NCG020721_MONITORING INFO_20190218

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C& 7)
DOC TYPE
❑HISTORICAL FILE
6� MONITORING REPORTS
DOC DATE
❑ a' bI 1 0c� /
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year p26019 RECEIVED
*Report ALL WASTEWATER monitoring data on this form (include "No Flow'/"No Discharge" and it V 12ti1�s) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ©❑7❑2 10 CENTRAL FILES
DWR SECTIO�I
Facility Name: _ (.c1I 1--1--LS /y•.S I -Fir-
County: 0Rf3-r j A% _
Phone Number: (.2�� a y� }�_ �- �D 1� Total no. of outfalls monitored ,(
Certified Laboratory IVVI o rtklVF Lab # 10
"rOWA) OF IJ J4,4Ct-40&Z` Lab #
Wastewater (WW) Discharge Outfall No. 00/ -
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No Er
Does this outfall discharge WW to SA waters? Yes ❑ No [�
Does this outfall discharge WW to S13 or PNA waters? Yes ❑ No []`
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No E
Were there any limit violations in the calendar year? Yes ❑ No Er
Outfall No.
Daily Flow
Rate, cfs
_pH,
SU
TSS,
mgll
SS,
mlll
ifappficabie
Discharge
Turbidity,
NTU
' Upstream
(U) Turbidity,
NTU
-Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Mo. Ave I Oally Max.
HQW orORW
50%of
7Q10
indicate NO FLOW
if applicable
freshwater
6.0-9.0
saltwater
6.8 -8.5
Industrial Sand
25145
HOW orORW
201J0 HOW or
H
and Tr or PNA
10115
HOW, ORW,
$A.SB,PNA.
0.110.2 or any Trout
No Limit
Circle Water
Qua thlity atappliesard
A rr},L /�
5V0I2511 0
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
NIA
Date Sample
Collected,
molddlyr
jy
_�._.
y 4 + „�t�r �'
lr.;.Y. 'L'_
(ry����lw (�� l jf' ,�yf
frF'Uf J 1:.
l tp
�; ,�5�(.w/�t� 4 ` ..,•
2 / e
S.t
. 7q
o
oL 1
!
F 3
8 r b r
.2 6o tva
2,I
6. (p
e. 0)
1-3
/ 2 7
(4)
--
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 K[2®U
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations,"
[Required by 40 CFR §122.22]
Signature
Date a
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

PROCESS/LVJINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (I)MR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO- NCGO20000
Part A: Facrlih,lnformation
Samples Collected In Quarter: 10 2U� 33 (all samples shall bs reputed tisithin 30 dap fallaning msmitmfag peHad)
a�u-
Certificate Of Coverage No. NCG02 County of FncWty
FaellityNamc t Name of Laboratory
Faculty Contact Kyf Lab Certification 11
Facility Contact Phone Na
Pan B: Process lirmyfeccalerand MFne Aecralenorg Wastewater Monitoring Requirements /c' fS rfl
Gk v
r1 4:3
outran
Number
RecdAmStreamName
Date
SampleColkcw
sma
."Moo"
m1m; ':
otro7a':
00575
Day Fiorv!
pH
•TotalSaspmdcflSom&-
Tmrbidltj
SettleabkSmild s
melddlyr
MGD
cult .
lViiis'.
mUi
DID
r n
L bfrz%u ed ea_nLfm ,,.WyusIn a dam- mossaiag decse or cssu aed adas aemnfiCtrav3 pgmp =vcs and p®p 1091-
Part C. Cerircotion
^I eertifi, under penalty of fasr, that this domment and all attachments were prepared under my. dlreetion or supervision In accordance with a
system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, theinfarmstiou submittxd Is, to the best
of my knowledge and belief; true, accurate, and complete. I am aware that there are significant penalties far submitting false information,
including the possibility of Fines and imprisonment for knovdng vlolati
(SignatureFPermittcc ate)
PadD. MailingAd*=
Attn: Central Files, DZNP. N.0 Division of Water Quality,1617 Hall Service Center, Raleigh, NC 27699-1617
SRv-244-012005

PROCESS/I INE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
PIease Mail Original And One Copy To Mat7ing Address Below
GENERAL PERMIT NO. NCGO20000
Part !: Faeiifn=lnformalian ,
Samples Collected In Quarter 10 ZOM 4Q (n11 wrap!.:5a11 be repnrtcd wftb%30 days fallowing momIrm ng pniod)
Certificate Of Coverage No. NCG02 County of Facwty
ForMtyName Name of Laboratory
Facility Contact M2 f Lab Certification #
Facility Contact Phone No. - /V 4 e G . yLeLL
Part B: Process Wasreunter and Mine Denalenng lYariruwter MouftortngRequiremenrs ce r 6' S r`t`
aV
a 4 1Rf G.
0affall
Number
Receiving Shrum No
Date"
Sam Callectal
Rk .
50050
00400
olksw.
0007tf'::
away
! Ittoiv!
PH
iota! Suspended Solids'
Torhldily
.
Settleabic SaJids
mulddlyr
MGD
Emit ..
m
NTQs'.
mill
{
d- A
I J3
0 A
1 MaaarA watiaaoasll �8 � Ibex a�=� dntiac or enim7a¢d tav� m�ani�aertr's pna� em.'es mad f+�P �f'Y
Part in Ce lificalian
'f certifi, under penalty of Taw, that this document and all attachments were prepared under my. direction or supervision In accordance with a
system designed to assure that quall&ed personad properly gather and evaluate the information submitted. It on my inquiry of the person
or persons who manage the system, or time pasomdfrKtly responsible for gathering the information, the Information submitted Is, to the hest
of my Imowledge and Mief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the passibility of flues and imprisonment for knowing vJolatfons.;!, ,
{Signature of Permlltee (Date)
PaHD: AfaifijgAddress
Attn: Central Fifes, MMN.G Divisfon of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
Sti'U-244-012905
Ri�CEJ V
ED
l

PROCESS&MVE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
PIease Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Part;i: Facility Inform aelou
Samples Collected In Qanrter: 3 4 (all samples shall be reported within 30 daps fallouing moultoring perlad)
Certiftnte Of coverage Na NCGos Connry of Facility
^radl(ryNamc i C' Name of Laboratory
Facility Contact Lab Certification #
Facility Contact Phone Na f' q4 f 0 L6L-�
Part B: Process Warterraterand hfine Derralering Mwestvter Monitoring Requirements 60 r-6 S V
jZ ye a
a 11Rl4.
a _ _
gntiafl
Namber
RadatugS[ream. M..
ilste"
Sala ecolleeeed
Pl
sm
: am,
t10d3o ':
00D7S':
0054S
QalISF1m*l
p8 '
�TatalShspmdr�Sollds'
Tarbldltjr �
.
Sd
amf 7
ilI6D
aai[ :
Ms...
m111
d 9 nx n
:r
Aress='cd emdeacah talus a oar nmxarieg device w -.4—M Using a>zMUrA=rv3 ppmp awes and p -* ents
�EIVED
�r 15 2018
CENTRAL FILES
Part C Certification CENTRAL R SECTION
"1 rrr fp, ander penalty of law, that this decmaent and all attachments were?rrepared tender my. direction or mpervlsion in aeeordance wlth a
t- _-^._ = — -.pry_, ;vc�.�ael properly gather and evaluate the information mbnUtbetl. Based an toy Inquiry of the person
-t^ merge the system, or those persons directly responsible for gathering the fnformatfoa, the information submitted % to the best
belief, trne, accurate, and eotuplaL I am aware that there are significant penalties far submitting false information,
including the possibility of fines and Iniprlsoament for knowing vloInd
(Signature of Permitter) (Date)
FmiD: Uailing.4d4w-a
Attu. Central Files, DEN1t, N.C. Division of Water Quality,1617 Mall Service Center, italeigh, NC 27699-1617
SINIJ-244-01I005

RECEIVED
MAR D 9 2018
CENTRIA%[, FiLC-S
DWR SECTION
PROCESSRVIINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Madiutg Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility br/armaflon
Samples Collected In Quarter: t} 2 d (all sampies shad be reported wftbin 30 days following monitoring period)
Certirieaie orcovernge No. NCG02 County of Facility
Facility Name r i C Name of Labarator•v
Facility Contact Knbee±
— Lab Certification V
Facility Contact Phone No. IV
Part B. Process rYarleuvaterand Mine Doratering lVi7sleivarer Monitoring Requirements Cf t �f
av
� ✓ i t � G2 �I cL , 0+ v' 1,
Outfall
Nu
mb amber
Receiving S.rmroName
Date '
Sample Collected
50050
'00400'
"'00530 - ':
00076'..
00545
Dat15.Flow!
pfi
TatalSirspeodedSolids''
'Cnrbidilp
SettleatrleSolids
In
MGD
wit _
m
NnZL. •'
mill
oBeor
B ro-n
J. 2
tea• f
1 Me=urd "ridawasly using a Ilmr m=susing desica at mlimaled thing a=ufteruser3 pump nines and putup logs_
Parl C.• Cerlfcalon
p i"— s��^ ! \ / a n
"1 certify, under penalty of law, that this document and ail affficitments,ere prepared under my. direction or supervision in accordance frith a
system designed to assure that qualified personnelrs
praperfy gather and evaluate the information submitted. Saud on my inquiry of the person
or persons who manage the system, or those persons q ,ectiy Eviall(lgfi r gathering the information, the Information submitted is, to the best
of my knowledge and belief, true, accurate, and compl �i, la Yware that there are significant penalties for submitting false information,
including the possibility of flues and imprisonment for knoning violation "
CE N l 1-71 f'-11.� 3 i
(Signature of Pe a) (b(bate)
PartD: Mailing Address
Attn: Central Files, DRNR,N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
SIVU ?44-012005

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year .Z- D i'?
*Report ALL WASTEWATER monitoring data on this form (include "No Flow"1"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year. Q IG0 E i♦ Iff
Certificate of Coverage No. NCG02 �� 9�18R
Facility Name: �' 1-t-tS AJ SIC -S 1 ��
County: A) .SAL FILES
Z'`' rCTION
Phone Number: z - Total no. of outfalis monitored
Certified Laboratory �/tmi ea / iw�c j Lab # 10
f O�tJ�/ 4F ✓.�iil�4�o�f�— _ Lab # 7
Wastewater (WW) Discharge Outfall No. 0 n 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No [�
Does this outfall discharge WW to SA waters? Yes ❑ No [
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No 0
Were there any limit violations in the calendar year? Yes ❑ No
Outfall No.
o 01
Daily Flow
Rate, cfs
pH;
SU
k
TSS,
mgll
SS,
mlll
Pappllcablo
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Mo. Ave 1 Daily Max.
HQWor ORW
50% of
7Q10
lndicare NO FLOW
if applicable
troshwaler
6.0-9.0
saltwater
6 8-8
Industrial Sand
25/45
HQW or ORW
g11130
20
HQWor ORW
and Tr or PNA
1 0115
HQW,ORW,
SA, Sa, PNA,
or any Trout
n n
0.110.2
No Limit
Circle Water
Quality Standard
that applies:
50/25/10
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
NIA
Date Sample
molddl r
c.
-7
-2
0
< r ol
0
.2i
,r-f.1 day
7. 7p�
LSD
Permit Date 101112015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Q1D1;
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122,22]
Signature
Date b2
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/112015 — 9/3012020
Last Revised 10-2-2015

RFr,FII/FCC
JAN 1 9. 2018
DWR SECTION
INFORMATION PROCESSING UNIT
PROCESSBMINE DEWATERii 1G WASTEWATER DISCHARGE MONITORING REPORT (I)MR)
PIease Mail Original And One Copy To Mailing Address Below
GENERAL PERM3T NO. NCGO20000
Part A: Facilinr lnfannadon
Samples Collected In Quarter. 1 2 3 Q (all samples shall be reparttd within 30 days fallowing monitoring period)
erHa.oa�
Certificate Of Coverage No. NCGUZ- County of Facility
Facllityltlamc L' Name of Laboratory
Facility Contact Kn hee±Lab Certification ti
Facility Contact Phone No.
Part B- Pracess Wastewater and Mine Detrafering lVasle«•orer Monitoring Regniremenu (�• f; r� 1 �'
Graven
O
�� • �-�7lNrs-
OWN]
Number .
lteedvin ff Strum Name
D3tc'
Sompie Colltxtrd
-SOQSO
:00400,
"01?SM
'00076'.
onis
f7aUp.Flaw!
--. p8
Toral Suspraded Solids
Torbidtiy
Settleable Solids
molddl
MCD
unit :
m
NTOs .
mNl
OD
r ctrl
I,2 17
7
CO.
i . c=umd eontinumay using a Ron- mavning device or estimated usingnr-aa(=umrs pump cta t3 and pip logs.
Part C. Cgrtilicatiaa
'If certify, under penalty of law, that this docu went and all attachments wen prepared under my. direction or supervision in accordance with a
system designed to assure toot qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best
of my knowledge and belief, rr a accurate, and complete. 1 am aware that there are significant penalties for submitting false Information,
including the possibllity of flaCS and imprisonment for knowing violations "
- - 1 zorl�7
(SignatUne of Permitte (Date)
Part D- Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 mail Service Center, Raleigh, NC 27699-1617
SR'i1-294-412005

