NCG020790_COMPLETE FILE - HISTORICAL_20110520

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
O Q D -7 � b
DOC TYPE
g'-HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Thomas Dwayne Norman
297 Colonial Beach Road
Columbia, NC 27925
Dear Mr. Norman:
Division of Water Quality
Coleen H. Sullins
Director
May 20, 2011
Subject: General Permit No. NCG020000
Norman Sand Pit
COC NCCO20790
Tyrrell County
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on April 1, 2011, 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. You must have an approved Operation and Monitoring
Plan before mine dewatering dischary_es occur at your facility. Discharging mine dewatering
wastewater without Plan approval will be subject to enforcement action. An Operation and
Monitoring Plan for your facility must be submitted to the Washington Regional Office within
60 days of your receipt of this permit. Contact Al Hodge at the Washington Regional Office at
[phone] for more information about the approval process.
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 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623.6748 Naturallff
Internet: www.ncwaterqualit .org
An Equal Opportunity 1 Aflirrnalive Action Empluyt r

Mr. Thomas D. Norman
Norman Sand Pit — NCG020790
May 20, 2011
Additionally, new coastal stormwater management rules (SESSION LAW 2008-21 1)
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 Samir Dumpor 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 Jennifer Jones at
telephone number [phone].
QRIdBPNED Bl
KEN PICKLE
for Coleen I -I. Sullins
cc: Washington Regional Office, Al Hodge
Central Files
Stormwater Permitting Unit Files

STATE OF NORTH CAROLINA
DEPARTMENTOF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020790
STORMWATER AND MINE DEWATERING 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,
Thomas Dwayne Norman
is hereby authorized to discharge stormwater and mine dewatering wastewater (excluding,,
discharge from the wetting of raw material stockpiles) from a facility located at:
Norman Sand Pit
297 Colonial Beach Road
Columbia
Tyrrell County
to receiving waters designated as a UT to Bull Bay, a class SB water in the Pasquotank River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, I1, I11, IV, V, and Vl of General Permit No. NCG020000 as attached.
This certificate of coverage shall become eff-ective May 20, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 20, 2011.
ORIGINAL SIGNED B)
KEN PICKLE
for Coleen H. Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

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NCG020790
Map Scale 1:19,200
Thomas Dwayne Norman
Norman Sand Pit
Columbia, NC
Latitude: 351 56' 09" N
Longitude: 761 20' 18" W
County: Pasquotank
Receiving Stream: UT to Bull Bay
Stream Class: SB
Sub -basin: 03-01-53 (Pasquotank River Basin)
5
Facility Location

Jones, Jennifer
From: Edgerton, Thom
Sent: Thursday, May 19, 2011 11 :17 AM
To: Jones, Jennifer
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Hello,
Yes, it is fine to issue the permit.
Thanks,
Thom
��
NC®ENR
Division of waler Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
)252) 948-3963 Office
(252) 94 6-92 15 Fax
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL
RESOURCES
Thom Edgerton
Environmental Engineer
Surface Water Protection
tnom,edgertor@ncdenr,yov
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: ]ones, Jennifer
Sent: Wednesday, May 18, 2011 8:45 AM
To: Edgerton, Thom
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Ok — great. Thanks! Is it ok to still issue the permit?
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: jennifer.ionesPncdenr.gov
Website: htt ortal.ncdenr,or web w 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

November 11, 2010
Tier 1 Response:
Asphalt Materials received stormwater results via Prism Laborites on 10/25/10 for outfalls 1-5. Outfall 2
showed a TSS reading of 140mg/L. This TIER 1 Response is to document the failure at Outfall #2 as
required by the NCDENR NCGO8000 Stormwater permit associated with this facility.
Inspection:
Marcus Hackler, Environmental Coordinator for Rea Contracting visited the site after results
were received on 10-25-10. Upon inspection of the outfall it was concluded that possible reason for high
TSS could be due to a rough edge between the asphalt and the grass that leads to the outfall. It is our
belief that the thawag of water running to this outfall collects sediment from this rough edge before
entering the discharge area. This scenario could potentially increase the TSS load of the sample.
Corrective Action:
To correct this problem, we will add a check dam in front of outfall 2 for filtering.
Marcus W. Hackler
Environmental Coordinator
Cc: TMJ M RH GAW

parties. #*
From: Edgerton, Thom
Sent: Tuesday, May 17, 2011 5:25 PM
To: Jones, Jennifer
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Your doing fine. It was never lost.
It has taken Mr. Williams a while to get me the O&M Plan which I received today, so you are right on schedule. As soon
as the plan is completed, I will update BIMs.
Thanks,
Thom
NCDENR
Division of Water Quality
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
[phone]
Office
(252) 946 - 9215 Fax
NORTH CAROLINA
DEPARTMENT OF
ENVIRONMENT AND NATURAL
RESOURCES
Thom Edgerton
Environmental Engineer
Surface water Protection
thom.edaerfonL ncdenr. - ocovv
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: Tuesday, May 17, 2011 5:13 PM
To: Edgerton, Thom
Cc: Jones, Jennifer
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Derr! Sorry! Just found this. Will issue for Friday.
Sorry! It got lost in my email in box,
Jen
Jennifer Jones
Environmental Engineer
NCDENR I DWQ 1 Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
Email: jennifer.jones@ncdenr,gov_
2

�1,TA7Z�
l � ,
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICE I 1�;1�IUK� K>I or Certificate, f.Covcwge No:; NICIGI;� f�I I I
Facility Name: —xii ) 1T—
County: 2" eC VQ-� -'1 Iry -r- Phone No.
:
InspectorN,
Date of Inspection: "
By this signature, I certi that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee 4 Designee)
1. Outfall Description
.Outfall No.. Structure (pipe, ditch, etc, (J L,
Receiving Stream: t
Describe the industrial activities that oc wi hin the ou f all drainage area
2. Color
Describe the color of the discharge using basic col r (red brown, blue, etc.) and tint (light, medium,
dark) as descriptors: �/Cr� ^
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 C2 > 3 4 5 6 17 8 9 10
Page J.
5wU-242-101594

