NCG020620_Rescission_20210812

FOR AGENCY USE ONLY
Assigned to:
ARO FRO MRO RRO
WARO WIRO WSRO
RECEIVED
A€ 6 12 2021
0ENROND QUALITY
STORMWATER PERMITTING
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
Rescission Request Form
Please fill out and return this form if you no longer need to maintain your NPDES storm water permit.
Directions: Print or type all entries on this application form. Send the original, signed application to: NCDEMLR
Stormwater Program, 1612 Mail Service Center, Raleigh, NC 27699-1612. The submission of this form does not
guarantee recission of your NPDES stormwater permit. Prior to the recission of your NPDES stormwater permit, a
site inspection will be conducted.
1. Owner/Operator (to whom all Dermit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (4) below:
McDonald Materials, Inc.
Jerald F. McDonald, Jr.
Street address:
City:
State and zip code:
2611 Murchison Road
Fayetteville
NC 28301
Telephone number:
Email address:
910-630-2200
[e-mail]
2. Industrial Facilitv (facility reauestine rescission):
Facility name:
Snow Hill Mine
Street address:
Claude Lee Road
City:
State:
Zip Code:
t
County:
Fayetteville
NC
28306
Cumberland
Permit Number to which this request applies:
Mining Permit 26-20 MC &o Z'D 6
3. Reason for rescission Request
�11.a IJ Icqullcu III I V I I I I dl W l 1. Fuld).)) -jCVC1I dlc ZI lcclJ II IIt=LVbJdI Y.
0 Facility is closed or closing. All industrial activities have ceased such that no discharges of stormwater are contaminated
by exposure to industrial activities or materials.
Date closed/closing: June 2015
❑ Facility sold.
Sold to:
On date:
❑ Other (please explain):

4. Applicant Certification:
North Carolina General Statute 143-215.66 (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. . . shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000). 1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law, I certify that:
El I, as an authorized representative, hereby request recission of coverage under the NPDES stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete, and accurate.
Printed Name of Person Signing: Jerald F. McDonald, Jr.
Title: President
(Signature of Applicant)
August 9, 2021
(Date Signed)
Mail the entire package to: DEMLR — Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 2 of 2

•
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
Director
a
NORTH CAROLINA
Environmental Quality
August 2, 2021
Certified Mail
Return Receipt Requested
7019 1120 0002 0065 1245
Jerry F McDonald
2611 Murchison Road
Fayetteville, NC 28301
RE: Snow Hill Pit
Mining Permit No. 26-20 (EXPIRED)
Cumberland County
Cape Fear River Basin
Dear Mr. McDonald:
An inspection was made of the above mine on June 30, 2021, in accordance with G.S. §74-56 of the
Mining Act of 1971.
The mine was found to be satisfactorily reclaimed. Therefore, you are released from further reclamation
responsibility for this site with respect to the Mining Act of 1971. I am returning your Surety Bond issued
by Pennsylvania National Mutual Casualty Insurance Company in the sum of $275,200.00 to you for your
disposal.
Thank you for your cooperation in this matter.
Sincere y,
David Miller, PE
State Mining Engineer
DM/ap
Enclosures
cc: Mr. Tim LaBounty, PE
Ms. Annette Lucas, PE
Mr. William Gerringer-DOL, Mine and Quarry Bureau
�FQ North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
512 North Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
919.707.9200