PROCESS/NME DEWATERiNG WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERINUT NO. NCGO20000
Pari.4: Facilin=information
Samples Collected in Quarter: 1 2 3 4 (all samples shalt be reported whin 30 days following monitoring period)
i
Certificate Of Coverage No. NCG_ 02 07 County of Facility
FactlityName f 1 C Flame of Laboratory
Facility Contact Ku f Lab Certittte(aati `on tt
Facility Cantnct Phone No. Qszj �Ltl) C L S LGL�
Part B: Process lirasienater and Mine Dmwigrrirg Mmiewarer Monlroring Reguiremeints �r r' f -!
aV
Qutiali
Number
RecdvingSfream Nsme
Data
Sample Collected
50050
O700-
- 00530 • '
00676' . '
- M5
Daily ii.!
pla 'Total
Siupendetl Solids
Tztrhldiiy
Settleitbld Sollds
molddl '
MGD
twit .
rogn
tiiO .
caln
Do"Bowe
a n
7
S26
7
o
O
C
i M. s d eaatlauuesly using a pun• nmutiat Jc ies ar es[iaufed wing tc�mdeemra's Pump ntrvcs tad punap Iris..
Pori C. Cerlificalian
"I certify, under penalty of law, that this dam went and all attachments were prepared tinder my. direction or supervision In accordance with a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based an my Inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best
of my knowledge end belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and Imprisonment for knowing violatiay ' ,
0-..30--i7
(Signature of Pet ee) (Date)
PariD: Mailing.4ddress
Attn: Central Files, DFNR, N.C. Division of Water Quality 1617 Mail Service Center. Raleigh, NC 27699-1617
SWU-24-012o05
RECEIVED
SEP 0 5 2017
CENTRAL FILES
DWR SECTION

RECEIVED
JUN 0 x 2017
CENTRAL FILES
DWR SECTION
PROCESSIiVIINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (I)MR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Part.4: Faciliy=Irforrnatiou
Samples Collected In Quarter. 1 3 d (all samples shall he reported Rithin 30 daps following monitoring period)
as>-
Certifieaje Of Coverage No. NCGU County of Facility
Fac!llty Flame if ( C A LmA Name of laboratory
Facility Contact :r, Lob Cerdfle�aatioi n #
Facility Contact Phone No. a-SZ, - IV
Part B. Process iirarten-werand NGae Desraler€ag Wasteimter MnnitoringRequ€remerus
I'- ra ye n
1 f34�i�t c�'� lea rILC 60ry �1
WWIRecetving5trcam
Number
Name
Date'
Sample Collected
.-
50050
AD400-
.-Oam
'09076':
o054s
Dajb:1 =!
PH
Total Suspended Soilds -
Tmrbldity
Sepleible Solids
.
malddl
MGD
oast .
m
NTlls .
mill
OD
{ a n
7
t �fccauedsaatiauwslY tesiog a tle mpwring deriw m cstim led using anaurasmret3 pomp cunis aad ptaap togs,
Part C. Cerliftcalion
"I certify, under penalty oflaw, that this document and aR attachments were prepared under my. direction or sapervislon Its, accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted- Based on my Inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the inrormofioa, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
Ineluding the possibility of flues and Imprisonment for knon3ng vioiatious;�, /
(Siganhire orPernv a ate)
Part Rfailing.iddress
. ttrt: Central Files, DE,VIR, N-C. Division of Water Quality, 1617 tMail Service Center, Raleigh, NC 27699-I6 il
SWIJ-243-012005

APP 0 6 2017
MR SECTION
INFORMATION PROCESSING UNIT
PROCESSliwIINE AEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERAUT NO. NCGO20000
Part.,: Facility Inforration
Samples Collected In Quarter: I I 3 R (all samptes shalt he rcported sithtn 30 days following monitoring parlod)
god. aa„ r, i•
Certificate Of Coverage No. NCGIn- County of Facility
Feci2ftyl�amc ter' I C Name of Laboratory
Facility Contact r Lab Certification tt
Facility Qontaet Phone No. Q} - g� Ll
Part8: Process iVasrenraterand Mine Deuafering]FasteiraierMauiloringRequiren:eurs c f, rf 1
[` Ta.Ven
vrts�.rli+1� a/r 1,
J'OiI%Y1 �-� �Givitf�d�' sa77
outtbtl
Number
Rtcelving Str©m l4ame
Date'
Smnple Collected
.5005D
ADM-
MO..
'00076'::
00545
Daily,Flaw!
pH
Total Suspended Solids •
Turbld[ty
8dtleabl'a allds
melddl
MGD
unit .
rovil,
NT173'..
my]
00
Fpax uzn
1 1
-
LO
UO
2 2 G
z
y7 v
r
G
1 ,Nicmucd candauuwsly using a flog m wring desiee wr eslimated wing n=ufteauer3 pump m viand pump fags.
Part C: Codification
"I certify, under penalty oriaw, that this document and all attachments were prepared under my. direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based an my Inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the Information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
ipduding the possibility of flttes and imprlsoutn"t for knowing violatio
(Sigoatmre of Permirtca) (Date)
Part D: 1lfailirrg Address
4ttn: Central Files, DEi iR, N.C. Division of Water Quality, I617 Mail Service Center, Raleigh, NC I7699-1617
SNIV-244-012005

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 'aPl (
Report ALL WASTEWATER monitoring data on this, form (include "No Flow"1"No Discharge" and Limit Violations) from
the previous calendar vear to the DEQ by MARCH 1 of each year.
Certificate of Coverage' No. NCG02
Facility Name: U0 [ I-L-1 FEB 0 2 2017
County: C R,9-V �_`' J _ _ _ _ CENTRAL FILES
Phone Number: (LQ_) d- -d-Py.' DWfoUpgNutfalls monitored I
Certified Laboratory &4ligoAlm F,v7 S/1/C . Lab # 1
-ptjA/ of VAAjCL6o2 ca Lab # S.r16.3
Wastewater (WW) Discharge outfall No. t7 Q I
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No La
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No P___
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No g-
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 711010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year? Yes ❑ No
Outfall No.
001
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
°applicable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
cot1100 ml
SA
Effluent
Limitations
Mo. Ave f Daily Max.
HOW or ORW
50% of
7010
Indicate NO FLOW
if applicable
freshwater
6.0-9.0
saltwater
6.8-8.5
Industrial Sand
25145
HQWorORW
20130
HOW or ORW
and Tr or PNA
10115
HQW ORW,
SA, se, PNA,
or any Trout
0 110 2
No Limit
circle Water
Quality Standard
that applies:
50/25110
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
NIA
Date Sample
o,�,.,�
W!r
�; �.
.!�
..Mr t 11
5"r r° rf
-
{ ! t
truA1;�.0
ll++ N r
l 4 w ;r,
+.•
i
2.2S Jk
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<-%0
�57±2
7.S
7
<. or
--2
Id-zefZ67
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7.
c,o,34
Permit Date 1011/2015 - 9/30/2020
Last Revised 10-2-2015

ow' - IN
Certificate of Coverage No. N0002 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial• sand mine (See 40 CFR §436 Subpart D)? _.Yes ❑. No ❑
Does this:outfall discharge WW to,SAwaters?' Yes-❑ '.No
Does this outfalI,.discharge WW. to SB or--PNkwaters? -Yes ❑ No"❑ = "
Does this outfall discharge WW to HQW'or`ORW waters? ' Yes-❑ No ❑
If so, what is the 7Q10•flow rate? or" Tidally influenced waters', 7Q10'not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
_.
SS,
mlll
_;rapnrcenr= ;
Discharge
Turbidity,
• -=N T U '
Upstream
(U) Turbidity,
-" NTU = _„
Downstream
(D) Turbidity,
NTU.. -
Fecal
Coliform,
col/100 ml
(SA) . --
Effluent
Limitations
Mo. Ave I Daily Max.
HQW or ORW
50% of
7Q10
Indicate NO FLOW
ilappticable
freshwater
6.0-9.0
saltwater
6. p-$.5
V
industrial Sand
25/45
HOW or ORW
2UI30
HOW or ORW
and Tr or PNA
10I1
HOW, ORW,
SA, SB,PNA,
or any Trout
0.1I0.2
No Limit
Circle Water
Quality Standard
that applies:
50125I10
NIA
Water Quality
Standard applies
N/A
Water Quality
Standard applies
NIA
Date Sample
Collected,
molddlyr
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 K®Q0
CERTIFICATION
I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that,qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my_
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR_J122-22]
Signature
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct -- Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112015 — 9/3012020
Last Revised 16-2-2015

ro
RECENi'=p
AUG 10
CENTRAL FiLE'S
DVVR 5ECT10'
PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Parr A: Focilinl Injormalian
Sompies Collected In Quarter: I 4 (all samples sban be reported within 30 days following manitorbog periad)
Certificate Of Coverage No. NCG02 County of Faculty
Facility Name i ( - Jj Name of Laboratory
Facility Contact fP 4z Lab Certification 0
Facility Contact Phone No. OVAIK-t `'Jf �LA6
Part B: Pracess Masteirater and Mine Detratering ►Vasle«nrer Monitoring Requirements
aV
l•tl G.
O
LLle 3 "s Tr vG-
Nutrall
mbir P7umb
Receiving Stream Name
Date
Sample Collected
50050
'Q0400
00530: '
00076'.
00635
1 a1 yFlow!
pH' -
Tutal Suspended Solids-
Turbldlty
Settteable Sands
mQid
MGII. •
,mdt.:_
.. m
`Nn,
min
r a: n
/
� J
ft49-!K
/ r
3-
7t'
I Mesassed con4wic esly tmag a flow ff=zvx M device ar esrin awd using m fectamr's pimp curves and pump logs.
Part C' Certification
"1 certify, under penalty of taw, that this document and all attachments were prepared under my. direction or sopervislon In accordance with a
system designed to assure that gnallfied personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,.
including the posaibilitw of flues and Imprisonment for knowing violations."
Part A Mailing Address
Attu: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
SNNIU 244-00005

I
PROCES5IAIINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
PIease Mail Original And One Copy To Mailing Address Below
GENERAL. PERMIT NO. NCGO20000
Parr A: Facilin,10formation
Samples Collected In Quarter: 1 J I 4 (all samples ahali be reported within 30 days following munitorlag prAnd)
CertiflCdte OF Coverage No. NCGI'i2 — County of Facility
Facility Name i t Name of Laboratory
Facility Contact ! Lab Certification #!
Facility Contact Phone No. Q ZJ — i Lr�
N�tinc ° `J
Part B: Process Wartewaterand Mine Dutratering Masletraler Monitoring Requirements /I C �'-*` 17
r-raven
A/ 7 1! w G.
-L,� D- _VGLYLCC D r o
Ontfall
Number
Receiving Sttvam Name
Date.
Sample Collected
'50050,
00400-
00530';
11007ti'.
00545
.DaffyFtow!.
r .
pfl' '
;Total Suspended Solids'
Tarbldily
Settleable Solids
maiddl
MGII"
noit.`...
'NTt7a . '
mill .
1 Mnaacd continuaasly using a Gm- a=muxiag device w estinrsoed using anaufwuzi -s pomp naves mod pump logs.
Par$ C- Cerlifecation
"I certify, under penalty of law, that this document and all attachments were prepared under my. direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware tbat there are slgniflumt penalties for submitting false information,
including the possibility of fines and imprisonment for knowing viclatioI.
(Signature of P ee) (Date)
PaHD; Mailing .4 ddress
Attn_ Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-I617
0
SI%U-244-011005

RECEIVED
MAR 0 7 ,2016
CENTRAL FILES
DWR SECTION
PROCESSlMINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Par1A: Facilinrbrforrualion
Samples Collected In Quarter Z 4 (all samples shall he report" within 30 days following monitoring period)
Certificate Of Coverage No. NCG02' County of Facility a V
FacilltyNamc .r I Name ofLaboratory 0 1 1NG.
Facility Contact Kn btrLab Certification # p
Facility Contact Phone No. Q / p� R 'Wile 9-�
Par? B: Process Wasletvaler and Mine Dettnlering lPaslenarer Monitoring Requirements -
C � �t � � s� 3 T147-(NU
Qutfall
Number
mbi
pccdvin Stream Name
R
Date .
Sam a Collected
Pl
50050 : ' :
`DOt00'
i` 0DS30'
DOa76' : '
- ' oms
DaUy, Flow,
pH'� '
Total Slupatded Solids .
7urbldlty '
. . .
Settleable Solids
m d �
MCD
aidt `.
-maA
NTlls
at111
'r Q. t'1
1
-Z �- s
•
� �
C. r
2
15
l Meartucd cantitmawly using a Ron' meuuning device or estimated cuing mimtfacm¢r's pump awes and pomp logs.
Pori C: Cerliffcation
"I certify, under penalty of law, that this document and all attachments were prepared tender my, direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the hest
of my knowledge and belief, tree, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations.'_ /
3 A014
{Signature of Perm a (Date)
PaH D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mdl Service Center, Raleigh, NC 27699-1617
SLAT-244-012005

RECEIVED
DEC29?
CENTRAL FILES
OWR SECTION
PROCESMIDfE DEWATEFAM WAMMWATMDUCHARGE PMMnV8II7G2SP0JlT (DMR)
piamm '[ And Q To Mang Ad&= Bdow
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SwW"200
RECEIVED
DEC 2 9
CENTRAL FILES
DWR SECTIO ,