Website: http://portal.ncdenr.org/web/wg/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: Edgerton, Thom
Sent: Thursday, April 28, 2011 4:04 PM
To: Jones, Jennifer
Cc: Hodge, Al; Dumpor, Samir; Wehner, Judy; Mcclain, Pat; Floyd Williams
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Hello,
I met with Floyd Williams on 4/21/11 to discussed DWO's views regarding impacts from mining operations to wetlands
and other waters of the state. We went through the NOI and discussed each item in order; to achieve project clarification,
to provide a better understanding of the DWO requirements, and to provide guidance toward producing an acceptable
O&M Plan. Mr. Williams presented photos of the operation and stated that he will deliver an acceptable O&M Plan ASAP.
Note: I had previously met with the owners regarding my comments following the new mining permit review of the expired
existing operation. We discussed all of the DWO permitting requirements.
I have no objection to the issuance of the Mining Permit, nor to the issuance of the COC. I expect to receive an
acceptable O&M Plan in the very near future and will update you, the electronic record, as well as document the file of the
approval.
Please let me know if you need additional information.
Thanks,
Thom
Thom Edgerton
Environmental Engineer
NCDENR - DWO - 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, April 20, 2011 12:37 PM
To: Edgerton, Thom
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Ok great — thanks!
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: jennifer,[e-mail]

M,
S. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
t is no solids and t0 is the surface covered with floating solids:
2 3 4 5 6 7 8 9 10
b. Suspended Solids
Choose the number which best describes the arnount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
? 3 4 5 6 7 .8 9 10
7. Foam
Is there any foam in the storrwater discharge? Yes
8. Oil Sheen
L there an off sheen in the stormwater discharge? Yes No
9. 'Other Obvious Indicators of Stormwater Pollution
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant
exposure. These conditions may warrant further investigation.
Page 2
5 WU-242-10 ts99

Website: http://gortal.ncdenr.or(i/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: Edgerton, Thom
Sent: Wednesday, April 20, 2011 11:33 AM
To: Jones, Jennifer
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Hello,
Earlier I left a voice message for Floyd Williams for clarification on the NOI. I will let you know as soon as I receive
clarification.
Thanks,
Thom
Thom Edgerton
Environmental Engineer
NCDENR - DWO - Surface Water Protection Section
Washington Regional Office
[phone] Phone
[phone] Fax
Email 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: Tuesday, April 19, 2011 2:32 PM
To: Edgerton, Thom
Cc: Jones, Jennifer
Subject: FW: NCG020790 - Norman Sand Mine - May 15 2011
Hey Thom,
Was wondering if you had any concerns about wetlands at this site? Just checking. It looked kind of wooded in the
aerial photo.
Thanks and hope you are well!
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�onesCncdenr.gav
Website: http://portal.ncdenr.org/web/wq/ws/su

Stormwater Discharge Outfail (SDO)
Qualitative Monitoring Report
Permit No.: N/C,[ 10 . IQI �1 )/C o Certificate�of_ overage Nd-; ' NICIGI�71 C 1 1 / 1
Facility Name: (Y V -
County: r!(�_ r Phone No. r
Date of Inspection: _ _ "j` rJ"1- I U
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
n �
(Signature of Permittee or Designee)
1. Outfall Description'
Outfa]I No.�'Structu�(pipe,-, 'tch, etch) �Receiving Stream:
Describe the industi-t l activities h t occur within the outfall drainage area:
2. Color
Describe the color of the discharge u l g basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: t (C rn rt%Cr1 rl
3. Odor
Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak chlorine odor,
etc.) _ _ /1.1()I,) C
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 14 is very
cloudy:
1 2 3 4 (D 5 7 8 9 to
Page 1
SWUQ42-I01599

*'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: Friday, April 15, 2011 4:10 PM
To: Hodge, Al
Cc: Jones, Jennifer; Dumpor, Samir; Edgerton, Thom
Subject: NCG020790 - Norman Sand Mine - May 15 2011
Hi Al,
Hope you are well! We've received an NOI from Thomas D. Norman for his sand mine in Coluiubia
(Tyrrell County) for coverage under NCG02 (Mining SW/WW permit). The site discharges stormwater
and mine dewatering water into Bull Bay (SB) through a settling basin. The NOI is attached.
Their Mining Permit expired — 89-07 and they have applied to get a new one. They say they are not
impacting wetlands but on the aerial photograph it looks pretty wooded there.
So basically I have two questions for you all:
1. Are you alright with them discharging into SB waters?
2. Do you all think they need an O&M plan and are you all concerned about potential impacts to
wetlands?
Does the Washington Regional Office have any concerns about issuing this facility a COC for this general
permit, and are there any potential impacts to wetlands? If we don't receive any objections, we'll issue the
COC in 30 days. I've sent along the NOI copy and map copy to your RO.
Have a good weekend!
Thanks,
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: jennifer,jonesPncdenr.gov
Website: http://portal,ncdenr.org/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.—

ENE
5.1 Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is no solids and 10 is the surface covered with floating solids:
1 (D 3 4 5 G 7 8 9 l0
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy-
1 2 3 5 G 7 8 9 10
7. Foarn
Ts there any foam in the stoicwater discharge? Yes No
S. Oil Sheen '
Is there an oil sheen in the stormwater discharge? Yes No
Note: Low clarity, high solids, and/or the Presence of foam or oil sheen may be indicative of pollutant
exposure. These conditions may warrant further investigation.
Page 2
SWIJ-242-20109

