NCG020673_COMPLETE FILE - HISTORICAL_20151209

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V CCU v
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ 0Z0I5 '� "09
YYYYMMDD

December 9, 2015
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Roberson Sand Pitt 1_1-C
Attn: Brent Roberson
PO Box 1596
Witliamston. NC 27892
PAT MCCRORY
rfr+rr,nnr
DONALD R. VAN DER VAART
Subject: NPD1?S Stormwater Permit Coverage Renewal COC #NCG020673
Dear Permittee:
'f RACY DAMS
Ili"',1-
For coverage under NPI)ES General Permit NCG020000, the Division of Energy, Mineral and Land
Resources (DEMLR) is forwarding herewith the reissued Certificate of Coverage and
Stormwater/Wastewater General Permit. 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 October 15, 2007 (or as subsequently
amended.) The following information is included with your permit package:
• New Certificate of Coverage
• Stormwater/Wastewater General Permit
• Technical Bulletin for the General Permit
• Discharge Monitoring Report (DMR) Forms
• Annual Discharge Monitoring Report Forms
• Qualitative Monitoring Report Forms
The General Permit authorizes discharges of stormwater and/or wastewater (as applicable to your site),
and it specifies your obligations with respect to discharge controls, management, monitoring and record
keeping. Please review the new permit to familiarize yoursclf with all changes i❑ the reissued permit.
Significant changes to the General Permit are outlined in the Technical Bulletin.
Your coverage under the General Permit is transferable only through the specific action of DEMLR. This
permit does not affect the legal requirements to obtain other permits which may be required by the N.C.
Department of Environmental Quality, nor does it relieve the permittee from responsibility for
compliance with any other applicable federal, state, or local law. rule, standard, ordinance, order,
.judgment or decree.
II' you have any questions regarding this permit package please contact the DElVI1.R Stormwater
Permitting Program at 919-707-9220.
Sincerely,
fur Tracy E. Davis, P.L., C_P.M
Cc: Stormwater Perinittim, Files
State id North CUolitM I laicironmental Qualitc 1 1,nergp, Minend and rand Retinurce+
1612 Mail Service Comer 1 512 NotIh Sal ishury SIITet I Raleigh. NC 27f+99-1612
919 707 92W 'r

Permit No
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCGO20673
STORMWATER AND 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,
Roberson Sand Pitt LLC
is hereby authorized to operate approved wastewater treatment system(s) and discharge
stormwater and/or wastewater, as approved in the original permit/application or
subsequent permit modification, from a facility located at:
Roberson Sand Pit 11, LLC
Sr 1121
Williamston
Martin County
to receiving waters designated as Ready Branch, a class C water in the Roanoke River
Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III, and IV of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective October 1, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 1, 2015.
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

of W A TF
9pG
co
5 Y
Mr. Charles Brent Roberson
Roberson Sand Pit II, LLC
PO Box 1596
Williamston, NC 27892
Dear Mr. Roberson:
Michael F. Easley, Govemor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
January 16, 2008 RECEIVED
JAN 18 2000
j Y Y WARD
Subject: NPDES General Permit NCG020000
Certificate of Coverage NCG020673
Roberson Sand Pit 1I, LLC
Formerly Ronnie Revels Backhoe and Septic
Tank Mine
Martin County
Division personnel have reviewed and approved your request to transfer coverage under the General Permit,
received on November 19, 2007.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in fu(I effect. This revised Certificate of Coverage is issued under the requirements
of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and
the U.S. Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sincerely,
4 , PC; A
Coleen H. Sullins
cc: DWQ Central Files
Washington Regional Office
Slormwater Permitting Unit
N"��hCarolina
✓valtmally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Intemet h2o,enr.statemc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal OpportunitylAffirmaM Action Employer— 50% Recycled110°% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020673
STORMWATER 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,
ROBERSON SAND PIT II, LLC
is hereby authorized to discharge stormwater from a facility located at
ROBERSON SAND PIT II, LLC
OFF STATE ROAD 1121
WILLIAMSTON
MARTIN COUNTY
to receiving waters designated as a UT to Ready Branch, a class C water, in the Roanoke River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, 111, IV, V and VI
of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective January 16, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 16, 2008,
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

-e -
►TION MAP
Latitude: 35°47'12": ' NC+C70206%3Facility'.
Longitude:O]))
if e
County• Martin, NC Ronnie Revels Backhoe Location
Stream class: C
& Septic Tank Mine f .A
Receiving Stream: UT to Ready Branch
Subbasin: 03-02-09 (Roanoke River Basin) CxO'tfA !CALF 1:141000 .

