NCG020779_COMPLETE FILE - HISTORICAL_20140609

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V -7 -7
DOC TYPE
'-ff' HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ d'D )q U 6 0 q
YYYYMMDD

NCDENR
N— C w - DrnwlrcM O
E....—♦n6 NET -RL- iRc[5
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
I Month
Da
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C S 0 1V C G 0 12 10 1 7 7 19
I I. Permit status prior to requested change.
a. Permit issued to (company name): Darrell Davenport
b. Person legally responsible for permit: Darrell Davenport
1= i rst M I Last
Owner
12 (1160"Rowlg B
JUN 0 9 2014
c. Facility name (discharge):
d. Facility address:
Title
937 Meadow Lane
Permit Holder Mailing Address
Creswell NC 27928
City State lip
(252) 766-1 134 ( )
Phone FIX
Darrell Davenport Sand Mine
937 Meadow Lane
Address
Creswell NC 27928
City State Zip
e. Facility contact person: Darrell Davenport (252) 766-1 134
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
First M I Last
Title
Permit Holder Mailing Address
City State Zip
Phone E-mail Address
Address
City State Zip
First MI Last
Phone 1,--mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Ken Elliott
First M I Last
Consultant
"Title
PO Box 112
Mailing Address
Aydlett NC 27916
City State Zip
[phone] [e-mail]
Phone ]a -mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Ken Elliott, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
May 21, 2014
Signature Date
APPLICANT CERTIFICATION
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
June 22, 2011
Darrell Davenport
Darrell Davenport Sand Mine
937 Meadow Lane
Creswell, NC 27928
Subject: General Permit No. NCG020000
Darrell Davenport Sand Mine
COC NCG020779
Washington County
Dear Mr. Davenport:
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on June 7, 2006, we
are forwarding herewith the subject certificate of coverage to discharge under -the subject state —
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the
US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage.
Please be aware that mine dewatering at your site has the potential to impact adjacent
wetlands. The specific requirements for mine dewatering at facilities near wetlands can be found
in Part III, Section E of your permit. This permit is being issued because an approved Operation
and Monitoring Plan. Discharging mine dewatering wastewater must be done according to the
approved Plan or your site will be subject to enforcement action. For questions on the Operation
and Monitoring Plan for your facility contact the Washington Regional Office. Contact Thom
Edgerton at the Washington Regional Office at [phone] for more information.
Please note that mine dewatering wastewater includes wet pit overflows caused solely
by direct rainfall and groundwater seepage for this type of mining operation. Any discharge of
this water (and any stormwater commingled with it) is subject to the effluent limitations in this
permit.
This general permit allows the discharge of stormwater and certain types of wastewater
from your facility. In your application, you specified that only mine dewatering water would be
discharged from this facility. If separate point -source discharges of stormwater occur (i.e.,
stormwater not combined with mine dewatering water), you will be required to adhere to the
conditions in this permit for stormwater discharges.
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 NorthCarolina
Location: 512 -8 7 Salisbury St, Raleigh, North Carolina 27604 Awkilalloff
Rhone; 919-$t17-63a01 FAX; 919-807.64941 Customer Service:1-877-623-67A8
Internet: www.ncwaterquality.org
An Equal OpportuniTy 1 Affirmative Action Employer

Mr. Darrell Davenport
Darrell DavenportSand Mine—NCG020779
Additionally, new coastal stormwater management rules (SESSION LAW 2008-211)
were implemented October 1, 2008. Due to these new rules you may be required to apply for an
additional Coastal State Stormwater Permit. Please contact Thom Edgerton in the Washington
Regional Office at [phone] to determine if you will be required to submit an application
for this additional permit.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land
Resources, Coastal Area Management Act or any other federal or local governmental permit that
may be required.
If you have any questions concerning this permit, please contact Brian Lowther at
telephone number [phone].
Sincerely,
for Coleen H. Sullins
cc: Washington Regional Office
Central Files
Stormwater Permitting Unit Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020779
STORMWATER AND WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Darrell Davenport
is hereby authorized to discharge stormwater and mine dewatering wastewater from a facility
located at
Darrell Davenport Sand Mine
937 Meadow Lane
Creswell, NC
Washington County
to receiving waters designated as the Scuppernong River, a class C; Sw, water in the Pasquotank
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, 1I, III, IV, V, and VI of General Permit No. NCG020000 as
attached.
This certificate of coverage shall become effective June 22, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 22, 2011.
W.
for Coleen H. Sullins.,. Director
Division of Water Quality
By the Authority of Environmental Management Commission

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Darrell Davenport
Darrell Davenport Sand Mine
Lab rude: 350 52' 19" N
Longitude: 7611 25' 03" W
County: Washington
Receiving Stream: Scuppernong River
Stream Cass: C; Sw
Sub -basin: 03-01-53 (Pasquotank River" Basin)
r• �- a '�'r;
Facility Location

Larsen, Cory V*q o
From: Edgerton, Thom
Sent: Wednesday, September 08, 2010 11:45 AM
To: Larsen, Cory
subject: FW: Reclamation Plan Procedures
Hello,
WaRO does not have any concerns with the issuance of the COG for NGG020779.
Please let me know if you need any additional information.
Thanks,
Thom
Thom Edgerton
Environmental Engineer
NCDENR - DWQ - Surface Water Protection Section
Washington Regional Office
[phone] Phone
[phone] Fax
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Edgerton, Thom
Sent: Wednesday, September 08, 2010 11:43 AM
To: Jones, Jennifer
Cc: Larsen, Cory
Subject: RE: Reclamation Plan Procedures
Hello,
You had asked for an example of an approved O&M Plan. Please check with Cory Larsen, as I am in the process of
approving the O&M Plan for Darrell Davenport Sand Mine in Washington County.
I was pulling out the related pages of the DLR Mine Review to forward to you and see that the NCG020779 application
package that Cory submitted on 8/23/10 for RO comments includes the Mine application, the NCG02 application and the
O&M Plan. If that is available, that would save me a lot of scanning.
The O&M Plan does not include calculations, but is a plan that if all permit requirements are compliant, the plan
conceivably will protect Waters of the State.
I hope that this helps and let me know if you need additional information.
Thanks,
Thom
Thom Edgerton
Environmental Engineer
NCDENR - DWQ - Surface Water Protection Section
Washington Regional Office
[phone] Phone
[phone] Fax
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Jones, Jennifer
Sent: Wednesday, September 01, 2010 12:01 PM
To: Bennett, Bradley; Georgoulias, Bethany; Willis, Linda

Cc: Hodge, Al; Edgerton, Thom; Lawyer, Mike
Subject: FW: Reclamation Plan Procedures
Hey folks,
Here's some info from DOT on what they require for monitoring borrow pits and for their 0&Ms. Thought it might be
useful to you all with the O&M plans for sand mines — and Linda yob had asked about what the DOT permit requires for
single source pits.
Jen
Jennifer Jones
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting Unit ,.
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
Email: iennifer,[e-mail]
Website: http://.portal.ncdenr.orci/web/wq ws/su
**E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third
parties,"'
From: Sherrod, Ted M
Sent: Wednesday, September 01, 2010 7:22 AM
To: Jones, Jennifer
Subject: Reclamation Plan Procedures
P
Jenn, .' . .
Per our discussion yesterday; didn't know if you had rev'd these in the past.
http://www.ncdot.org/doh/operations/dp chief eng/roadside/fieldops/downloads/Files/ContractedReclam at ion Procedurespdf
Also attached our procedure for monitoring pit discharges that was developed w/DWQ in 2006.
Take care,
Ted
Ted Sherrod, PE, CPI:SC, CPSWQ
NCDOT Roadside Environmental Unit
State Roadside Env Field Ops Engr
1557 Mail Service Center
Raleigh, NC 27699
919.733.2920 Ol}ice
919.733.9810 Fax
919,201.8779 Cell
2