Central Files: APS SWP
05/18/11
Permit Number NCG020790
Program Category
NPDES SW
Permit Type
Mining Activities Stormwater Discharge COC
Primary Reviewer
jennifer.jones '
Coastal SW Rule
Permitted Flow
Permit Tracking Slip
Status Project Type
In draft New Project
Version Permit Classification
COC
Permit Contact Affiliation
Facility
Facility Name
MajortMinor Region
Norman Sand Plt
Minor Washington
Location Address
County
297 Colonial Beach Rd
Tyrrell
Columbia NC 27925
Facility Contact Affiliation
Thomas D. Norman
297 Colonial Beach Rd
Columbia NC
27925
Owner
Owner Name
Owner Type
Individual
Thomas D Norman
Owner Affiliation
Thomas D. Norman
297 Colonial Beach Rd
Columbia NC
27925
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective
Expiration
04/01/11 04/15/11
51;X/ 0 517,0
Regulated Activities
Requested/Received Events
Mine dewatering
RO staff report requested
04/15/11
✓
Mining activities - stormwater discharges
RO staff report received
04/17/11
Sand/gravel wastewater
Outfall 001
Waterbody Name Stream Index Number Current Class Subbasin
Bull Bay 30-14 SB 03-01-53
Y

STORMWATF,R DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG080000 SAMPLES COLLECTED DURING CALENDAR YEAR: D ( 0
CERTIFICATE OF Q�Q'VERAGE NO. NCG08 (This monitoring report is due at the Division no later than 30 days from
C-411 D-F�o7FV C�� the date the facility receives the sampling results from the Iahoratory.)
FACILITY NAME R-Cc7L COUNTY
PERSON COLLECTING SAMPI,ES 4M PHONE NO. (!a t!i) f7 (, D — -91�_
CFRTIFIED LABORATORY C—nC'_O Lab #C 1D
Lab # PLEASE SIGN ON THE REVERSE
Part A: Vehicle Maintenance Areas Monitoring Requirements
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _nn
(if yes, report your analytical results in the table immediately below)
Outfall
No.
Date
Sample Collected,
mo/dd/ r
' 00530, �
00400
• 00556
Total Suspended Solids
; m
`°`'pII;..'
Standard units' ._
Oil 6rid'Greu_se; -
=m /L
NeW Motor Oil Usage,.
AnnuaI average al/mo
Benchmark
-"
100 .-
Within 6.0 =`9.0
30
J
`7 —7 I
r1 La i
Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pll, you must implement Tier l or Tier 2 responses.
See General Permit text.
Part B: Oil/Water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
moIdol r
00556 ,
00530
00400
Oil and Grease,
m J
Total Suspended Solids,
m
pH,
Standard units
Permit Limit
-
30
100�
6.0 - 9.0
STORM EVENT CHARACTERISTICS-.
Dated W -7! t0(tirst event sampled)
Total F,vent Precipitation (inches): �S
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S W U-250-102107
Page l of 2

Jones, Jennifer
From: Edgerton, Thom
Sent: Thursday, April 28, 2011 4:04 PM
To: Jones, Jennifer
Cc: Hodge, Al; Dumpor, Samir; Wehner, Judy, Mcclain, Pat; Floyd Williams
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Hello,
I met with Floyd Williams on 4/21/11 to discussed DWQ's Views regarding impacts from mining operations to -wetlands
and other waters of the state. We went through the NOI and discussed each item in order; to achieve project clarification,
to provide a better understanding of the DWQ requirements, and to provide guidance toward producing an acceptable
O&M Plan. Mr. Williams presented photos of the operation and stated that he will deliver an acceptable O&M Plan ASAP.
Note: I had previously met with the owners regarding my comments following the new mining permit review of the expired
existing operation. We discussed all of the DWQ permitting requirements.
I have no objection to the issuance of the Mining Permit, nor to the issuance of the COC. I expect to receive an
acceptable O&M Plan in the very near future and will update you, the electronic record, as well as document the file of the
approval.
s
Please 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, April 20, 2011 12:37 PM
To: Edgerton, Thom
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Ok great — thanks!
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: [e-mail]
Website: http://portal.ncdenr.org/wg§Lwq/­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

Client: GEOS Environmental Inc.
QC Association Summary
Quality Control Results
Job Number: 400-50811-1
Report
Lab Sample ID
Client Sample ID
Basis
Client Matrix
Method Prep Batch
General Chemistry
Prep Batch: 400-117920
LCS 400-11792012-A
Lab Control Sample
T
Water
1664A
LCSD 400-11792013-A
Lab Control Sample Duplicate
T
Water
1664A
MB 400-11792011-A
Method Blank
T
Water
1664A
400-50811-1
OUTFALL 001
T
Water
1664A
400-50811-2
OUTFALL 002
T
Water
1664A
400-50811-3
OUTFALL 003
T
Water
1664A
400-50811-4
OUTFALL 004
T
Water
1664A
Analysis Batch:400-117967
LCS 400-117920/2-A
Lab Control Sample
T
Water
1664A
400-117920
LCSD 400-11792013-A
Lab Control Sample Duplicate
T
Water
1664A
400-117920
MB 400-11792011-A
Method Blank
T
Water
1664A
400-117920
400-50811-1
OUTFALL 001
T
Water
1664A
400-117920
400-50811-2
OUTFALL 002
T
Water
1664A
400-117920
400-50811-3
OUTFALL 003
T
Water
1664A
400-117920
400-50811-4
OUTFALL 004
T
Water
1664A
400-117920
Report Basis
T = Total
TestAmerica Pensacola
Page 12 of 15

parties.**
From: Edgerton, Thom
Sent: Wednesday, April 20, 2011 11:33 AM
To: Jones, Jennifer
Subject: RE: NCG020790 - Norman Sand Mine - May 15 2011
Hello,
Earlier I left a voice message for Floyd Williams for clarification on the NOI. l will let you know as soon as I receive
clarification.
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: Tuesday, April 19, 2011 2:32 PM
To: Edgerton, Thom
Cc: Jones, Jennifer
Subject: FW: NCG020790 - Norman Sand Mine - May 15 2011
Hey Thom,
Was wondering if you had any concerns about wetlands at this site? Just checking. It looked kind of wooded in the
aerial photo.
Thanks and hope you are well!
Jen
Jennifer Jones
Environmental Engineer
NCDENR J 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: [e-mail]
Website: htt ortal.ncdenr,or web w 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.**
2

