NCG020484_COMPLETE FILE - HISTORICAL_20060612

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
Iv C& b
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
p �bb (-p D (a
YYYYMMDD

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
June 12, 2006
Mr. Keith Davenport
Davenport Inc.
P.O. Box 164
Plymouth, NC 21962
Subject: Stormwater General Permit NCG020000
Operations and Maintenance Reminder
Davenport Incorporated
COC Number NCG020484
Washington County
Dear Permittee:
Our records indicate'that you have been issued a Stormwater General Permit and a Certificate of
Coverage for your facility. These permits have specific conditions that must be met in order for you to
be in compliance with your permit. It is your responsibility, as the permit holder, to read and comply
with the conditions contained in the permit.
It is our responsibility, as the issuing authority, to make sure that the operation and maintenance of
your facility complies with the conditions contained in your permit. To assist you in complying with
these conditions, we are attaching a Technical Bulletin specific to your permit requirements. We are
currently in the process of developing our inspection schedule. Therefore, you should have all of
your records up to date as we may be contacting you in the near future to set up an inspection of your
facility.
If you have any questions, please do not hesitate to contact Samir Dumpor, Pat Durrett or myself at
[phone].
Sincerely
L
Al Hodge, "er
Washington Regional Office
Surface Water Protection Unit
Encl.
CC: WaRO files
North Carolina Division of Water Quality Internet: h2o.enr.state.nc.us
943 Washington Square Mall Phone: [phone] �TOAe
Washington, NC 27889 FAX [phone]V o hCaro'ina
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o�OF W A rERQG Michael F. Easley, Governor
William G. Ross .Ir., Secretary
North Carolina Department of Environment and Natural Resources
p Alan W. Klimek, P.E. Director
Division of Water Quality
February 7,,2005 RRECERVED
Keith Davenport FEB 20�a
Davenport Inc
PO Box 164
Plymouth, NC 27962 D W f1 RO
Subject: NPDES Stormwater Permit Coverage Renewal
Davenport Incorporated
COC Number NCG020484
Washington County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG020000 the Division of Water
Quality (DWQ) is forwarding herewith the reissued stormwater general permit. Please review the new permit to familiarize
yourself with the changes in the reissued permit. The general permit authorizes discharges of stormwater and some types of
wastewater. You must meet the provisions of the permit for the types of discharges present at your facility. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG020000
• A copy of a Technical Bulletin for the general permit
Five copies of Discharge Monitoring Report (DMR) Forms - wastewater and stormwater
• Five copies of Qualitative Monitoring Report Form
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification
or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other
permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable
federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Ken Pickle of the Central Office Stormwater Permitting
Unit at [phone], ext.584.
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Washington Regional Office
No'r,th Carol i nn
111117111nilly
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Intemet: h2o.enr.state. nc.uslsulstormwater.html 512 N, Salisbury St. Raleigh, NC 27604 FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020484
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Davenport Inc
is hereby authorized to discharge stormwater and to operate treatment systems and discharges associated
with mine dewatering wastewater and process wastewater from a facility located at
Davenport Incorporated
PO Box 164
Plymouth
Washington County
to receiving waters designated as UT Albemarle Sound, a class SIB stream in the Pasquotank River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
II, III, IV, V, and VI of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective February 7, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 7, 2005
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

r-'r
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Mr. Keith Davenport
Davenport, Inc.
P.O. Box 164
Plymouth, NC 27962
Dear Mr. Davenport:
NCDENR
NORTH_CAROLINA-_DEP_ARTMENT-OFF f
ENVIRONMENT4ANtp NATURAL RESOURCE5 }
..�.L--''"�..
May 19, 2000
!� M AY 3 1 2000 1
ASHiNGTON ORE&ONAL OFFICE
WE
Subject: General Permit No. NCG020000
Davenport, Inc.
COC NCG020484
Washington County
In accordance with your application for a discharge permit received on April 13, 1999 we
are forwarding herewith the subject certificate of coverage to discharge under the subject state —
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-2.15 .1 and the Memorandum of Agreement between North Carolina and the
US Environmental Protection agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit
are unacceptable to you, you have the right to request an individual permit by submitting an
individual permit application. Unless such demand is made, this certificate of coverage shall be
final and binding.
Please take notice that this certificate of covera-e is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and rcissuance of the certificate of coverage.
zl
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land
Resources, Coastal Area Management Act or any other Federal or Local governmental permit
that may be required. u
If you have any questions concerning this permit, please contact Aisha Lau at telephone
number [phone] ext. 578.
Sincerely,
ORIGINAL SIGNED BY
WlI+IAM C. MILLS
Kerr . Stevens
cc: Washington Regional Office
Central Files
Stormwater and General Permits Unit Files
1617 Mai) Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
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tit
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020484
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215,1. other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Keith Davenport
is hereby authorized to discharge stormwater and mine dewatering water from a facility located at
Davenport, Inc.
On the South side of SR 1300 between its intersections with SR 1323 and SR 1301
Plymouth
Washington County
to receiving waters designated as an unnamed tributary to the Albemarle Sound, class SB waters, in the Pasquotank
River Basin in accordance with the effluent limitations, monkoring requirements, and other conditions set forth in
Parts I, I1. III, IV, V, VI and V1I of General Permit No. NCG020000 as attached.
This certificate of coveragc shall become effective May 19. 2000.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 19. ?000_
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens. Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Copyriom (C) 1997• Maptect,. R,c.