Ronnie Revels
Owner
3550 Fire Department Road
Williamston, NC 27892
Dear Mr. Revels:
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
July 7, 2006 �ECEIVE�
JUL 0 6 2006
DWQ—WA® ?
Subject: General Permit No.NCG020000
Ronnie Revels Backhoe and Septic Tank
Mine
COC NCG020673
Martin County
In accordance with your application for a discharge permit received on January 9, 2006,
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 143-215.1 and the Memorandum of Agreement between North Carolina
and the US Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This general permit allows the discharge of stormwater and certain types of wastewater
from mining facilities. In your application, you specified that only stormwater would be
discharged from this site, which is reflected on the certificate of coverage (COC).
Please take notice that this certificate of coverage (COC) is not transferable except after
notice to the Division of Water Quality. The Division of Water Quality 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 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.
o`t
NCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwaterauality org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone] I-877-623-6748
An Equal Opportunity/AfrmaWe Action Employer — 50% Recydedll0% Post Consumer Paper

If you have any questions concerning this permit, please contact Bethany Georgoulias at
telephone number [phone] ext. 529.
Sincerely,
ORIGINAL SIGNED BY
Alan W.'-ImekK t- .
cc: Washington Regional Office
Central Files
Stormwater Permitting Unit Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020673
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,
Ronnie Revels
is hereby authorized to discharge stormwater from a facility located at
Ronnie Revels Backhoe and Septic Tank Mine
0.8 miles beyond end of SR 1121 state maintenance
Martin County
to receiving waters designated as an unnamed tributary to Ready Branch, class C water, in the
Roanoke River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1, II, III, IV, V, VI and VII of General Permit No. NCG020000
as attached.
This certificate of coverage shall become effective July 7, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 7, 2006.
ORIGINAL SIGNED BY
KEN PICKLE
for Alan W. Klimek, P.E., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

LOCATION MAP:
Latitude: 35°47'12". NCG020673 Facility.
Longitude:77°05'04"
County: Martin, NC Ronnie Revels Backhoe Location
Stream Class: C Septic Tank Mine
Receiving Stream: UT to Ready Branch t
Subbasin: 03-02-09 (Roanoke River Basin)

NCG020673
Revels Mine
rev. 6/30/06
February 2, 2006
B. Georgouiias
Summary
This facility submitted a Notice of Intent to be covered under General Permit NCG020000 (Mineral
& Mining Industry). The stormwater (no mine dewatering or other wastewater) discharge drains to a
UT to Ready Branch (Class C), in the Roanoke River Basin. This facility is located in Martin
County, handled by the Washington Regional Office.
Application review
a) The permit application has been signed and sufficiently completed. Yes.
With the NOI, the applicant submitted a copy of the mining permit renewal
application, submitted to DLR in January 2006.
b) The SIC code accurately describes this facility's activities and is covered by this general
permit. Yes. SIC: 1442 (Construction Sand and Gravel)
Facility will be mining sand, fill dirt, and top -soil n
J
c) Does this facility have other permits? Mining Permit from DLR (5K 28) revised.
d) Hazardous Waste Activities? No.
e) DLR Mining Permit status requested: 2/2/2006 (DLR contact J. Wehner)
Mining Permit (59-28) Application Review:
-Point source discharge from 5.2 acre settling pond (water outlet and spillway noted on site plan)
-No dewatering wells
Mining Permit Issued: 6/28/06
f) Regional Office input requested: 2/2/2006 (WaRO contact A. Hodge).
RO Approval received: 2/15/06 (Pat Durrett, WaRO) see attached e-mail.
No wetlands impacts anticipated.
g) Is an AtC Required? No. No wastewater (mine dewatering or other) discharge, so no
AtC review/approval required.
h) Application approved? Yes, contingent upon Mining Permit issuance.
Phone logs
None.

Ronnie Relels' Backhoe and Septic Tank Mine
Subject: Ronnie Revels' Backhoe and Septic Tank Mine
From: "Pat.Durrett" <[e-mail]>
Date: Wed, 15 Feb 2006 09:00:36 -0500
To: [e-mail]
Bethany,
Al asked me to look over this NOI request. I have not been to the site, however,
since there is no dewatering activity, flows should not be sufficient enough to cause
a problem. Also, it travels through a swampy area before it reaches Ready Branch so
hopefully there will be no turbidity issues. Go ahead and issue the NOI. If you have
questions, do not hesitate to contact me. Pat
1/0 (9 -
f 1OEAW
U
l of I
2/15/2006 9:03 AM