Client: GEOS Environmental Inc.
Method Blank - Batch: 400-117920
Quality Control Results
Job Number: 400-50811-1
Method: 1664A
Preparation: 1664A
Lab Sample ID: MB 400-117920/1-A
Analysis Batch: 400-117967
Instrument ID: Ext Balance 1
Client Matrix: Water
Prep Batch: 400-117920
Lab File ID: NIA
Dilution: 1.0
Units: mglL
Initial Weight/Volume: 1000
mL
Date Analyzed: 10/05/2010 0840
Final WeightNolume: 1000
mL
Date Prepared: 10/04/2010 1315
Analyte
Result Qua]
MDL RL
HEM (Oil & Grease)
1.4 U
1.4 4.0
Lab Control Sample/
Method: 1664A
Lab Control Sample Duplicate Recovery Report - Batch: 400-117920
Preparation: 1664A
LCS Lab Sample ID: LCS 400-117920/2-A
Analysis Batch: 400-117967
Instrument ID: Ext Balance 1
Client Matrix: Water
Prep Batch: 400-117920
Lab File ID: NIA
Dilution: 1.0
Units: mg/L
Initial WeightNolume: 1000
mL
Date Analyzed: 10/05/2010 0840
Final Weight/Volume: 1000
mL
Date Prepared: 10/04/2010 1315
LCSD Lab Sample ID: LCSD 400-11792013-A
Analysis Batch: 400-117967
Instrument ID: Ext Balance
1
Client Matrix: Water
Prep Batch: 400-117920
Lab File ID: NIA
Dilution: 1.0
Units: mg/L
Initial Weight[Volume: 1000
mL
Date Analyzed: 10/05/2010 0940
Final Weight/Volume: 1000
mL
Date Prepared: 10/04/2010 1315
% Rec.
Analyte
LCS LCSD Limit
RPD RPD Limit LCS Qual
LCSD Qual
HEM (Oil & Grease)
96 90 78 - 114
6 18
TestAmerica Pensacola Page 13 of 15

From: Jones, Jennifer
Sent: Friday, April 15, 2011 4:10 PM
To: Hodge, Al
Cc: Jones, Jennifer; Dumpor, Samir; Edgerton, Thom
Subject: NCG020790 - Norman Sand Mine - May 15 2011
Hi Al,
Hope you are well! We've received an NOI from Thomas D. Norman for his sand mine in Columbia
(Tyrrell County) for coverage under NCG02 (Mining SW/WW permit). The site discharges stormwater
and mine dewatering water into Bull Bay (SB) through a settling basin. The NOI is attached.
Their Mining Permit expired — 89-07 and they have applied to get a new one. They say they are not
impacting wetlands but on the aerial photograph it looks pretty wooded there.
So basically I have two questions for you all:
1. Are you alright with them discharging into SB waters?
2. Do you all think they need an O&M plan and are' you all concerned about potential impacts to
wetlands?
Does the Washington Regional Office have any concerns about issuing this facility a COC for this general
permit, and are there any potential impacts to wetlands? If we don't receive any objections, we'll issue the
COC in 30 days. I've sent along the NOI copy and map copy to your RO.
Have a good weekend!
Thanks,,
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: jenniier.}ones@ncdenr.c�oy
Website: http://portal.ncdenr.org/wNgh we [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."
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Print this form to PDF
Return PDF of this form to DLR CO by email. cc DLR RO and DWQ SPU
MINING PERMIT APPLICATION REVIEW FORM
for the
DIVISION OF WATER QUALITY
I Hib Stt; I IUN I U tit I-ILLtU UU I t5Y ULK:
Project Name: Norman Sand Pit DLR Permit #: 89-07 (expired) County: Tyrrell Address: 297 Colonial
Beach Road. Columbia. NC 27925
YES NO Date Commencing
Is this mine a new mine? F r Permit issued 11/12/1999 and
expired 11/10/20091 They are applying for a new permit for the same area.
Have land disturbing activities
started? Date? 11/12/1999
Latitude:35.9361 Longitude:-76.3389
Please return comments to (at DLR CO): Ashley Rodgers
1
Comments due by: 10/22/10
SECTION BELOW TO BE FILLED OUT BY DWQ:
Is the RO concerned that the operation, as proposed, would violate standards of water quality? No
Comments: If mine dewaterinq or storm water dischar es to waters of the state a NCG02 permit is required.
Watershed/Stream Name & Classification: Bulls Bay - SB
DWQ Compliance Status of Mine: A dewatering permit may be re uired 6000 gpd at 12.5 AC 30' .
YES NO
NPDS.
perguir_e� ��,
If discharge ever occurs.
r
NPDES permit existing?
r (Permit # }
If an NPDE3 permit is not requ° i ed, is:conce;nUd6
WQbout
wetland degradon
�-�
by ematering?
Should permittee contact DWQ RO
r , RO Contact Name: Thom Edgerton
immediately? (e.g. to schedule a site visit if
Contact Reason: To determine_ if permit
r
mine has already begun digging or is
is required.
dewatering without DWQ permit)
=WetI5TMn—d Cert. required?
71
401 Wetland Cert. existing?
7 Permit #
r,
ly have enough
Does DWQ �aetermlEelil
information a 401
Rev September 2010