:Pri.,t th,! fYwm to PDF Return PDF of this form to DLR CO by email. cc DLR RO, DWQ SPU. Send a copy to the permittee.
MINING PERMIT APPLICATION REVIEW FORM
for the
DIVISION OF WATER QUALITY
THIS SECTION TO BE FILLED OUT BY DLR:
Project Name:_ Davenport Mine DLR Permit # 94-22 County: Washington Applicant's Email:
weadus(o)auible.com Applicant's Mailing Address: 1002 Driftwood Dr., Manteo, NC 27954 Mine
Physical Address: Nla
YES NO Date Commencin
Is this mine a new mine? r C
Have land disturbing activities
started? Date? r %.
Latitude: 35.'9163 Longitude: 76,5194
Please return comments to (at DLR CO): Judy Wehner
Comments due by: 613113
SECTION BELOW TO BE FILLED OUT BY DWQ:
Is the RO concerned that the operation, as proposed, would violate standards of water quality? No
Comments: I visited the site 5/22/13 with (wl) Roberto Scheller (DWQ 401 252-948-3940) and Derek Hatchell
(Mine Manager 252-202-1501). The operation as proposed requires 404/401 Approvals for the proposed 10'
drive/berm and active mine limits in the wetland area Win the existing woods line). I explained; the NPDES.
SWIWW permit, as well as the penalty for discharging wlout a permitLto Mr. Hatchell (and Derek Dail, PE 252-
261-3300 of Quible & Associates, via phone). The operation will likely apply for NPDES permit coverage to
allow for SW and/or WW discharge(s). An O&M Plan will be required (wl NPDES permitting), detailing the
operation wlout negative impacts to wetlands or other waters of the State.
Watershed/Stream Name & Classification: UT to Deep Creek: C Sw -- Pasquotank River Basincup6+ream of Bull Bayl
DWQ Compliance Status of Mine: OK
Does this mine (or previous owner) have DWQ back fees to pay? NIA If yes, amount:
Is this mine an active permit in BIMS? NIA
YES NO
S,permitreqired?.
rfr tMeo—peration•• -b.- o•,s-e.. s10- 't
r' , �,-! {' Sa,r " i• ,
`NPDE
ouceadischar e: , .<<a�:'�=r'
;r r,• S'
NPDES permit existing?
r (Permit # }
r
If ari;NPDES'permit is not reguired;ls'DWQ'
5t'ill concerned aliout wetland degradation
r
by,dewatering?
Should permittee contact DWQ RO
r ' RO Contact Name: when
immediately? (e.g. to schedule a site visit if
404 delineation is approved
Ir,
mine has already begun digging or is
contact Roberto Scheller 252-
948-3940
dewatering without DWQ permit)
Contact Reason: 401 Approval
Rev September 2010

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when 404 Approval occurs.
40.1 Wetland'Cert required?' k :'
`r As proposed.
G
401 Wetland Cert. existing?
F7 Permit #
r'
tDaes DWQ ROh'ave enough''information to
Ell
—
Rev

Print tTi,s form to PDF Return PDF of this form to DLR CO by email. cc DLR RO, DWQ SPU. Send a copy to the permittee.
YES NO
Are '.wetlands disturbed at this, srte? ;,
Does DWQ RO suspect or know of nearby
r-Roberto Scheller & I
I j
wetlands to the site?
visited the site 5/22/13.
C, J 3•1 1 f`�4 Sr 1 i 1 fp� i d•-,� �'.
d
.�
■w/
`TFi ITheloperation
JD
jioposed-requires a Corps';
a wetland delineation require d:p'riot to
G Consultant' k " �. '...,, j.
delineation for the:
,Is
'DWQ 'isgthe pemit? z'c
nsite? ' ;
,signed
proposed 10' driVelberm to ,.
•t.
Offsit,e..
intlin`,the•existinq woods line'
.Fr .. I�'
, F t
. .. .
prior to excavation.
Stream Determination Needed?
r'
r
Stream Determination Completed?
7 z,
r
F`
Does DWQ RO need a statement that no
wetlands/streams are disturbed
r
E✓
for this project from applicant?
Buffer etermination' Needed?
Buffer Determination Completed?
r
1✓
Recycle system permit existing?*
r Permit #'
Ir .w
New Recycle System permit required?*
F
Enough information to determine?
Non -discharge permit existing?* '
r it.
r IPermit #
r
i 4 • 1
Does this applicant need to contact the
regional of Central DWQ Office to
r
�.
determine if a State Stormwater Permit is
needed?
r' ,Unknown.
Will wastewaters discharge to HOW waters
f—
f�i. 7Q10
Permittee
with a 7Q10=0? **
Flow:
must
determine.
7 ...:
Has.Violation
O&M RequiremeniS 1 .
.
r
r T
512212©13 Derek
,.,
HQW/7Q10:Concerns
?.
r ' ay back fees or renew,'.
MatcFiell'stated that- he may
Does DWQ require DLR to hold the,permit
q p
be interested in adding
• . , 1 ,
je,g, so,DWQ can review it further -or
DW.Q permit ' , „'
dewat6rin_6.to the DEMLR
because DWQ requires more inforrmation)?
r' Other. i.'
94-22 Permit. WaRO DWQ
,1 f
' '
;Piease•describe' the!reason to
hold the,permit
,recommends issuance of the,
E
p ern11tS
O contact.
•
r, t
Until: �
.:t ,
,Hold
_ _ •
lra If a discharge is proposed,
Mine must wait to dewater until an O&M plan is
a DWQ NPDES Permit and
r
O&M Plan is required prior to
approved?
a dischar e.
Rev September 2010