N01 for SYormwater General Permit - NCG020673
Subject: NOl for Stormwater General Permit - NCG020673
From: Bethany Georgoulias<bethany.georgouIias@ncmall. net>
Date: Thu, 02 Feb 2006 14:05.15 -0500
To: Al Hodge <[e-mail]>
Hi Al,
Ronnie Revels 'Backhoe and Septic Tank Mine' in Martin County near Williamston has
applied for coverage under NPDES stormwater general permit NCG02. The facility will
mine sand and fill dirt, and will discharge only stormwater from a settling pond (no
dewatering or other wastewater discharge). The discharge is to a UT to Ready Branch
(C waters) in the Roanoke Basin. A copy of the NOI is attached.
Does the Washington Regional Office have any concerns about issuing a COC to this
facility? There will be no dewatering, so I don't think wetlands issues would arise
with this one. If we don't receive a response, the Central Office plans to issue the
COC in 30 days.
Thanks,
BG
Bethany Georgoulias
Environmental Engineer
NC DENR DWQ
Stormwater Permitting Unit
[phone], ext. 529
[e-mail]
jContent-Type: application/pdf
NCG020673_NOi.pdf
Content -Encoding: base64
1 of 1 2/2/2006 2:06 PM

Re: Minint, Permit Status - Revels Mine
Subject: Re: Mining Permit Status - Revels Mine
From: Judy Wehner <[e-mail]>
Date: Thu, 02 Feb 2006 13:57.46 -0500
To: Bethany Georgoulias<[e-mail]>
We are currently going through a renewal of the mining permit. The renewal has not
been issued to date. The number recently changed to 59-28.
Bethany Georgoulias wrote:
Hi Judy,
I'm trying to find out the status of a mining permit. 'Ronnie Revels Backhoe and
Septic Tank Mine' in Martin County applied for a mining permit (It's either No.
58-28, or 59-28... it's discrepant in two different places on the applications),
probably in early January. Apparently their old mining permit was 58-06. Do you
know if that permit has been issued?
Thanks!
I of 1 2/2/2006 2:05 PM

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
LAND QUALITY SECTION
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
Ronnie Revels Backhoe and
Name of Mine Septic Tank Mine
County
Martin
River Basin Roanoke Latitude(dd.mm.ss) 3 5 ° 4 7' 12 Y.ongitude (dd.mm.ss)77 ° 0 5 ' 0411
2. Name of Applicant* Ronnie Lee Revels
3. Permanent address for receipt of official mail**_ 3550 Fire Department Road
Williamston, NC 27892
Telephone [phone]o25 - -T
4. Mine Office Address 3550 Fire Department Road
Wi lliamston, NC 27892 _ __ Telephone [phone]—
Mine Manager Rnnnj e lee RPVP1s
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 Alr- - ;Z-"" 6za-- Date
Print Name Ronnie Lee Revels
m:.,.. Owner
* 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 Land Quality Section 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
naps provided before this application can be considered complete. Attach additional sheets as needed.

A'PPLICATION FOR A MINING PERMIT
NOTE: All of the following questions must be thoroughly answered with regards to your mining
operation for the intended life of the mine. All responses I1jLq be clearly conveyed on a corresponding,
detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
Answer all of the following that apply:
1, a. If this is an application for a � 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): N/A
Of this acreage, how much is owned and how much is leased? Acres owned:N/A Acres
leased: _ Property owner if leased:
b. If this is an application for REMOVAL of a mining permit, indicate the mining permit number
and the total (overall) acreage covered by the existing permit: Mining Permit No.:�9-7R Total
permitted acreage (this is the acreage that the "renewal" fee will be based upon): 17.99
c. 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 .:5 9 - 2 8 * Total permitted acreage:___2 0
Does the modification involve acreage within the previously approved permitted boundary?
YesX 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 Qutsidc the previously approved permitted boundary?
Yes_ No X. If yes, indicate the additional acreage to be covered by this
modification: N/A (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 (disturbed,
ground cover removed) by the mining operation? Yes_ No— (if no, a "minor modification"
fee of $50.00 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):
d. 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.: N/A
"Total permitted acreage: N/A
■ 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, fill dirt
Mining method: Hydraulic Dredge Front-end Loader & Truck X Shovel & Truck X
Dragline & Truck X Self -loading Scraper X Other (explain) Backhoe and Truck
Old Mine Permit # 58-06.
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APPLICATION FOR A MINING PERMIT
. 4. a. Expected maximum depth of mine (feet) _ 29
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation,
etc.) natural Qr0lind-- - - --- - - -
b. Expected average depth of mine (feet) 1 5
5. Has any area(s) at this site been mined in the past? Yes XX No
If yes, when and by whom was this activity conducted?
Septic Tank and S.T. Wooten Corp TIP #B-3871
6. Number of years for which the permit is requested (10 years maximum): 10
B. MAPS
•
Clearly mark and label the location of your mining operation on six Q conies of a 7.5 minute
quadrangle and a county highway map. These maps, in addition to of all mine maps and
reclamation maps, must be submitted with each permit application.
— 7.5 minute quadrangles may be obtained from:
N.C. Geological Survey
NCDENR
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
[phone]
— County highway maps may be obtained from:
Location Department
State Highway Commission
Raleigh, North Carolina 27602
[phone]

