provided
on the reclamation map.
All overburden and waste areas will be fine graded and seeded on site. A
10-foot bench will be created in high wall areas.
5. A) Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
All stockpile and haul road areas will be fine graded and seeded.
B) Will any on -site roadways be left as part of the reclamation?
FIYES ONO
If yes, identify such roadways on the reclamation map and provide details on permanent road and ditch line
stabilization.
6. Describe the method of control of contaminants and disposal of scrap metal, junk machinery, cables, or other such
waste products of mining. (Note definition of refuse in The Mining Act of 1971.)
No off -site generated waste shall be disposed of on the mine site without prior written approval from the NC
Department of Environmental Quality, Division of Energy, Mineral, and Land Resources and either the Division
of Waste Management (DWM) or local governing body. If a disposal permit has been issued by DWM for the
site, a copy of said permit must be attached to this application. All temporary and permanent refuse disposal
areas must be clearly delineated on the mine map(s) and reclamation map, along with a list of items to be disposed in
said areas.
NIA
Revised July 13, 2021 Page 112

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
7. Describe your plan for revegetation or other surface treatment of the affected areas. This plan must include
recommendations for year-round seeding, including the time of seeding and the amount and type of seed, fertilizer,
lime and mulch per acre. The recommendations must include general seeding instructions for both permanent and
temporary revegetation. Revegetation utilizing only tree plantings is not acceptable. Recommendations can be sought
from:
a. Authorized representatives of the local Soil and Water Conservation District;
b. Authorized representatives of the NC Forest Service, Department of Agriculture and Consumer Services;
c. Authorized county representatives of the North Carolina Cooperative Extension Service, specialists and
research faculty with the Colleges of Agriculture and Life Sciences and Forest Resources at North Carolina
State University;
d. North Carolina licensed landscape architects;
e. Private consulting foresters referred by the NC Forest Service, Department of Agriculture and Consumer
Services;
f. N.C. Erosion and Sedimentation Control Planning and Design Manual;
g. N.C. Surface Mining Manual: A Guide for Permitting, Operation and Reclamation;
h. Others as may be approved by the Department.
Lime Rate of Application (tonslacre): 1 ton/acre
Fertilizer Analysis and Rate of Application (lbs/acre): 1,000 lbs./acre
Seed type(s) and rate(s) of application included year-round seeding schedule (lbs/acre):
NOTE: Include legumes
SEED TYPES
SEEDING DATES
SEEDING RATES
Temp: Rye (grain)
Oct 1 - March 1
5 lbs. / 1.000 sf
Temp: Bermuda
Oct 1 - March 1
1/2 lbs. / 1.000 sf
Temp: Fescue
Oct 1 - March 1
5 lbs. / 1,000 sf
Perm: Brown Top Millet
March 2 - Sept 30
5 lbs. / 1,000 sf
Perm: Bermuda
March 2 - Sept 30
1 lbs. / 1,000 sf
Perm: Fescue
March 2 - Sept 30
5 lbs. / 1,000 sf
Mulch Type, Rate of Application (lbslacre), and Method of Anchoring:
Grain straw will be applied over seed areas as a mulch at 4,000 lbs. /acre and tacked with liquid asphalt.
Other Vegetative Cover(s) Type(s) and Rate(s) of Application Including Seeding Schedule (lbs/acre, trees/
acre, spacing of treeslshrubs, etc.):
Revegetation and/or reforestation plan approved by:
Signature
Print Name
Title
Agency
Date
Revised July 13, 2021 P a g e 113