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*The NPDES SW and WW permit NCG020000 covers closed -loon recycle systems, designed to exclude all stormwater run-off from
the system and operate at or below two -feet of freeboa[d. These systems may be permitted by_a Non ischarge Recychstem
Permit from the Aquifer Protection Section (APS). OR may instead be permitted under NCG020000 to gliminate an additional a rmit.
Recycle systems that do not meet those criteria are considered discharging systems and are subject to the NCG020000 discharge
permit.
**To obtain 7Q10 flows, permittees must contact the DWQ Stormwater Permitting Unit. if DWQ does not have a flow estimate for a
specific stream, permittees will be asked to obtain one. Permittees should contact J. Curtis Weaver at the USGS: 919-571-4043, for
more information on obtaining a 7Q10 flow. USGS will not determine a 7Q10 flow for tidally influenced water bodies.
**If, there is not enough information to give a complete answer, write in the space provided what you will need to answer this question
completely. If you require DLR to hold the hermit until further notice, indicate that in the question below.
Reviewed by:
DWQ RO Surface Water: Thom Edgerton Regional Office: WaRO Date: 5/22/2013
RO Aquifer Protection Section: Regional Office: Date:
SPU DWQ Central Office Reviewer (if applicable):
Rev September 2010

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APPLICATION FOR A MINING PERMIT ,
dhnI13
NORTH CAROLINA DEPARTMENT OF ENVIROWEN-T�;
AND NATURAL RESOURCES REIE.
LAND QUALITY SECTION -MAY o6 2013
APPLICATION FOR A MINING PERMITLAN[)WALITY SECT iO
N
(PLEASE PRINT OR TYPE) RECEIVED
1. Name of Mine Davenport Mine County Washington. MAY 0 b 2013
River Basin Pasquotank
LAND QUALITY SECTION
Latitude (decimal degrees to four places) 35,9163410
Longitude (decimal degrees to four places) 76.3980590
2. Name of Applicant* Hatchell Concrete, Inc.
3. Permanent address for receipt of official mail" 1002 Driftwood Dr. Manteo, NC2A= `F NjF
Telephone [phone] Alternate No. ( R ) � Ay 1_4 201
4. Mine Office
5. Mine Manager Derek Hatchell
KWTI "I
mid ro
Telephone [phone] — ,
We hereby 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 LA 3a 2Ci�
Print Name -
Title Its ; D
This will be the name that the mining permit will be issued to and the name �tl�at mu trb ' ' dic t d on the
reclamation bond(security) that corresponds to this site.
** The Land Quality Section must be notified of any changes in the permanent addre''W& 6e1eph6ne:number. .
LV1R,'i- i 61C)'J OFFICE
*** 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 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
provided before this application can be considered complete. Attach additional sheets as needed.

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): 8.07 acres
Of this acreage, how much is owned and how much is leased? Acres owned:
Acres leased: 8.07 Property owner if leased: Craig S. Davenport
❑ If this is an application for RENEWAL of a mining permit, indicate the mining permit number and
the total (overall) acreage covered by the existing permit: Mining Permit No.:
Total permitted acreage (this is the acreage that the "renewal" fee will be based upon):
❑ 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?
jai
3 a es,❑ No R. If yes, indicate the acreage to be covered by this modification (this is the
r;e'age•that the "major modification" fee will be based upon):
Does the modification involve acreage outside the previously approved permitted boundary?
{U� r Yesi❑ 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).
UW" Of this a rreage to be added to the permit, will any porti n fthis acreage be affected (i.e.: disturbed,
ground cover removed) by the mining operation? Yes No ❑ (Ifno, a "minor modification" fee
of $ ] 00.00 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 pen -nit number and
the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage:
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 and clay
3. Mining method:
❑Hydraulic Dredge ® Front-end Loader & Truck ❑ Shovel & Truck
Dragline & Truck Self loading Scraper
Other (explain):
4. a. Expected maximum depth of mine (feet) 20
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
Natural around level _ �^
b. Expected average depth of mine (feet) 2
-z-

APPLICATION FOR A MINING PERMIT
Has any area(s) at this site been mined in the past? Yes ® No ❑
If yes, when and by whom was this activity conducted? Test pits by Hatchell Concrete
6. Number of years for which the permit is requested (10 years maximum): 10 years
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 b 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 OR 512 North Salisbury Street, 5'h Floor
Raleigh, North Carolina 27699-1612 Raleigh, North Carolina 27604
[phone]
htty://oortal.ncdenr.orR/web/Ir/9-eolop-ical 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
Ph sical Address:
NCDOT GIS Unit
3401 Carl Sandburg Court
Raleigh, North Carolina 27610
[phone]
http://www.ncdot.orWit/gis/
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. As a reminder, mining permits can
only be issued for up to 10 years; thus, all mine and reclamation maps must only 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 takes.
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 I00-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
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. Name of applicant
2. Name of mine
3. North arrow
4. County
5. Scale
6. Symbols used and corresponding names
7. Date prepared and revised
8. Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP SCALE
0-49 Acres 1 inch = 50 feet
50-199 Acres 1 inch = 100 feet
200+ Acres 1 inch = 200 feet
(NOTE. Smaller scaled maps may be acceptable if they clearly illustrate the above items)
-4-