APPLICATION FOR A MINING PERMIT
2. Mine maps must be accurate and appropriately scaled drawings, aerial photographs or enlarged
topographic maps of the entire mine site. AU aspects of the mine site must be clearly labeled on the
maps along with their corresponding (appro)dmate) 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.
d.
Initial and ultimate limits of clearing and grading.
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 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.
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
5. Symbols used and corresponding names
7. Date prepared and revised
S. Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP -SCALE
0-99 Acres 1 inch = 50 feet
100-499 Acres 1 inch = 100 feet
500+ 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 raining
permit. A table/chart similar to the following will be acceptable:
CATEGORY
AFFECTED ACREAGE
dixxgSediment Ponds
5.2
Stockpiles
0.2
Wastepiles
RXri lA/Haul Roads
0.3
Mine Excavation
4 .
Other Buffer
8.2
Total 18.0
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.
LJ
-5-

APPLICATION FOR A MINING PERMIT
0. PROTECTION OF NATURAL RESOURCES
I . 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.
1. Install erosion control devices, silt fence, diversion, ditches,
sediment pond as needed.
2. Stock pile topsoil, and remove trees.
3. Excavate and load sand and fill dart.
2. Describe specific erosion control measures to be installed prior to land disturbing activities and during
mining to prevent offsite sedimentation (include specific plans for sediment and erosion control for
mine 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 shall be required when needed to justify the
adequacy of any proposed measures.
1. Install silt fence and sediment traps with diversion ditches.
0 2. Grade site so surface water flows into mine excavation.
r
L-J
3. a. Will the operation involve washing the material mined, recycling process water, or other waste
water handling? Yes No xX . 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 XX . 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).
W�

APPLICATION FOR A MINING PERMIT
c. Will any part of the proposed mine excavation(s) extend below the water table?
Yes XX No . If yes, do you intend to dewater the excavation(s)? Yes
No XX . 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
maps) 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.
There will not be dewatering wells.
There are no water wells within 500 feet of any proposed excavation.
This area is served by a public water system.
d. If you answered yes to any of the above questions: provide evidence that you have applied for or
obtained the appropriate water quality permit(s) (i.e., non -discharge, NPDES, Stormwater, etc.)
from the Division 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
100,000 gallons per day and 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.
NPDES permit application attached.
® 4. a. Will the operation involve crushing or any other air contaminant emissions?
Yes No If yes, indicate evidence that you have applied for or obtained an air quality
permit issued by tie -Division of Air Quality or local governing body. _
b. How will dust from stockpiles, haul roads, etc., be controlled?
By water truck as needed.
is

APPLICATION FOR A MINING PERMIT
is 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:,tbe 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 of 25 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).
1. A 25 foot wide undisturbed and unexcavated buffer will be
provided on all boundary lines.
2. Farming will continue in the areas presently being farmed.
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 ass smaller
undisturbed buffers can be justified. Depending on site conditions, a buffer wider than 50 feet
may be needed.
® How wide an undisturbed buffer will be maintained between any Iand 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 50 foot wide undisturbed buffer will be provided along all water
courses and wetlands.
6. 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 1 vertical slopes or flatter for sandy material are generally required,
unless technical justification can be provided to allow steeper slopes.
A 3 to l.operations and reclamation slope will be provided along
all permit boundaries.
•

APPLICATION FOR A MINING PERMIT
b. Provide a cross-section on the mine maps) 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.
See plans.
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(5).
A 3 to 1 slope will be provided, 18.4 degrees from the horizontal..
There will be no benching on final slopes.
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. Describe other methods to be taken duringminin to prevent physical hazard to an neighboring dwellin
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.
None of the above described items are within 300 feet of the proposed
mine excavation.
Maintaining the 3 to 1 operating and reclamation slope with the
proposed set back from the boundary line will protect any structures
in the vicinity of the mine.
8. Describe what kind of barricade will be used to prevent inadvertent public access along an high wall 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).
1. An earthen berm 3 feet high will be used at any high walls.
0 9

APPLICATION FOR A MINING PERMIT
•
9. Are acid producing minerals or soils present? Yes NoXX How will acid water pollution
from the excavation, stockpiles and waste areas be controlled?
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 spacings, sizes and species for tree plantings.
This operation is 0.8 mile from the end of a public road. This
operation cannot be seen from any public road.
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?
This site is several miles from any public or private park
or recreation area.
11. Will explosives be used? Yes No XX . If yes, specify the types of explosive(s) and describe
what precaution(s) will be used to prevent physical hazard to persons or nei&hboring property from
flying rocks or excessive air blasts or ground vibrations. Depending on the mine's Iocation to nearby
structures, more detailed technical information may be 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 NoXX. If yes, 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).
-10-
•

APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
1. 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 locations) of all permanent channels must be indicated on the reclamation map.
Final reclamation will be to ponds.
The buffer will be planted to grass or trees.
Any sedimentation ponds will be combined with the permanent
reclamation ponds.
Spill ways will be provided.
O2. Is an excavated or impounded body of water to be left as a part of the reclamation? YesxX
No If yes, illustrate the location of the body(s) of water on the reclamation map and provide a
scaled cross-section(s) 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 XX No . If yes, specify species.
Bass and Bream.
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.
This is not a rock mine.
Final slopes will be 3 to I.
This operation has streams on three sides.
-11-

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.
There will be no over burden, spoil banks, or refuse when -,mining
is complete. All areas will be flattened to 3 to 1 or flatter
slopes and seeded to grass. Surface water will be directed to
the permanent ponds.
5. a. Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
There will be no processing facilities or stockpile areas. All
areas will be flattened to 3 to 1 or flatter slopes and seeded.
Surface water will be directed to ponds. Roads will be seeded
to rass.
b. WiII any on -site roadways be left as part of the reclamation? Yes No XX Ifyes,
identify such roadways on the reclamation map and provide details on permanent ditch line stabilization.
0 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
P,enerated 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 maps) and reclamation map, along with a list
.of items to be disposed in said areas.
There will be no permanent or temporary -repair or storage
facilities on this site. Vendors making repairs to equipment
are required to remove all used parts and debris.
-12-

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 vear-round seeding, including the time of seeding and the amount and type of seed,
fertilizer, time and mulch per acre. The recommendations must include general seeding instructions for
permanent revegetation and, if necessary, 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;
e. 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):
2 Tons/Acre
FERTILIZER - ANALYSIS AND RATE OF APPLICATION (pounds/acre):
500 Pounds 10/10/10 Per Acre
SEED - TYPE (S) AND RATE (S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds/acre): [NOTE: Include Legumes]
Seed Types:
Pensacola Bahia
Common Bermuda
German Millet
Tall Fescue
Pensacola Bahia
Seedinp- Dates:
April 1 to August 15
April 1 to August 15
April 1 to August 15
August 15 to May 31
August 15 to May 31
Seeding Rates:
60
10
10
10
40
MULCH - TYPE AND RATE OF APPLICATION (pounds/acre) AND METHOD OF ANCHORING:
2 Tons/Acre, Asphalt Tac, or Equivalent
OTHER VEGETATIVE COVERS — TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre, treeslacre, spacing of trees/shrubs, etc):
Revegetati nd/o e estatia pr d by:
Signs e December 18, 2005
Print Na Hnnrl T. Ri r-'hArrignn
Title Consultant
Agency Hood Richardson, PA
0 -13-

APPLICATION FOR A MINING PERMIT
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.
AFFECTED
CATEGORY ACREAGE
W /Sediment Ponds: 5.2 Ac
Stockpiles: 0.2 Ac
Wastepiles: -0- Ac
RECLAMATION RECLAMATION
COST/ACRE* COST
X $ 500 /Ac. = $ 2600
X $ 1800 /Ac. = $ 360
X $ -0- /Ac. = $ -0-
Processing Area/Haul Roads: 0-3 Ac. X $ 7 goo /Ac. = $ 54 o
Mine Excavation: 4.1 Ac. X $ 500 _ /Ac. = $ 2050
Other: autfer 8 _ Ac. X $ -a: /Ac. = $ -0- . _.
TOTAL AFFECTED AC.: 9 u Ac.
( TOTAL PERMITTED AC.: 17.99Ac.)
lcmporary &, Permanent SediMQatation_ & ErosiQn 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 9.8 Ac.
b) Positive Drainage -0- Ac. X $1,500.00 = $ -0-
5550
SUBTOTAL COST: $
Inflation Factor:
0.02 X SUBTOTAL COST: $ 5550 X Permit Life (1 to 10 years)_ 10
INFLATION COST: $ 1110
TOTAL COST = SUBTOTAL COST + INFLATION COST = $ 6660
Total Reclamation Bond Cost: $ 6600
(round down to the nearest $100.00)
go
-14-

APPLICATION FOR A MINING PERMIT
0. NOTIFICATION OF ADJOINING LANDOWNERS
The "Notice" form, or a facsimile thereof, attached to this application must be sent certified or registered
mail 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 1,000 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 is 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 acce.ptable to the.Department) must be mailed with the completed
"Notice" form (the proposed overall pernut boundaries and the names and locations of all owners of
is 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.
NOTE: 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(b1).
■ SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
0 -15-