Print this form to PDF
Return PDF of this form to DLR CO by email. cc DLR RO and DWQ SPU
certificatlo`n is,reqEtc
u�red-
Rev September 2010

j
Print this form to PDF
Return PDF of this form to DLR CO by email. cc DLR RO and DWQ SPU
YES NO
Are wetlands disturbed at this site?
1✓
Does DWQ RO suspect or know of nearby
F_
wetlands to the site?
Is a wetland delineation required prior to
By: I —JD or r -.Consultant
I— 7
r
DWQ issuing the permit?
Onsite? Or Offsite?
Stream Determination Needed?
r
°Stream Determination Completed?
r
Does DWQ RO need a statement that no
wetlands/streams are disturbed
F_
for this project from applicant?
Buffer Determination Needed?
Buffer Determination Completed?
F
r
Recycle system permit existing?*
CPermit #
New Recycle System permit required?*
f
r
Enough information to determine?
Non -discharge permit existing?*
CPermit #
Will wastewaters discharge to HQW waters
r ,
7Q10
Unknown (permittee determine): r
with a 7Q10=0? **
Flow:
Has Violation
°
r O&M' Requirements
Does DWQ require DLR to hold the permit
(e.g. so DWQ can review it further°or
HQW17Q10 Concerns
°
because DWQ requires more information)?
Other. Reason:
RO contact:
Hold Until:
Mine must wait to dewater until an O&M
l -
plan is approved?
*The NPDES SW and WW pen -nit NCG020000 covers closed -loop recycle systems, designed to exclude all stormwater run-off from
the system and operate at or below two -feet of freeboard. These systems maybe permitted by a Non -discharge Recycle System
Permit from the Aquifer Protection Section_ (APS), OR may instead be permitted under NCG020000 to eliminate an additional permit.
Recycle systems that do not meet those criteria are considered discharging stems and mare to the NCG020000 discharge
permit.
**To obtain 7Q10 flows, permittees must contact the DWQ Stormwater Permitting Unit. If DWQ does not have a flow estimate fora
specific stream, permittees will be asked to obtain one. Permiffees should contact J. Curtis Weaver at the USGS: 919-571-4043, for
more information on obtaining a 7Q10 flow. USGS will not determine a 7Q10 flow for tidally influenced water bodies.
Reviewed by:
DWQ RO Surface Water: Thom Edgerton Regional Office: WaRO Date: 10/27/10
RO Aquifer Protection Section: Regional Office: Date:
SPU DWQ Central Office Reviewer (if applicable):
Rev September 2010

ON WILLIAMS
V10Environmental & Geological �crviccs Yu.,:
March 31, 2011
Stormwater and General Permit Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Voice I Fax [phone]
P.O. Box 190
Bath, NC 27808
www.WilliamsEGS.com
RE: NPDES General Permit Application NCG020000
Thomas Dwayne Norman � � ^@G �
Norman Sand fit 1:1
Tyrrell County
APR o Y 2011
To Whom It May Concern:
VEVMWSMWMTRWMCH
On behalf of Mr. Thomas Dwayne Norman, I have enclosed the original and one
copy of NPDES General Permit Application NCG020000 for the Norman Sand Mine in
Tyrrell County.
The mining application for the site is under review by the Land Quality Section at
this time. The affected area at the site is 11.8 and permitted acres are 12.50. In this case,
the Mining Permit Expired and Mr. Norman has applied for a new Permit.
If you have any questions regarding this application, please contact me at (252)
714-2976 or 1- 800 — 240 — 8550.
Sincerely,
Floyd R. Williams, PG,
cc: Mr. Thomas Dwayne Norman
Enc. Original and one copy of Application
Application Fee (Ck. # 1019 from WEGS)
Two copies of Mine Map
Two copies of Location Map
Two copies of Topographic Map
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Division of Water Quality / Surface Water Protection
AtAn
NCDENR National Pollutant Discharge Elimination System
Nrnn. C,MI 1� cXm.rsrhr., or
l:i+vrrowr e+n .no NKW� R�is
NCG020000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Certificate or Coverage
2 0
Check N
I Amount
101
1C>Q.
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
• Mine dewatering (wastewater)
The following activities are specifically excluded from coverage under this General Permit:
• Stormwater discharges associated with peat mining, coal mining, and metal mining;
• Stormwater discharges from mining operations which are intermixed on site with stormwater from asphalt
operations and/or concrete operations;
• Stormwater discharges associated with oil and gas extraction operations; and
• Stormwater discharges associated with tourist gem mines
• NCDOT borrow pits are covered under NCS000150
The following discharges are covered by NPDES-general Rermit 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 exi_ •stin_g 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, _orinstallation 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 wastewater at mining sites will require an ATC riot
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 below). The authorization to construct or continue
to operate will be issued at the same time as the Certificate of Coverage (COC) for the NCG02 permit. Design of
treatment facilities must comply with requirements of 15A NCAC 2H .0138 & .0139.
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
Page 1 of 9
'As per 15A NCAC 2H .0106
Unless 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-NCG02-NOI Last revised 06/07/2010

