20211025_Application

ELLIOTT CONSULTING
March 20, 2018
NC Department of Environmental Quality
Division of Energy, Mineral and Land Resources
Land Quality Section
1612 Mail Service Center
Raleigh, NC 27699-1612
Dear Sir or Madam:
I, Karen R. Etheridge, former president of TNT Services, Inc., 3908 Poor Ridge Road, Kitty
Hawk, NC 27949, current address PO Box 296, Powells Point, NC 27966, owner of Mining
Permit #27-44 for the Site #2 Mine, do hereby notify and request the Land Quality Section
of the Division of Energy, Mineral and Land Resources, North Carolina Department of
Environmental Quality, to allow the mining permit #27-44 for the Site #2 Mine, Ferebee Lane,
Powells Point, NC 27966 in Currituck County, originally permitted to me on May 2016, to be
transferred from me, Karen R. Etheridge, to the new permit applicant, Roy Lee Etheridge, Jr.,
owner of Lee Septic & Land, 3908 Poor Ridge Road, Kitty Hawk, NC 27949. I do hereby
also notify you that 1, Karen R. Etheridge, do relinquish all responsibilities and liabilities related
to the above permit, including Reclamation Bond, with respect to the Mining Act of 1971.
Sincerely,
Karen R. Etheridge
PO Box 296
Powells Point, NC 27966
202 ELLIOTT ROAD • AYDLETT, NORTH CAROLINA • 27916
PHONE: [phone] • EMAIL: [e-mail]

ELLIOTT CONSULTING
April 25, 2018
NC Department of Environmental Quality
Division of Energy, Mineral and Land Resources
Land Quality Section
1612 Mail Service Center
Raleigh, NC 27699-1612
Dear Sir or Madam:
I, Roy Lee Etheridge, Jr., owner of Lee Septic & Land, do hereby notify and request to the
Land Quality Section of the Division of Energy, Mineral and Land Resources, North Carolina
Department of Environmental Quality, that the Mining Permit #27-44 for the Site #2 Mine,
Ferebee Lane, Powells Point, NC 27966 in Currituck County, originally permitted on May 2016
to Karen R. Etheridge, be transferred from the current permit owner, Karen R. Etheridge, to
me, Roy Lee Etheridge, Jr., 3908 Poor Ridge Road, Kitty Hawk, NC 27949. I do hereby also
notify you that I, Roy Lee Etheridge, Jr., do accept all responsibilities and liabilities related to
the above permit, including Reclamation Bond, with respect to the Mining Act of 1971.
Sincerely,
'0� oe '00�4
Roy Lee Etheridge, Jr.
Lee Septic & Land
202 ELLIOTT ROAD • AYDLETT, NORTH CAROLINA • 27916
PHONE: [phone] • EMAIL: [e-mail]

a
Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh., North Carolina 27699-1612
[phone]
Revised: 2017

APPLICATION FOR A MINING PERMIT
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
1. Name of Mine Site #2 Mine County Currituck
River Basin-Pasquotank
Latitude (decimal degrees to four places) 36.1506880 N
Longitude (decimal degrees to four places) -75.8449680 W
Name of Applicant* Roy Lee Etheridge. Jr
Permanent address for receipt of official mail"
3908 Poor Ridge Road. .Kitt y Hawk, NC 27949
Telephone (52 ) 26.1.-3073 Alternate No. ( 252 ) 202-8651
4. Mine Office Address 3908-Poor Ridge Road, Kitty Hawk, NC 27949
Telephone ( 252 ) 261-3071
Mine Manage
E-mail Address: _lee (t-t) corn ,septicandland-
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 .4 Date April.25. 2018
Print Name Roy Lee Etheridge Jr.
This will be the name that the mining pen -nit will be issued to and the namethatmust be indicatedonthe
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. 74-5 1 provides that the Department shall grant or deny, an application for a permit within 60 days of receipt of a
c-Qnlp)liete application or, if a public hearing is held, within 30 days following the hearing and the filing of any
-
supplemental information required by the Department. All questions must be addressed and all required maps
provided before this application can be considered complete. Attach additional sheets as needed.
-1-