FILE COPY
PROCESS/MINE DEWATERING WASTEWATER DFSCHARGE MONITORING REPORT (DMR)
Plm=-Mail Original Ad One Copy To Mating Addmm Bdow
GENERAL FERMIT NO. NCGO20000
FaH A. Faeflity14mrwriaa
Sumples Collected in Qua-1 z (nil aamptes *bai) bm mpor" wUVa 30 days foDawin awair-tag pentad)
Certifieate Of Coverage Na. Ncrm County of Facifity rmVeja
FacilltyName Ulf I 1 Nmwoflmbotatoty AoPr l� f'•tIG.
Facnitp Contact r 1Ab Certification a r 110 1
Facility Contact Phone No. � �
R P iA La L � -t j 7., - fJ� Cs it L e ho
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Part C.• CeHiftwior,
DECEIVED
MAR 0 7.2016
CENTRAL FILES
DWR SECTION
"I eertffl4 under penalty of law, that this domment aad all attachments were prepared under my. direction or sngerdMm to Accordance with a
sysean designed to asspre that q®1iB:d p—nnd properly gather and evataste the information submitted. $aged on myhmpMyof the person
or person who manage the system, or these persons directly respons$!e for gathering the information, the loformatton submitted ls, to the (test
of my knowledge and beW, true, amrtte, and complete. I am aware that there are signMuat pmalties for submitting false fnfbrmatfon,
incfnding the possibllity of itnes and imprisaament for knoncing vfolatfoust!�. / A
s,.. m..,
.0111
PwtD: MallfugAddhm
AWL- Central Fifes. DEER, N.C. Division of W ater Qnalfty,1617 Manfl Service Center, Raleigh, NC 27699-1617
MJ-24"1200S

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
.SUBMITYTO CENTRAL OFFICE*.
General Permit No. NCG020000
Calendar Year .2 0 13-
`Report ALL WASTEWATER_ monitoring data on this form (include "No Fiow"P'No Discharge" and Limit -Violations) from
the previous calendar year to the DEO:by MARCH 1 of xye@
Certificate of Coverage No. NCG02 FEB
ZUI�
Facility Name: W t L L-1 S � Czk /D
County: C2f�✓% /�_ CENTRAL FILES
DWR Sr-CTION j
Phone Number: Total no. of outfa-lls monitored _
Certified Laboratory •,eNV1aw nj T ( i/I/G Lab # 1 0 5
17OWN or VAN&�d cvzo Lab # S 3
Wastewater (WW) Discharge Outfall No. 00
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No a,
,
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No 2--
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No [RIf
so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
[� Na
Were there any limit violations in the calendar year?
Yes ❑
No 1 Y
Outfall°No:
Daily Flow.
Rate,.cfs..
, ';pH;
SU ,
--.,TSS;
mgll ,
, SS
_
,Discharge
_r bi
NTU
'-Upstream =
Turbidit,
NTU
Downstream
-,
NTU f
-Fecal
Coliform, '
�ml ,
i00
SA_n0
Effluent
Limitations _
Mo. Ave 1 Daily Max.
-
HOW or ORIN
�09/o of
7Q10
-
!ndlcale NO FLOW
If applicable
freshwater
6.0-9.0
saltwater
6.8-8.5
Industrial Sand
25145
waW oraRW
20130
HQWorORW.
and Tr or PNA
10115
HOMf,oRW,'
SA, Sa, PNA,
°rt' $"y Trout
.0.110.2..
-
No Limit
Water
a allty Standard
that applies:
50/25/10 •
NIA
ity
Water 1plies
Standard apCircle
-
-
NIA
Water Quality
Standard applies
-
NIA
Date Sample
Collected,
molddlyr, .
, ; ��.,r
t ♦ Y�.
! *�
°'
M 'V w
L S
- . . _
I it9 ./�
iA}�,}
• ,._
°`
YN) Y
;fit`
45
j.��' Sal A�
y.
:# s
�
•f'F �,h
i Vi , � i; t
4 �1 t 7
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-7.
1
or
0
51,71
4,01
. D
3
2,7
'7.
14 1.r
. 7
, 7
0 1
Permit Date 10/1/2015--9/3012020
Last Revised 10-2-2015

1* Certificate of Coverage No. NCG02 [e[Z®©
Additionai Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7010 not available ❑
Does this outfall discharge WW to Trout jr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
- =
Outfall No.
Daily Flaw'
Rate, cfs
pii;
SU
" TSS�'
mgll
` SS,
mill
lrapALica6le
Dischargd``
Turbidity,
NTU
Upskream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
coI1100 ml
SA
Effluent
Limitations
Mo. Ave 1 Daily Max.
HOW or ORW
50% of
7010
Indicate NA FLOW
iraAALica4re
treshwator
6:0-9.0
saltwater
6.8-8.5
Industrial Sand
25/45
HOW or ORW
20130
HDW or ORW
and Tr or PNA
10I15
"QW,oRW,
SA, SB, PNA,
or
0,110.2
No Limit
Circle Water
Quality Standard
thatappllos:
5012511V rl
NIA
Water Quality
Standard applies
NIA
i•WaterQuality
Standard applies
_
NIA
Date Sample
Collected
molddlyr
Permit Date 101112015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGQ2 ❑CJ©00
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date �- (o
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

RECEIVED
NOV o 6 2015
CENTRAL FILES
DwR SEC77pN
i:IyM_.:•:.!„IfL[." t,:y': Y:!-,-���:'lT'�1_�:+:� ��i:TN:7�;:r:�;.rT_%S,Irii�'�7;1 :_..:�t� :+I �t 1�1' ,
Mem-Matt akE! And Ow To Ad&m Hdow
GENEBAL PERBUr M MMOM 0A
PMA: ,PddWb*rwsdon
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syaEem d mMwd tg —dst gaaM d P Pelf ZDdt=a a emd I the' pqzabmftm& Aced en my m9ft olme pawn
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of m9 aed bed tnaa, a xaeat0. sael I am awa ad Me a an peespla ft sdbralum alw fafermatlamf
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PROCESS(MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR) '
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part R: Facilihf Information
Samples Collected in Quarter: 1 3 (gel) samples shall be rnwrtcd within 30 days Mlowlag monitoring period)
Certificate Of Coverage No. NCGl12 County of Facility LL Ve In
Facility Name I ' {� Name of Laboratory G.
Facility Contact KabortLab Certi"cation p 10
FncIIftyContact Phone No. Q, - NAMe- ej LA� —l2% A/ D F I[f"NC - (�v2L7
P k
Pan 8: Process Wartowarer and Mine Dewalerirag Wastewater Monitoring Requiremerrrs Ci rri f . -jT 4 f—S 7-
Outfoll
Numbir.'
Receiving Stream Name .
Date
Sample Collected
50M . ' ;
"00 W a
. ". 00530 �; .
: '% tro075 -
00545
Daily Flow!
PI!'-
Tntal Suspeadtiil Solids
Tnrbidlty
SettleabEc SalEds
maJd
MGD'
unit.:.
: "m
lq.M `'
udA
C . a
1 Measured Continuously using u Ilow nuasming device or estimated using namufacturer's pump naves and pump logs.
Parr C. Certification
"1 certify, under penalty of law, that this document and all attachments were prepared under my. direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted Is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false fnformadon,
Including the possibility of fines and imprisonment for knowing vlolatiojM" n
(Signs re of Pern tt (Date)
PanD. Mailing.4ddress
Attu: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1b� E ` E I V E D
AUG 2 4 2015
CENTRAL FILES
DWR SECTION
SWU-244-012005
0

r 'e
• a SI
' a, )
1 � / 1
�e
.
.
'
1
i
i

RECEIVE®
MAR 2 3 2015
CENTRAL FILES
DWR SECTION
PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
... ,.Please Mail.Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Part A: Facility Information
Samples Colletud To Quarter: r�ol�xo o so (all camplu shall be reported ivithln 30
days follosvlag monitoiing peHod)
ccr`ars
Certificate Of Coverage No. NCGU
Facility Name ];ill ' >�
County of Facility
Name of Laboratory
Facility. Contact Kip f
Lab Certification #
Facillty'Cantact Phone No. (Z 1 -
/ /#/Ylx..i7F VAd
Part B: Process Wastewaier and thine Deivatering Wastewater Manuoring Requirements
ve In
t✓ Me+ 1�✓G.
to
?S..fl%.+4'�Srh"Y,S+I''FyIN'YSf14a'.Y5Yy-C:r;.y"''Y4.'F(.iiirj(IQSOti1P00400ll
i�s��'400530saT-G."_
''_i11i107t1.f,1-,.d`..a.00545s'"=i=
t)ntfall•
VA Lq k J r
Receiving Stream Nfine�
♦Ali "
Semple Goltected
5
Daflq Flows
e rs
w plI
b
Y` Fr'.�
7 otal,Suspended Salida
�'x
Torbldity
f. W t�'t`7
Settlea6te Sa11ds'1
i
1.�
"
malt$.
� .-: =.L..� �
N'I'Us :.
•. : glil. .
Yly-�;
1 Mcaured conuanwsty cuing a pow ffma= ag dens: or estimated using nmnuCacmcels pump naves and pump Iogs.
Part C.• Certification
"I certify, under penalty of law, that this docametit and all attachments were prepared under my direction or supervision In accordance with a
system'ded&id to assure that qualified personnel properly gather and evaluate the information submitted. Based an my Inquiry of the person
or persons who manage the system, or those persons dlreetly responsfble for gathering the Information, the Information submitted is, to the best
of my knowledge nod belief, true, accurate, and complete.. I am aware that there are significant penalties for submitting false information,
Includfng tlic possibf lty of fines sad lufprisonmint for knawing vlolatlop&i'
3 —.23 — j-
(Signature orve e) (Date)
Pon D: Mailing Address
Attn: Central Film DF.NP, N.C. Division of Water Qaitllity,1617 Mail Service Center, Raleigh, NC 2709-1617
NC_
SWU-244-012005

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ANNUAL SUMMARY DMR - WASTEWATER
SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. If
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG020721
FACILITY NAME: _Willis Neck site
PERSON COLLECTING SAMPLES: _Robert Jones
CERTIFIED LABORATORY:_Enviroment I Inc. Lab # 10
Town of Vanceboro Lab # 5563
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
COUNTY: Craven
PHONE NO. (252)_244-2805_
ADD TO LISTSERVE? YES ❑ NO❑
2014
EMAIL: [e-mail]
INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERS`? ❑
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity'
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mgli '
NTU
mI/I 2
Standard 2
col/MI '
001
02/06/14
238,884,000
26
39.0
<0.1
7.68
001
04/24/14
244,550,000
27
39.0
<0.1
7.71
001
08/14/14
250,143,000
8.3
13.0
<0.1
7.49
JAIV 1
001
10/30/14
253,807,000
34
45
<0.1
7.78
DWR SEC
3 All mines must monitor W W discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively; the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
a Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
r'*7
C7
ICED
2015
'ILES
ION
Permit Date: 1 / ] /2410-12131 /2014 Last Revised 02-02-11
Page 1 of 2

..
't
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fart-A'Continued: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity3
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/1 '
NTU
ml/1
Standard
col/ml '
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am re that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1/14/2015
(Signatur Permittee) (Date)
Permit Date: 1/1/2010-12/31/2014 Last Revised 02-02-1 1
Page 2 of 2

.0
PROCESSIMINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
. Please Mail Original And One Copy To Muffing Address Below
GENERAL: PERMIT NO. NCGO20000
Pant: Facility•Informatton
Samples Collected In Quarter: 10 2030 (V (all samples sbali be reported within 30 days following moattoring period)
mb do
Certificate Of Coverage No. NCG02 County of Facility C ra v
FacilityName -� ( *?S Name of Laboratory !/fledAlM / �lAeC-.
Facility. Contact i Lab Certification a
Facility'ContactPhone No. on' - /llL}iltt-vF I.-AB-ta�,l/N p /i} /3DEC0 d/C
Part B: Process li`aslesraler and Mine Dcnvalering Wastewater MoniioringRequiremem Cat nrl r -t* `� � � � -T-4 S
Outfall
]✓anther
Receiving Strram ltame
rl. f 1 J.
,c to
Sample Collected
'_00400
" }00530;rs_ - s
? 0110761-d'
00545•r_Y
Daily Flasys §
i
p7i; s
i
:To ta15uspmded Solids
e
Tvrhldf[y
s r
Settleable Solids i
,..MGD.
to
: .0
t Ncmned continuously wing a now measuring device or enimated using manufacuae s pump macs and pump tops.
Pan C• Cerlifrcafion
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system desigued to assure tbatquafified personnel properly gather and evaluate the information submitted. Based an fay inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my I itowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting flit" information,
including the posiibifity of fines and iniprisonmint for knowing violaiz
(Signature of Perm! (Date)
Pan D: Mailing Address
Attn: Central Files, DENR, N.C- Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
�veo S,VI1-244-012005
Gov 9
pWSRA C ON
R SE