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond (based upon a range of $500 to $5, 000
per affected acre) for each permitted mine site based upon the acreage approved by the Department to be affected during the
life of the mining permit. Please insert the approximate acreage, for each aspect of the mining operation, that you intend to affect
during the life of this mining permit (in addition, please insert the appropriate reclamation cost/acre for each category from the
Schedule of Reclamation Cos�ided with this application form) OR you can defer to the Department to calculate vour bond
for you based upon your maps and standard reclamation costs:
CATEGORY AFFECTED
RECLAMATION
RECLAMATION
ACREAGE
COSTIACRE
COST
Tailings/Sediment Ponds
Ac.
X
$
/Ac.
_ $ 0.00
Stockpiles
Ac.
X
$
IAc.
_ $ 0.00
Waste Piles
Ac.
X
$
IAc.
_ $ 0.00
Processing Area/Haul Roads
Ac.
X
$
IAc.
_ $ 0.00
Mine Excavation
Ac.
X
$
IAc.
_ $ 0.00
Other
Ac.
X
$
IAc.
_ $ 0.00
TOTAL AFFECTED AC.: 0.00
Ac.
TOTAL PERMITTED AC.:
Ac.
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 Ac.
b) Positive Drainage Ac. X $1,500.00 = $ 0.00
SUBTOTAL COST: $ 0.00
Inflation Factor:
SUBTOTAL COST LIFE OF MINING OPERATION OR LIFE INFLATION COST
OF LEASE (YEARS)
0.02 X $ 0.00 X = $ 0.00
Total Reclamation Bond Cost:
TOTAL RECLAMTION BOND COST = SUBTOTAL + INFLATION = $ 0.00
Round down to the nearest $100.00
NOTE: The reclamation bond cannot exceed $1 million per GS 74-54
Revised July 13, 2021 Page 114

NORTH CAROLINA MINING State of North Carolina
PERMIT APPLICATION Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
SCHEDULE OF RECLAMATION COSTS
Based upon range of $500 - $5,000 per affected acre
COMMODITY CODES:
1612 Mail Service Center
Raleigh, NC 27699-1612
[phone]
SG
Sand and/or Gravel
DS
Dimension Stone
PF
Pyrophyllite
CL
Clay/Shale
GS
Gemstone
FS
Feldspar
OL
Olivine
PE
Peat
Borrow
Borrow/fill dirt
MI
Mica
KY
Kyanite/Sillimanite/Andalusite
AU
Gold
CS
Crushed Stone
LI
Lithium
PH
Phosphate
TI
Titanium
OT
Other
TYPE
T/S PONDS
STOCKPILES
WASTE PILES
P. AREA/H.R.
MINE EXCAVATION
$500/ac. (L)
$500/ac. (L)
SG, GS, Borrow
$1800/ac.
$2000/ac.
$18001ac.
1500 (FI)
2000 (PD)
CS, DS, FS, MI, LI,
500 (L)
1800
2000
2000
500 (L)
PF, OL, KY
1500 (FI)
2500 (PD)
1000 (L)
2000 (L)
PH
2500
5000
5000
2500(FI)
5000 (PD)
1040 (L)
2040 (L)
CL
2500
5000
5004
2500 (FI)
3700 (PD)
1000(L)
2000 (L)
PE, AU, TI, OT
2504
3040
3540
2500 (FI)
5000 (PD)
(L) = Reclamation to a lake and revegetating side slopes
(FI) = Reclamation by filling in and revegetating
(PD) = Reclamation by grading for positive drainage & revegetating
AS PER NCAC 15A 58.00039 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.
Revised July 13, 2021 Page 115

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
F. NOTIFICATION OF ADJOINING LANDOWNERS
The "Notice" form, or a facsimile thereof, attached to this application must be sent certified or registered mail, return receipt
requested, to:
(1) the chief administrative officer of each county and municipality in which any part of the permitted area is located as
indicated on the mine map(s);
(2) all owners of record, both public and private, of all tracts of land that are adjoining the mining permit boundary; if an
adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract, all owners of record of
tracts adjoining these tracts must be notified (that are within 1,000 feet of the mining permit boundary) as indicated on
the mine map(s); and
(3) all owners of record, both public and private, of all tracts of land that are adjoining the mining permit boundary
which lie directly across and are contiguous to any highway, creek, stream, river, or other watercourse, railroad track,
or utility or other public right-of-way. If an adjoining tract is owned or leased by the applicant or is owned by the lessor
of the mine tract, all owners of record of tracts adjoining these tracts must be notified (that are within 1,000 feet of the
mining permit boundary) as indicated on the mine map(s). "Highway" means a road that has four lanes of travel or less
and is not designated as an Interstate Highway.
The only exception to the above method of giving notice is if another means of notice is approved in advance by the Director,
Division of Energy, Mineral, and Land Resources.
A copy of a tax map (or other alternative acceptable to the Department) must be mailed with the completed "Notice" form (the
proposed overall permit boundaries and the names and locations of all owners of record of lands adjoining said
boundaries must be clearly denoted on the tax map).
The "Affidavit of Notification" attached to this application must be completed, notarized and submitted to the Department, with the
remainder of the completed application form before the application will be considered complete.
NOTES:
THIS SECTION MUST BE COMPLETED FOR ALL APPLICATIONS FOR NEW MINING PERMITS AND ALL MODIFICATIONS
OF A MINING PERMIT TO ADD LAND TO THE PERMITTED AREA, AS REQUIRED BY NCGS 74-50(b1).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF NOTIFICATION"
Revised July 13, 2021 P a g e 116