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/chart
similar to the following will be acceptable:
CATEGORY
AFFECTED ACREAGE
Tailings/Sediment Ponds
N/A
Stockpiles
NIA
Wastepiles
0.63
Processing Area/Haul Roads
0.61
Mine Excavation
4.02
Other (Explain)
N/A
Total Disturbed Acreage
5.26
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 FOW. THIS APPLICATION WILL NOT BE CONSIDERED COMPLETE
WITHOUT ALL RELEVANT ITEMS BEING ADEQUATELY ADDRESSED ON THE MINE MAPS.
-5-

APPLICATION FOR A MINING PERMIT
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.
The existing access road will be used and the berm shown on the plats will be constructed using on site
materials. The berm will be seeded according to the seeding specifications as shown on the attached site
plan. Excavation of the'4.02 acre active mine will begin and all materials will be transported offsite with
waste soils (loams and clays not suitable to marketed as sand) to be stored as shown on the attached site
plan.
2. Describe specific erosion control measures to be installed prior to land disturbing activities and during
mining to prevent offsite sedimentation (include specific plansfor sediment and erosion control formine
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.
In general, silt fence will be installed during construction of the berms as needed. Once the berms are in
place, there is no potential for offsite sediment transport. Please note, this site is an existing farm field
without ditches or other typical sediment conveyance,
3. a. Will the operation involve washing the material mined, recycling process water, or other waste water
handling? Yes ❑ No ®. If yes, briefly describe all such processes including any chemicals to be used.
b. Will the operation involve discharging fresh or waste water from the mine or plant as a point discharge to
the waters of the State? Yes ❑ No Z. If yes, briefly describe the nature of the discharge and locate
all proposed discharge points (along with their method of stabilization) on your mine map(s).
Will any part of the proposed mine excavation(s) extend below the water
table? Yes ® No ❑.
If yes, do you intend to dewater the excavation(s)? Yes ❑ Na Z.
If yes, what impact, if any, will mine dewatering have on neighboring wells? Estimated withdrawal rate in
gallons per day. N/A . 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 statements 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.
The area is served by private on site water wells. This proposal does not involve dewatering.
d. If you answered yes to any ofthe above questions, provide evidence that you have applied foror obtained
the appropriate water qualitypermit(s) (i.e., non -discharge, NPDES, Stormwater, etc.) fromtheDivision
of Water Quality, Water Quality Section. In addition, the applicant is required to register water use with
the Division of Water Resources if the operation withdraws more than 10,000 gallons per dayand needs a
capacity use permit from the Division of Water Resources if the operation lies in a capacity use area and
withdraws more than 100,000 gallons per day.
N/A
4. a. Will the operation involve crushing or any other air contaminant emissions? Yes ❑ No ®.
I f 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?
Water can be sprayed on the haul roads if conditions warrant. A water wagon or similar conventional
method will be used.
-6-

APPLICATION FOR A MINING PERMIT
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 of25 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).
Minimum of 25 feet, however a berm will be constructed and planted that will offer additional
buffering as shown on the attached mine plat.
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 maybe
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).
A minimum 50 feet buffer will be provided between any land disturbing activity and natural water
courses. Approximate boundaries relative to the nearest water course (Pada Branch -Tributary to
Deep Creek and Albemarle Sound SC Waters) are shown on the attached USGS Topographic
Quadrangle. A wetlands determination and/or stream determination have not been performed and
would likely involve access to adjacent properties. In general, the proposed mining activities will take
place within an agricultural field and not impact any jurisdictional waters.
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 I vertical slopes or flatter for sandy material are generally required, unless technical
justification can be provided to allow steeper slopes.
There is a sufficient buffer (minimum of 36 feet but average of 50 feet) to ail adjacent property lines
and excavation will occur at slopes of 3:1 or greater. Excavation will be performed with conventional
equipment and in general will begin in the middle and worked outward toward the mine limits. Please
note, the water table will be encountered at depths of 3-4 feet below natural grade. Finished slopes
within pits dug are typically steeper than 3:1; naturally.
b. Provide a cross-section on the mine map(s) for all fill slopes (berms, wastepiles, overburden
disposal areas, etc.), clearly indicating the intended side slope gradient, installation of any benches
andlor slope drains (with supporting design information) if needed, and the method of final
stabilization.
Fill slopes shall be 3:1 for sandy materials and a cross section is provided.
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).
Cut slopes in clayey materials shall be 2:1 or greater. Cut slopes in sandy material shall be 3:1 or
greater. Cross sections are provided.
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.
N/A
-7-