RECEIVED
AUG 2 7 2014
CENTRAL FILES
DWQ/BOG
PROCESSIMINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Maii.Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Quarter: 1 2 b (nil samples stiali be reparted ivlthln 30 days following monitoring period)
Certificate Of Coverage No. NCG02 77 County of Facility e^ Ira ve In
Facility Name Wit I 1fIG Name of Laboratoryyfit
Facility Contact Kn beir f Lab Certification 4 ( O
Facility Contact Phone No. 0-51 - 1V*1llt.-OF e,AB -MW N Q /�_ I / �4 �lC� /3 O rG D
Pail $: Process Urastesvater and thine Detvateriug Waslesvoter Monitoring Requirements
5 " 1 ?r
abate
50050
00400
r 00530 r
00076
4 40545 s
Outfall
y
RecetvingStreamNsme y
L,
SampleCailectedr
DagpF7oirtTotalSuspradedSo]!as
Turbldfip
SettleahleSo!lds;
lsinniber
r
f.:f r
a- •r}_
?x
S. r.;
TCT
t5ewe Branr-h.9,73
1 Neumcd ma imtousiy using a flux incuu,ing devim ar esiinuted using M=ufnsnurrs pump Cava and pump togs.
Part C. Certification
" I certify, under penalty of law, that this document: and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure thnt'quaiified personnel prop6ty gather and evaluate the tnformatioa submitted. Based on my inquiry of the person
or persons tivho manage the system, or those persons directly responsible for gathering the information, the information submitted Is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the pbssibility of flues and imprisonment for knowing violations."
(Signature of Pe (Date)
PartD: Mailing Address
Attn: Central Files, DENR, N.C. Division of •Water Quality,1617 Mail Service Center, Meigh, NC 27699-1617
SWU-244-012005

RECEIVED
N1g U, 5 ''t i4
GENT
i�A1-FILES
pWQIBOG
PROCESS&IINF DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
ParrA: Facility Ir formation
Samples Collected -In Quarter: 1 3 4 (all samples shall be reported Tvlthin 30 days foDoning maaltoiing period)
o.n
Certificate Of Coverage No. I%fCG02 County of Facility rave n
Facility Name • i C • fire Name of Laboratory �Nf/! 2 ri Nn�t t,✓>r / I✓G•
Facility Contact f Lab Certification - to
FacHity'ContaetPhone No. em-D - /If}yyT_10F t.A%
rpy1JN - [11 _ E/f}�jG�/�OJC p
Part B: Process It'astsvolerand Mine Deuvatering Wastewater Monitoring Requirements (4- aTI r `t
Outfali
Recavmg 5trnm Name
Date'
Sample Collected '
"a0050:;.=':0400
?.0amD . ;
c'00076z'
F, Ot1545=_'_,C
DaOy Fiaivl
pH '
Total Suspended Solids
Turbidity
'Scti1m11leSolids
'ran
mvlddlvr ;
MGD s
emit' .
= m
NTOs
DD
r
t Mcuwed camimtously using a Pon manuring. device or estimated using mmnufac fs pump eu[vrs and pomp lots.
Part C. Ceri ficalion
"I certify, under penalty of law, that this doeumeot and all attachments were prepared under my direction or supervision In accordance with a
system'desigised to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or person's who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and bellef, true, accurate, and complete I am aware that there are sfgniffeantpenalties for submitting false information,
including the possibility of flues and Itnprisoomeut for knowing violatia 4
c)
PornD: Maili7g,4ddress
Attn: Central Film DEER. N.C. Divislon of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
NG ?I*-
5\1R1-2 4-012005

PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original Arid One Copy To Mailing Address Below
GENERAL: PERMIT NO. NCGO20000
Pan d: Facility Information
Samples Collected In Quarter: 1 2 (all simples skull be reported within 30 days following moaitoitng periA
70"
Certificate Of Coverage No. NCG42
Facllity Name - 1 ' yi—,
County of Facility
Name of Laboratory
Faculty. Contact 1KJ2 Ir
Lab Certification 0
Faeility'Contsct Phone No. (7-S7.1 -
/Vt/nl =.ioF 1.A.6
Part B: Process Wastewater and Mine Deivatering Wastewater ManilariV Requirements C4-2ri V-- 1'
Gl. V
�i2aN�. � � rN�••
io
-/nr o Ii��IG�/�a2o 4/C— ?k
r T NO,.uruxmtfkatilel r:
�S
.lm is'iF#K n } nFe ? tie4x
,inRe
etvfng Stream NameA�
Dat
Sample CoWited
h5005ri0
�
DaOy Flow
vpA i
Tatal Suspended Sands K
-}
• t
Torbidi�
h ^'i
'Sep�tahle Sollds7
i i g s
�� } rJ3IF ry +f$ i S
mold ' .
MGD`
l onit
tfCm�i r
C1Yni.
O
p
C4,
1 Umsured conticoonsly acing ■ flow mrasvring devix or esamated using t racaaerl pump cmve and p®p logs.
Part C: Certification
"I certify, under penalty of law, that this document and ail attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gatherlag the information, the iaforuiation submitted is, to the best
of my it nowkdge and belief, tree, accurate, and comp!ete.- I am aware that there are significant penalties for submitting false information,
including tlic posiibllity of flues and Imprisonment for knowing violatio '
(Signature of PermLi;m (Date)
PatD. Madiag.fddress
Attn: Central Film DFNR, N.C. Division of Water Quality,1617 Mail Service Center Raleigh, NC 27699-1617
SWU-244-012005

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Print this form to PDF
Retum PDF of this form to DLR CO by email. cc DLR RO and DWQ SPU
MINING PERMIT APPLICATION REVIEW FORM
for the
DIVISION OF WATER QUALITY
THIS SECTION TO BE FILLED OUT BY DLR:
Project Name: Willis Neck Mine DLR Permit #: 25-75 County: Craven Address: 1185 Winn Circie,
Vanceboro, NC 28586
YES NO Date Commencing
Is this mine a new mine? r r Permit issued 11/7106
Have land disturbing activities
started? Date? r f- Same as above
Latitude:35.25450 Longitude:-77.11400
Please return comments to (at DLR CO): Ashley Rodgers
Comments due by: 8129111
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: The dewaterina Operation & Maintenance Plan is reauired to be modified and updated to account
for the increased excavation depth from 35' dawn to 70' and the increased dewaterina which will need to
occur.
Watershed/Stream Name & Classification: Bear Branch, C;Sw, NSW
DWQ Compliance Status of Mine: Compliant as long as the O&M plan is updated and approved prior to
additional dewaterina discharges to wetlands and/or surface waters.
YES NO
NODES erru�r
�e
r '
,.., ;y
NPDES permit existing?
r , (Permit #NCG020721 }
r
%a;, <
d
If'an NPDES permit is!not required, is DWQ.�,.,.�
r cThere is`a neetl:Eforia radius of'1 xf
-
- �
still concerned about wetlan degradation %it
,.�'
influence from�the dewatennia to -be � �
-'A�'
� , , ,; .<Kr„ y
' by•dewa4r'ing?
eterminO dThe dewatenng�0&M
�needs;tobeu
t.
�
Should permittee contact DWQ RO
immediately? (e.g. to schedule a site visit if
r , RO Contact Name:
r
mine has already begun digging or is
Contact Reason:
dewatering without DWQ permit)
I Fy.,
401 Wetland Cert requirxed?.,
h3 f 1 V 1 tlAjr
' 1J,
-,.Ng r •..
1'
& , , r
. z
401 Wetland Cert. existing?
r , Permit #
r
Rev September 2010

Print this form to PDF
Return PDF of this form to DLR CO by email. cc DLR RO and DWO SPU
Does DWQ,RO currently, have enough r "
inforniation,to determine if"a 401 r
certification -is required?
Rev September 2010

Print this form to PDF
Retum PDF of this form to OLR CO by email, cc DLR RO and DWQ SPU
YES NO
Are wetlands disturbed atthts site? '`' f'��
r f �,ry "`r:1 `1`
Does DWQ RO suspect or know of nearby
r,
wetlands to the site?
I awetland-delineation'requtreci'prtorjto-'� `
�'
: rBy ijD. ort� r _zLj"Consultant ' 1`
DWQ.'issuing thejpermit' " ; '`,'
r Onsi#e'Y -Fj Or;, l- 1 Offsite? I
,,•
t
Stream Determination Needed?
r , Only if any activity will occur within
r
the 50' Riparian Buffer Zone.
sr ... y n aa,
Stream Determtnation`Completed? j? 4
tJ i
>r
Does DWQ RO need a statement that no
wetlandslstreams are disturbed
IJ I
r
for this project from applicant?
Buffer Determination Needed?
if'any_activity will occur within ''
r
the 50' Ri arian;Buffer'Zone.A.
Buffer Determination Completed?
r
r
.Recycle `system permit existing?*'� .r'
f rj
New Recycle System permit required?*
IJ
r , Not enough
Enough information to determine?
info. to determine.
Nan -discharge Permit existing?*-
Will wastewaters discharge to HOW waters
IJ
r 7Q10
Unknown (permittee determine): r ,
with a 7Q10=0? **
Flow:
`1, , ;_ ' •R '
17J, Has':Violationi ;,'
r ' Q&M Requirements
„.
Does DWQ require DL'R to Bold the permit
Ci HQW17Q10 Concerns
(e•g.,saDWQ can review it.further or
7
L' 'Reason:
r
because DWQ!ret uir`es'more�irifoimation)7
� ..
RO`cohtact:' , t...r ,
. r Hold.Until
r ,An1revised and updated O&M plan
Mine must wait to dewater until an O&M
r
plan is approved?
should be approved prior to additional
dischar es
`The NPDES SW and WW permit NCG020000 covers closed -loop recycle systems, designed to exclude all stonnwater nun -off from
the system and operate at or below two -feet of freeboard. These systems may be permitted by a Non_ -discharge Recycle System
Permit from the Aquifer Protection Section (APS), OR may instead be permitted under NCG020000 to eliminate an additional perm it.
Recvcle systems that do not meet those criteria are considered discharging systems, and are subject to the NCG020000 dischame
permit.
"To obtain 7Q? 0 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: 919-579-4043, for
more information on obtaining a 7Q10 flow. USGS will notdetermine a 7Q10 flow for tidally influenced water bodies.
Reviewed bv:
DWQ RO Surface Water: Scott Vinson Regional Office: WaRO Date: 9/6/2011
RO Aquifer Protection Section: Regional Office: Date:
SPU DWQ Central Office Reviewer (if applicable):
Rev September 2010

y
Print this form to PDF Return PDF of this form to DCR CO by email. cc DLR RO and DWQ 5PU
MINING PERMIT APPLICATION REVIEW FORM
forthe
DIVISION OF WATER QUALITY
I Fltb btU I IUN I U Ut HLLtU VU I by ULM:
Project Name: Willis Neck Mine #2 DLR Permit #: 25-75? County: Craven Address: 1185 Winn Circle,
Vanceboro, NC 28586
YES NO Date Commencing
Is this mine a new mine? r r
Have land disturbing activities
started? Date? r r
Latitude:35.2442 Longitude:-77.1133
Please return comments to (at DLR CO): Judy Wehner
Comments due by: 10/31/12
SECTION BELOW TO BE FILLED OUT BY DW
Is the RO concerned that the operation, as proposed, would violate standards of water quality? No
Comments: Ri man Buffer Rules applicable. 50' Undisturbed Buffers required on all wooded boun
unless a sighted JD is provided stating that no wetlands exist.
Watershed/Stream Name & Classification: UT to Swift Creek, C SW NSW
DWQ Compliance Status of Mine: OK
YES NO
NPDES permit required?
I
E_-Appl. states
No Discharge.
NPDES permit existing?
r - (Permit #
If an NPDES permit is not required, is DWQ
- 50' undisturbed buffers are required
still concerned about wetland degradation
unless signed JD states- that no
by dewatering?
wetlands exist.
Should permittee contact DWQ RO
r Thom
immediately? (e.g. to schedule a site visit if
r RO Contact Name:
Edgerton if
mine has already begun digging or is
Contact Reason:
needed (252)
dewatering without DWQ permit)
948-3963.
401 Wetland Cert. required?
rLD
1r 1
401 Wetland Cert. existing?
r , Permit #
r
Does DWQ RO currently have enough
����
information to determine if a 401
Rev September 2010 C _1 a r q
a �t7 wr V

PRnt this foam to PDF
certifica#ion'is required?
Rev September 2010
'r
Return PDF of this form to DLR CO by email. cc DLR RO and DWO SPU