NORTH CAROLINA MINING State of North Carolina
PERMIT APPLICATION Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
AFFIDAVIT OF NOTIFICATION
1612 Mail Service Center
Raleigh, NC 27699-1612
[phone]
Kenneth Autry , 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
David M. & Suzanne Gillis
7775 Climbing Tree Lane, Fayetteville, NC 28306
John D. & Rena Gillis, II
7326 Raeford Rd, Fayetteville, NC 28304
John D. Gillis
2701 Gillis Hill Rd., Fayetteville, INC 28306
McMillian Contracting, Inc.
PO Box 218, Parkton, NC 28371
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:
Kellie Blue, Robeson County Manager
Chief Administrative Officer Name
(i.e.: City Manager, County Manager, Mayor, etc.)
500 N. Chestnut St., Lumberton, NC 28358
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(b1) 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 used to be mailed and to provide them to the Department upon request.
D -z2 .
Signature of Applicant or Agent Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
Name of Applicant
Title of person executing Affidavit
I,
p, Y R.
a Notary Public of the Count)cf
State of North'Carolina, do hefeby certify that l`1�_ appi�rgd before me this
day and under oath acknowledged that th�e�,a�bove Affidavit was made b him/her. Z
Witnes hand and notarial seal, this r v day of0 "� e L
Notary: G^ My commission expires:
Revised July 13, 2021 P a g e 118

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
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:
Signature
Print Name
Kenneth Autry
Title (if applicable)
Owner
Company (if applicable)
Autry Grading, Inc.
Address
5124 US Hwy South
Hope Mills, NC 28348
Telephone
910-424-3458
Date Signed
i ! /62 fQ2
APPLICANT:
Signature*
Print Name Kenneth Autry
Title Owner
Company Autry Grading, Inc.
Mine Name Parkton Borrow Pit
Telephone g 10-424-3458
Date Signed Z- 16V
`Signature must be the same as the individual who signed Page 1 of this application.
One original and five (5) copies of the completed application, six (6) copies of all location maps, mine maps and
reclamation maps, and the appropriate processing fee in the form a check or money order payable to the North Carolina
Department of Environmental Quality must be sent to the Raleigh Central Office at the address listed on the front cover
of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at [phone].
Revised July 13, 2021 Page 119

AFFIDAVIT OF NOTIFICATION (CONT.)
(Adjoining Landowner Name) (Address)
Brenda Sue Barnhill
Charles & Regina English
Ute Long
Stewart M. Bestwick, Jr.
Triple K Investments, LLC
Commission Outdoor & Camping
Ministries, Inc.
Gus Speros
Raymond E. Mason, Jr.
Michael Hoffman
John Mitchell Johnson
George & Arlene Johnson
Leroy & Phyllis Cummings
Michael & Sharon Worrell
Alphonso & Alene Ferguson
PO Box 370, Parkton, NC 28371
73 Wildwood Dr., Parkton, NC 28371
107 Wildwood Dr., Parkton, NC 28371
234 Wildwood Dr., Parkton, NC 28371
121 Cool Springs St., Fayetteville, NC 28301
PO Box 10955, Raleigh, NC 27605
PO Box 401, Parkton, NC 28371
618 Southfork Dr., Parkton, NC 28371
5985 Southfork Dr., Parkton, NC 28371
716 Fairview St., Fayetteville, NC 28301
PO Box 495, Parkton, NC 28371
PO Box 517, Parkton, NC 28371
6325 Touchstone Dr., Fayetteville, NC 28311
701 McLamb Dr., Fayetteville, NC 28301
Al McMillan, Parkton Mayor 28 W. David Parnell St., Parkton, NC 28371

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