ALTJ�IwF
Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
.4kM C/I.O neP ..V O/
FHVAO*.,r4T µn N. %e{ V. rt•'30. Wlj
NCG020000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Y... Month ❑a
7 t OB l
Certificate of Coverage
Chcek p
I Amount
Permit Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG020000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code - 14XX Mineral Mining Industry (except as specified below)
The following activities are also included:
• Active or inactive mining operations (including borrow pits —except for NCDOT borrow pits) that discharge
stormwater contaminated with or that has come in contact with, any overburden, raw material, intermediate
products, finished products, byproducts or waste products located on the site of such operations;
• Stormwater from vehicle maintenance activities at mining operations;
• Overflow from facilities that recycle process wastewater; and/or v
• Mine dewatering (wastewater)
The following activities are specifically excluded from coverage under this General Permit: 96
• Stormwater discharges associated with peat mining,coal mining,and metal mining;
• Stormwater discharges from mining operations which are intermixed on site with stormwater fro $ halt,.,,=,
operations and/or concrete operations;
,
• Stormwater discharges associated with oil and gas extraction operations; and
• Stormwater discharges associated with tourist gem mines
L
• NCDOT borrow pits are covered under NCS000150
The following discharges are covered by NPDES general permit NCG520000 instead of NCG020000:
• Point source discharges of stormwater and wastewater from in -stream sand mining operations (i.e., sand
dredging or dipping operations)
For new mining sites that require an authorization to construct (ATC) wastewater treatment facilities: This
NOI is also an APPLICATION FOR an ATC for new wastewater treatment facilities. ATC requests must be
submitted at least 90 days prior to construction'.
For existlna mining sites that require an Authorization to Operate (ATO) wastewater treatment facilities:
This NOI is also an APPLICATION FOR an ATO for wastewater treatment facilities in place.
Construction, modification, or installation of any new treatment components at an existing site requires
an ATC. (If the site is already covered by NCG020000, the ATC request may be submitted without an NOI).
Some wastewater treatment facilities used to treat or recycle process wastewater (even if commingled
with s(ormwater) at mining sites will require an ATC prior to construction per 15A NCAC 2H .0138.
Please see the NCG020000 General Permit for details about which treatment facilities require an
ATC (summarized in Table 1 at the end of this form). For example, an ATC is required for treatment
of mine dewatering discharge from clay pits and non -closed -loop wastewater recycle systems. The
authorization to construct or continue to operate will be issued at the same time as the Certificate of
Coverage (COC) for the N0002 permit. Design of treatment facilities must comply with requirements
of 15A NCAC 2H .0138 & .0139.
Page 1 of 7
As per 15A NCAC 2H .0106
2Unless treatment facilities are designed, constructed, and put into operation by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes, 89C-25 (7), plans and specifications must be signed
and sealed by a P.E.
SWU-217-071408 Last revised 7114/08

1 F • A

NCG020000 N.O.I.
Construction of wastewater treatment facilities subject to the ATC/ATO requirements in the NCG02 permit
at new or existing mining sites requires submission of three (3) sets of plans and specifications signed
and sealed by a Professional Engineer (P.E.) or qualified staff2 along with this application. A copy of the
design calculations should be included. Please see questions 18 & 19.
Table 1: Wastewater Permit ATC/ATO Requirements
Mine Dewatering
Yes
No
Quarries
—
•
Sand Pits
—
•
Clay Pits
•
—
Any Dewatering with Chemical Treatment
•
—
Process Wastewater
Sand/Gravel
—
•
Closed -Loop Recycle
—
•
Other Recycle
•
_,..,
VVd_'__ For questions, please contact the DWQ Regional Office for your area. (See page 7)
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
Darrell Davenport
937 Meadow Lane
Creswell
252 766-1134
E-mail Address debra [e-mail]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Contact E-mail
Darrell Davenport Sand Mine
-Darrell Davenport
937 Meadow Lane
Creswell
State NC ZIP Code 27928
Fax:
State NC ZIP Code 27928
Washington County
252 766-1134 Fax:
[e-mail]
3) Physical Location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). US64 , Creswell exit, 8th Street to downtown, turn right on Main
Street, follow out of town, changes to Meadow Lane (SR 1142), site is 0.8 mi from City Limits on the left.
4) Latitude 35 deg 52' 19.50" N Longitude 76 deg 25' 03.13" W (degrees, minutes, seconds)
5) this NPDES Permit NOI Application applies to which of the following:
0 New or Proposed Facility Date operation is to begin October 2010
❑ Existing
❑ New Permit not applicable - ATC request only. NPDES Permit Number
Page 2 of 7
SW11-217-071408 Last revised 7114108

NCG020000 N.O.t.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 1 4 4 2
7) Provide a narrative description of the types of minerals mined at this facility:
Topsoil & Sand
8) Discharge Points:
Number of discharge points (ditches, pipes, channels, etc. that convey discharges from the property):
Stormwater: Mine dewatering: 1 Process Wastewater Overflow:
Discharge points should be clearly marked on the submitted site plan.
Please provide short narrative description of discharges: Overflow freshwater from 2.8 acre sediment pond, water
originating from adjacent sand mine excavation.
9) Receiving waters:
What is the name of the body or bodies of water cre k stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in?cu emon Riv Bull
Bay. A'bernafle-Geuftel--
If the site stormwater discharges to a s -sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer), NIA
Receiving water classification (if known): SC-r�`
Note: Discharge of process wastewater to receiving waters classified as WS-11 to WS-V or SA must
be approved by the N.C. Dept. of Environmental Health. If DEH does not approve, coverage
under NCG020000 cannot be granted. No new discharges of process wastewater are
permitted in receiving waters classified as WS-1 or freshwater ORW.
10) Will mining operations require dewatering near wetlands or impact any stream, groundwater, or wetlands?
p No
❑ Yes If yes, please provide information about any 404/401 Certification permits.
Note: Wetlands must be CLEARLY DELINEATED on the site plan. Mine dewatering activities that have
the potential to drain wetlands or otherwise impact surface water or groundwater MUST develop and
implement an Operation and Monitoring (O&M) Plan that has been approved by the Division.
The O&M Plan should be submitted to the Regional Office and must be approved prior to,ogeration.
The plan shall include, but is not limited to: (1) Groundwater monitoring strategies to demonstrate the
effect of pumping and to establish any pumping regime necessary to reduce impacts, and (2) Detailed
plans to maintain surrounding hydrology and respective monitoring to demonstrate compliance.
11) Does this facility already have a valid Mining Permit from the Division of Land Resources (DLR)?
El No (If not, please indicate the status of the Mining Permit application: Applying at this time, app copy attached_)
❑ Yes 1q— 71
If yes, please provide the Mining Permit number and include a copy with your application:
Note: DWO cannot issue a COC for the NCGO20000 General Permit until a Mining Permit is issued or
renewed by the Division of Land Resources (DLR).
Page 3of7
SWU-217.071408 Last revised 7114M

NCG020000 N.O.I.
12) Will this mining operation precede development activities at this site?
0 No
❑ Yes
13) Does this facility have any other NPDES permits?
El No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
14) Does this facility have any Non -Discharge permits (ex: recycle permits)?
El No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
15) Does this facility employ any best management practices for stormwater control?
El No
❑ Yes
If yes, please briefly describe:
16) Does this facility have a Stormwater Pollution Prevention Plan?
El No
❑ Yes
If yes, when was it implemented?
17) Will vehicle maintenance activities occur at this facility?
I] No ❑ Yes
Wastewater Treatment Facilities:
18) Will mine dewatering discharges occur? (ATCIATO required for clay pits or dewatering with chem. treatment)
❑ No El Yes
19) Will discharges of overflows from process wastewater treatment systems occur? (ATC or ATO required,
unless sand/gravel mining or closed -loop recycle system)
❑ No I] Yes
If yes, answer the following questions on the wastewater treatment system:
a. Please describe the type of process used to treat and/or recycle the process wastewater. Give
design specifics (Le. design volume, retention time, surface area, etc.). Existing treatment
facilities should be described in detail, and design criteria or operational data should be provided
(including calculations) to ensure that the facility can comply with requirements of the General
Permit. [Use separate sheet(s)]
b. Does this facility employ chemical additives to flocculate suspended solids? 121 No ❑ Yes
If yes, please state the name, manufacturer and the quantity of average daily usage of the
chemical additive
Note: Please see http://h2o.enr.state.nc.us/ws/PAMS list.htm for a list of approved polyacrylamide (PAMS)
products for use in North Carolina.
Page 4 of 7
5WU-217-071408 Last revised 7/14/08

