20210421_page1

RECEIVED
APPLICATION FOR A NITNING PERMIT
0, 1 2021
LAND QUALITY
MINING PIROGRAM
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
Name of MineSj�8y\ JAOc Mine_ county C.ar+ere+
River Basin Ij_'Jni}e Da\C
Latitude (decimal degrees to four places) 34. 7$32'7 S
Longitude (decimal degrees to four places) -To.92'�2M
2. Name of Applicant*:nnornaS c&Vy%pnon ('p StruCmOYI connOeanr iZY1C..
3. Permanent address for receipt of official mail"TIb Q�oX 1650 Ak\arMC. Yf&b� MC 9A512
Telephone [phone] Alternate No. ( )
4. Mine Office Address ISO7 Crve. ()9\C SkrCek Sea.trk> r� NC 2A.51(o
5. Mine Manager NO2.h S;rnCB n
***
Telephone (252.) Z47. y4 01
• 2 •.• �•.. 1� �;. ��� • • • It
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. 7
PrintNameMbA" anngson
Title �iPB�CeY� 11
Date '9 0
* 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 ofreceipt of
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
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