NCG020000 N.O.I.
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: Summary of Wastewater Permit Requirements
Quarterly
Monitoring?
Requires
A to C?
Mine Dewatering (MD)
Yes
No
Yes
No
MD Discharges that do not need treatment
other than USC to meet permit conditions
✓
✓
MD Discharges that need treatment other than
E&SC to meet permit conditions
✓
✓
Process Wastewater
Other Recycle
✓
✓
Closed Loop Recycle
✓
✓
Any Other Process WW
✓
✓
,T + 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):
Owner Name Thomas Dwayne Norman
Owner Contact
Street Address
City
Telephone No.
E-mail Address
297 Colonial Beach Road
Columbia State NC ZIP Code 27925
[phone] Fax:
2) Location of facility producing discharge:
Facility Name Norman Sand Pit
Facility Contact Thomas Dwayne Norman
Street Address 297 Colonial Beach Road
City Columbia State NC ZIP Code 27925
County
Telephone No. Fax:
Contact 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). From Hwy. 64 in
Creswell. take Alligood Rd. North to Albemarle Church Rd._Stay on Albemarle Church Rd. until you
get to Albemarle Shores Rd. on left. Patti to mine site is_ .34 miles past Albe_rmarle Shores Rd. on left.
Site is 5.4 miles N x NE of Creswell.
4) Latitude 35*56' 09.37" N Longitude 76' 20' 23.76" W (degrees,
minutes, seconds)
Page 2of9
SWU-NCG02-NOI Last revised 6/7/2010

NCG020000 N.O.I.
Permits:
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin As soon as permits are issued.
X Existing Mine site where permit has expired.
❑ New Permit not applicable -- ATC request only. NPDES Permit Number
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: Sand
8) Is this mine an inactive mine site?
X No
❑ Yes " If yes, do you posses an "Inactive Renewal" from DLR and notified the DWQ Regional Office or
have you certified to the DWQ that the site has been stabilized? ❑ No ❑ Yes
9) Does this facility already have a valid Mining Permit from the Division of Land Resources (DLR)?
X No If No, }Tease indicate the status of the Mining Permit application: Permit expired- new minis
permit applied for. a 5 �10q-
❑ Yes If yes, please provide the Mining Permit number: Expired Permit No.. -07. Please also provide
a copy of your DLR Mining Permit with this DWQ application.
Note: DWQ cannot issue a COC for the NCG020000 General Permit until a Mining Permit is issued or
renewed by the Division of Land Resources (DLR).
10) Does this facility have any other NPDES permits?
X No
❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X_ No
❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does total area of this mine site include ready -mix and asphalt areas?
X No
❑ Yes
If yes, do they have DWQ stormwater permits (if owned by the same company)? ❑ No
(provide permit number
If not owned by the same company, who is the owner?
13) Will this mining operation precede development activities at this site?
X_ No
❑ Yes
❑ Yes
14) Is this mine located within one of the 20 Coastal Counties and will it add more than 10,000 ft2 of impervious
surface?
X No
Page 3 of 9
5WU-NCG02-N0I Last revised 6/7/2010

NCG020000 N.O.I.
❑ Yes If yes, you may be required to apply for an additional state stormwater permit. Check with your
local Regional Office. See contact information and checklist below.
15) Is this mine located the Neuse, Tar -Pamlico, or Catawba River Basin, or the Randleman or Jordan
Water supply Watersheds?
X No
❑ Yes if yes, what size stream buffers are included on site? ft. Please show buffers in site plans.
Discharge_ Points, Receiving_ Waters & Wetlands:
16) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in? N/A
if the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). NIA
Receiving water classification (if known):
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 wastewater are permitted in receiving
waters classified as WS-1 or freshwater ORW. Wastewater discharges to Saltwater ORW will
not be approved under the NCG02 General Permit.
17) If your facility has wastewater discharges and they are to HWQ, PNA waters (Primary Nursery Areas) waters,
what is the flow rate? NIA (See http://www.ncdmf.net/maps/FNA maps/index.html, for map)
18) Discharge Points:
Number of discharge points (ditches, pipes, channels, etc. that convey discharges from the property):
Onsitei Stormwater: Mine dewatering: 1 _ Process Wastewater Overflow:
Offsite: Stormwater: Mine dewatering: Process Wastewater Overflow:
Discharge points should be clearly marked on the submitted site plan.
Please provide short narrative description of discharges: The only discharge is into an existing pond by
way of a pump discharge pipe. The pond utilizes a 12" CPP for overflow which discharges into
adjacent woods.
a) Is your mine dewatering and discharging? (Answer only if you are dewatering)
❑ No
X Yes If yes, where to? Surface Waters and/or Wetlands (on -site or off -site)
X _ Other (on -site or off -site) Describe: On -site woodland
b) Are you dewatering but not discharging? (Answer only if you are dewatering)
X No
❑ Yes If Yes, please explain how you are dewatering, and where that water will be directed:
Page 4of9
SWU-NCG02-NOI Last revised 6/7/2010

NCG020000 N.O.I.
19) Will mining operations require dewatering near wetlands or impact any stream, groundwater, or wetlands?
X No
❑ Yes
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 a Pumping Operation and Monitoring (O&M) Plan that has been approved by the
Division.
For sites that may drain wetlands — approval of a Pumping O&M plan maybe required prior to
coverage under this cleneral permit. The Pumping O&M Plan should be submitted to the
appropriate Regional Office and must be approved prior to operation.
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. See
checklist at end of document. Contact your local Regional Office for questions specific to your mine.
20) If you are dewatering, are there wetlands or surface waters within 400' of the mine pit perimeter?
X_ No
❑ Yes If yes, what distance are they from the mine pit perimeter?
21) Have you been required to obtain a 404/401 Certification permits?
X No
❑ Yes If yes, please briefly describe below (include information such a required mitigation, BMPs, setbacks,
and/or O&M plans for on or off -site wetlands or other pertinent information). Attach other sheets as necessary.,
22) Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
X No ❑ Yes If yes, please attach to application submission.
Stormwater BMPs:
23) Does this facility employ any best management practices for stormwater control?
❑ No ❑ Yes if yes, please briefly describe: A large existing pond is being used for
dewateringlstormwater discharge. A rip -rap energy dissipater is to be utilized just below the 12" CPP pond
discharge pipe.
24) Does this facility have a Stormwater Pollution Prevention Plan?
X No ❑ Yes
If yes, when was it implemented? Not needed
25) Will vehicle maintenance activities occur at this facility?
X No ❑ Yes
Page 5 of 9
SWU-NCG02-NOI Last revised 6/7/2010