APPLICATION FOR A MINING PERMIT
7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling
house, public road, 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.
One residence is located within 250 feet of the proposed mine excavation and is shown on the attached Mine
Map. This is a straightforward conventional mining operation. The proposed depth of 20 feet will not
endanger any adjacent structures.
8. Describe what kind of barricade will be used to prevent inadvertent public access along anyhigh waft 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).
A standard metal pole and chain access gate will be erected across the access road. A five feet tall berm will
be constructed and planted as shown on the attached Mine Permit Plan that will prohibit visual and physical
access to the site. The berm will be terminated at the existing and respective woods. line.
9. ' Are acid producing minerals or soils present? Yes ❑ No ®.
If yes, how will acid water pollution from the excavation, stockpiles and waste areas be controlled?
NIA
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.
Portions of the mine that are visible from the adjacent residence and roadway will be screened by
creating a five feet tall berm and planting Wax Myrtles or Japanese Privet as shown on the attached
Mine Permit Map.
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?
NIA.
11. Will explosives be used? Yes ❑ No E.
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 mire's location to nearby structures, more detailed technical information maybe required
on the blasting program (such as a third -party blasting study). Locate the nearest offsite occupied
structure(s) 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 ❑ No Z.
Ifyes, 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).
Applicants will use portable fuel tanks for refueling equipment.
- 8 -

APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
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.
Reclamation consists of removing the haul road and leaving a small unimproved access to what will remain a
small 4 acre pond. The berm, access gate and vegetation will remain to limit access, visibilityetc... All slopes
remaining on site will adhere to 3:1 or 2:1 depending on soils type as appropriate.
2. Is an excavated or impounded body of water to be left as a part of the reclamation? Yes'® No ❑-
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 beat least 4 feet,
measured from the normal low water table elevation, unless information is provided to indicate that a more
shallow water body will be productive and beneficial at this site.
Will the body(s) of water be stocked with fish? Yes ❑ No ®.
If yes, specify species.
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.
N/A
-9-

APPLICATION FOR A MINING PERMIT
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.
The site will be returned to its original grade, or close to it, with the exception of the berm.
5. a. Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
Processing areas are limited to spoils piles and spoils will be removed from site or used to re-establish
grade as necessary. The end result will be an agricultural field with a 4 acre pond in the back corner.
b. Will any on -site roadways be left as part of the reclamation? Yes ❑ No ®.
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 Environment and Natural Resources, Land Quality Section 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.
There will be no on site disposal of off -site generated waste.

APPLICATION FOR A MINING PERMIT
7. Describe your plan for revegetation or other surface treatment of the affected areas. This plan must
include recommendations for_year-round seedier, 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 Division of Forest Resources, Department of Environment and
Natural Resources;
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;
c. Private consulting foresters referred by the Division of Forest Resources, Department of Environment
and Natural Resources;
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 (tons/acre):
Apply ground agricultural limestone in accordance with North Carolina Department of Agriculture Soil
Testing.
FERTILIZER - ANALYSIS AND RATE OF APPLICATION (pounds/acre):
Apply in accordance with North Carolina Department of Agriculture Soil Testing. In absence of soil
testing apply 1,000 pounds per acre of 10-10-10 fertilizer.
SEED - TYPE(S) AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds/acre): NOTE: Include Legumes)
Seed Types:
Seeding
Dates:
Seeding Rates:
Bahia
April l
-Sept. 30
50 lbs.
Common Bermuda (unhulled)
April 1-Sept.
30
50 lbs.
German Millett
April 1-Sept.
30
15 Ibs.
Fescue
April 1-Sept.
30
20 lbs.
MULCH - TYPE AND RATE OF APPLICATION (pounds/acre) AND METHOD OF ANCHORING:
Apply 4,000 lb/acre straw. Anchor straw by tacking with netting, mulch anchor tool or disking with
blades set nearly vertical.
OTHER VEGETATIVE COVERS — TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre, trees/acre, spacing of trees/shrubs, etc):
See Mine Plan for berm planting specifications. Japanese Privet or Wax Myrtle planted on 10 feet centers
as shown.
Revegetation and/or reforestation plan approved by:
Signature
Print Name
Title
Agency
Date

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 of the mining operation. that you intend to affect during the life of this minim hermit tin addition.
AFFECTED
RECLAMATION
RECLAMATION
CATEGORY
ACREAGE
COST/ACRE*
COST
Tailings/Sediment Ponds.
N �Q Ac.
X
$ A)IA- /Ac.
= $
Stockpiles:
-WA- -- Ac.
X
$ / /Ac.
= $
Wastepiles:
Ac.
X
$ :7f 0aa-co /Ac.
— $ Z!v!q- do
Processing Area/Haut Roads:
li Ac.
X
$ lt0Oo.o0 /Ac.
— $ f'.vU
Mine Excavation:
Ac.
X
$ _ 6-00.00 /Ac.
Other:_
` Ac.
X
$ /Ac.
_ $
TOTAL AFFECTED AC.:'
s'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 Z Co Ac.
b) Positive Drainage _ N �� _ Ac. X $1,500.00 = $
SUBTOTAL COST: $12e • 0 0
Inflation Factor: if
0.02 X SUBTOTAL COST: $ '3& X Permit Life (1 to 10 years): _,o
INFLATION COST: $ 97:?' (0 0
TOTAL COST = SUBTOTAL COST + INFLATION COST = $_ i 2
Total Reclamation Bond Cost: $ Z1010 •. Oct
(round down to the nearest $100.00)
-12-