Print this form to PDF
Return PDF of this form to DLR CO by email. cc DLR RO and DWQ SPU
YES NO
Are wetlands disturbed at this site?
F ,
P31
Does DWQ RO suspect or know of nearby
r
r
wetlands to the site?
50'
undisturbed
Is a wetland delineation required prior to
r By: Lr-3, JD or f Consultant
buffers are
DWQ issuing the permit?
r Onsite? Or r Offsite?
required unless
signed JD states
that no wetlands
exist.
Stream Determination Needed?
r
r
Stream Determination Completed?
��
t✓�
r If 50'
Undisturbed
Does DWQ RO need a statement that no
Buffers are
wetlandsistreams are disturbed
r ,
provided or an
for this project from applicant?
approved JD
presents that no
wetlands exist.
Buffer Determination Needed?
Ir 11
Buffer Determination Completed?
r
Recycle system permit existing?*
Permit #
New Recycle System permit required?*
I—
P
Enough information to determine?
Non -discharge permit existing?*
r Permit #
Will wastewaters discharge to HQW waters
r
!✓ 7Q10
Unknown (permittee determine): I—
with a 7Q10=0? **
Flow:
Has Violation
Lrv--,If 50'
�08�M Requirements
Undisturbed
Does DWQ require DLR to hold the permit
r] HQW/7Q10 Concerns
Buffers are
(e.g. so DWQ can review it further or
ff Other. Reason:
provided or an
because DWQ requires more information)?
RO contact:
approved JD
El Hold Until:
presents that no
wetlands exist.
Mine must wait to dewater until an O&M
r
r -Appl. states
plan is approved?
No Discharge.
`The NPDES SW and WW permit NCGO20000 covers closed -loop recycle systems, designed to exclude all stomtwater run-off from
the system and operate at or below two -feet of freeboard. These systems maybe permitted by a Non -discharge Recycle System
Permit from the AQuifer Protection Section (APS). OR may instead be permitted under NCG020000 to eliminate an additional permit.
Recvcle systems that do not meet those criteria are considered discharoino systems. and are subiect to the NCG020000 discharoe
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 Row. USGS will not determine a 7Q10 flow for tidally influenced water bodies.
Rev September 2010

r
Print this form to PDF Retum PDF of this fwm to DLR CO by email. cc DLR RO and DWQ SPU
Reviewed by:
DWQ RO Surface Water: Thom Edgerton Regional Office: WaRO Date: 10/22/12
RO Aquifer Protection Section: Regional Office: Date:
SPU DWQ Central Office Reviewer (if applicable):
Rev September 2010

APPLICATION FOR A MINING PERMIT
2-
A) -_26 1 Z
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
LAND QUALITY SECTION DLp_* 25 0�
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
Name of Mine Willis Neck Mine 92 County Craven
RECEIVED
UPI 0 5 2012
River Basin Neuse River
Latitude (decimal degrees to four places) 35-14-41-.42 N ? 39-24-4% LAND QUALITY SECTION
Longitude (decimal degrees to four -places) 77-06-49.22 W �-� ? j l 31
2. Name of Applicant* R. J. Bushhoggiag, Inc.
Permanent address for receipt of official mail** 1185 Winn Circle, Vanceboro NC 28586
RECEIVED
252) 244-2805 _ Alternate No..�252)514-7556 Telephone ( OCR j 2 2012
4. Mine Office Address 1185 Winn Circle, Vanceboro NC,28586 ��-���
Telephone [phone]❑
Mine Manager Robert Jones
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. i ] 2-
* * *Signature Date
Print Name Robert Jones _ — - - _T i
Title President/Owner
�Jt) OdALilY �f C
was C
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 maps
provided before this application can be considered complete. Attach additional sheets as needed.

'L 5j'E- C';"E I A E D

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 pennit, indicate the total acreage at the site to be covered by the
permit (this is the acreage that the "new permit" fee will be based upon):
Of this acreage, how much is owned and how much is leased? Acres owned:
Acres leased: 0 Property owner if leased: 100%
❑ 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?
Yes ❑ No ❑. If yes, indicate the acreage to be covered by this modification (this is the acreage
that the "major modification" fee will be based upon):
Does the modification involve acreage outside the previously approved permitted boundary?
Yes ❑ No ❑. If yes, indicate the additional acreage to be covered by this
modification: . (NOTE: you must complete all of Section F. of this application form
entitled Notification of Adjoining Landowners).
Of this acreage to be added to the permit, will any portion of this acreage be affected (i.e.: disturbed,
ground cover removed) by the mining operation? Yes ❑ No ❑ (If no, a "minor modification"
fee of $100.00 is required, despite the "undisturbed" acreage to be added). If yes, indicate the
acreage to be affected within the acreage to be added to the permit (the total acreage to be added to
the permit is the acreage that the "major modification" fee will be based upon):
❑ If this is an application for TRANSFER of a mining permit, indicate the mining permit number and
the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage:
SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO 13E
PAID FOR THE REQUESTED PERMIT ACTION(S) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined: Sand
3. Mining method:
®Hydraulic Dredge
Dragline & Truck
Other (explain):
Front-end Loader & Truck ® Shovel & Truck
Self -loading Scraper
4. a. Expected maximum depth of mine (feet) 35'
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
Natural Ground Level
b. Expected average depth of mine (feet) 30'
-2-

APPLICATION FOR A MINING PERMIT
5. Has any area(s) at this site been mined in the past? Yes ❑ No
If yes, when and by whom was this activity conducted?
6. Number of years for which the permit is requested (10 years maximum): 1 Oyears
B. MAPS
Clearly mark and label the location of your mining operation on six (6) copies of 7.5-minute quadrangle
and a county highway map. These maps, in addition to six 6) copies of all mine maps and reclamation
maps, must be submitted with each permit application.
7.5-minute quadrangles may be obtained from the N.C. Geological Survey:
_Mailing Address: Physical Address:
1612 Mail Service Center OR 512 North Salisbury Street, 5t" Floor
Raleigh, North Carolina 27699-1612 Raleigh, North Carolina 27604
[phone]
www. L, co I ou v. en r. state. 11C. LIS/
County highway maps may be obtained from the N.C. Department of Transportation:
North Carolina Department of Transportation — Geographic Information Systems (CIS)
Mailing Address:
NCDOT GIS Unit
1587 Mail Service Center
Raleigh, North Carolina 27699-1587
Physical Address:
NCDOT CIS Unit
3401 Carl Sandburg Court
Raleigh, North Carolina 27610
[phone]
www.iicdot.org/it/,,isContact/clel4tuit.litnil
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 lakes.
j. Outline and acreage of all settling and/or processing wastewater ponds.
k. Location and acreage of all planned and existing access roads and on -site haul roads.
1. Location of planned and existing on -site buildings.
m. Location and dimensions of all proposed sediment and erosion control measures.
n. Location of 100-year floodplain limits and wetland boundaries.
o. Names of owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary; if an adjoining tract is owned or leased by the applicant or is owned by the lessor of
the mine tract, names of owners of record of tracts adjoining these tracts, that are within 1,000 feet of
the mining permit boundary, must be provided on the mine map.
-3-

APPLICATION FOR A MINING PERMIT
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
S. 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
I inch = 100 feet
200+ Acres
1 inch = 200 feet
(NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items)
M!

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
0.00
Stockpiles
0.00
Wastepiles
0.00
Processing Area/Haul Roads
0.45
Mine Excavation
21.814
Unexcavated Buffer
6.398
Fotal Disturbed Acreage
28.257
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 QUESTIONS/STATEMENTS
THROUGHOUT THE FORS. 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
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.
Strip Top Soil
Cut 3:1 slopes, sloped into excavated area & 2:1 in the water
Excavate and stockpile onsite within the excavation limits.
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 fur 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 ofeach
measure. Engineering designs and calculations are required to justify the adequacy of any proposed
measures.
A gravel construction entrance will be installed where the mine road intersects Winn Circle and the
mine area will have positive drainage into the pit.
I 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.
Waste water will discharge back into pond.
The material will be excavated and then washed through the screening plant and then temporarily
stock piled within the excavated area.
The screener will be moved around the site to an area closest to that is being excavated at that time.
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 N. 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(5).
-6-

APPLICATION FOR A MINING PERMIT
c. 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 ® No ❑.
If yes, what impact, if any, will mine dewatering have on neighboring wells? Estimated withdrawal rate
in gallons per day:_. Locate all existing wells on the mine maps) that lie within 5 00 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.
This mine will be "wet mined".
There will be pit to pit pumping within the mine excavation area and no water will be discharged
within the waters of the state or leave the permit boundary
The adjacent properties are 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, Stonnwater, 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 10,000 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.
All water will remain within the permit boundary.
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 the
Division of Air Quality or local governing body.
b. How will dust from stockpiles, haul roads, etc., be controlled?
Haul road will be wet down as needed with water truck.
No dust will be on sand that is tasted up.
-7-

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 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
mup(S).
There will be a 25' and a 50' Unexcavated buffer on all side of mine. (See mine map)
A berm will be constructed along the rlw of SR 1436 (Winn Circle)
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 may
be 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).
There are no natural watercourses located adjacent to mine.
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 hatter for sandy material are generally required, unless
technical justification can be provided to allow steeper slopes.
3:1 slopes be seeded once excavating is complete
-s-

APPLICATION FOR A MINING PERMIT
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
and/or slope drains (with supporting design information) if needed, and the method of final
stabilization.
See Map
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).
All slopes will be at a 3:1 slope
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.
NIA
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.
A 10' high berm will be placed along all adjacent property lines that have a structure located
within 300' of the mine boundary.
8. Describe what kind of barricade will be used to prevent inadvertent public access along any 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).
Gates will be installed at access points. Signs will be installed along all sides of mine area.
-9-

APPLICATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes ❑ No M.
If yes; 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 fi-om
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.
A 10' x S' berm will be placed adjacent to the right of way of Winn Circle.
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?
No.
11. Will explosives be used? Yes ❑ No ®.
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 mine's location 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
structures) 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 ❑.
Ifyes, describe these materials, how they will be stored and method of containment in case ofspill. Indicate
the location(s) of all storage facilities on the mine map(s).
Fuel tanks are portable and carried in the beds of the company's trucks.

APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
l . 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 localion(s) of all permanent
channels must be indicated on the reclamation map.
Mine area will be permanently seeded with Common Bermuda grass.
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-section(s) through the proposed body(s) of'water. The minimum water depth must be at least d 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.
a. 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

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.
Berm's will be leveled and area will be graded with a positive slope draining into excavated area and
then seeded.
5. a. Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
All processing areas will be graded and seeded
Road around pond will be graded and stabilized.
b. Will any on -site roadways be left as part of the reclamation? Yes ® No ❑.
Ifyes, identify such roadways on the reclamation map and provide details on permanent road and ditch
line stabilization.
The road way located within the unexcavated area will be left intact.
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 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 neap() and
reclamation map, along with a list of items to be disposed in said areas.
None will be on site during mining, no waste disposal.
-12-

APPLICATION FOR A MINING PERMIT
Describe your plan for revegetation or other surface treatment of the affected areas. This plan must
include recommendations for year-round seeding, 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 pennanent 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;
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):
Agricultural Limestone 2 Tons / Acre
FERTILIZER - ANALYSIS AND RATE OF APPLICATION (pounds/acre):
10-10-10 Fertilizer 1000 lbs / Acre
SEED - TYPE(S) AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds/acre): [NOTE: Include Legumes]
Seed Types•
Common Bermuda (Unhulled)
Common Bermuda (Unhulled)
Tall Fescue
Common Bennuda (Unhulled)
Seedinlz Dates:
Jan 1 — Mar 31
Apr 1- Jul 31
Aug 1 — Dec 31
Seeding Rates:
20 lbs I Acre
15 lbs / Acre
60 lbs / Acre
20 lbs / Acre
MULCH - TYPE AND RATE OF APPLICATION (pounds/acre) AND METHOD OF ANCHORING:
2 Tons/Acre (Apx. 80 Bales)
Small Grain Straw/ Acre
Tack with liquid asphalt @ 400 Gal / Acre (Site maybe Hydro seeded)
Or Emulsified Asphalt a 400 Gal / Acre
OTHER VEGETATIVE COVERS — TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre, trees/acre, spacing of trees/shrubs, etc):
Revegetation and/or reforestation plan approved by:
Signature _
Print Name
Title
Agency
Date
-13-

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 S 00 to S ,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, for eac17
upon your maps and standard reclamation costs:
AFFECTED
CATEGORY
ACREAGE
Tailings/Sediment Ponds:
0.00 Ac. X
Stockpiles:
0.00 Ac. X
Waste piles:
0.00 Ac. X
Processing Area/Haul Roads:
0.045 Ac. X
Mine Excavation:
21.814 Ac. X
Other:
6.398 Ac. X
TOTAL AFFECTED AC.:
28.257 Ac.
(TOTAL PERMITTED AC.:
28.257 Ac.)
RECLAMATION
COST/ACRE*
$ /Ac. _ $
$ /Ac. _ $
$ /Ac. _ $
$ /Ac. _ $
$ /Ac. _ $
$ /Ac. _ $
RECLAMA,r[ON
COST'
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 28.257 Ac.
b) Positive Drainage Ac. X $1,500.00 = $
SUBTOTAL COST: S
Inflation Factor:
0.02 X SUBTOTAL COST: $ X Permit Life (I to 10 years):
INFLATION COST: $
TOTAL COST = SUBTOTAL COST + INFLATION COST = $
Total Reclamation Bond Cost: S
(round down to the nearest $100.00)
- 14-

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 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 arc adjoining the reining
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 he 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(bl).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
- 15 -

AFFIDAVIT OF NOTIFICATION
1, Kendall B. Gaskins, an applicant, or an agent, or employee of an applicant, for a new Mining Permit, or a
modification of an existing Mining Permit to add land to the penmitted 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, 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)
See Attached List
(Attach additional list if necessary)
1 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) (Address)
[i.e.: City Manager, County Manager, Mayor, etc.]
Jack B. Veit, 111, County Manager 406 Craven Street, New Bern NC 28560
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 pennitted 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.
Signature of Applicant or Agent Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
Name of applicant: R. J. Bushhogging, Inc.
Title of person executing Affidavit A ent/Surve or
1, O�L 1. a (I -Er I *
n a Notary Public of the County of Craven
State of North Carolina, do hereby certify that I E Ga-sL'i V15 _
appeared before me this day and under oath acknowledged that the above Affidavit— was made by him/het
Witness my and aAd notarial seal, is day of Je4olotr 20 w"foroee,
NN
Notary: :�a�Ou1yG ComAVVII
expires: Z4 ?, I
9 4&LIC c