NCG020000 N.O.I.
Does this facility overflow only during rainfall events exceeding the 10-yr, 24-hr rainfall event?
0 No ❑ Yes
20) Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
❑✓ No ❑ Yes If so, include information to demonstrate protection from flooding. (Minimum design
requirements for treatment works include protection from the 100-year flood, per 15A NCAC 2H .0219.)
21) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
El No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
IZI No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
El No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
22) Certification: North Carolina General Statute 143-215.6 b (1) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
agree to abide by the following as a part of coverage under this General Permit:
1. I agree to abide by the approved Mining Permit for this mining activity. (A copy of the valid
mining permit must be attached to this request.
2. 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPDES permit specifically issued therefore.
3. 1 agree that bulk storage of petroleum products and other chemicals shall have adequate
protection so as to contain all spills on the site.
4. 1 agree that solid wastes will be disposed of in accordance with N.C. statutes and rules
governing solid waste disposal.
5. 1 agree that maintenance activities for vehicles and heavy equipment will be performed so as to
not result in contamination of the surface or ground waters.
Page 5 of 7
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NCG020000 N.O.J.
I agree to abide by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General Permit.
certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed, Lame of Person Signing: Darrell Davenport
Title' caner LOnerz or
(Signature of
August 10, 2010
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ Copy of the valid approved mining permit (MP) for the facility or indication of MP application status
❑ Copy of a county map or other general location map that shows the mining site and nearest major roads
❑ Copy of USGS topographic map showing the mining site and surrounding areas, or other map that clearly
shows site location in relation to nearby streams, wetlands, and other waters, etc.
❑ Copy of mining site plan with all wetlands clearly delineated
❑ If the mine is near wetlands, or may otherwise impact surface water or groundwater, contact the regional
office about an O&M Plan (contact information on the next page). Please refer to this O&M Plan checklist:
✓ Site map with wetlands, ditches, well -placements, borrow areas, overburden storage, stormwater
controls/BMPs, vehicle maintenance areas, settling basins, product process areas, and access roads.
✓ Well information (design, depths, maintenance)
✓ Physical monitoring for the wetlands areas
✓ Settling pond sizing information, if applicable
✓ Level spreader design, if applicable
✓ Details about dewatering method
✓ Description of measures to prevent erosion and flooding
❑ If an ATC or ATO is required, three (3) sets of plans, specifications, and design calculations, signed,
sealed, and dated by a P.E. ATC and ATO requirements in NCG02000 are summarized in Table 1 on
Page 2 of this NOI (see the permit text for more details). Plans shall show all pertinent design features,
including the location of the outfall(s). If stormwater is flowing off -site, the plan must show that stormwater
will not be mixed with wastewater.
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
Page 6 of 7
SWU-217-071408 Last revised 7/14/08

NCG020000 N.Q.I.
For questions, please contact the DWQ Regional Office for your area.
DWO Regional Office Contact Information:
Asheville Office ....
Fayetteville Office .
Mooresville Office .
Raleigh Office ......
Washington Office
Wilmington Office .
Winston-Salem ....
Central Office ......
[phone]
[phone]
[phone]
[phone]
.. [phone]
[phone]
[phone]
..[phone]
Page 7 of 7
SWU-217.071408 Last revised 7114/08

NORTH CAROLINA
NCGO2OOOO
APPLICATION
NOTICE OF INTENT
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Surface Water Protection
1617 Mail Service Center
Raleigh, North Carolina 27699-
[phone]

IJLLIOTT CONSULTING
August 12, 2010
To Whom It May Concern:
This mine permit application is for a new 14.3-acre sand mine excavation constructed by
Darrell Davenport, on his property at 937 Meadow Lane, Creswell, NC 27928, 111
Washington County. The requested permit area is located on a flat, sandy 25 acre parcel and
will not present any problems regarding runoff to adjacent areas. The purpose of the
excavation will be to serve as a source of sand for resale, as well as providing a pond for
recreational use by Mr. Davenports family. The excavated pond will also be available for use
as a water source by the local volunteer fire department.
There is an existing 2.8-acre pond adjacent to the proposed excavation that Mr.
Davenport intends to use as a settling pond when dewatering his new excavation. This pond
was built in 2006 by Barnhill Inc. and has been completed and reclaimed. Mr. Davenport
will include this pond inside the permit area but the pond itself will remain undisturbed by
excavation.
There is also an existing 12.6-acre pond located 400 feet northwest of the proposed
excavation built in 2006 by Barnhill Inc. which has been completed and reclaimed. This
pond will remain outside of the permit area and will not be disturbed.
Mr. Davenport intends to dewater his new excavation as necessary to achieve full depth
excavation and to allow proper construction of graded side slopes. He intends to only
dewater for short periods of time for only long enough to remove 100 — 150 loads of sand
at a time and stockpile it, and not dewater again until the stockpiled sand has been sold and
removed, estimated to be every 30 — 45 days. Mr. Davenport is applying for a sand mine
dewatering permit from the Division of Water Quality at this time, in conjunction with a
mining permit from the Division of Land Resources.
During dewatering, water will be removed slowly by a pump running at idle speed and
will take several days. The water will be pumped into the adjacent settling pond where it will
overflow to a field ditch leading 1.6 miles by irrigation canals to the Scuppernong River. The
Scuppernong River then drains 16 miles later into the Albemarle Sound at Columbia.
During periods of dewatering, water flow from the settling pond will be monitored daily
in order to prevent any possible flooding of lands adjacent to the irrigation canals
downstream. All irrigation canals downstream from the excavation area range in size from
16 — 25 feet wide. They are in good condition, and have been well maintained. There have
been no problems with flooding during dewatering operations at previous excavations by
Barnhill using the same canals.
Water quality from overflow from the settling pond will be monitored quarterly for pH
onsite and for suspended solids and turbidity at a State certified laboratory. Rainfall data will
also be collected onsite monthly and after rain events. A11_ monitoring will occur as per
instruction and direction from NCD f--NR.

— 2 — August 12, 2010
The excavation area is located geographically 1500 feet from the nearest dwelling and
1800 feet from the nearest public highway, and is accessible only by a private access road.
Distance from highways and dwellings along with full growth wooded areas on all sides of
the excavation area provide adequate screening of the mining operation, and the site is
barely visible from the closest highway. Access to the permit area is limited by private
property, and private road access. There will be a minimum 25ft wide unexcavated buffer on
all sides of the permit area.
Upon receipt of the approved permits from NCDFNR Land Quality and Water Quality,
Mr. Davenport plans to excavate the mine to an average depth of 20 feet below natural
ground level, and will include construction of proper cut slopes on all sides of the excavated
area, as required in the permit. Reclamation of the mine area will include grading, leveling,
and grassing of all affected areas. Mr. Davenport plans to seed all sloped areas with ground
cover to provide good erosion control.
An adjacent landowners have been contacted and have been made aware of the
proposed training and dewatering operation. The Washington County Manager has been
contacted regarding this application and a land entry agreement has been obtained. The
trine area will be well marked with warning and keep out signs to prevent inadvertent public
access.
Mr. Davenport does hereby request approval for this mining and dewatering permit
application, and asks that it be expedited as soon as possible. Mr. Davenport appreciates
your consideration of this permit application and looks forward working with NCDLNR in
coming years.
Sincerely,
Ken Elliott
for Darrell Davenport
022 kOCKY HOCK CREEK ROAD • EDENTON, NORTH CAROLINA • 27932
PHON1,: 252-482-8840 • FAX: [phone]

OPERATION AND MAINTENANCE PLAN
SAND MINE DEWATERING AND WATER CONTROL STRUCTURE
Operator: Darrell Davenport, 937 Meadow Lane, Creswell, NC 27928
Job Location: Darrell Davenport Sand Mine, 937 Meadow Lane, Creswell, NC 27928
County: Washington County
Prepared by: Ken Elliott, consultant
Date: August 11, 2010
This plan defines responsibilities for operating, inspecting, and maintaining equipment and structures
used for constructing and dewatering the Darrell Davenport Sand Mine safely, and that dewatering will
not degrade or negatively impact any wetlands or waters of the state.
Description and Operation of the Darrell Davenport Sand Mine & Dewatering Process:
Darrell Davenport Sand Mine is a proposed new 14.3 acre excavation (Pond A) located 1 mile west of
Creswell, NC on flat sandy land currently under cultivation with soybeans. There is an existing 12.6 acre
excavated pond located 400 feet northwest of the proposed new excavation, and an existing 2.8 acre
excavated pond (840ft x 150ft) located 30 feet east of the proposed new excavation, both dug by
Barnhill Inc. in 2006 during construction of nearby US 64 four -lane road. Mr. Davenport intends to use
the completed 2.8 acre excavation (Pond B) as a sediment pond for dewatering Pond A during
excavation.
It will be necessary to dewater Pond A as it is being excavated to allow the excavating equipment to
enter the excavated area and safely and efficiently remove the sand from the pond bottom. This will
allow for full depth excavation and proper reclamation of the edges of Pond A. It is the intention of Mr.
Davenport to only dewater the excavation as needed, which will not entail full-time dewatering.
Dewatering will occur roughly every 30 to 45 days which will allow excavating equipment to remove
approximately 150 loads up to ground level where it will be stockpiled for later use. When the stockpile
is depleted from usage, the excavation area will again be dewatered, and another quantity of sand will
be excavated.
It is the intention of Mr. Davenport to dewater Pond A as it is being excavated, into Pond B. Water in
Pond A will be pumped by a 6in gasoline -powered transfer pump operating at idle speed. There will be
an overflow pipe with a water height control device located on the southeast corner of Pond B .
Upon completion of excavation, Darrell Davenport Sand Mine will be a 14.3 acre sand pit that will have
an average 20ft and maximum 25ft depth.
The water -height control structure for overflow located on the southeast corner of Pond B will let clear
water overflow from Pond B as necessary, and flow by buried 15in culvert pipe into an existing Eft wide
field ditch located approximately 25ft from the edge of the sediment pond. Water in this ditch will flow
1.6 miles by field ditch and other irrigation canals to Scuppernong River, and then 16 miles east and
north into Albemarle Sound.