NOTICE
• Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
Ronnie Revels Sackhne and Septic Tank has applied on
(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) a new surface mining permit ❑
(b) a modification of an existing surface mining permit to add land to the permitted area
The applicant proposes to mines and and fill dirt
(Mineral, Ore)
South —Southwest
(Direction)
of Williamston
in Martin County.
(Nearest Town)
on acres located 10
(Number) (Miles)
off/near road
SR 1121
(Number/Name)
*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 to notify all
owners of record, both public and private, of all tracts of land that are adjoining the mining permit boundary;
0off an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract, all owners
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 are 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 regarding the
* For information on the mining permit application review process, please contact the
Mining Program staff at [phone]. Please note that the Departmeni will fonsidcr any relevant written
comments/documentation within thc'rovis. of the Mining Act of 19.71 throughout the app.lisation review
final
process until a decision is madt on the application.
Ronnie Revels
3550 Fire Department Road Ronnie Revels
w; l l ; gmst- ' NC_ -2729_
(Addressee/Owner of Record's (Name of Applicant: Include Contact Person
Name and Address) & Company Name, if Applicable)
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
3550 Fire Department Road
Williamston, NC 27892
(Address of Applicant)
*Hood Richard, PE 252-975-3472
or Ronnie Revels 252-792-6025
-16-

APPLICATION FOR A MINING PERMIT
•
AFFIDAVIT OF NOTIFICATION
I; Hood L . Richard,pn ,XM)g0& = an agents fipaNy Y41X&b*, VM forte
a modification of an existing Mining Permit to add land to 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 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 that notice of the pending application has been caused to be mailed, by certified or registered mail,
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)
See Attached List
(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, to said office at the following address:
(Chief Administrative Officer Name) (Address)
[City Manager, County Manager, Mayor, etc.] Martin County
P.O. sox 668
Russell W. Overman, County Manager Williamston, NC 27892
® 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 by
the 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 .�04(d). I understand that it is the responsibility of the applicant to retain the receipts of mailing
showing_tha he a�We notices were caused to be mailed and to provide them to the Department upon request.
January 3, 2006
Signature of 142M)a Agent Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
(Name of appiicant�e Revels BackhoE and septic dank' (t tle of person executing
Affidavit) Hood Richardson, Agent
a Notary Public of the County of Beaufort , State of North
�► d h i Richardson Car�Q� t4by certify that Hoodpersonally appeared
be gnd under oath acknowledged that the above Affidavit was made by him./her.
� f
'� ~ rd nd and not ial eal, this day of , 2006
N1ommission expires: 46` �2 -,Za9
•.,,�iPT COUNAi - 17 -

NOTIFICATION LIST
Rose W. Peele
2200 Dan Peele Road
Williamston, NC 27892
Parcel Number: 5764-55-1823
Robert L. & Janice M. Greene
1679 Green Acres Road
Williamston, NC 27892
Parcel Number: 5764-65-7275
Robert L. Greene
1679 Green Acres Road
Williamston, NC 27892
Parcel Number: 5764-75-5259
Douglas R. Whitaker
2899 Harrison Road
Williamston, NC 278792
Parcel Number: 5764-77-7593
-George Land
1934 Green Acres Road
Williamston, NC 27892
Parcel Number: 5764-85-4455
Roy Coy Rodgers
1994 Green Acres Road
Williamston, NC 27892
Parcel Number: 5764-85-7780
Mable W. Evans
2755 Country Club Road
Winston-Salem, NC 27104
Parcel Number: 5764-96-0606
Shirley Land Fields, Trustee
1895 Green Acres Road
Williamston, NC 27892
Parcel Number: 5764-85-1522
Parcel Number: 5764-85-2383
0

APPLICATION FOR A MINING PERMIT
46 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.
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:
Signature: �)' -
Print Name: Ronnie Lee Revels
Address: 3550 Fire Department Road
9 Williamston, NC 27892
Telephone: [phone]
APPLICANT;
Signature: * �" e-Y. _ 'e.'_
Print Name:
Title:
Company:
Mine Name:
* Signature must be the same as the individual who signed Page 1 of this application.
maps, and the appropriate processing fee (see neat page for fee schedule} in the form a check or money order
payable to the North Carolina Department of Environment and Natural Resources must be sent to the Land
Quality ection 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)
733-4574.
0
Ise M