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhopgin% Inc. has applied on 10-2-12
(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 SR 1436 located Apx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORIUSPONDING
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 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). 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 rile 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 regarding the
specifics of the nronosed mininiz activity, please contact the applicant at the following telephone number:
at [phone].
Archibald C. /pock
825 Weyerhaeuser Rd,
Vanceboro. NC 28586
(Addressee/Owner of Record's
Name and Address)
10/2112
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
Robert Jones
R. J. Bushhogging, Inc
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1185 Winn Circle
Vanceboro, NC 28586
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bI) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhogging, Inc. has applied on 10-2-12
(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 pennitted 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 SR 1436 located AApx. 4.33
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven 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
alining 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). 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 regarding the
specifics of the proposed minim activity, please contact the applicant at the followine telephone number:
252-671-2I59. For information on the mining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider any relevant written
comments/documentation within the provisions of the Minim Act of 1971 throughout the application review
process until a final decision is made on the application.
Bill & Daphne Cleve Robert Jones
F0 Box 215 R. J. Bushhogging, Inc
Vanceboro. NC 28586
(Addressee/Owner of Record's
Name and Address)
10/2/ 12
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1185 Winn Circle
Vanceboro, INC 28586 T
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bI) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhogging, Inc. has applied on 10-2-12
(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 pennitted 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 SR 1436 located Apx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road _ SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bI), 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 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). 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 pennit, 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 regarding the
specifics of the proposed mininM activity, please contact the applicant at the followinjz telephone number
252-671-2159. For information on the mining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider any relevant written
comments/documentation within the provisions of the Mining Act of 1971 throughout the application review
Process until a final decision is made on the application,
Carl & Deborah Jones
495 Winn Cis cle
Vanceboro, NC 28586
(Addressee/Owner of Record's
Name and Address)
10/2/12
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
Robert Jones
R. J. Bushhogging, Inc
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1185 Winn Circle
Vanceboro NC 28586
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(b1) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhogging, Inc. has applied on 10-2-12
(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 pen -nit 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 SR 1436 located Alm. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bI), 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 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). 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 rc#,arding
soecifics of the proposed minim activity, please contact the applicant at the followiniz telephone numl
671-2159. For information on the mining
gram staff at [phone]. Please note 1
ci
Desi L. Toler
601 Cool Springs Rd.
Ernul. NC 28527
(Addressee/Owner of Record's
Name and Address)
l012112
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
cation review process,
Robert Jones
R.1. Bushhogging, ]ne
contact the Mining
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1 185 Winn Circle
Vanceboro, NC 28586
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(b1) of The Mining Act of 1971, Notice is hereby given that
R..I. Bushhogging, Inc. has applied on 10-2-12
(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 SR 1436 located Apx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 Winn Circle
(Direction) (Nearest Town) (Number/Name)
in Craven County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(b1), 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 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). 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 regarding the
252-671-2159. For information on the ruining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider any relevant written
comments/documentation within the provisions of the Mining, Act of_1971 throughout the application review
process until a final decision is made on the application.
Howard D. Rawls Robert Jones
480 Winn Circle R. J. Bushhogging, Inc
Vanceboro, NC 28586
(Addressee/Owner of Record's (Name of Applicant: Include Contact Person
Name and Address) & Company Name, if Applicable)
10/2/12 1185 Winn Circle
(Date of Issuance of this Notice/ Vanceboro, NC 28586
Mailed to Addressee/Owner of Record) (Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushho22ing, Inc. has applied on 10-2-12
(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 SR 1436 located Apx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven 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 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). 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 regarding the
specifics of the or000sed mining activity, please contact the applicant at the followinii telephone number:
252-671-2159. For information on the mining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider anY relevant Written
in
n is made on the anolication.
Jonathan & Crystal Sprott
545 Winn Circle
Vanceboro. NC 28586
(Addressee/Owner of Record's
Name and Address)
10/2112
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
revs
Robert Jones
R. J. Bushhogging, Inc
ame of Applicant: Include Contact Person
Company Name, if Applicable)
1 185 Winn Circle
Vanceboro, NC 28586 _
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. BushholZginji, Inc. has applied on 10-2-12
(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 SR 1436 located A x. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 Winn Circle
(Direction) (Nearest Town) (Number/Name)
in Craven County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
1n 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 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). 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 bLiS1nC5S
hours at the above listed address as well as at the appropriate regional office. For information regarding the
specifics of the proposed minim activity, please contact the applicant at the following telephone number:
252-671-2159. For information on the mining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider any relevant written
comments/documentation within the provisions of the Minim Act of 1971 throughout the application review
Robert 8, Moore, Jr.
520 Winn Circle
Vanceboro, NC 28586 _
(Addressee/Owner of Record's
Name and Address)
10/2/12
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
Robert Jones
R. J. Bushhogging, Inc
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
I l85 Winn Circle
Vanceboro, SIC 28586
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhogging, Inc. has applied on 10-2-12
(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 SR 1436 located Anx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven 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 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). 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 re-arding t
specifics of the proposed mining activity,,_ please contact the applicant- at the followin1l telegh_pne nunih
252-671-2159. For information on the mining permit application review process, please contact_ the Mining
rogram staff at [phone]. Please note that the
�)mments/documentation within the provisions of the
ss until a
Robert E. & Charlotte Nobles
403 Backwoods Road
Vanceboro. NC 28586
(Addressee/Owner of Record's
Name and Address)
on
! 0121 k 2
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
)artment will cor
nina Act of 1971
Robert Jones
R. J. Bushhogging, Inc
the application review
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1 l85 Winn Circle
Vanceboro. NC 28586
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhoypina, Inc. has applied on 10-2-12
(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 pennitted 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 rnine Sand on SR 1436 located Apx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 Winn Circle
(Direction) (Nearest Town) (Number/Name)
in Craven 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 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). 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 regardin>w the
specifics of the proposed „mining activity, please contact the applicant at the following telephone number:
252-671-2159, For information on the mining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider any relevant written
comments/documentation within the provisions of the Mining Act of 1971 throughout the application review
process until a final decision is made on the application.
Rocky S. Toler
725 Winn Circle
Vanceboro. NC 28586
(Addressee/Owner of Record's
Name and Address)
10/2/12
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
Robert Jones
R. J, Bushhogging, Inc
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1185 Winn Circie
Vanceboro, NC 28586
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhogging, Inc. has applied on 10-2-12
(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 SR 1436 located Anx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 (Winn Circle
(Direction) (Dearest Town) (Number/Name)
in Craven 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 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). 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 regarding the
specifics of the oronosed minim activity, please contact the applicant at the following telephone number:
ror mtormation on ttie mining
rogram staff at [phone]. I"lease note 1
Roger G. & Linda M. Russell
5925 US Hwy 17 N
Vanceboro. NC 28586
(Addressee/Owner of Record's
Name and Address)
10/2/12
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
it application review process, please contact the Mining
w
Robert .tones
R. J. Sushhogging, Inc
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1185 Winn circle
Vanceboro NC 28586
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. Ilushhoggin2, Inc. has applied on 10-2-12
(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 SR 1436 located Apx.4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road _ SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven 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 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). 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 re ardin', the
specifics of the proposed minina activity, lease contact the applicant at the following telephone number
252-671-2159. For information on the mining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider any relevant written
comments/documentation within the provisions of the Minine Act of 1971 throughout the amplication review
until a final deci
Timberlands East, LLC
R0, Sox 12006
New Bern. NC 28561
(Addressee/Owner of Record's
Name and Address)
10/2/12
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
Robert Jones
R.1. Bushhogging, Inc
(Nacre of Applicant: Include Contact Person
& Company Name, if Applicable)
1185 Winn Circle
Vanceboro, NC 28586
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhogginiz, Inc. has applied on 10-2-12
(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 SR 1436 located Apx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road _ SR 1436 (Winn Circles
(Direction) (Nearest Town) (Number/Name)
in Craven 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 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). 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_rcp_arding the
specifics of the proposed mining activity. Dlease contact the aDplicant at the following telephone number
252-671-2159. For information on the mining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider any relevant written
a
Tom & Thelma G. Nobles
950 Winn Circle
Vanceboro. NC 28586
(Addressee/Owner of Record's
Name and Address)
n the annlication.
10121 l2
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
Robert Jones
R. J. Bushhogging, Inc
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1 185 Winn Circle
Vanceboro, ti'C 28586 _
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. BushhogginI4= Inc. has applied on 10-2-12
(Applicant Name) (Date)
to the I -and 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 SR 1436 located Apx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bI), 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 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). 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 regarding
-671-2159. For information on the mining permit
gram staff at [phone]. Please note that the
iments/documentation within the 1rovisions of the
Zachary Taylor
P.O. Box 12006
New Bern. NC 28561
(Addressee/Owner of Record's
Name and Address)
10/2/12
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
ication review process, please contact the Mining
3rtment will consider any relevant written
ina Act of 1971 throutxhout the anolication review
Robert Jones
R. J. Bushhogging, lnc
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
1185 Winn Circle
Vanceboro, NC 28586 R
(Address of Applicant)

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
R. J. Bushhogginpjuc. has applied on 10-2-12
(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 [Wining 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 SR 1436 located Apx. 4.3
(Mineral, Ore) (Number) (Miles)
Southeast of Vanceboro off/near road SR 1436 (Winn Circle)
(Direction) (Nearest Town) (Number/Name)
in Craven County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bI), 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 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). 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
tiling 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 regardinp, the
specifics of the nronosed minim activity, please contact the applicant at the following teleohone number:
252-671-2159. For information on the mining permit application review process, please contact the Mining
Program staff at [phone]. Please note that the Department will consider any relevant written
comments/documentation within the provisions of the Minim Act of 1971 throughout the application review
process until a final decision is made on the application
.]tick B. Veit, III — County Manager
406 Craven Street
New Bern NC 28560
(Addressee/Owner of Record's
Name and Address)
1012112
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
Robert Jones
R. J. Bushhogging, Inc
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
l 185 Winn Circle
Vanceboro. NC 28586
(Address of Applicant)

Archibald C. Ipock
825 Weyerhaeuser Rd.
Vanceboro, NC 28586
Bill & Daphne Cleve
PO Box 215
Vanceboro, NC 28586
Carl & Deborah Jones
495 Winn Circle
Vanceboro, NC 28586
Desi L. Toler
601 Cool Springs Rd,
Ernul, NC 28527
Howard D. Rawls
480 Winn Circle
Vanceboro, NC 28586
Jonathan & Crystal Sprott
545 Winn Circle
Vanceboro, NC 28586
Robert B. Moore, Jr.
520 Winn Circle
Vanceboro, NC 28586
Robert E. & Charlotte Nobles
403 Backwoods Road
Vanceboro, NC 28586
Rocky S. Toler
725 Winn Circle
Vanceboro, NC 28586
Roger G. & Linda M. Russell
5925 US Hwy 17 N
Vanceboro, NC 28586
Timberlands East, LLC
P.O. Box 12006
New Bern, NC 28561
Tom & Thelma G. Nobles
950 Winn Circle
Vanceboro, NC 28586
Zachary Taylor
P.O. Box 12006
New Bern, NC 28561
Adjoining Land Owner's
Jack B. Veit, III — County Manager
406 Craven Street
New Bern 28560

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e�Ft��J,er�e�ioi.}lnfl�lr�ucli�ns

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 C.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:
i
Signature:
Print Name: Bill Cleve
(Title, if applicable)
Company _
(If applicable)
Address: 270 Farm Life Avenue
APPLICANT:
Signature:*
Print Name: Robert Jones
Title: President/Owner
Company: R. J. Bushhogging, Inc.
Vanceboro. NC 28586 Mine Nance: Willis Neck Mine 92
Telephone: 25( 2)-244 Telephone: ( 252 ) 244-2805
Date Signed: T — z CJ — Date Signed:
,� --- Z U - ( -2,
*Signature must be the same as the individual who signed Page I of this application.
One orizinal and five (5) conies of the completed annlication. six (6) conies of all location mans. mine mans
and reclamation maps, and the appropriate processing fee (see next page for fee schedule) in the form a check
or money order payable to the North Carolina Department of 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
[phone].
- 18 -

APPLICATION FOR A MINING PERMIT
MINING FEE SCHEDULE
A nonrefundable permit application processing fee when filing for a new mining permit, a major permit modification or a renewal permit is
required as follows:
New Permit Applications
Permit Modifications
Permit Renewals
Transfers/Minor Modifications*
0-25 acres
$3,750.00
$750.00
$750.00
$100.00
2b+acres
$5,000.00
$1,000.00
$1,000.00
$100.00
* A nonrefundable S100.00 permit application processing fee is required for minor permit modifications. Minor permit modifications include ownership transfers, name
changes, bond substitutions and permit renewals where the mine is inactive and fully stabilized. A minor permit modification also includes lands added to a permitted area,
outside of the minimum permit buffer zone requirements, where no plans for mining related disturbance of the added lauds have been approved. All other changes are
considered major permit modifications.
acres for new permits .and renewal permits means the total acreage at the site. Acres for major modification of permits means that area of laud affected by the naodilication
within the permitted mine area, or any additional land that is to be disturbed and added to an existing permitted area, or both.
-19-