The water -height control structure will consist of a 24in vertical galvanized metal pipe with a removable
cleanout on top, a Sin inlet pipe located on one side, and a 15in outlet pipe on the other that leads to
the existing drainage ditch by connected 15in galvanized sectional pipe. The structure will be located
just below the top lip of the Pond B and will control the water level in Pond B so that the pond will not
overflow uncontrollably onto adjacent lands and fields. The overflow water from Pond B will exit the
pipe through an outlet stabilized with a 20ft long riprap-lined apron in the ditch.
There will be no chemicals or flocculants added to the water in the Pond B to accelerate sedimentation.
Time and distance will allow all sedimentation to occur to acceptable levels before the overflow water
reaches the ditch and then the waters of the State. The water control structure will be located
approximately 700ft from the inlet of water from Pond A. Pond B will be 2.8 acres in size and will have
enough surface area to allow efficient sedimentation to occur. There will be a minimum 2ft tall berm
around the perimeter of the excavation and the sediment pond to prevent offsite stormwater from
entering Pond B and damaging sedimentation rates.
There are no wetlands in close proximity to this excavation. The nearest wetlands are 1 mile distant,
and the nearest dwellings 1500 feet from the excavation, and there have been no noticeable drops in
groundwater of the area due to dewatering of the previous nearby excavations. This area is supplied
with drinking water from the Washington County Water System, and the excavation is located on level
ground surrounded by fields and woodlands.
Maintaining the Water Height Control Structure, Settlement Pond, Ditches, and Irrigation System
Inspections and maintenance are required to obtain the intended function of safely dewatering the sand
mine, and to maintain the life of any adjacent wetlands or waters of the State. Items to inspect and
maintain during the 10 year life of the mine dewatering are:
• Inspect the water control structure regularly, especially following heavy rains and runoff, or
during periods of operation of the structure.
• Remove accumulated debris from the control structure inlet pipe.
• Inspect the structure for excessive settlement or seepage.
• Inspect all components of the structure, including appurtenances, and repair or replace any
damaged items as needed.
• Inspect embankments, berms and appurtenant structures, and repair as needed.
+ Repair any damage to vegetated areas or berms with compacted earth fill, reshaping, sodding,
reseeding and mulching as needed.
• Check frequently for burrowing animals. When found, remove the burrowing animals, replace
embankment materials and reseed.
• Inspect all ditches regularly leading from the excavation area for stormwater erosion, especially
after heavy rains, repair ditch banks as necessary with compacted earth, remove all
accumulated debris in ditch to allow free flow of water. Inspect riprap outlet stabilization
structures in ditches regularly, replace dislodged rock as necessary.

• Promptly repair all leaks in delivery facilities by replacing valves, fittings, gaskets, and worn or
damaged parts.
• Maintain all screens, filters, valves, timers and other electrical and mechanical equipment in
good operating condition, following manufacturer's recommendations
Monitoring the Process and Effects of Dewatering
Analytical and qualitative monitoring of mine dewatering wastewater will be in accordance with the
NCG020000 permit, as follows:
• Monitoring of the Ponds A & B of the Darrell Davenport Sand Mine will be accomplished to
identify and report abnormal conditions between scheduled inspections. irregularities will be
reported to the sand mine operator immediately.
• Special inspections will be conducted immediately following severe storms, initial filling of the
Pond B, vandalism, and other significant events.
• Quarterly inspection of dewatering wastewater will be accomplished along with a general
inspection of the facility.
• Rain gauge data will be collected by monitoring a rain gauge monthly and after each rain event.
• Outflow of dewatering wastewater will be monitored quarterly at the overflow exit stabilization
structure for pH, settleable solids, turbidity, and total flow. Samples will be collected and tested
onsite for pH, and the remainder will be tested for the remaining parameters by a North
Carolina certified lab.
Records
Elliott Consulting will maintain the following records in a permanent file at the Elliott Consulting office at
622 Rocky Hock Creek Road, Edenton, NC 27932. a record of all significant actions taken; as -built
drawings; permits; and related material. Copies of all inspection reports shall be provided to NCDWQ on
a regular basis.
BMP Conditions
• The permittee will utilize best management practices to ensure that dewatering Darrell
Davenport Sand Mine will not degrade or negatively impact any wetlands or waters of the State.
• The permittee shall obtain authorization from the Director of the DWQ prior to utilizing any
chemical flocculants at Darrell Davenport Sand Mine.
Signed,
Ken Elliott
for Darrell Davenport.
August 11, 2010

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August 10, 2Q10

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937 Meadow Lane, Creswell, NC 27928
Washington County
Diagram prepared by
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August 10, 2010
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03- DarreO Davenport
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07- Paul & Fran Elliott
08- Pad & Fran Elliott
06 09-Tim C &JiIC Rose
10- Tim C. & A C. Rose
11 - Tim C. & Jig C. Rose
12- Stewart R. & Ludia B. Davenport
13- Larry W & QndV Phelps
Diagram Prepared By
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8-2-2DIO

Darrell Davenport Sand Mine
937 Meadow lane, Creswell, NC 2792.8
Washington County
Sed. Pond Overflow Drarnage Diagram
Diagram prepared by
Ken Elliott, permit consultant
August 10, 2010

NORTH CAROLINA
MINING PERMIT APPLICATION
State of North Carolina
Department of Environment
and Natural Resources
Division of Land Resources
Land Quality Section
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
[phone]
Revised: January 30, 2008

APPLICATION FOR A MINING PERMIT
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
LAND QUALITY SECTION
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
1. Name of Mine Darrell Davenport Sand Mine County Washington
River Basin Pasquotank
Latitude (decimal degrees to four places) 35.8721 N
Longitude (decimal degrees to four places) 76.4175 W
2. Name of Applicant* Darrell Davenport
3. Permanent address for receipt of official mail** 937 Meadow Lane, Creswell, NC 27928
Telephone ( 252 ) 766-1134 Alternate No._( 252) 797-4374
4. Mine Office Address 937 Meadow Lane, Creswell. NC 27928
Telephone ( 252 ) 766-1134
5. Mine Manager Darrell Davenport _
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
revoi
***S
P
Title Owner
Date August 10 2010
* 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 grantor 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 fling 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 shects as needed.

APPLICATION FOR A MINING PERMIT
NOTE: All of the following questions must be thoroughly answered regarding your mining operation for
the intended life of the mine. All responses must be clearly conveyed on a corresponding, detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
1. Answer all of the following that apply:
® If this is an application for a NEW permit, indicate the total acreage at the site to be covered by the
permit (this is the acreage that the "new permit",fee will be based upon): 22.945 acres
Of this acreage, how much is owned and how much is leased? Acres owned: 22.945 acres
Acres leased: Property owner if leased:
❑ 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 BE
PAID FOR THE REQUESTED PERMIT ACTION(S) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined: Sand topsoil
3. Mining method:
Hydraulic Dredge Front-end Loader & Truck ® Shovel & Truck
Dragline & Truck Self -loading Scraper
Other (explain): Excavator
4. a. Expected maximum depth of mine (feet) . 25 feet
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) 20 feet
-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? Barnhill, 2006. (sediment) pond
6. Number of years for which the permit is requested (10 years maximum): 10 years
RIEFURATIO
1. Clearly mark and label the location of your mining operation on six 6 co ies of a 7.5-minute quadrangle
and a county highway map. These maps, in addition to six 6 coRies of all mine maps and reclamation
maps, must be submitted with each permit application.
7.5-minute quadrangles may be obtained from the N.C. Geological Survey:
Mailing Address: Physical Address:
1612 Mail Service Center OR 512 North Salisbury Street, 5"' Floor
Raleigh, North Carolina 27699-1612 Raleigh, North Carolina 27604
[phone]
www.aeoloay.enr.state.nc.Lis/
County highway maps may be obtained from the N.C. Department of Transportation:
North Carolina Department of Transportation — Geographic Information Systems (GIS)
Mailing Address:
NCDO T GIS Unit
1587 Mail Service Center
Raleigh, North Carolina 27699-1587
Physical Address:
NCDOT GIS Unit
3401 Carl Sandburg Court
Raleigh, North Carolina 27610
[phone]
www.ncdot.ora/it/gisContact/default.html
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 I00-year floodplain limits and wetland boundaries.
o. Names of owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary; if an adjoining tract is owned or leased by the applicant or is owned by the lessor of
the mine tract, names of owners of record of tracts adjoining these tracts, that are within 1,000 feet of
the mining permit boundary, must be provided on the mine map.
-3-

