NCG520124_Permit (Issuance)_20191025

ROY COOPER
MICHAEL S. REGAN
secrrraiy
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental Quality
October 25, 2019
Mr. David Hoffman
Hoffman Grading & Paving Company
711 Complex Place
Lenoir, NC 28645
Subject: Issuance of Certificate of Coverage NCG520124
NPDES General Permit NCG520000
Miller Pit
Caldwell County
Dear Mr. Hoffman:
The Division has reviewed and approved your request for coverage under the subject General Permit.
The Division hereby issues Certificate of Coverage (CoC) NCG520124 to discharge under wastewater
General Permit NCG520000. This CoC is issued pursuant to the requirements of North Carolina General
Statue 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].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this CoC is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the CoC. Contact the Asheville Regional Office
prior to any sale or transfer of the permitted facility. Regional Office staff will assist you in
documenting the transfer of this CoC.
If you have any questions concerning the requirements of the General Permit, please contact
Charles Weaver of the NPDES program at [phone] or via e-mail [[e-mail]].
cc: NPDES file
cerely,
inda Culpepper, Director
Division of Water Resources
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-707-3616

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG520000
CERTIFICATE OF COVERAGE NCG520124
DISCHARGE OF INSTREAM MINING WASTEWATER, ASSOCIATED STORMWATER AND
SIMILAR DISCHARGES UNDER THE
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,
Hoffman Paving & Grading Company
is hereby authorized to discharge sand dredging wastewater from the following facility:
Miller Pit
2613%2 Old Morganton Rd
Lenoir
Caldwell County
to receiving waters designated as Lower Creek, currently classified as C waters in
subbasin 03-08-31 of the Catawba River Basin, in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, and III hereof.
This certificate of coverage shall become effective October 25, 2019.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 25, 2019
or a ulpepper
%iirector, Division of Water Resources
By Authority of the Environmental Management Commission

Discharge Point
Latitude: 35°53'00"
Longitude: 81°34'37"
USGS Quad: Lenoir, N.C.
Stream Class: C
Subbasin: 03-08-31
Receiving Stream: Lower Creek
NCG520124
Hoffman Grading & Paving
Miller Pit
Caldwell County
Map not to scale

DocuSi n Envelo ID: 4C09BEA9-DC6F-4276-8345-7B26517D06C0
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Environmental Staff Report
Quality
To: ® NPDES Unit n Non -Discharge Unit
Application No.: NCG520124
Attn: Charles Weaver Facility name: Miller Pit
From: Amy Annino, Linda Wiggs
Asheville Regional Office
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -
discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable.
I. GENERAL AND SITE VISIT INFORMATION
l . Was a site visit conducted? ® Yes or 0 No
a. Date of site visit: 09-10-2019
b. Site visit conducted by: Amy Annino and Tim Heim
c. Inspection report attached? ❑ Yes or 0 No
d. Person contacted: David Hoffinan: (828) 754 - 5582
e. Driving directions: 2613 %2 Old Morganton Rd. Lenoir. NC 28645
2. Discharge Point(s): Wastewater from sand dredge spoils to dewater into field adjacent to Lower Creek
Latitude: 35.883436 Longitude: -81.576867
Latitude: Longitude:
3. Receiving stream or affected surface waters: Lower Creek
Classification: C
Catawba River Basin and Subbasin No. 03 2 65 _0 S ! 31
Describe receiving stream features and pertinent downstream uses:
The Lower Creek watershed below the proposed sand dredge site is a mix of agriculture, forestry, rural
residential, and commercial development. The Lower Creek Wastewater treatment plant is immediately
downstream from the proposed dredge site. Lower Creek flows into Lake Rhodhiss (Catawba River), which
is classified as WS-IV and B.
IL PROPOSED FACILITIES: NEW APPLICATIONS
1. Facility Classification: Sand Dredge (Please attach completed rating sheet to be attached to issued permit)
Proposed flow: N/A
Current permitted flow: N/A
2. Are the new treatment facilities adequate for the type of waste and disposal system? 0 Yes or 0 No
If no, explain: N/A, Applicant states no discharge.
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? 0 Yes 0 No ® N/A
If no, please explain:
FORM: WQROSSR 04-14 Page 1 of 5

DocuSign Envelope ID: 4C09BEA9-DC6F-4276-8345-7B26517D06C0
4. Do the plans and site map represent the actual site (property lines, wells, etc.)? ❑ Yes ® No ❑ N/A
If no, please explain: A map is being supplied by ARO staff representative of the facility property
lines/boundaries that should be covered under this COC.
5. Is the proposed residuals management plan adequate? 0 Yes 0 No ® N/A
If no, please explain:
6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? ❑ Yes 0 No ® N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ❑ Yes or ® No
If yes, attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑ NO ® N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ® N/A
If yes, attach list of sites with restrictions (Certification B)
Describe the residuals handling and utilization scheme:
10. Possible toxic impacts to surface waters:
11. Pretreatment Program (POTWs only):
III. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS: NA, however see
comments.
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes ❑ No ® N/A
ORC: Certificate #: Backup ORC: Certificate #:
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ❑ Yes or ❑ No
If no, please explain: NA, applicant states no discharge.
Description of existing facilities: Imagery indicates a processing facility on this property with settling basins.
Proposed flow:
Current permitted flow:
Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important
for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership,
etc.) Map included with staff report depicts the boundaries/property for coverage under COC
NCG520124.
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? 0 Yes or 0 No
If no, please explain: NE
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? 0 Yes or ❑ No
If yes, please explain:
5. Is the residuals management plan adequate? ❑ Yes or ❑ No
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? 0 Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? 0 Yes 0 No 0 N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ❑ No
If yes, attach a map showing conflict areas.
FORM: WQROSSR 04-14 Page 2 of 5