APPLICATION FOR A MINING PERMIT
There are seven Land Quality Section (LQS) Regional Offices. Use the map below to locate the Regional Office
serving your county.
Asheville Regional Office
• Counties: Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey
• Address: 2090 U.S. Highway 70, Swannanoa, NC 28778
• Voice:828.296.4500
• FAX:[phone]
Fayetteville Regional Office
• Counties: Anson, Bladen, Cumberland; Harnett, Hoke, Montgomery, Moore, Richmond, Robeson, Sampson,
Scotland
• Address: 225 Green Street, (Systel Building), Suite 714, Fayetteville, NC 28301-5094
• Voice:910.433.3300
• FAX:910.486,0707
Mooresville Regional Office
• Counties: Alexander, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly,
Union
• Address: 610 East Center Ave., Suite 301, Mooresville, NC 28115
• Voice:704.663.1699
• FAX:[phone]
Raleigh Regional Office
• Counties: Chatham, Durham, Edgecombe, Franklin, Granville, Halifax, Johnston, Lee, Nash, Northampton,
Orange, Person, Vance, Wake, Warren, Wilson
• Address: 1628 Mail Service Center, Raleigh, NC 27699-1628 or 3800 Barrett Drive, Raleigh, NC 27609
• Voice:919.791.4200
• FAX:[phone]
Washington Regional Office
• Counties: Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates, Greene, Hertford, Hyde, Jones,
Lenoir, Martin, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Wayne
• Address: 943 Washington Square Mall, Washington, NC 27889
• Voice:252.946.6481
• FAX:[phone]
-20-

APPLICATION FOR A MINING PERMIT
LAND QUALITY REGIONAL OFFICES (continued)
Wilmington Regional Office
• Counties: Brunswick, Carteret, Columbus, Duplin,.New Hanover, Onslow, Pender
• Address: 127 Cardinal Drive Extension, Wilmington, NC 28405
• Voice.910.796.7215
• FAX:910,350.2018
Winston-Salem Regional Office
• Counties: Alamance, Alleghany, Ashe, Caswell, Davidson, Davie, Forsyth, Guilford, Rockingham; Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
• Address: 585 Waughtown Street, Winston-Salem, NC 27107
• Voice:336.771.5000
• FAX:[phone]
-21-

APPLICATION FOR A MINING PERMIT
SCHEDULE OF RECLAMATION COSTS
(Based upon range of $500 - S5,000 per affected acre)
COMMODITY CODES: SG = Sand and/or Gravel, GS = Gemstone, Borrow = Borrow/fill dirt, CS = Crushed Stone,
DS = Dimension Stone, FS = Feldspar, MI = Mica, LI = Lithium, PF = Pyrophyllite, OL = Olivine,
KY = Kyanite/Sillimanite/Andalusite, PH = Phosphate, CL = Clay/Shale, PE = Peat, AU = Gold, TI =Titanium, and OT
= Other
Tvpe
T/S Ponds
S.piles
W.piles
P.area/H.R.
Mine Excay._
SG, GS,
$500/ac.(L)
$1800/ac.
$2000/ac.
$1800/ac.
$500/ac.(I.)
Borrow
1500(FI)
$2000(PD)
CS, DS,
500(L)
1800
2000
2000
500(L)
FS, MI,
1500(FI)
2500(PD)
L1, PF, OL, KY
PH
1000(L)
2500
5000
5000
2000(L)
2500(FI)
5000(1:'D)
CL
1000(L)
2500
5000
5000
2000(L)
2500(FI)
3700(PD)
PE, AU,
1000(L)
2500
3000
3500
2000(L)
1-1, OT
2500(FI)
5000(PD)
(L) = reclamation to a lake and revegetating sideslopes
(FI) = reclamation by filling in and revegetating
(PD) = reclamation by grading for positive drainage & revegetating
AS PER NCAC 15A 5B.00031 IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINEll BY THE
BOND CALCULATION WORKSHEET, YOU MAY SUBMIT AN ESTIMATE OF RECLAMATION COSTS
FROM A THIRD PARTY CONTRACTOR. SAID ESTIMATE MUST BE PROVIDED WITHIN 30 DAYS TO
THE FOLLOWING ADDRESS: Mining Program, Land Quality Section, 1612 Mail Service Center, Raleigh,
North Carolina 27699-1612
ALL ESTIMATES MUST INCLUDE THE FOLLOWING. AS A MINIMUM:
• FINAL GRADING COSTS PER ACRE
• LIME AND FERTILIZER COSTS PER ACRE
• YEAR-ROUND SEEDING MIXTURE COSTS PER ACRE (FROM APPROVED REVEGETATION
PLAN IN APPLICATION/PERMIT DOCUMENT)
• MULCH AND ANCHORING COSTS PER ACRE
• ANY OTHER RECLAMATION COSTS NECESSARY TO COMPLY WITH THE APPROVED
RECLAMATION PLAN FOR THE SITE IN QUESTION
YOU WILL BE NOTIFIED AS SOON AS POSSIBLE OF THE DIRECTOR'S FINAL BOND DETERMINATION.
-22-

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WILLIS NECK MINE # 2
PROFESSIONAL LAND SURVEYING
PO Box 354
Vanceboro, NC 28586
Phone. [phone]
CRAVEN COUNTY, NORTH CAROLINA
IN FEET
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LEGED
Aa
DEW a"
P.0
PAGE
RIW
MGHT OF WAY
CA
C£NMR LINE
LP
UGHT POLE
PERMIT BOUNDARY
E'XCAVA170M AREA
®
LIGHT POLE
-- as -
OVERHEAD ELECTRIC
PVC POLE
CATEGt?RY
AFFECTED
ACREAGE
TAILINGS / SEDIMENTS
0.00
SRXKPILES
0.00
WASTE PILES
000
PROCESSING AREA/ HAUL ROADS
.045
MINE EXCAVATION
21.814
UNEXCAVA7ED BUFFER
6.398
TOTAL DIVURBED ACREAGE
28.257
BILL CLEVE
D.B. 827, PC 25
ZACHARY TAYLOR
D.B. 1296, PG 487
\ L
)L2,'
L4
MINE AREA`
L-2�
z SCREENING L-,
Q rA BERM
SCREENING BERM �. L
NOT TO SCALE
77MBERLANDS EAST,' LLC
D.S. 2838, PG. 67
2 O'
UNEKCA
% BUFFER
I/
1
f
a
UNEXCAVAiED UNEXCA
BUFFER EXCAVATED AREA
VA 7E0BUFFER m
osox�
TYPICAL EXCA VA 770NI
POND DETAIL
NOT 70 SCALE
SEEDING AND MULCHING SCHEDULE
SEEDING
I '
ROBERT EARL NOBLES
CHARLOTTF NOBLES
001
D.B. 1133, PG. 588
HOUR
0�
n� 1
L-41
tit
L- 9
H40USE
t
L-37
L
b1
BILL CLEW
D.B. 827, PC, 25
L-7
L-6
�j,_L alSliJRBFD__AREAS eU it?
JANUARY I -MARCH 31 APRIL 1-JUL Y 31
50# TALL FESCUE 50# TALL FESCUE
20# COMMON BERMUDAGRASS (UNHULLED) 15# COMMON BERMUDAGRA S (UNHULLED) Aoo
1000# 10--10-10 FER77LIZER 1000# 10-10-10 FER77LIZER
4000# LIMESTONE 40001f LIMESTONE
10
AUGUST 1-DECEMBER 31
60# TALL FESCUE
20# COMMON BERMUDAGRASS (UNHULLED)
1000# 10-10-10 FER71LIZER
4000# LIMESTONE
1. FER77LIZER SHALL BE 10--10-10 ANAL MSS. A DIFFERENT ANALYSIS OF FER77LIZER MAY BE USED
PROVIDED THE 1-1-1 RA770 IS MAINTAINED AND 7HE RA7F OF APPLICA77ON ADJUSTED TO PROVIDE THE
SAME AMOUNT OF PLANT FOOD AS A 10-10-10 ANALYSIS AS DIRECTED.
MULCHING
1. 2 TONS PER ACRE (APPROX. 80 BALES), OF SMALL GRAIN STRAW
2. TACK WITH LIQUID ASPHALT OR EMULSIFIED ASPHALT ® 400 GAL/ACRE
3. STRAW OR EXCELSIOR MAT77NG MAY BE U77LIZED AS NEEDED TO STABILIZE SLOPES
4. Sl TE MAY BE HYDRO SEEDED.
SITE SUMMARY
TOTAL PERMIT BOUNDARY ACREAGE 28.212 ACRES
TOTAL PROPOSED ZXCAVA77ON AREA 21.814 ACRES
NOTES
1. EROSION CONTROL MEASURES SHALL BE INSTALLED AS
REQUIRED TO PREVENT EROSION. DISTURBED AREAS TO
BE SEEDED AND STABILIZED IN ACCORDANCE WITH SEEDING
SCHEDOLE AS INDICATED.
2. A BERM WITH MINIMUM 5' HEIGHT AND J. 1 SIDE SLOPES
TO BE CONSTRUCTED ALONG ALL ROAD FRONTAGE AND
ADJACENT PROPER77ES W17H HOMES AS SHOWN ON PLANS.
J. THIS PROPERTY IS LOCATED IN A FEMA SPECIAL FLOOD
HAZARD AREA (ZONES AE & X) AS SHOWN ON FLOOD
INSURANCE RATE MAP NUMBER 372055640OV, EFFECTIVE DATE
OF JUL Y 2, 2004.
4. THERE ARE NO WETLANDS NOTED ON 7NE' PROPOSED MINING
SITE,
5. EXPECTED AVERAGE MINE DEPT Y TO BE JO' WITH MAXIMUM
DEPTH OF 35:
6 CLEARING LIMITS TO MATCH LIMITS OF PROPOSED EXCAVAT7ON
BOUNDARY.
7. UPON CVMPLE77ON OF EXCAVATION, WATER IMPOUNDMENT%
PONDS WITH A MINIMUM DEPTH OF 4' BELOW NORMAL LOW
WA7ER TABLE ELEVA770N.
8. STOCKING THE IMPOUNDMENT/ PONDS WITH FISH IS NOT
PROPOSED.
9. EN7RANCES ONTO THE PROPERTY TO BE GATED AND SIGNAGE
P0S7ED TO PREVENT ENTRY UPON COMPLE77ON OF
EXCAVATION.
BILL CLEVE
D.6. 327, PG 25
ROGER G. RUSSELL
LINDA M. RUSSM
D.B. 3118, P9 596
I
25.0'
UNEKCAVA TED
BUFFER
BILL G-EVt
D.B. 827, Pia 25
���4�1N1tN�rrrrri
4lY
1.
• SEAL ` • ..
L-3824
E.
MCINITY SKETCH
(NOT TO SCALE)
CURVE TABLE
CURVE
RADIUS
CHORD
LENGTH
CHORD
BEARING
ARC
LENGTH
c- r
506. 77
184.22
S0171651 OW
185.25
C-2
154.49'
JO.F5
S517707 E
31.00
C-3
154. 49'
37.24
S64 07'230E
37..33
C-4
94.49'
22 71
N6456'09"W
22.76
C-5
94.49'
94.22'
1
N2777"41'W
98.64'
C-6
569- 77'
206.04'
I N01'06 51 E
1 20Z 19'
4T BRINSON MOORE, R.
D.B. 2830, PG. 447
?T BRINSON MOORE,
D.B. 2787, PG. 881
LINE TABLE
UNE
DISTANCE
ANGLE
L-1
177.57
N5948'07"W
L-2
90.93
S87*50J"W
L-3
203.1
SS63'52'27"W
L-4
46.75
N85i7828 W
L-5
43.28
N86'46 23 W
L-6
34.36
N0319 35 E
L-7
SZ04
N06 44 42"E
L-8
61,72'
N0422 00 W
L---9
74.93'
N1653160W
L-10
.56.46
N472420 E
L-11
82.34
N1 J V5'25"E
L-12
52.88
N0473160E
L-13
37. 08
N1744 34 W
L--14
48.41'
N21'0405"W
L-15
56.49
N133636 E
L-16
79.20'
N 1148'17 E
L-17
69.12
N05'21 32 E
L-18
147.19
N89'4828 W
L-19
29790'
N7832'43 W
L-20
65.02
N00715'17 E
L--21
84.64
N0874'35"W
L-22
49 24
N2378 56'W
L-23
51.43'
N09.34 45,W
L-24
57.44
No1'3926"E
L-25
59.74
N187325 E
L-26
100.14
N24-o4'2f E
L••-27
96.40
N2279'48 E
L-20
Ei2. 1L
mrO I f'4V E
L-29
26 81'
N1851'48"E
L-30
36.00
N34 44 09 E
L-31
42.24
N4035 SJ E
L--32
25.12
N30177'13 E
L-33
32.15
NII'19 32 E
4-J4
74.52'
N00'43'02 E
L-35
103.24
N0219 33 E
L-36
56.25
N1855 24 E
L-37
52.13
N2850140 E
L-38
63.05'
N3239'40E
L-39
$5.32
N2256'10 E
L•-40
90.49-
N10'22 02 E
L-41
126.87
N83'02 OS E
L-42
45.6
SS097221 E
L-43
93.12'
S1135 11 "W
4-44
11793
N8554'53 W
L-45
18aJ2
S 40'33 5
L-46
140 72'
A1855027 E
L-47
131.07
NII'J5'11 E
L-48
92.75
S1270'005E
L-49
169.09'
S53 57 3 E
GRAVEL ROAD
EXIS77NG GRADE
HAUL HUAU UL I AIL.
NOT TO SCALE
150 75 0 160 300
SCALE. 1 0 150'
THIS MAP WAS PREPARED USING THE CRAVEN COUNTY GIS,
DEEDS AND MAPS RECORDED IN THE CRAVEN COUNTY
REGISTRY. THIS IS NOT A CERTIFIED SURVEY MAP AND
SHOULD BE USED ACCORDINGLY.
r
12-0044