APPLICATION FOR A MINING PERMIT
p. Names of owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary which lie directly across and are contiguous to any highway, creek, stream, river, or
other watercourse, railroad track, or utility or other public right-of-way. If an adjoining tract is owned
or leased by the applicant or is owned by the lessor of the mine tract, names of owners of record of
tracts adjoining these tracts, that are within 1,000 feet of the mining permit boundary, must be
provided on the mine map(s). NOTE: "Highway" means a road that has four lanes of travel or less
and is not designated as an Interstate Highway.
q. Map legend:
1. Name of applicant
2. Name of mine
3. North arrow
4. County
5. - Scale
6. Symbols used and corresponding names
7. Date prepared and revised
8. Name and title of person preparing map
Map scales'should meet the following guidelines:
PERMITTED ACREAGE
MAP SCALE
0-49 Acres
1 inch = 50 feet
50-199 Acres
1 inch = 100 feet
200+ Acres
1 inch = 200 feet
(NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items)
-4-

APPLICATION FOR A MINING PERMIT
A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment
ponds, stockpiles, wastepiles, processing area/haul roads, mine excavation and any other major aspect of the
mining operation that is proposed to be affected/disturbed during the life of the mining permit. A table/chart
similar to the following will be acceptable:
CATEGORY
AFFECTED ACREAGE
Tailings/Sediment Ponds
0.000 acres*
Stockpiles
0.517 acres
Wastepiles
Processing Area/Haul Roads
5.010 acres
Mine Excavation
14.284 acres
Other (Explain) — Sed. Pond Berms
0.264 acres
Total Disturbed Acreage
20.075 acres
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 FOR*. 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.
I. Acquire proper permits from NC Department of Environment and Natural Resources.
2. Operator will excavate area in approximately 150ft wide cuts starting in the northeast corner
and proceeding south down the length of the total proposed excavation area.
3. Excavation area will have topsoil removed down to 2.5 feet below natural ground level and
stockpiled.
4. Operator will construct 6ft wide x 2ft tall sand berm around current excavation area to
prevent offsite erosion.
5. Initially, sand will be dug from excavation area (Pond A) by excavator down to average 10
feet below existing natural ground level, and stockpiled for later removal from premises.
6. To complete full depth excavation and slope construction of the Pond A edges, the proposed
additional and existing excavation will have to -be dewatered.
7. Operator will establish a dewatering pump on the east side of Pond A approx. 250ft from the
north end.
8. Operator will dewater Pond A into the north end of an existing, reclaimed 840ft x 150ft (2.9
acre) pond (Pond B) located approximately 30ft cast of Pond A.
9. Operator will construct 6ft wide x 2ft tall sand berm around the perimeter of Pond B to
prevent offsite erosion or sedimentation.
I0. Operator will establish an overflow pipe approximately 700ft south of the dewatering pump
outlet, near the southeast corner of Pond B. Pond B will act to settle out any sediment
pumped out of Pond A, and the overflow pipe will allow fresh clear water to overflow to a
ditch leading to Scuppernong River and Albemarle Sound.
I t . To dewater the Pond A, water will be pumped slowly from the pond to Pond B. Pump will
run several days continuously at idle speed until water level at the current excavation in Pond
A has decreased to a level that will accommodate further excavation. Overflow water will
flow southward through a culvert from Pond B 25ft to an existing field drainage ditch on the
east side of the permit area which will drain southward 1.6 miles through drainage canals to
Scuppernong River and then 16 miles to Albemarle Sound. Pond A will be dewatered as
needed by the owner during the permit period in order to achieve full depth excavation.
12. After Pond A has been fully excavated the operator will have the slopes graded per
reclamation requirements. Pond B was previously reclaimed with properly graded cut slopes,
which will remain so. Perimeter berm around Pond B will be removed and replaced with a
low 1 ft x 8ft berm
13. Minimum 2:1 graded slopes established around edges of pond area below groundwater level.
14. Minimum 3:1 graded slopes established around edges of pond area above groundwater level.
15. After excavation and edge sloping is completed, a low 1 ft x 8ft berm will be established
around the entire perimeter of Pond A, with outside slope graded down to natural ground
level.
16. All former stockpile areas outside of the proposed excavation area will be leveled and graded
to natural ground level; any trash or debris cleaned up and removed.
17. Internal haul roads and processing areas of main permit area will be leveled and graded to
natural ground level, to a returned to natural field state. A I Oft wide field path will remain
around the entire perimeter of both ponds for owner access.
18. Access roads & field paths to Meadow Lane will be graded, leveled, and returned to pre-
existing state.
19. Entire affected area inside of main permit area will be fertilized and seeded with groundcover
and will be returned to its pre-existing field state.
20. At end of permit period, affected area returns to pre-existing, natural state.
.6-

APPLICATION FOR A MINING PERMIT
2. Describe specific erosion control measures to be installed prior to land disturbing activities and during
mining to prevent offsite sedimentation (include specific plans for sediment and erosion control for mine
excavation(s), waste piles, access/mine roads and process areas), and give a detailed sequence of
installation and schedule for maintenance of the measures. Locate and label all sediment and erosion
control measures on the mine map(s) and provide typical cross-sections/construction details of each
measure. Engineering designs and calculations are required to justify the adequacy of any proposed
measures.
Permit area is located in center of large flat sandy area (25 acres, no elevation changes); no offsite
erosion or sedimentation expected. Sand berm (6'W x TH) will be established around immediate
edge of excavation to prevent erosion of excavation by surrounding area run-off, and will be
maintained for the life of the excavation work, until establishment of final low berm at end of permit
during reclamation
3. a. Will the operation involve washing the material mined, recycling process water, or other waste water
handling? Yes ❑ No ®. If yes, briefly describe all such processes including any chemicals to be used.
Not applicable.
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 ❑. Ifyes, briefly describe the nature of the discharge and locate
all proposed discharge points (along with their method of stabilization) on your mine rnap(s).
1. To achieve dewatering and recovery of sediment, the operator plans to dewater the proposed
excavation area (Pond A) as it is excavated. Pond A will be dewatered into Pond B with
water height overflow control.
2. Pond B will act to settle out any sediment pumped from Pond A.
3. There will be an overflow pipe with a water -height control structure for overflow located on
the southeast corner of Pond B which will let clear water overflow from sediment Pond B as
necessary. The water will flow through a buried 15in culvert pipe into an existing 8ft wide
field ditch located 25 feet from the edge of the sediment Pond B. After leaving the sediment
pond and initial field ditch, water will flow approximately 1.6 miles by irrigation canals to
Scuppernong River leading 16 miles to Albemarle Sound.
4. The water control structure will consist of a 24in vertical galvanized metal pipe with a
removable cleanout on top, a 6in inlet pipe located on one side, and a 15in outlet pipe on the
other that leads to the existing drainage ditch by connected 15in galvanized sectional pipe.
The structure will be located just below the top lip of Pond B and will control the water level
in Pond B so that the pond will not overflow uncontrollably onto adjacent Iands & fields.
The overflow water from Pond B will exit the buried pipe through an outlet stabilized with a
20ft riprap-lined apron into the field drainage ditch.
5. To dewater the excavated area of Pond A, water will be pumped slowly into Pond B for
several days continuously at idle speed until water level in Pond A has decreased to a level
that will accommodate further excavation. Overflow water will flow eastward through a
culvert from Pond B toward an existing irrigation ditch which leads southward eventually to
Albemarle Sound. Pond A will be dewatered as needed by the operator during the permitted
time in order to achieve full depth excavation.
-7-