APPLICATION FOR A MINING PERMIT
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 I A0 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 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.
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(b I).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
-t3-

NOTICE
Pursuant to provisions G.S. 74-50(b1) of The Mining Act of 1971, Notice is hereby given that
Hatchell Concrete, Inc. has applied on April 30, 2013
(Applicant Name) (Date)
to the Land Quality Section, Division of Land Resources, North Carolina Department of Environment
and Natural Resources, 1612 Mail Service Center, Raleigh, North Carolina 27699-1612, for (check one):
® a new surface mining permit,
❑ a modification of an existing surface mining permit to add land to the permitted area; or
❑ a modification of an existing surface mining permit to add land to the permitted area with no disturbance
in the area proposed. Please note that future modification(s) may be submitted by the applicant to
allow disturbance within this area without re -notification of adjoining landowners.
The applicant proposes to mine sand on 8.07 acres located 3
(Mineral, Ore) (Number) (Miles)
North of Creswell off/near road Mt. Pleasant Road
(Direction) (Nearest Town) (Number/Name)
in Washington County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bl), the mine operator is required to make a reasonable effort, satisfactory to the
Department, to notify 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 Ieased 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). In addition, the mine operator must also notify the chief administrative officer of the county or
municipality in which any part of the permitted area is located. Any person may file written comment(s) to the
Department at the above address within thirty (30) days of the issuance of this Notice or the filing of the application
for a permit, whichever is later. Should the Department determine that a significant public interest exists relative to
G.S. 74-51, a public hearing will be held within 60 days of the end of the 30-day comment period specified above.
A copy of the permit application materials is on file and available for public review during normal business hours
at the above listed address as well as at the appropriate regional office. For information re2ardinl! the
ror information on the
the Mining Program staff at [phone]. Please no
comments/documentation within the provisions of the 1•
process until a final decision is made on the application.
Addressee/Owner of Record's
Blame and Address)
April 30, 2013
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
mining permit application review process, please contact
Hatchell Concrete, Inc. c/o Derek Hatchell_
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1002 Driftwood Drive Manteo, NC 27954
(Address of Applicant)
-14-

APPLICATION FOR A. MINING PERMIT
AFFIDAVIT OF NOTIFICATION
an applicant, or an , or employee of an applicant, for a
new Mining Permit, or a modi ication of an existing Mining Permit to addia.5dfio the permitted area, from the N.C.
Department of Environment and Natural Resources, 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 o fthe 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)
Kip Gray Gibbs 265 Dillon Road Columbia, NC 27925
James C. Spruill _ _ _ 711 Mt. Pleasant Road Creswell, NC 27928
Samuel Cahoon, Jr. 677 Mt. Pleasant Road Creswell, NC 27928
Edwin T. Coulbourn, Jr. and Elizabeth R. Coulbourn 112 Soundside Lane Manteo NC 27954
Rachehnaryr, LLC c/o S. Woodley PO Box 7100 Rocky Mount, NC 27801
Wanda D. Carr 575 Paip-e Riddick Road Gates, NC 27937
(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:
(Chief Administrative Officer Name)
[i.e.: City Manager, County Manager, Mayor, etc.]
Washington County C/O Jegy W. Rhodes
(Address)
PO Box 1007 P13nouth,.NC 27962
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 bythe 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 caused to be mailed and to provide them to the Department upon request.
Signa re of Applicant or Agent
Date

APPLICATION FOR A MINING PERMIT
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
Name of applicant: r .t_ G1Akarm.
Title of person executing Affindavit a1 �VS-,� . (i �,
I, C�q,4,, � 1 a Notary Public of the County of D� ,
State of North Carolina, do hereby certify.that Wg 0� � _ '� _�
appeared before me this day and under oath acknowledged that the above A
avit was made by hi n/her.
Witness my hand and ar I eal this 3z-4 day of / il�J, 20� .
Notary: my Commission expires:
CHIR,12 i'';KE A 60VLZ
NOTARY PUBLIC
Bare County
North Carolina
r_q.y E::pdres &!nuani 13, 2�'2�

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.
LANDOWNER:
F"
Signature( 1 ��
1
Print Name: t
(Title, if app icable)
Company
(If applicable) /
Address: e 1r' allydel
Telephone: (,-�52-) cP/el 63
APPLICANT:
Signature:*
Print Name: ^ ��- � i 6-W, J � _
Title:�`��.
Company: H Cam{ r `n J � (•Cx-Z C,rc. - 73,� (-
Mine Name:
Telephone: (�� Z) � 3 UQ-1 LI
Date Signed: V l -3y _ Date Signed: U1 30' Z-Ok,:�)
*Signature must be the same as the individual who signed Page 1 of this application.
and reclamation maps, and the appropriate processing fee (see next page for fee schedule) in the forma check
or money order payable to the North Carolina Department of Environment and Natural Resources must be
sent to the Land Quality Section 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 (919)
707-9220.
-17-

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Washington County, NC
PROPERTY MAP
Disclar;ner: N
-r-�- The data provided on this map are prepared forthe inventory of real property found wrthn
ac Washington County. IJC and are compiled tom tecorded plan, deeds, and other pubic records
and data. This data m for informational purposes only and should not be wbsMuted
tor.bueadesearch.propertyappraisal,wrvey,wforzosngven5caaon, One Inch = 1600 Feet