LEGEND
D.B.
DEED BOOK
RG.
PAGE
R/W
RIGHT OF WAY
C/L
CENTER LINE
LP
LIGHT POLE
PERMIT BOUNDARY
®
EXCAVATION AREA
LIGHT POLE
- m -
OVERHEAD ELECTRIC
PVC POLE
STE SUMMARY
TOTAL PERMIT BOUNDARY ACREAGE 28.212 ACRES
TOTAL PROPOSED EXCAVATION AREA 21.814 ACRES
ROBERT EARL NOBLES
CHARLOTTE NOBLES
001
D.B. 1133, PG. 588
m
NO TES HOUSE
1. EROSION CONTROL MEASURES SHALL BE INSTALLED AS El i5
NEEDED TO PREVENT EROSION. SEED ALL DISTURBED .. u I
AREAS IN ACCORDANCE WITH SEEDING SCHEDULE AS t-ht
NOTED ON THE RECLAMA 77ON PLAN. L-41 s-
2. WATER SERVICE SUPPLIED TO ADJACENT PROPER7ES BY t
CRAVEN COUNTY r
J. A BERM WITH MINIMUM 5' HEIGHT AND 3. 1 SIDE SLOPES L-4 B
TO BE CONSTRUCTED ALONG ALL 'ROAD FRONTAGE AND ;
ADJACENT PROPERTIES WITH HOMES AS SHOWN ON PLAN.
ADJACENT OWNERS ADDRESSES
PROPERTY
MAILING
PROPERTY
OWNER
ADDRESS
DESCRIP77ON
ARCHIBALD COUNCIL (POCK
825 WEYERHAEUSER RD
WEYERHAEUSER RD.
VANCESORO, NC 28586
PARCEL-038-037
BILL CLEVE
P.O. BOX 215
W1NN CIRCLE PARCEL(S)i
DAPHNE CLEVE
VANCESORQ NC 28586
1-037-034 1-037-048
CARL JONES
495 W1NN CIRCLE
PARCELS) #1-037 1002,
DEBORAH JONES
VANCESORO, NC 28566
1-037-1003 1-037--049
DESI LAWRENCE TOLER
601 COOL SPRINGS RD.
MLUS PROPERTY
EMUL, NC 28527
PARCEL 1-037 4000
HOWARD D. RAWLS
480 KINN CIRCLE
PARCEL(S) P-037-047,
VANCEBORO NC 28586
1-037--062
JONATHAN D. SPROTT
545 NNN CIRCLE
LOT 1 SPROTT ACRES SUED.
CRYSTAL H. SPROTT
VANCEBORO, NC 28586
PARCEL 1-037--13000
ROBERT BRINSON MOORE, JR.
520 W1NN CIRCLE
PARCEL(s) #1-037-9000,
VANCEBORO, NC 28586
P-037-12004
ROBERT EARL NOBLES
403 BACKWOODS RD.
897 W1NN CIRCLL'
CHARLOTTE NOBLES
VANCEBORO, NC 26586
PARCEL-037-050
ROCKY STEAVEN TOLER
725 WAIN CIRCLE
725 MLLIS NECK
VANCESORO, NC 28586
PARCEL 47--037=-050
ROGER G. RUSSELL
5925 US HWY 17 N
1700 NLUS BRIDGE RO.
LINDA M. RUSSELL
VANCESORO, NC 28586
PARCEL-037-061
TIMBERLANDS EAST, LLC
P.O. Box 12006
WILLIS NECK
NEW BERN, NC 28561
PARCEL-037-018
TOM NOBLES
950 W1NN CIRCLE
iWLUS NECK LAND
THELYA G. NOBLES
VANCEBORO, NC 28586
PARCEL-037--035
ZACHARY TAYLOR
BOX
SECK
NEWBNNC28561
PARCEL#I 037-017
4. THIS PROPERTY IS LOCATED IN A FEMA SPECIAL FLOOD L- 9 , . I HOUSE
HAZARD AREA (ZONES AE & X) AS SHOWN ON FLOOD
INSURANCE RATE MAP NUMBER 37205564OOk4 EFFECTIVE DATE L-38
OF JULY 2, 2004.
5. THERE ARE NO WETLANDS N07ED WITHIN 7HE PROPOSED
MINING SITE. L-37 I
WI 6. PROPOSED AVERAGE MINE DEPTH OF 30' TH MAXIMUM_ 35' o t
DEPTH. L-36
7 CLEARING LIAWTS TO MATCH UMITS OF PROPOSED EXCAVA7ION t3
BOUNDARY.
8. UPON COMPLETION OF EXCAVA77ON, WATER IMPOUNDMENT/ E C,4VA7ED t t N 1
POND(S) WILL REMAIN, NTH MINIMUM DEPTH OF 4 BELOW BUFFER
NORMAL LOW WATER TABLE ELEVATION. L-35
BILL CLEVE
D.E. 827, PG. 25 L-34
FIELD
• �.
WOODS L-33
L-32 ro'AD lift
L-31
\ L-30
25.0
duffw
WITH
PERM
L-29
L-28
PLTT
BOUNIPARY
!
.208
ACR
AREA
f1
Z
XCA I
14
A 710)
460
1 A
4C
A l
h
\ L-27
'
ZACHARY TAYLOR \
D.B. 1296, PG. 487
\ L-26 /
ill
RM
` 125
t
\ R
D,
S
3
P
T
097
L-44
L4
'
3 MIA
L-2V
\ L-�2
\
L1 ,
SHED
L-46
FIELD
5Q 0
i-0
77MBERLANDS EAST. LLC
2Z
L -1s
Q.S. 2838, PC 67
=�
a
L-f8UNVATED
J BUFFER
L-1
WOODS
20' •-+
L-15
0 0 O
6" LAYER Of COI4RSE AGGRtGATE
O 00
OVER 120 LAYER OF STONE BASE
00000
COARSE
00000
L-1.
00000
BILL CLEIC
50,
O 0
D.B. 827, PD 25
L-12
000 0 10,
O 0
0009000 10'
L-�
EDGE OF EXIS77NG
ROADWAY PAVEMENT `
NOTE:• L_E
PROVIDE IN ACCORDANCE WITH THE
NORTH CAROLINA SEDIMENrA71ON CONTROL
PLANNING AND DESIGN MANUAL.
L-t
GRAVEL CONTROL ENTRANCE
NOT TO SCALE L-7
L-6.
r_DAvrr nnAn
UNE'XCAVA7ED
BUFFER
0 5a
....., 20'' WID7N..� ...
NOT TO SCALE
EXCAVATED AREA
ce
z
UNEXCAVATED
BUFFER
tu
TYPICAL EXCA VA 770NI
POND DETAIL
Nor TO SCALE
BILL CLEVE
D.B. 827 PG 25
-0" £ 265.190
rr
25. 0'
UNEXCAVA7ED
BUFFER
s
�L,l• p
mmmmi
mmilmm-
MEE m No
Immmmmmm
CEMENEFIR-m-m"
Immmmommia"s
v
5Lt
1'
FIELD �
4 JWA THAN D. SPROTT
CRYSTAL H.SPROTT
�� D.B. 2687, PG 292 re
r T}7 % %. Q
Tyr
!40)
.a
50
L-2 - I
BILL CLEVE
DAPHNE ���.
P.S. 1689, 90, 94
N 85-0828"� 463.32 ~
`
UNEX VA 1ED U I \
57ING GRADE
ROGER G. RUSSELL
�L
�C4e D.B. 311f) PG.5596 ,HOUSE
CATEGORY
FIELD �
4 JWA THAN D. SPROTT
CRYSTAL H.SPROTT
�� D.B. 2687, PG 292 re
r T}7 % %. Q
Tyr
!40)
.a
50
L-2 - I
BILL CLEVE
DAPHNE ���.
P.S. 1689, 90, 94
N 85-0828"� 463.32 ~
`
UNEX VA 1ED U I \
57ING GRADE
ROGER G. RUSSELL
�L
�C4e D.B. 311f) PG.5596 ,HOUSE
CATEGORY
AFFECTS©
ACREAGE
TAILINGS / SEDIMENTS
0.00
STOCKPILES
0.00
WASTE PILES
0.00
PROCESSING AREA/ HAUL ROADS
.045
MINE EXCAVA77ON
21.814
UNEXCAVATED BUFFER
6.398
TOTAL DISTURBED ACREAGE
28.257
+�p1tlNtibt/�f�,
C�L1:'' i"�pz f!", i
?.�tss/off. •-�
SEAL. f
L-3824 4
y 4�
..........
..' ..... *
••,,,fit E.
25 0'
UNE'XCAVATEA
BUFFER
BILL CLEVE
D.B. 827 PG. 25
9
VICINITY SKETCH
(NOT TO SCALE)
CURVE TABLE
CURVE
RADIUS
CHORD
LENGTH
CHORD
BE
ARC
LENGTH
C••-1
506777
184.22
SOf716 51 W
185.25
C-2
154.49'
30.95
S5127 D7 E
31.00
C-3
154.49
37.24'
S64 57 23 E
37.33
C-4
94.49'
22.71'
N64a609'W
22.76'
C-5
94.49'
94 22'
N27'1741 7W
98.64
C-6
566.77'
206.04'
N01376 51 E
20719
zi
T BRINSON MOORE, LR
D.B. 2830, PG. 447
zT BRINSON MOORE, JR.
A.B. 2787, PG. 881
C
LINE TABLE
LINE
DISTANCE
AN
L-1
177.57'
N59 48'07 W
L-2
90 93'
S8751'13"W
L-3
203.19
S63 52 27"W
L-4
46.75'
N85*78'28"W
L-5
43.28
N86'46 23 W
L-6
34.36'
NO3'79 35 E
L-7
87.04 2N06
44'42"E
L-8
61.72'
N0422'00"W
L-9
74.93"
N1653'16"W
L-10
56.46
N4724 20 E
4-11
82.34
N11 *05 25 T
L-12
52.88
N0413'16"E
L-13
JZOS
N17'4434 W
L-14
48.4E
N21974'05"W
L--15
56.49
N13'3636 E
L-16
79.20
N1148'17 E
L--17
69.12
N052132 E
L-18
147,19
N89'48 28 W
L- 19
29Z 90'
N78'32 43 W
L-20
65, 02
NOO'05 17"E
L-21
84.84
N0824'35"W
L-22
49.24
N23'18'56"W
L-23
51.43'
N093445"W
L-24
57.44'
N0139'26"E
L-25
59.74
N182325 E
L--26
100.14`
N24'04'21 "E
L-27
96.40
N2229'48 E
L--za
OC. ]L'
I IVI I i'4i`s t
L--29
26.8E
N18'51 48 E
L-30
36.00
N34'44 09 E
L-31
42.24
N40'35'51 "E
L-32
25.12
N30'07%rE
L-33
32.15
N117932 T
L-34
74.52'
N00'43'02 E
L-35
103 24
NO2'19'33 E
L-36
56.25
N185524"E
L-37
52 13
N2650'40 E
L-38
63.05
N3239400E
L-39
55.32
N22 58 10 .E
L-40
90,49
N1022 02.E
L-41
126.87
N83*02 05 E
L-42
45 69
50922 21 E
L-43
93.12'
S1135'11 W
L-44
117.93'
N855453 W
L-45
183.32'
SO4'40'JYT
L-46
140 72'
N85'50'27 E
L-47
131.07'
N1135'11 E
L-48
92.75
S1270'00"E
L-49
169.09'
Si3 57 33"E
MINE AREA
�SCREENING
Q BERM
SCREENING BERM
NOT TO SCALE
A POR710N OF TXIS PROPERTY IS LOCATED
W THIN A SPECIAL FLOOD HAZ4RD AREA
160 75 0 150 300
SCALE. 1 z1 150'
THIS MAP WAS PREPARED USING THE CRAVEN COUNTY GIS,
DEEDS AND MAPS RECORDED IN THE CRAVEN COUNTY
REGISTRY. MS IS NOT A CER77FIED SURVEY MAP AND
S14OULD BE USED ACCORDINGLY.
SANDMTNE MAP
!WILLIS NECK MINE #2
R. J. B USHHOGGING, INC.
DESCRIPTION FOR THIS TRACT IS FOUND
IN DB 827 PG 25 & DB 1889 PG 94
TAX PARCEL: 1--038-7000 & 1--037--034
CRAVEN COUNTY
NORTH CAROLINA
SCALE 1 " = 1 50'
Gaskins Land Surveying, P.A.
PROFESSIONAL LAND SURVEYING
PO Box 354
Vancebaro, NC 28586
Phone: [phone]
Fax: [phone]
12-0044

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