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 ® NoEl.
If yes, what impact, if any, will mine dewatering have on neighboring wells? Estimated withdrawal rate
in gallons per day:__ 24,000 gal / day . Locate all existing wells on the mine map(s)
that lie within 500�eet 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.
No impact on neighboring water wells, closest dwelling is 1500ft from excavation area, with full
sediment pond located between excavation area and dwelling. Area served by Washington County
water system.
d. If you answered yes to any of the above questions, provide evidence that you have applied for or
obtained the appropriate water quality permit(s) (i.e., non -discharge, NPDES, Stormwater, etc.) from the
Division of Water Quality, Water Quality Section. In addition, the applicant is required to register water
use with the Division of Water Resources if the operation withdraws more than 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.
Applicant is applying for NCG020000 permit at this time. Copy of DWQ application attached.
4. a. Will the operation involve crushing or any other air contaminant emissions? Yes ❑ No ®.
If yes; indicate evidence that you have applied for or obtained an air quality permit issued by the
Division of Air Quality or local governing body.
Not applicable.
b. How will dust from stockpiles, haul roads, etc., be controlled?
Spraying water from water supply trucks on haul roads and process areas will control dust.
Stockpiles will also be sprayed with water weekly if necessary to control dust. Speed limit on access
roads will be maintained at IOmph maximum.
-8-

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
map(s).
A minimum 25ft wide unexcavated buffer will be maintained around the entire excavation
and sediment pond. This buffer will contain sedimentation berms, roadways, processing
areas, and stockpiles. Specific buffers will be as follows: 25ft wide unexcavated buffer on
north, west, & east sides of permit area; 30ft wide unexcavated buffer on south side of
permit area.
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 .0 fer
locations and widths on the mine map(s).
No natural watercourses or wetlands are located in vicinity of permit area; no undisturbed
buffers required.
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 I vertical slopes or flatter for sandy material are generally required, unless
technical justification can be provided to allow steeper slopes.
Landslide or slope instability adjacent to adjoining permit boundaries will be prevented by
construction of graded cut slopes during mining activities. Slopes will have a minimum of
horizontal to 1 vertical gradient.
-9-

APPLICATION FOR A MINING PERMIT
b. Provide a cross-section on the mine map(s) for all Ertl slopes (berms, wastepiles, overburden
disposal areas, etc.), clearly indicating the intended side slope gradient, installation ofany benches
and/or slope drains (with supporting design information) if needed, and the method of final
stabilization.
Fill slope cross-section of temporary erosion control berms attached to reclamation and mine
maps and will have minimum 2:1 side slope gradient. Final reclamation fill slope will be
established at edge of cut during reclamation of mine, and will have 4:1 side slope gradient.
c. In excavation(s) of unconsolidated (non -rock) materials, specify the angle of all cut slopes including
specifications for benching and sloping. Cross -sections for all cut slopes must be provided on the
mine map(s).
Cut slope at excavation edge will have 3:1 slope gradient from natural ground level to water
table level, and cut slope from water table level to bottom of excavated area will have 2:1
slope gradient.
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.
Not applicable.
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.
No dwellings, buildings or public roads located within 1500ft of excavation area.
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).
No high wall areas exist in this permit area.
Caution signs, warning signs, no trespassing, and/or keep out signs will be installed around boundary
of permit area. Permit area is located 1800 feet from nearest public road (Meadow Lane, SR 1142)
and is only accessible from gated, private owned farm path running through operator's property.
Nr411

APPLICATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes ❑ No Z.
If yes, how will acid water pollution from the excavation, stockpiles and waste areas be controlled?
Not applicable.
10. a. Describe specific plans (including a schedule of implementation) for screening the operation from
public view such as maintaining or planting trees, bushes or other vegetation, building berms or other
measures. Show the location of all visual screening on the mine map(s) and provide cross -sections
through all proposed berms or proposed spacing, sizes and species for tree plantings.
No buildings or public roads located within 1500 feet of excavation. Meadow Lane (SR
1142) located 1800 feet from excavation. Excavation area is surrounded by woodland forest
& fields.
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?
Mine permit area located on private -owned farmland. No public parks, forests, or recreation
areas located nearby.
11. Will explosives be used? Yes ❑ No Z.
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 excavations) on the mine map and indicate its approximate distance to the
proposed excavation.
Not applicable.
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 ofcontainment in case ofspill. Indicate
the location(s) of all storage, facilities on the mine map(s).
Not applicable.

APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
Describe your intended plan for the final reclamation and subsequent use of all affected lands and indicate
the sequence and general methods to be used in reclaiming this land. This must include the method of
reclamation of settling ponds and/or sediment control basins and the method of restoration or establishment
of any permanent drainage channels to a condition minimizing erosion, siltation and other pollution. This
information must be illustrated on a reclamation map and must correspond directly with the information
provided on the mine map(s). In addition, design information, including typical cross -sections, of any
permanent channels to be constructed aspart of the reclamation plan and the location(s) of allpermanent
channels must be indicated on the reclamation map.
Excavated body of water will be left as part of reclamation for recreational use by landowner. After
mine excavation and removal of sand and topsoil stockpiles, all disturbed land, affected areas and
access and service roads inside the permit area will be leveled and graded away from edge of
excavated mine pit 8 feet until graded area reaches natural level. This will create a low berm located
at the edge of the pit 1 ft high and will extend 8 feet wide away from the pit (see attached cross-
section). Access road to excavation area will be graded, and returned to original condition used as
farm field access path. Graded land and all affected area will be fertilized and sown with grass seed
by mine operator, as per recommendation by County Agriculture Extension Agent (attached).
Ultimately all reclaimed land from 8ft out from excavation will be returned to pasture and field.
2. Is an excavated or impounded body of water to be left as a part of the reclamation? Yes ® No ❑.
f yes, illustrate the location of the body(s) of water on the reclamation map and provide a scaled
cross -sections) through the proposed body(s) of water. The minimum water depth must be at least 4 feet,
measured from the normal low water table elevation, unless information is provided to indicate that a more
shallow water body will be productive and beneficial at this site.
Will the body(s) of water be stocked with fish? Yes ® No ❑
If yes, specify species.
Excavated body of water will be left for recreational and scenic use of landowner. Minimum depth
of body of water at end of mining operation will be 1 Oft, average depth 20ft. Body of water will be
stocked with large -mouth bass & bream.
3. Describe provisions for safety to persons and to adjoining property in all completed excavations in rock
including what kind of permanent barricade will be left. Acceptable permanent barricades are appropriate
fencing, large boulders placed end -to -end, etc. Construction details and locations of all permanent
barricades must be shown on the reclamation map.
Not applicable; no excavations in rock.
- 12-

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.
No mine site waste areas will exist; topsoil and sand stockpiles only.
5. a. Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
No processing facilities exist.
Stockpiles will be totally removed from premises; sedimentation berms adjacent to excavated area
are to be removed and will be filled, graded and sloped away from edge of excavated mine pit 8 feet
until graded area reaches natural land level. Stockpile areas will be graded and leveled to flat natural
ground level. All stockpile areas will be fertilized and seeded with grass by mine operator at end of
mining operation. Stockpile and affected areas will be returned to agricultural use by landowner.
All onsite haul roads in immediate vicinity of excavation will be graded and leveled to flat natural
ground level, and then fertilized and seeded with ground cover by the owner. A I Oft wide field path
will remain around perimeter of finished pond for owner access.
b. Will any on -site roadways be left as part of the reclamation? Yes ❑ No ®.
If yes, identify such roadways on the reclamation map and provide details on permanent road and ditch
line stabilization.
Pre-existing access road (1200ft single -lane driveways & farm paths) from Meadow Lane to main
mine site area and owner's residence will be returned to pre-existing standard during reclamation.
This access road will be constantly maintained during mining operations, and will be reclaimed by
grading, leveling, and repairing potholes as necessary. Pre-existing ditches will be maintained and
repaired as necessary, and returned to re -existing standard during reclamation. A 1Oft wide field
path will remain around perimeter of finished pond for owner access.
6. Describe the method of control of contaminants and disposal of scrap metal, junk machinery, cables, or
other such waste products of mining. (Note definition of refuse in The Mining Act of 1971.)
No off -site generated waste shall be disposed of on the mine site without Rrior written approval
from the NC Department of Environment and Natural Resources, Land Quality Section and either
the Division of Waste Management (DWM) or local governing body. If a disposal permit has been
issued by DWM for the site, a copy of said permit must be attached to this application. All
temporary and permanent refuse disposal areas must be clearly delineated on the mine map(s) and
reclamation map, along with a list of items to be disposed in said areas.
Any and all scrap metal, junk, cables or other such non -original waste materials will be removed
from mine premises by mine operator and disposed of properly at Washington County Landfill, NC
308, Plymouth, NC. All topsoil or sand excavated by mining operation will be removed from
premises before reclamation. No off -site generated waste will be produced or disposed of on -site.
-13-

