Loading...
HomeMy WebLinkAbout20220412_ADI_ReceivedNORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 y Division of Energy, Mineral, and Land Resources (919) 707-9220 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 Site #2 Mine County Currituck River Basin Pasquotank Latitude (decimal degrees to four places) 36.150688 N Longitude (decimal degrees to four places) -76.844968 W 2. Name of Applicant Lee Septic & Land, LLC Applicant Contact Roy Lee Etheridge, Jr. Consultant Contact Kenneth Elliott Applicant Email lee@septicandland.com Consultant Email ken@kenobx.com Telephone 252-261-3073 Telephone 252-339-9021 Cell Phone 252-202-8651 Cell Phone 252-339-9021 Permanent Address for Receipt of 3' Official Mail" 3908 Poor Ridge Road, Kitty Hawk, NC 27949 4. Mine Office Address 3908 Poor Ridge Road, Kitty Hawk, NC 27949 5. Mine Manager Roy Lee Etheridge, Jr. Mine Manager Email lee@septicandland.com Telephone 252-261-3073 . Cell Phone 252-202-8651 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 — �Q Print Name Roy Lee Etheridge, Jr. Title Owner / Operator 'This will be the name that the mining permit will be issued to and the name that must be indicated on the reclamation bond (security) that corresponds to this site. "The Division of Energy, Mineral, and Land Resources must be notified of any changes in the permanent address or telephone number. "'Signature of company officer required. G.S. 74-51 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a complete application or, if a public hearing is held, within 30 days following the hearing and the filing of any supplemental information required by the Department. All questions must be addressed, and all required maps provided before this application can be considered complete. Attach additional sheets as needed. RECEIVE® Revised September 21, 2021 APR 12 2022 P a g e I i LAND QUALITY MINING PROGRAM