APPLICATION FOR A MINING PERMIT
NOTE: All of the following questions must be thoroughly answered regarding your mininp, 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 ofthe following that apply:
❑ If this is an application for a NEW permit. indicate the total acreage at the site to be covered by the
permit (this is the acreage that the "new permit" fee will be based upon):
Of this acreage, how much is owned and how much is leased? Acres owned:
Acres leased: Property owner if leased:
If this is an application for a MODIFICATION to a mining permit, indicate the mining permit
number and the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage: -_..-
Does the modification involve acreage within the previously approved permitted boundary?
Yes F] NoF1 If yes, indicate the acreage to be covered by this modification (this is the acreage
that the "major modification" fee will be based upon):
Does the modification involve acreage outside the -previously approved permitted boundary?
Yes [:1 NoFT If yes, indicate the additional acreage to be covered by this
modification: (NOTE: you must complete all of Section F. of this application form
entitled Notification of Adjoining Landowners).
Of this acreage to be added to the permit, will any portion of this acreage be affected (i.e.: disturbed,
ground cover removed) by the mining operation? Yes 0 No [:1 (if no, a "minor modification"
fee of $100.00 is required, despite the "undisturbed" acreage to be added). If yes, indicate the
acreage to be affected within the acreage to be added to the permit (the total acreage to be added to
the permit is the acreage that the "major modification" fee will be based upon):
Z if this is an application for TRANSFER of a mining permit, indicate the mining permit number and
the total (overall) acreage covered by the existing permit.
Mining Permit No.: 27-44 Total permitted acreage: 39.02 acres
SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO BE
PAID FOR THE REQUESTED PERMIT ACTION(S) AND CORRESPONDING ACREAGE NOTED
ABOVE
2, Name of all materials mined: Sand & topsoil
3. Mining method:
Hydraulic Dredge Front-end Loader & Truck Z Shovel& Truck
Dragline &Truck Self -loading Scraper
Other (explain): Excavator
4. a. Expected maximum depth of mine (feet) 30 feet
Depth is relative to what benchmark-9 (e.g., natural ground level, mean sea level, road elevation, etc.)
Natural pround water level
b. Expected average depth of mine (feet) _,__ 25 feet
Has any area(s) at this site been mined in the past? Yes Z No F-1
If yes, when and by whom was this activity conducted? . ...... . Roy Etheridge Sr., since 1.970's
-2-

APPLICATION FOR A MINING PERMIT
6. Number of years for which the permit is requested (Life of the Mining Operation or Life of Lease from
Public Entity): Current expiration in 2021.
B. MAPS
Clearly mark and label the location of your mining operation on six.[6) covies of a 7.5-minute quadrangle
and a county highway map. These maps, in addition to sLx.(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: 5" Floor
1612Mail Servicc Center OR 512 North Salisbury Street
Raleigh, North Carolina 27699-1612 Raleigh, North Carolina 27604
[phone]
htti)://m)rtal.ncdenr.org/ b/Ir/geologicill _home
County highway maps may be obtained from the N.C. Department of Transportation:
North Carolina Department of Transportation — Geographic Information Systems (GIS)
Mailing Address: Physical Address:
NCDOT GIS Unit NCDOT GIS Unit
1587 Mail Service Center 3401 Carl Sandburg Court
Raleigh, North Carolina 27699-1587 Raleigh., North Carolina 27610
(919) 21.2-6000
http://www.nedot.orgLit/�i,3/
2. Mine maps must be accurate and appropriately scaled drawings, aerial photographs or enlarged
topographic maps of the entire mine site. All aspects of the mine site must be clearly labeled on the
maps along with their corresponding (approximate) acreage. Thus, all mine and reclamation maps
must denote those activities that are intended to be conducted during the life of the mining permit.
All maps must be of a scale sufficient (see minimum requirements listed below) to clearly illustrate the
following, at a minimum:
a. Property lines of the tract or tracts of land on which the proposed mining activity is to be located
including easements and rights -of -way.
b. Existing or proposed permit boundaries.
c. Initial and ultimate limits of clearing and grading.
d. Outline and width of all buffer zones (both undisturbed and unexcavated).
e. Outline and acreage of all pits/excavations.
f. Outline and acreage of all stockpile areas.
g. Outline and acreage of all temporary and/or permanent overburden disposal areas.
h. Location and acreage of all processing plants (processing plants may be described as to location and
distance from mine if sufficiently far removed).
i. Locations and names of all streams, rivers and lakes.
j. Outline and acreage of all settling and/or processing wastewater ponds.
k. Location and acreage of all planned and existing access roads and on -site haul roads.
1. Location of planned and existing on -site buildings.
in. Location and dimensions of all proposed sediment and erosion control measures.
n. Location of 100-year floodpWn limits and wetland boundaries.
o. Names of owners of record, both public and, private, of a] I 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.
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APPLICATION FOR A MINING PERMIT
A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment
ponds, stockpiles, wastepiles, processing area/haul roads, mine excavation and any other major aspect of the
mining operation that is proposed to be affected/disturbed during the life of the mining permit. A table/chatt
similar to the following will be acceptable:
CATEGORY
AFFECTED ACREAGE
Tailings/Sediment Ponds
0.70 acres
Stockpiles
0.80 acres
Wastepiles
Processing Area/Haul Roads
4.43 acres
Mine Excavation
11.42 acres
Other - Unexcavated Buffers
3.24 acres
Total Disturbed Acreage
177.29 acres
NOTE:
IN ADDITION TO THE ABOVE, THE MAPS MUST ALSO INCLUDE ANY SITE -SPECIFIC
INFORMATION THAT IS PROVIDED IN THE ANSWERS TO THE FOLLOWING QUESTIONS IN
THIS APPLICATION FORM (PLEASE NOTE THE ITALICIZED QUESTIONSISTATEMENTS
THROUGHOUT THE FORM). THIS APPLICATION WILL NOT BE CONSIDERED COMPLETE
WITHOUT ALL RELEVANT ITEMS BEING ADEQUATELY ADDRESSED ON THE MINE MAPS.
-5-

