20210811_Transfer

Via Overnight Mail
Brent E. Wood
Vice President for Legal Affairs
701 Corporate Center Drive, Suite 101
Raleigh, NC 27607
Tel: [phone]
[e-mail]
August 6, 2021 RECEIVED
Division of Energy, Mineral, and Land Resources AUG 112021
North Carolina Department of Environmental Quality
1612 Mail Service Center DENR-LAND QUALITY
Raleigh, North Carolina 27699-1612 STORMWATER PERMITTING
RE: FSC II, LLC dba Daurity Springs Quarry — Request to Transfer Permit
Duarity Springs Quarry, Daurity Road, Goldston, Chatham County, NC
Permit No: 19-22
Gentlemen:
In accordance with G.S. 74-51 of the Mining Act of 1971, FSC II, LLC dba Daurity
Springs Quarry, hereby notifies the N.C. Division of Energy, Mineral, and Land Resources that it
has purchased the quarry located at Daurity Road in Goldston, Chatham County, North Carolina
from Little Texas Farms, LLC, effective as this date. The Daurity Springs Quarry is covered by
NCDENR Permit No. 19-22.
With respect to the mining permit referenced above, the transfer of permit responsibility
coverage and liability, per the Mining Act of 1971, shall be effective as of August 2, 2021, which
is the date FSC II, LLC dba Daurity Springs Quarry acquired legal ownership and control of the
Daurity Springs Quarry.
If you have any questions or need additional information concerning this ownership
change and future operation of this sand pit, please contact me at the above address and
telephone number.
RECEIVED
Thank your assistance to this matter.
AUG 1 1 20R1
Very t y yours,
LAND QUALITY
MINING PROGRAM
E.
Legal Affairs
{File: Client Files/I 035/454/00241475.DOCX}

D5Q Holding, LLC
500 Duke Drive
Franklin TN 37067
August 6, 2021
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RE: FSC II, LLC —Notice of Permitted Facility Sale
Daurity Springs Quarry, Goldston, Chatham County, NC
Permit No: 19-22
Gentlemen:
Irtaccordance with G.S. 74-51 of the Mining Act of 1971,, the permittee, DSQ Holding,
LLC fka Daurity Springs Quarry, LLC, hereby notifies the N.C. Division of Energy, Mineral,
and Land Resources that it has sold its quarry located at Daurity Road in Goldston in Chatham
County, North Carolina to FSC II, LLC dba Daurity Springs Quarry, effective as of August 2,
2021. The Daurity Springs Quarry is covered by NCDENR Permit No. 19-22.
With respect to the mining permit referenced above, the transfer of permit responsibility,
coverage and liability, per the Mining Act of 1971, shall be effective as of August 2, 2021, which
is the date FSC 11, LLC dba Daurity Springs Quarry acquired legal ownership and control of the
Daurity Springs Quarry.
If you have any questions or need additional information concerning this ownership
change and future operation of this quarry, please contact:
Brent E. Wood
Vice President of Legal Affairs
FSC II, LLC
701 Corporate Center Drive, Suite 101
Raleigh, NC 27607
Thank you for your help. If you should have any questions or comments, please do not
hesitate to let me know.
Very truly yours,
DSQ Holding, LLC fka Daurity Springs Quarry, LLC
By: AjYZ
Will Glusac, Authorized Signatory
!File Client MV1035454/00241476 DOCx3

NORTH CAROLINA
MINING PERMIT APPLICATION
State of North Carolina
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)
Name of Mine Daurity Springs Ouarry County Chatham
River Basin Cane Fear
Latitude (decimal degrees to four places) 35d34'58.47"
Longitude (decimal degrees to four places)-79dl9' 19.95"
2. Name of Applicant* FSC II LLC dba Daurity Shrines Quarry
3. Permanent address for receipt of official mail**701 Corporate Center Drive, Suite 101, Raleigh, NC 27607
Telephone [phone] Alternate No. [phone]
4. Mine Office Address 40 Daurity Road, Goldston, NC 27252
Telephone [phone]
5. Mine Manager Steve VanDeventer
6. E-mail Address: [e-mail]
I certify that all dets ty Is contained in this Permit Application are true and correct to the best of our
knowledge. We f lyy understa that any willful misrepresentation of facts will be cause for permit
revocation. (p /2-/I(
***Signature Date s "
Print Name Brent E. Wood
Title Vice President of Legal Affairs
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.
-1-