NCG020000 N.Q.I.
Wastewater Treatment Facilities:
26) Will mine dewatering discharges occur? (An ATC/ATO is required for wastewater treatment facilities'
dewatering discharges where E&SC devices atone will not meet effluent limits and/or protect water quality
standards).
❑ No
X Yes
27) Will discharges of overflows from process wastewater treatment systems occur? (ATC or ATO required,
unless closed -loop recycle system)
X No
❑ Yes
If yes, answer the following questions for each wastewater treatment system:
Please describe the type of process used to treat and/or recycle the process wastewater. Give
design specifics (i.e. 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? ❑ No ❑ Yes
If yes, please state the name, manufacturer and the quantity of average daily usage of the
chemical additive
Note: Please see our website for a list of evaluated polyacrylamide (PAMS) products for use in North Carolina.
C. Does this facility overflow only during rainfall events exceeding the 10-yr, 24-hr rainfall event?
❑ No ❑ Yes
28) Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
X 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.)
Other:
29) Hazardous Waste:
a) is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
Page 6of9
SWU-NCG02-NOI Last revised 6r7l2010

NCG020000 N.O.I.
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
30) Are you applying for a mining permit in the same location as a previously permitted mine?
❑ No
X Yes if yes, specify permit number and name if known: 89-07
31) Does your site have an active landfill within the mining permit boundary?
X No
❑ Yes If yes, specify type: ❑ LCID ❑ Other:
32) Is your facility providing appropriate secondary containment for bulk storage of liquid materials? See permit
text online for secondary containment requirements.
X No.
❑ Yes
Final Checklist:
This apnlication will be returned as incomplete unless all of the following items have been included and
initialed for. Please show that the following required information has been included by initialing in each
space below.
r� Fee of $100 made payable to NCDENR
Completed application and all supporting documents
Copy of the valid approved mining permit (MP) for the facility or indication of MP application status
___,L/ 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.
2 copies of large-scale site plan with topographical lines with all outfalls, applicable buffers and wetlands
clearly delineated
A copy of your DLR mining permit
A copy of your US Army Corps -approved wetland delineation if you marked "yes" to question 22 above.
If mine site is in one of the 20 Coastal Counties,
• Applicant has checked with the appropriate regional office to verify the need for a Coastal State
Stormwater permit. Regional Office Contact:
• Applicant has included a detailed list of impervious surface areas and percentages, sub -drainage
areas and total drainage area.
If the mine is dewatering and near wetlands, or may otherwise impact surface waters or groundwater,
include the following and contact your local regional office about a Pumping O&M Plan (see below
for contact information). You may be required to provide an approved Pumping O&M plan priorto
NCG02 issuance.
2 copies of detailed Full Size Plans delineating areas on the plans and listing acreage (including:
wetlands, ditches, well -placements, pits, borrow areas, overburden storage, stormwater controls/BMPs,
vehicle maintenance areas, settling basins, product process (such as screening, stockpiles, waste
piles), total drainage area, impervious surface percentages (if state sw programs apply), applicable
buffers, and access and/or haul roads).
Well information (design, depths, maintenance)
Physical monitoring for the wetlands areas
Settling pond sizing information, if applicable
Page 7 of 9
SWU-NCG02-NOI Last revised 6/7/2010

NCG020000 N.O.E.
4evel spreader design, if applicable
VDetails about dewatering method
Cone of influence calculations
Description of measures to prevent erosion and flooding
Description & information about 401/404 permits that have been obtained
�JJYCopy of US Army Corps of Engineers wetland delineations or approved wetland delineation (if
applicable)
* have contacted my local regional office about a Pumping O&M Plan.
Regional Office Contact: Date contacted:
-OR-
X I will not any impact nearby wetlands, surface waters or groundwater by dewatering.
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.
Certification: North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under 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 shalt 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.
I agree to abide by the following as a part of coverage under this General Permit:
1. I agree to abide by the approved Mining Permit for this mining activity. (A copy of the valid
mining permit must be attached to this request.
2. 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPDES permit specifically issued therefore.
3. 1 agree that bulb 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 8 of 9
SWU-NCG02-NOI Last revised 6/712010

NCG020000 N.O.I.
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 Name of Person Signing: �V'11 to /f/o+"/'Wa X-L.
Title: K71�""' i
- - 7 ,/- �//
(Signature of Applica ) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
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.
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office
... [phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 9 of 9
SWU-NCG02-NOI last revised 6/7/2010