APPLICATION FOR A MINING PERMIT
7. Describe your plan for revegetation or other surface treatment of the affected areas. This plan must
include recommendations for year-round 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 permanent and temporary revegetation. Revegetation utilizing only tree plantings is
not acceptable. Recommendations can be sought from:
a. Authorized representatives of the local Soil and Water Conservation District;
b. Authorized representatives of the Division of Forest Resources, Department of Environment and
Natural Resources;
c. Authorized county representatives of the North Carolina Cooperative Extension Service, specialists
and research faculty with the Colleges of Agriculture and Life Sciences and Forest Resources at
North Carolina State University;
d. North Carolina licensed landscape architects;
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): 0.5 ton / acre upon soil test
FERTILIZER - ANALYSIS AND RATE OF APPLICATION (pounds/acre):
I O`.10:10 fertilizer, 430 lbs / acre, Spring, Summer & FalI
SEED - TYPE(S) AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds/acre): [NTOTE: Include Legumes]
Seed Types:
Kentucky Fescue
Rye Grass
Bermuda Grass
Seeding Dates:
April
November
May
Seeding Rates.
250 lbs / acre
150 lbs / acre
85 lbs.1 acre
MULCH - TYPE AND RATE OF APPLICATION (pounds/acre) AND METHOD OF ANCHORING:
Not Applicable
OTHER VEGETATIVE COVERS — TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre, trees/acre, spacing of trees/shrubs, etc):
Not Applicable
On plan approved by:
Signature —
Print Name
Title
Agency
Date

APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond (based upon a range
of $500 to $5, 000 per affected acre) for each permitted mine site based upon the acreage approved by the
Department to be affected during the life of the miningperm it. Please insert the apj2roximate acreage or each
AFFECTED
CATEGORY
ACREAGE
Tailings/Sediment Ponds:
0.000*
Ac.
Stockpiles:
0.517
Ac.
Wastepiles:
Ac.
Processing Area/Haul Roads:
5.010
Ac.
Mine Excavation:
14.284
Ac.
Other: Sediment Pond Berms
0.264
Ac.
TOTAL AFFECTED AC.:
20.075
Ac.
(TOTAL PERMITTED AC.:
22.945
Ac.)
to the Department to
RECLAMATION RECLAMATION
COST/ACRE* COST
X
$ 0.00*
/Ac. _
$ 0.00*
X
$ 1800
/Ac. W
$ 930.60
X
$
/Ac. _
$
X
$ 1800
/Ac. _
$ 9018.00
X
$ 500
/Ac. _
$ 7142.00
X
$ 1800
/Ac. _
$ 475.20
--
p __Sedimentation-,& Erosion Control Measures:
Divide
e t 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 20.075 Ac.
b) Positive Drainage Ac. X . $1,500.00 = $
Inflation Factor:
SUBTOTAL COST: $ 17,565.80
0.02 X SUBTOTAL COST: $ 351.32 X Permit Life (1 to 10 years): 10 years
INFLATION COST: $ 3513.20
TOTAL COST = SUBTOTAL COST + INFLATION COST = $ 21,079.00
Total Reclamation Bond Cost: $ 21,000.00
(round down to the nearest $100.00)
- 15 -

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 are adjoining the mining
permit boundary which lie directly across and are contiguous to any highway, creek, stream, river,
or other watercourse, railroad track, or utility or other public right-of-way. If an adjoining tract is
owned or leased by the applicant or is owned by the lessor of the mine tract, all owners of record of
tracts adjoining these tracts must be notified (that are within 1,000 feet of the mining permit
boundary) as indicated on the mine map(s). "Highway" means a road that has four lanes of travel
or less and is not designated as an Interstate Highway.
The only exception to the above method of giving notice is if another means of notice is approved in advance by
the Director, Division of Land Resources.
A copy of a tax map (or other alternative acceptable to the Department) must be mailed with the completed
"Notice" form (the proposed overall permit boundaries and the names and locations of all owners of
record of lands adjoining said boundaries must be clearly denoted on the tax map).
The "Affidavit of Notification" attached to this application must be completed, notarized and submitted to the
Department, with the remainder of the completed application form, before the application will be considered
complete.
THIS SECTION MUST BE COMPLETED FOR ALL APPLICATIONS FOR NEW MINING PERMITS
AND ALL MODIFICATIONS OF A MINING PERMIT TO ADD LAND TO THE PERMITTED AREA, AS
REQUIRED BY NCGS 74-50(bl).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
-16-

NOTICE
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that
Darrell Davenport has applied on August 2010 _
(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 & topsoil on 13.7 acres located I mile
(Mineral, Ore) (Number) (Miles)
west of Creswell off/near road Meadow Lane
(Direction) (Nearest Town) (Number/Name)
in Washington County.
*SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING
ADJOINING LANDOWNER NAMES AND LOCATIONS*
In accordance with G.S. 74-50(bl), the mine operator is required to make a reasonable effort, satisfactory to the
Department, to notify all owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary; if an adjoining tract is owned or 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 1
snecifics of the nronosed mining activity. please contact the applicant at the following telenhone num
. r or informanon on Fne mining
at [phone]. Please note that
David Peoples, Washington County Manager
116 Adams Street, PO Box 1007
Plymouth, NC 27962
(Addressee/Owner of Record's
Name and Address)
August 3, 2010
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
review
Darrell Davenport
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
937 Meadow Lane, Creswell, N_ C 27928
(Address of Applicant)
contact
M-

ELLIOTT CONSULTING
CONSENT NOTICE TO ALL ADJACENT LANDOWNERS
(COPY)
August 10, 2010
Mr. David Peoples
Washington County Manager
PO Box 1007, 116 Adams Street
Plymouth, NC 27962
Dear Mr. Peoples:
I am writing to you on behalf of Mr. Darrell Davenport to let you know that Mr. Davenport intends
to excavate a 13.7 acre sand mine pit located approximately 1.0 mile west of Creswell, NC and about
1/4 mile west of Meadow Lane in Washington County, on land he owns there. This letter is to notify
you that Mr. Davenport is applying for a. permit from the NC Department of Natural Resources,
Division of Land Resources, to perform the excavation. Mr. Davenport will also be applying to the
NCDENR Division of Water Quality for a de -watering permit which will allow him to excavate the
sand pit to a full permitted 20ft average depth without suffering erosion problems during the
excavation and will allow proper sloping of the pond sides during reclamation.
One part of the permit process requires Mr. Davenport to send all adjacent land owners and the
Washington County Manager an official certified and dated notice of his intention to excavate this
site. This letter and notice represents only a required part of the paperwork process of his pernvt
with the NC Department of Environment and Natural Resources, and does not require any action
on your part, in regards to NCDENR.
Mr. Davenport seeks to assure you that he will take any and all measures necessary to prevent
physical hazard to any neighboring dwellings, roads or public facilities and will also provide adequate
fencing or notices to prevent inadvertent public access to the mining permit area. The mine is
located on his private property on the west side of Meadow Lane, behind an existing screen of trees
and fields and is only accessible by a'A mile long private gated access road.
Please find attached to this letter a map showing the location of the proposed permit area.
We appreciate your help and cooperation on these matters, and Mr. Davenport is always available to
answer any questions you may have. I am also available for any questions and please don't hesitate to
call me at 252-339-9021 if I can be of assistance.
Sincerely,
r 4
Ken Elliott
For Darrell Davenport
622 ROCKY HOCK CREEK ROAD EDENTON, NORTH CAROLINA • 27932
PHONE: [phone] EMAIL: KENQKENOBX.COM