Q:\2013\P 13028\Drawings\P 13028—mining.d
2013 2:25 PM Malt Hurdle
I
KIP GRAY 611335
265 DILLON RD
COLUMBIA, NC 27925
EDHIN T. CG
4 EL lZABETH
112 50UN
NANTEO,
/ KIP GRAY 010B5
265 OILLON RD
COLUMBIA, NC 27R25
MAXWE i2AVENPORT HEIR-5
G/o WANDA D. CARR
575 PA16E kID016K RD
GATES, NC 27G55
LG
Y
27501
PROJECT
COPYRIGHT Q 2013
tiI
ADJACENT OWNER EXHIBIT-
Syr `�
P13028
QUIBLE & ASSOCIATES, P.C.
THIS DOCUMENT IS THE PROPERTY OF QUIBLE
& ASSOCIATES, P.C. ALL RIGHTS ARE
�uible SINCE 1959
HA TCHELL MINE
DRAWN QY
RESERVED, ANY REPRODUCTION OF THIS OR
JMH
POSSESSION WITHOUT PRIOR PERMISSION OF
QUIBLE & ASSOCIATES, P.C. WILL CONSTITUTE
CRAIG S. DAVENPORT PARCEL
&ssociate5, P.C.
VIOLATION OF COPYRIGHT LAWS. VIOLATION
WILL BE SUBJECT T A ACTION
ENGINEERING * CONSULTING * PLANNING
ENVIRONMENTAL SCIENCES * SURVEYING
CHECKED BY
SCUPPERNONG TWSP. WASHINGTON COUNTY
WOE
IF 1HJS PLAN OR PLAT IS NOT SIGNED AND
NORTH CAROLINA
NC License#: C-0208
SEALED BY A LICENSED PROFESSIONAL THEN
THIS PLAN OR PEAT SHALL BE CONSIDERED
PO Drawer 370, Kitfy Hawk, NC 27949
0 150' 300'
DATE
PRELIMINARY AND NOT A CERTIFIED DOCUMCNT
Irk
Phone: (252) 261 —3300
AND SHALL NOT BE USED FOR CONSTRUCTION,
Fax: [phone]
",
04/30/13
RECORDATION, SALES OR LAND CONVEYANCES.
GRAPHIC SCALE -IN FEET 1 1 50'
E—Mail: odminisfrador®quibla.aorn