Division of Water Quality I Water Quality Section
National Pollutant Discharge Elimination System
NCDENR
nu+rn GRQ"- D) T�Ew or
�n.inoe..+e.* nn� NiVI/nnL RE�A"t
NCG020000
NOTICE OF INTENT
FOR AGENCY USE ONLY
I Date Aecerved
Year Month ay I
Certiecate of Covcra e
Check rl
Amount
Permtt Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
N CGO20000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 14 Mineral Mining Industry (except as specified below)
The following activities are also included:
• Active or inactive mining operations (including borrow pits) that discharge stormwater contaminated with or
that has come in contact with, any overburden, raw material, intermediate products, finished products,
byproducts or waste products located on the site of such operations
• Stormwater from vehicle maintenance activities at mining operations; overflow from facilities that recycle
process wastewater; and/or mine dewatering
The following activities are specifically excluded from coverage under this General Permit:
• Peat mining, coal mining, and metal mining
• Stormwater discharges from mining operations which are intermixed on site with stormwater from asphalt
® operations, and oil and gas extraction operations
' Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator:
•
Name---Ronni-e—Re-VaLs------------------ --
Street Address---2..554_Fi.r-e--D-apDx-tmea-t_Masi_--_------_w____------------------
City--_I+�i1.li�msn-------------- State _N�ZIP Code _27-892.-------•-
Telephone No. ---22 ----------- Fax Fax: ------- ---------------------------
' Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name Ronnie Rev_es_ Backhoe_n_Segi� ............
Facility Contact Ronnie _Revels —_---------------------------------------------
Street Address 0.8 miles _beyyond_ end_of_ state maintenance_ of SR _1121 (Eli
City Williamston ___________ State -i�IC ___ ZIP Code 27892Bowen Road)
County Martin
- -- ---- ---
----------------- -
Telephone No. 252 ---- ------ ----
_-- _7 9 2_ 5 0 2 5 --------------------------
Fax: -----__---------
_____.--------____------
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection).0__8__ miles_ beyond
_ end of state
maintenance of SR 1121 (Eli Bowen Road) _
to copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
SIJVU-217-101701
Page 1 of 4

NCG020000 N.0.1.
4) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin _________---------------
X® Existing
5) Standard industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code:
6) Provide a brief narrative description of the types of minerals mined at this facility: _aand.,__fj11-_
dirt, topsoil. - ---- -_
7) Discharge Points:
Number of discharge points (ditches, pipes, channels, etc, that convey discharges from the property):
Stormwater: _ 1 ____ Mine dewatering:_NQ.ne.__ Process Wastewater Overflow: _gQjLj-___
Please provide short narrative description of discharges: ___---
pond_nf_xnre_±_hasL_on __�:Lcre_and overf1c) --,- across-s zamp__tn-R,ea.dy--Creek.
8) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility Stormwater
discharges end up in? _ Ready__CzeekL_ Roanoke Basin-- ----------------------------
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). -------- NJA---------------------------
9) Does this facility have any other NPDES permits?
U No
•
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility: _--______________
10) Does this facility have any Non -Discharge permits (ex: recycle permits)?
)UNo
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: _____________________
11) Does this facility employ any best management practices for stormwater control?
❑ No
;Q Yes
If yes, please briefly describe:yrc�_y,tnr-___yn-���� than--0ne
ac r�_g�nt1_ f n r_�e�tLi n��aos�_sz�xflo_int c�_Re� d_�Z_�rax�ch ----_____-
---------------------------------------------------------------------------------------
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
)P� Yes
If yes, when was it implemented? Within the mining permits_ First -permit- issued
����.---Permit58-28 New} , 58-06 (Old)
13) Are vehicle maintenance activities occurring at this facility?
No ❑ Yes
14) Are mine dewatering discharges occurring?
No ❑ Yes
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swu-217-101701

NCG020000 N.O.I.
a15) Are discharges of overflows from process wastewater treatment systems occurring?
No
❑ Yes
If yes, answer the following questions on the wastewater treatment system:
a) Please describe the type of process used to treat and/or recycle the process.wastewater. Give do
specifics (i.e. design volume, retention time, surface area, etc.). Existing treatment facilities should ba
described in detail and design criteria or operational data should be provided (including calculations.; io
ensure that the facility can comply with requirements of the General Permit. [Use separate sheet(s)l
Note: Construction of any wastewater treatment facilities require submission oftthree (3) sets of plans and
specifications along with their application. Design of treatment facilities must comply with requirements
15A NCAC 2H .0138. if construction of wastewater treatment facilities applies to the discharge of process
wastewater, include three sets of plans and specifications with this application.
b) Does this facility employ chemical additives to flocculate suspended solids?
❑ No
❑ Yes
If yes, please state the name, manufacturer and the quantity of average daily usage of the chemictal
additive
----------------------------------------------------------------------------
c) Does this facility overflow only during rainfall events exceeding the 10-yr, 24-h� rainfall event?
❑ No ❑ Yes
16) Hazardous Waste:
. a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
Y42� No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of
hazardous waste?
No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
>ZE No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste :----_-----R A ----------------------------------------_---
How is material stored:
Where is material stored:
How many disposal shipments per year -------------------------------------------------------
Name of transport / disposal vendor:__________
Vendor address:---------------------------------------------------.___----___-_-._-___
17) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report,
plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any
isrecording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine
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5WU-217-101701