APPLICATION FOR A MINING PERMIT
AFFIDAVIT OF NOTIFICATION (Page #1)
1, Kenneth C. Elliottaszent for Darrell Daven ort , 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 permitted area, from the
N.C. Department of Environment and Natural Resources, being first duly sworn, do hereby attest that the following
are all known owners of record, both public and private, of all tracts of land that are adjoining the mining permit
boundary (including, where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the
mine tract, all owners of record of tracts adjoining these tracts, that are within 1,000 feet of the mining permit
boundary) and that notice of the pending application has been caused to be mailed, by certified or registered mail,
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)
Davenport Heirs, c/o William Davenport
John W. & Mary W. Barnes___
Paul & Fran Elliott
Tim C. & Jill C. Rose
(Address)
5437 Princess Anne Rd., Virginia Beach, VA 23462
577 Meadow Lane Creswell NC 27928
75 Revonda Drive, Nebo, NC 28761
803 Meadow Lane, Creswell, NC 27928
(Attach additional list if necessary)
I do also attest that the following individual is the chief administrative officer of the county or municipality in which
any part of the permitted area is located and that notice of the pending application has been caused to be mailed, by
certified or registered mail, return receipt requested, to said office at the following address:
(Chief Administrative Officer Name)
[i.e.: City Manager, County Manager, Mayor, etc.]
David Peoples, Washington County Manager
(Address)
PO Box 1007 116 Adams St. Plvmouth, NC 27962
The above attestation was made by me while under oath to provide proof satisfactory to the Department that a
reasonable effort has been made to notify all known owners of record, both public and private, of all tracts of land
that are adjoining the mining permit boundary (including, where an adjoining tract is owned or leased by the
applicant or is owned by the lessor of the mine tract, all owners of record of tracts adjoining these tracts, that are
within 1,000 feet of the mining permit boundary) and the chief administrative officer of the county or municipality in
which any part of the permitted area is located in compliance with N.C.G.S. 74-50(b 1) 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.
'1
C August_6, 2010
Signature of &plicant or Agent Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
f 11
Name of applicant:. `. n;,4) C_li f "()
Title of person executing Affidavit
a Notary Public of the County of t - i' ,
State of North Carolina, do hereby certify that n r r'l V1 e- �-;
appeared before me this day and under oath acknowledged that the
ll�
Affidavit was made by him/her.
Witness m han .and notarial seal this r�; f }
Y Si s day of - � �� 20 i C -
Notary:my Commission expires: J!� cGr!
- 17 - /�

APPLICATION FOR A MINING PERMIT
AFFIDAVIT OF NOTIFICATION (Page #2)
1, Kenneth C. Elliott, agent for Darrell Davenport , 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 permitted area, from the
N.C. Department of Environment and Natural Resources, being first duly sworn, do hereby attest that the following
are all known owners of record, both public and private, of all tracts of land that are adjoining the mining permit
boundary (including, where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the
mine tract, all owners of record of tracts adjoining these tracts, that are within 1,000 feet of the mining permit
boundary) and that notice of the pending application has been caused to be mailed, by certified or registered mail,
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)
Stewart R. & Lucia B. Davenport 905 Meadow Lane,- Creswell, NC 27928
Larry W. & Cindy Phelps 649 White Rd., Creswell, NC 27928
(Attach additional list if necessary)
I do also attest that the following individual is the chief administrative officer of the county or municipality in which
any part of the Permitted area is located and that notice of the pending application has been caused to be mailed, by
certified or registered mail, return receipt requested, to said office at the following address:
(Chief Administrative Officer Name) (Address)
[i.e.: City Manager, County Manager, Mayor, etc.]
David Peoples, Washington County Manger 116 Adams St., PO Box 1007, Plymouth, NC 27962
The above attestation was made by me while under oath, to provide proof satisfactory to the Department that a
reasonable effort has been made to notify all known owners of record, both public and private, of all tracts of land
that are adjoining the mining permit boundary (including, where an adjoining tract is owned or leased by the
applicant or is owned by the lessor of the mine tract, all owners of record of tracts adjoining these tracts, that are
within 1,000 feet of the mining permit boundary) and the chief administrative officer of the county or municipality in
which any part of the permitted area is located in compliance with N.C.G.S. 74-50(bl) 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 d tQprov'de them to the Department upon request.
August 6, 2010
ignature of Applican or Agent Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
Name of applicant: y
Title of person executing Affidavit I C � yr
a Notary Public of the County of
State of North Carolina, do hereby certify tl
appeared before me this day and under oath
Affidavit was
him/her.
Witness my hand and notarial seal, this day ofT ;r• S _..., , ,..,,.._ 20 I
Notary: X':k'� my Commission expires:
17
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Past Office ;ndic ited on the nolire, go to www.usps.comfredelivery, or
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Doiaileci Results:
• Notice Left, August 06, 2010, 10:05 am, NiEBO, NC 28761
• Arrival at Unit, August 06, 2010, 7:24 am, NEBO. NC 28761
• Acceptance, August 04. 2010, 1:59 pm. EDENTON, NC 2702
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• Notice Left. August 06. 2010, 11:31 ant, VIRGINIA BEACH, VA 23462
• Arrival at Unit, August 06, 2010, 6:0 arn, VIRGINUk BEACH, VA 23462
• Acceptance, August 04. 2010, 1:58 pin. EDEN rON, NC 27932
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APPLICATION FOR A MINING PERMIT
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands
or operation during regular business hours for the purpose of making necessary field inspections or investigations as
may be reasonably required in the -administration of the Mining Act of 1971 pursuant to G.S. 74-56.
We further grant to the Department or its appointed representatives the right to make whatever entries on the
land as may be reasonably necessary and to take whatever actions as may be reasonably necessary in order to carry
out reclamation which the operator has failed to complete in the event a bond forfeiture is ordered pursuant to G.S.
74-59.
LANDOVL'NEr :
Signature �i
Print Name: Darrell Davenport
(Title, if applicable)
Company
(If applicable)
Address: 937 Meadow Lane
Creswell, NC 27928
Telephone: ( 252 )766-1134
Date Signed: August 10, 2010
APPLICANT:
Signature:*
Print Name: — Darrell Davenport
Title: Owner 1 Operator
Company:
Mine Name: Darrell Davenport Sand Mine
Telephone: ( 252 ) 766-1134
Date Signed: Au st 10 2010
*Signature must be the same as the individual who signed Page I of this application.
and reclamation MaRs, and the appropriate rocessin 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 QualibLSection 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].
-19-

APPLICATION FOR A MINING PERMIT
SCHEDULE OF RECLAMATION COSTS
Based upon range of 500 - $5,000 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
Type
T/S Ponds
S. iies
W. iles
P.area/H.R.
Mine Excay.
SG, GS,
$500/ac.(L)
$1800/ac.
$2000/ac.
$1800/ac.
$500/ac.(L)
Borrow
1500(FI)
$2000(PD)
C5, DS,
500(L)
1800
2000
2000
500(L)
FS, MI,
1500(FI)
2500(PD)
LI, PF, OL, KY
PH
1000(L)
2500
5000
5000
2000(L)
2500(FI)
5000(PD)
CL
1000(L)
2500
5000
5000
2000(L)
'2500(FI)
3700(PD)
PE, AU,
1000(L)
2500
3000
3500
2000(L)
TI, OT
2500(FI)
5000(PD)
(L) = reclamation to a lake and revegetating sideslopes
(Fl) = reclamation by filling in and revegetating
(PD) = reclamation by grading for positive drainage & revegetating
AS PER NCAC 15A 5B.0003, IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINED 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 DETERNIINATION.
-23-

DAVENPORT FARMS
DARRELL W. DAVENPORT
937 MEADOW LANE
CRESWELL, NC 27928
[phone]
PAY —
TO THE
ORDER OF A-
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CATEGORY
AFFECTED ACREAGE
Stockpiles
0.517
Processing Area / Haul roads
5.010
Mine Excavation
14.284
Sediment Pond Berms
0.264
Total Disturbed Area
20.075
Undisturbed Sediment Pond
1871
Total Permit Area
22.946
n
DARRELL DAVENPORT SAND MINE
937 Meadow Lane
Creswell, NC 27928
Washington County
Darrell Davenport - Operator
Map Scale: 1 inch = 150 feet
Map Prepared August 10, 2010
By Ken Elliott
Permit Consultant

r-i FLO / c
i 2s E/ 1
DARRELL DAVENPORT SAND MINE
937 Meadow Lane
Creswell, NC 27928
Washington County
Darrell Davenport - Operator
Map Scale: 1 inch = 120 feet
Map Prepared August 10, 2010
By Ken Elliott
Permit Consultant
&A
CATEGORY
AFFECTED ACREAGE
Stockpiles
0.517
Processing Area / Haul Roads
5.010
Mine Excavation
14.284
Sediment Pond Berms
0.264
Total Disturbed Area
20.075
Undisturbed Sediment Pond
2.871
Total Permit Area
22.946
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DARRELL DAVENPORT SAND MINE
937 Meadow Lane
Creswell, NC 27928
Washington County
Darrell Davenport - Operator
Map Scale: 1 inch = 120 feet
Map Prepared August 10, 2010
By Ken Elliott
Permit Consultant
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CATEGORY
AFFECTED ACREAGE
Stockpiles
0.517
Processing Area / Haul Roads
5.010
Mine Excavation
14.284
Sediment Pond Berms
0.264
Total Disturbed Area
20.075
Undisturbed Sediment Pond
2.871
Total Permit Area
22.946