(YEOPIM RIVER)
11D(EDENTON)
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035' 51' 00.32" N
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C76' 25' D6.03' W
(ROPER SOUTH)
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Topography based on USGS 1:24.000
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NOR-111 CAROLINA
TOPOGRAPI11C SEiRIFS (HARVEYNECK)
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SCALE 1:24000
0 1
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0 - 1000
YARDS
0 1
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MN 10.36° W NATIONAL GEODETIC VERTICAL DATUM 1929
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1 2,500'
1. A PLICANT. HATCHELL CONCRETE, INC.
PO BOX 2405
MANTEO, NC 27954
PROPERTY OWNER: CRAIG S. DAVENPORT
147 RALEIGH WOOD DR.
MANTEO, NC 27954
2 PROPERTY IDENTIFICATION:
PIN#: 7769.00-98-8633
PARCEL. 111: 5903
3, RECORDED REFERENCE: DB 321, PG 344
4, PARCEL AREA: 388,216 aq.ft. - 5.91 acres
5. BOUNDARY & TOPOGRAPHIC DATA SHOWN ON THIS PLAN ARE BASED ON A SURVEY
BY QUIBLE & ASSOCIATES, PC, DATED 04/12/13.
6. PROPERTY IS LOCATED IN F.I.R.M. ZONE "X", SHADED "X" (0.2%) & "AC' (EL 6')
PANED 3720776800L DATED 04/10/08. (SUBJECT TO CHANGE BY F.EM.A-)
N.T.S.
N_T.S.
GRADED LEVEL
- -1' CUT SLOPE
TYPICAL FILL SLOPE -
RECLAMATION FILL SLOPE
N.T.S.
PERMANENT V TEMPORARY_ VEGETATION
SEEDING DATES: APRIL I - SEPT 30 SEEDING DATES: OCT. 1 - MARCH 31
SEED MIXTURE 0 R MIXIURE APPLICATION RATES/ACRE
BAHIA 50 LBS. RYE GRAIN 175 LBS.
COMMON BERMUDA 50 LBS.
(UNHULLED)
GERMAN MILLETT 15 LBS.
FESCUE 20 LBS.
UTILIZER FERTILIZER
26-13-13 O 500 LB/ACRE 10-10-10 O 1000 LB/ACRE
MULCH MULCH
APPLY 4.000 LB/ACRE STRAW. ANCHOR STRAW BY TACKING WITH ASPHALT, APPLY 4,000 LB/A;.RE STRAW. ANCHOR STRAW BY TACKING WITH ASPHALT,
NETTING, OR A MULCH ANCHORING TOOL A DISK WITH BLADES SET NEARLY NETTING, OR A MUCH ANCHORING TOOL A DISK WITH BLADES SET NEARLY
STRAIGHT CAN BE USED AS A MULCH ANCHORING TOOL STRAIGHT CAN BE USED AS A MULCH ANCHORING TOOL
GENERAL.-
-FERTILIZER RATES SHOWN ARE GENERAL RECOMMENDATIONS, FREQUENCY AND AMOUNT OF FERTILIZATION CAN BEST BE DETERMINED THROUGH SITE SPECIFIC SOIL
TESTING.
-MAINTENANCE:
SATISFACTORY STABILIZATION AND EROSION CONTROL REQUIRES A COMPLETE VEGETATIVE COVER. EVEN SMALL BREACHES IN VEGETATIVE COVER CAN EXPAND RAPIDLY
AND, IF LEFT UNATTENDED, CAN ALLOW SERIOUS SOIL LOSS FROM AN OTHERWISE STABLE SURFACE. A SINGLE HEAVY RAIN IS OFTEN SUFFICIENT TO GREATLY ENLARGE
BARE SPOTS, AND THE LONGER REPAIRS ARE DELAYED, THE MORE COSTLY THEY BECOME. PROMPT ACTION WILL KEEP SEDIMENT LOSS AND REPAIR COST DOWN. NEW
SEEDLINGS SHOULD BE INSPECTED FREQUENTLY AND MAINTENANCE PERFORMED AS NEEDED. IF RILLS AND GULLIES DEVELOP, THEY MUST BE FILLED IN, RE -SEEDED,
AND MULCHED AS SOON AS POSSIBLE. DIVERSIONS MAY BE NEEDED UNTIL NEW PLANTS TAKE HOLD.
MAINTENANCE REQUIREMENTS EXTEND BEYOND THE SEEDING PHASE. (UNTIL FINAL COMPLETION IS AWARDED)
WEAK OR DAMAGED SPOTS MUST BE RELIMED, FERTILIZED, MULCHED, AND RESEEDED AS PROMPTLY AS POSSIBLE. REFERTILiZATTON MAY BE NEEDED TO
MAINTAIN PRODUCTIVE STANDS.
SEEDING SPECIFICATIONS
SOD SPECIFICATII
SOD SHALL BE BERMUDA 419 OR EWVALENT.
PRIOR TO SODDING; THE GROUND SURFACE SHALL BE SMOOTHED AND
CLEARED OF ALL TRASH. DEBRIS, AND OF ALL ROOTS, BRUSH, WERE,
GRADE STAKES AND OTHER OEIECTS THAT WOULD NTE32FERE WITH
PLANTK FERTIU34G OR MAINTENANCE OPERATIONS.
WHERE THE SOIL IS ACID OR COMPOSED OF HEAVY CLAYS, GROUND
UMESTONE SHALL BE SPREAD TO RAISE THE PH TD 6.5.
APPLY COMMERCIAL FERTILIZER AT 20 LBS. OF 5-10-10 (OR EQUIVALENT)
AND MIX INTO THE TOP 3 INCHES OF SOIL WITH THE REQUIRED LIME
FOR EVERY 1,000 SQUARE FEET.
SOIL SHOLU BE MOIST PRIOR TO SODDING.
ARRANGE FOR TEMPORARY STORAGE OF SOD TO KEEP IT SHADED AND
COOL
CATEGORY
ACREAGE
(ROUNDED NEAREST 0.01)
TAILINGS/SEDIMENT PONDS
N/A
STOCKPILES
N/A
WASTE PILES
0.63 AC
PROCESSING AREA/HAUL
ROADS
0.61 AC
MINE EXCAVATION
4.02 AC
DITCHES
N/A
RECLAIMED AREAS
N/A
UNDISTURBED AREAS
1.99 AC
AREA WITHIN 25' BUFFER
1.38 AC
DISTURBED ACREAGE
5.26 AC
PERMIT BOUNDARY
8.07 AC
11Y I. 1O'
BERM
L1AE FROM ECM TO A9VrEIR o RH 2rP
BERM TO BE PERMANENTLY SEEDED ACCORDING TO TAK61 HWH FB 3, P6 34C. 0E
ATTACHED SPECS PRIOR TO DREDGE DISCHARGE ON SAID PLAT A5 AEINS LABIH.iSD /
FEC40t-� FM LIME A6RLYY-96'JT
BERM DETAIL
N.T.S. /
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THE DATA GIVEM ON THESE PLANS IS BELIEVED
TO BE ACCURATE, BUT THE ACCURACY IS NOT
GUARANTEED. THE CONTRACTOR IS RESPONSIBLE
FOR VERIFYING ALL LEVELS, LOCATIONS, TYPES,
AND DIMENSIONS OF THE EXISTING UTILITIES
PRIOR TO CONSTRUCTION. IF A DISCREPANCY
IS FOUND, WORK SHALL CEASE AND THE ENGINEER
NOTIFIED. WORK MAY CONTINUE UPON ENGINEERS
NOTICE TO PROCEED.
i kf' AY 14 2013
GRAPHIC SCALE
54Y 0 2V 5W 100'
( IN FEET )
1 inch = 50 &
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COMMISSION NO.
P13028
DESIGNED BY
WDE
DRAWN BY
JMH
CHECKED BY
WDE
ISSUE DATE
04130113 00
r SHEET N0.
OF 1 SHEETS