SITE 1203
1202 1204
I I
IP-00 1200 John C. KIRKMAN /ECM
�?
DEED BOOK 169, PAGE 192
PLAT CABINET A. SLIDE 93 TAX MAP T-33, PARCEL NO. 47S 64 TO COLUMBIA
YICINiTY MAP
( NOT TO SCALE )------------
;NOTES
PERIMETER DRAWN FROM REFERENCED MAPS
VERIFIED BY OTHERS BEFORE DIGGING
John C. KIRKMAN
SAME
Thomas Dwayne NORMAN
SAME
PERMIT BOUNDARY
S 87059' 13"E 590.75'
N 84031'00°W
16.50'
UNDERGROUND UTILITIES TO BE 14 ' I- T _ UNEXCAVATED BUFFER (TYPICAL) IPS
SUBJECT TO ALL R/W'S, EASEMENTS, ZONING REGS. AND/OR NBq'R�' _ _ _ _ _ _ _ _ _ _ _
RESTRICTIVE COVENANTS OF RECORD. �Q� 3j 6 ~ - ` _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
''`` - - 0 '4
THIS PLAT IS FOR A MINING PERMIT ONLY. �RIAN �� < < �'� 1O`v - - - - �\
NOT A SURVEY FOR ANY P 6���
OTHER PURPOSE.
POINTS NOT LABELED ARE NOT MONUMENTED.
R/W
RIGHT OF WAY
CENTERLINE
IPS
IRON PIPE SET
ECM
EXISTING CONCRETE MONUMENT
EIP
EXISTING IRON PIPE
Thomas Dwayne NORMAN
SAME
C, MINE AREA
d
`\ TOTAL PERIMETER AREA BY DMD �\ 0-
`� 12.5 f�- ACRES G�i\
.. (10 AC 2/12/20055) \
\ 1.3 AC ADDnONAI_ POND 3:1 SLOP FROM
2 `\ 3:1 SLOPE FROM 1.2 AC ROADWAY 10 FT BUFFER
20 FT BUFFER
p ` EXCAVATED AREA
\ AREA BY DMD4 / 0.
N. 6.6 +\- ACRES �P�// �`���•L
9G\` IPS CONTROL
gj \ NC GRID COORDINATES (NAD 83)
mod`\ 035-56 13sN LAT, X 076-20.335 W LONG.b6AC
�3f
N 21 °51'53'E 'O N.
N. FROM HA NDHELD GPS GARMIN \�a S _ j' 63°44
I QI.64' cS \ O � F
P,
.Z
N 00'F
57.33,
Jahn C. KIRKMAN
SAME
/ \ DRIVEWAY �y °`� �
S 75'55'00'W �C� aa`d
O�i f� yU-13
W tid9 v J� F��R �' m Thomas Dwayne NC�RMAN
PERMIT BOUNDARY �� \;1'25"WT\ UN 'xCPQ�� lD- - 4p9-fig, ����' SEDIMENTATION I sn PLAT cABIM 179, PAGEIDE 1 (M'
53.93' \` �Q �� t ~ ' ~ , �`�vi R� L001 � POND � �, C} TAX MAP T-33, PARCEL NO. 14
-- ��°55 BA I 0.4 +.- AC. I W 9 68.5 +\- ACRES
N 18°49'15'E
76 52'
,
N II°44'58'E
63.67'
RIP RAP
FILTER CHECK DAM
(SEE DETAL)
BULLS BAY FARMS
N 12°e
49.65'
Karla MERVINE
BULLS BAY FARMS
CENTERLINE OF PRIVATE DIRT ROAD
(30' R/W) (m' EACH SIDE OF 4)
��1 41
T 8��2.s •
SPEizMII B
BULLS BAY FARMS
CENTERLNE OF PRIVATE DIRT ROAD
(30' R/W) (15' EACH SIDE OF Q
r
w -
,b
'tPIQoJar:yes 8 Linda
i 5Q SNEEDY
m�
�-
Q
Z
Q
p
o� z
V'
q
w
p+
CL
I
I
( UUERFLOW 8 I L
EIRDS I ON CONTROLf
I I
�
I J
r.,
RIP -RAP OUTLET
Mqe
PROTECTION
nw
(SEE DETAIL)
S 87°49'27'W 240.06-
PERMIT BOUNDARY
NO EXCAVATION IS TO TAKE
PLACE IN THIS AREA
LI N 19°13'26"E 54.85'
L2 N 00°56'44"E 82.82'
L3 N 28053'00"W 85.18'
5 87049'27"W
RIP —RAP DETAIL
GROUND
WATER SURFACE 1 SVoe
6
CROSS—SECTION OF FINISHING GRADE
NOT TO SCALE
0tRji3 b31WM8Q1S {W M1L%
,Uth'(ID 8jVMM -VM
110Z 1 0 uv
gg& giW91,00
CATEGORY
AFFECTED ACREAGE
Tailings / Sediment Ponds
-
Stockpiles
0.2
Wastepiles
Processing Area / Haul Roads
1..2
Mine Excavation
6.6
Other: (Dewatering Pond)
0.4
Other: (Unexcavated Buffers)
3.4
Total Disturbed Acreage
11.8 7
.n„Innh,y.
T3AL
65 t
00 0 100 200 30C''t
, ,�' up'
GRAPHIC SCALE - FEET SCALE: I (NCH = 100 FEET .r•.rF
Tim ESOLEN - INSTRUMENT: TOPCON GTS-3B /
TOTAL PERMITTED 12.5 7 Hlf�
W
O
$4
__EIP (CONTROL) NC GRID COORDINATES (NAD 1983)
6VRIED a .4 - 80G.005' / E - L,787.623'
035-56.134 N. LAT. X 076-2.349 W LONG.
FROM HANDHELD GPS GARMIN
4-
3Qj
EIP (CONTROL)
4-
\
MTV
Leroy 8 Rachael
CAHOON
i
EIP (CONTROL) 0�q-1 %
63�q��i
QP
L
REVISED: MAR 23, 201 1 PERMIT CHANGES �q /
REVISED: NOV. 18, 2010 PERMIT CHANGES ° f
REVISED: NOV. 28, 2005 PERMIT CHANGES
REVISED: MAY 25, 2005 PERMIT CHANGES
DATE OF THIS SURVEY: FEBRUARY 12, 2005
f
NAME OF MINE
NORMAN SAND PIT
NAME OF APPLICANT
Thomas Dwayne NORMAN
RT W, BOX 243, COLUMBIA, NC 27925
PHONE: [phone]
LOCATION OF MINE COLUMBIA TOWNSHIP - TYRRELL COUNTY, NC
CATAGORY
AFFECTED ACREAGE
TAILINGS / SEDIMENT PONDS
STOCKPILES
WASTEPLES
PROCESSING AREA / HAUL ROADS
MINE EXCAVATION
OTHERS
TIMOTHY J. ESOLEN
PROFESSIONAL LAND SURVEYOR L-3365
105 HILLARD DRIVE
PL YMO UTH, NORTH CAR OLINA 27962
PHONE: (252) 793— 1 349 99-73C