NCG020000 N.O.I.
not to exceed $10,000, or by imprisonment not to exceed six months, or by both, (18 U.S.C. Section 1001 provides a •
punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.)
l hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I agree to abide by the following as a part of coverage under this General Permit:
1. I agree to abide by the approved Mining Permit for this mining activity, (A copy of the valid
mining permit must be attached to this request.
2. 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPQES permit specifically issued therefore.
3. 1 agree that bulk storage of petroleum products and other chemicals shall have adequate
protection so as to contain all spills on the site.
4. 1 agree that solid wastes will be disposed of in accordance with N.C. statutes and rules
governing solid waste disposal.
S. I agree that maintenance activities for vehicles and heavy equipment will be performed so as to
not result in contamination of the surface or ground waters.
i agree to abide by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General Permit
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Ronnie Revels
g 9 —---------------------------------------------------- •
Title: Owner
(Signature of Applicant) (bate Signed)
Notice of Intent must be accompanied by a check or money order for $80.00 made payable to:
NCDENR
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X� Check for $80 made payable to NCDENR
XO This completed application and all supporting documents
XW Copy of the valid approved mining permit %NY&IHNN�K application for renewal
X® Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit, .
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SWu-217-101701

BUFFER
L'}..... ti_ �'-:':.',-': :`--' _ ..y• .__�_4._-_- ' .,.--- ... =ice`._ -� ,..."!. -
DOUGLAS R. WHITAKER
(z(3 4�
4}CiP� p
J
WETLMIDS I
xy SETfUNG POND
I*- --•20 V MH,
WOODS LNE AND 25' VEGETATIVE Blff FER _ .. ._ _IT ..._ _ ..1 .... . . .. . .. .. ..........._ _..__._..__...._. __.
7' WIDE
seTuNc POND WILL BEcou�
1 RECLAMATION POND. o
ca
SECTION A — A'
TYPICAL CROSS SECTION OF MINE OPERATION
NOT TO SCALE
TEMPORARY BERM AND
DIVERSION DITCH
NOT TO SCALE
CATEGORY
AFFECTED ACREAGE
SEDIMENT PONDS
5.2
STOCKPILES
0.2
WASTEPILES
0.0
HAUL ROADS
0.3
DINE EXCAVATION
4.1
BUFFER
8.2
AREA IN PERMIT TOTAL:
18.0
NO PART OF THIS SITE IS IN THE 100 YEAR FLOOD HAZARD ZONE ACCORDING TO
MARTIN COUNTY FEMA FLOOD MAP NUMBER 5764.
ELEVATIONS: FROM ASSUMED BENCHMARK: 100 FEET.
NOTE: BEFORE DECEMBER 09, 1999, A 25 FOOT BUFFER AT WETLANDS IS USED,
AFTER DECEMBER 09, 1999, A 50 FOOT BUFFER AT WETLANDS IS USED.
NOTES:
1. THERE ARE NO STRUCTURES WITHIN 300 FEET OF EXISTING OR PROPOSED
MINING OPERATION.
2. ALL RAIN WATER INSIDE DISTURBED AREAS IS DIRECTED INTO ACTIVE MINE
PITS.
3. THERE IS ONE POINT SOURCE DISCHARGE FROM THIS MINE.
4. THERE ARE NO WELLS WITHIN 500 FEET OF THIS MINE.
LEGEND:
Q POINT, CONTROL
88.8'x SPOT ELEVATION
DISTURBED
WATER
BERM
woo
ROBERT L. GREENE
LpS , � RUST EE i v` ERG f L4 ND
S�
i
25'........
12' - ----
DPOSED ROAD BED
EXISTING ROAD BED
HAUL ROAD SECTION
OT TO SCALE
-
AREA
MAP
,F- i'.•
1 N
1�P�-/
,���
NQ SCAT F_
,
PL
i n
SAND
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✓D Y9 `i
ip�'®C�6 M B EMI \ `�.✓S'-jl C
)ta" NUMBER 58-06
MINE PERMIT RENEWAL
RONNIE REVELS BACKHOE
AND SEPTIC PERMIT
wa l_IAMST0N TOWN`.:'H" P MARTIN COUNTY
NORTH CAROI iNA
All- 1 60 IRVEY LATE: LECEMPEn
-1 I?VFY(- BY�. Hr]Q�J ��C HA Ftb S(`.N, F 4
CN INC4
i0 WF`.T ;'N,) STREET
4SHINGrvN, N_C. '�7889
F-:UWE: (2S'1 95 -3472
TRB 03-05-016
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