APPLICATION FOR A MINING PERMIT
NOTE: All of 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 of the 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 ❑ No ❑. 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 ❑ No ❑. 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 ❑ No ❑ (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):
® 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.: 19-22 Total permitted acreage: 220.77
SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO BE
PAID FOR THE REQUESTED PERMIT ACTIONS) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined: Meta-graywacke for Crushed Stone Aggregate
3. Mining method:
eHydraulic Dredge ® Front-end Loader & Truck ® Shovel & Truck
Dragline & Truck Self -loading Scraper
Other (explain):
4. a. Expected maximum depth of mine (feet) 300 feet relative to natural ground level
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
b. Expected average depth of mine (feet) 200 feet deep relative to natural ground level
5. Has any area(s) at this site been mined in the past? Yes ® No ❑
If yes, when and by whom was this activity conducted? Little Farms Texas LLC and Daurity Springs
Quarry. LLC (Since 2014)
-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): Life of permit
B. MAPS
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: Phvsical Address:
1612 Mail Service Center OR 512 North Salisbury Street, 5m Floor
Raleigh, North Carolina 27699-1612 Raleigh, North Carolina 27604
[phone]
htto://Dortal.ncdenr.orp-/web/ir/geological 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:
NCDOT GIS Unit
1587 Mail Service Center
Raleigh, North Carolina 27699-1587
Physical Address:
NCDOT GIS Unit
3401 Carl Sandburg Court
Raleigh, North Carolina 27610
[phone]
h"://www.ncdot.org/it/gis
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 maybe 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.
m. Location and dimensions of all proposed sediment and erosion control measures.
n. Location of 100-year floodplain 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.
-3-

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, or each
aspect ofthe mining operation, that you intend to affect during the life o this mininwa permit in addition lease
insert the appropriate reclamation cost/acre for each category from the Schedule of Reclamation Costs
nrnvided with this annlication form) OR you can defer to the Department to calculate vour bond for you based
ki
costs:
AFFECTED
RECLAMATION
RECLAMATION
CATEGORY
ACREAGE
COST/ACRE*
COST
Tailings/Sediment Ponds:
Ac.
X
$
/Ac.
_ $
Stockpiles:
Ac.
X
$
/Ac.
_ $
Wastepiles:
Ac.
X
$
/Ac.
_ $
Processing Area/Haul Roads:
Ac.
X
$
/Ac.
_ $
Mine Excavation:
Ac.
X
$
/Ac.
_ $
Other:
Ac.
X
$
/Ac.
_ $
TOTAL AFFECTED AC.: 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 = $
SUBTOTAL COST: $
Inflation Factor:
0.02 X SUBTOTAL COST: $ X Permit Life Provided by Applicant (Life of the Mining Operation
or Life of Lease from Public Entity (in Years)):
INFLATION COST: $
Total Reclamation Bond Cost: $ 585,300.00
(round down to the nearest $100.00)
(NOTE: The reclamation bond cannot exceed $1 million per GS 74-54)
NXIC

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.
f� C� t r 6
Print Name: Brent E. Wood
(Title, if applicable)
Company FSC II, LLC
(If applicabTe)
Address: 701 Corporate Center
Drive, Suite 101, Raleigh, NC 27607
Telephone: [phone]
Date Signed:
Gtc
Signature:*
Print Name: Brent E. Wood
Title: Vice President - Legal Affairs
Company: FSC II, LLC
Mine Name: _ lJAt1( -�f S e{ vi
Telephone: [phone]
Date Signed:
*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 (see next page for fee schedule) 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].
-18-

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PROPERTY CONSIST THE OUTSIDE BOUNDARY Or
THE LITTLE TEXAS FARMS U.C. PROPERTY AS
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RECORDED IN P.B. 2013. PC. 8 (TRACTS 1-4)
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