APPLICATION FOR A MINING PERMIT
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,
MMMM39M
Print Name: Mrs. Barbara H. Etheridge ••,—
(Title, if applicable)
Company
(If applicable
Address: PO Box 185 ....... . .. -.—
Powells Point. NC, 27966 . ........ -
Telephone: ( 252 ) 491-2480
APPLICANT:
Signature.
Print Name: Roy Lee Etheridge, Jr.
Title: Owner / Operator ....... . ...
Company: 1,ec Septic & Land
Mine Name: Site #2 Mine .............
Telephone: ( 252 ) 261-3073, ( 252 ) 202-8651
Date Signed: _April 25, 2018 Date Signed: April 25,2018
*Signature must be the same as the individual who signed Page I of this application.
One oriainal and five (5) copies of the completed auplicationsir (6) copies of all location maps, mine ma 8
ed
and reclamation mays, and next page i of fee -Chule) in the form a check the appropriate processing tee (see next
or money order payable to the North Carolina Department of Environmental Quality must be sent to the
Ralei,ah Central ffice 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].
-18-

APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond (based upon a range
of $500 to $5, 000 per affected acre) for each permitted mine site based upon the acreage approved by the
Department to be affected during the life of the mining permit. Please insert the approximate acreage, for
each aspect ofthe mining operation that you intend to affect during the life o this mining permit (in addition,
to
costs:
AFFECTED
RECLAMATION
RECLAMATION
CATEGORY
ACREAGE
COST/ACRE*
COST
Tailings/Sediment Ponds:
0.00
Ac.
X
$
/Ac.
_ $
Stockpiles:
0.80
Ac.
X
$
1800 /Ac.
_ $
1440
Wastepiles:
Ac.
X
$
/Ac.
_ $
Processing Area/Haul Roads:
1.13
Ac.
X
$
1800 /Ac.
_ $
2034
Mine Excavation:
11.42
Ac.
X
$
500 /Ac.
_ $
5710
Other: Unexcavated Buffer
3.24
Ac.
X
$
1800 /Ac.
_ $
5832
TOTAL AFFECTED AC.:
16.59 Ac.
(TOTAL PERMITTED AC.:
39.02 Ac.)
Temporary & Permanent Sedimentation & hrosion Uontrol 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 16.59 Ac.
b) Positive Drainage Ac. X $1,500.00 = $
SUBTOTAL COST: $ 15,016
Inflation Factor:
0.02 X SUBTOTAL COST: $ 300.32 X Permit Life (1 to 10 years): 10
INFLATION COST: $ 3003.20
TOTAL COST = SUBTOTAL COST + INFLATION COST = $ 18,019.20
Total Reclamation Bond Cost: $ 18,000
(round down to the nearest $100.00)
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