DocuSign Envelope ID: 4C09BEA9-DC6F-4276-8345-7B26517006C0
9. Is the description of the facilities as written in the existing permit correct? ❑ Yes or ❑ No
If no, please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes 0 No 0 N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? 0 Yes ❑ No ❑ N/A
If no, please complete the following (expand table if necessary):
Monitoring Well
Latitude
Longitude
o
,
is
0 ,
►,
o
,
„
0 ,
„
o
I
d
0 ,
q
o
,
H
0 ,
„
o
►
n
0 ,
...
„
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? 0 Yes or 0 No
Please summarize any findings resulting from this review:
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or 0 No
If yes, please explain:
14. Check all that apply:
❑ No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
© Notice(s) of violation 0 Currently under SOC 0 Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
If the facility has had compliance problems during the permit cycle, please explain the status. Has the RO been
working with the Permittee? Is a solution underway or in place?
Have all compliance dates/conditions in the existing permit been satisfied? 0 Yes ❑ No 0 N/A
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes 0 No 0 N/A
If yes, please explain:
16. Possible toxic impacts to surface waters:
17. Pretreatment Program (POTWs only):
FORM: WQROSSR 04-14 Page 3 of 5

DocuSign Envelope ID: 4C09BEA9-DC6F-4276-8345-7826517D0600
IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
If yes, please explain: However. see "V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS".
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
Item
Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition
Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition
Reason
5. Recommendation: ❑ Ho d, pending receipt and review of additional information by regional office
❑ Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
® Issue
❑ Deny (Please state reasons: ) Docusigned by: DocuSigned by:
6. Signature of report preparer: Amy Annino, Linda Wiggs �' 1 t
C
Signature of regional supervisor:
Date: 10/17/2019
DOcUSfgned by:
7E617A38285848C...
6C38CDE2B5CF449... 3FF485279870493...
FORM: WQROSSR 04-14
Page 4 of 5

DocuSign Envelope ID: 4C09BEA9-DC6F-4276-8345-7B26517D06C0
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
• NCG520000 Application #8 should read as noted in Staff Report #3. (Lower Creek, Class C).
• A map was not submitted with the NCG520000 Application. A map associated with a Mine Permit Application
was erroneously attached. This map is not sufficient. ARO staff have included an accurate map of this site for
coverage under COC NCG520124.
Inspection Notes:
Amy Amino and Tim Heim visited the site and with Mr. Hoffman, staff observed bank erosion in an outside meander
bend at the proposed dredge site. Mr. Hoffman indicated that he will be stabilizing the stream bank by grading the
bank (working above the ordinary high-water line) and establishing native vegetation. Also, Lower Creek could be
used as a navigable waterway by recreational canoe / kayaks. Staff informed Mr. Hoffman that signage must be
posted upstream and downstream of the sand dredge to warn individuals using the river for recreational purposes.
FORM: WQROSSR 04-14 Page 5 of 5

fittps://outlook.livc.com/mail/inbox/id/AQMkADAwATY3ZmYAZ...
NCG520000 Application Fee
Thedford, Wren <[e-mail]>
Mon 6/24/2019 9:29 AM
To: [e-mail] <[e-mail]>
Hello Mr. Hoffman,
Our office received a General Permit application from you, however, the payment fee of $100.00
was not attached. Please send the payment to the following address:
NCDEQ-DW R
Water Quality Permitting Section
Attn: Ms. Wren Thedford
1617 Mail Service Center
Raleigh, NC 27699-1617
Wren "Tedford -Administrative Specialist II
NCDEQ-DWR
Water Quality Penn Ming Section
1617 Mail Service Center Raleigh, NC 27699-1617
Phone: [phone]
https://deq.nc. gov/about/divisions/water-resources/water-resources-permits
RECEIVED/NODEQ/D►WR
JUL 0 5
Water Quality
permitting Section
1 of 1 6/27/2019. 2:45 PM

. Sep. 12.` 2017 11:18A111
No. MI t• 1
NC Division of Water ReSOUTCOS
National Pollutant Discharge Elimination System (NPDES)
Applhacatioll for Coverage Under General Permit
Sand Dredging operations and similar paint source discharges
NOTICE OF INTENT
[Required by 15A NCAC 1.2H .0127(4)1; (tram definitim see 15A NCAC 02H .0103(19)l
(Please print or type)
1) Mailing address of owner/operator: (address to which all correspondence should be mailed)
HOFFMAN PAVING & GRADING CO.
DAVID HOFFMAN
711 COMPLEX PLACE
FOR AGENCY USE ONLY
Date Received
Year Month
Day
US
CertiBcato of Coverage
NIC la l5
Check #
Company Name
Owner Name
Street Address
city
Telephone #
Email
2) Location of
Facility Name
Facility Contact
Street Address
City
County
Telephone #
Amount
Icigkj 4Iloo.6.
Assigned To; C1h tJe5 G(Vew
LENOIR
828-754-5582
[e-mail]
cility producing discharge:
MILLER PIT
DAVID HOFFMAN
2613OLD MORGANTON ROAD
LENOIR
CALDWELL
State NC Zip 28645
Fax# [phone]
RECEIVEDMCDEQ/DWR
JUL 0 5 2019
Water alat
Permitting Section
state NC zip 28645
828-754-5582
Fax# [phone]
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).
H . 18/90 South of Lenoir to Gamewell Town Hall, turn left onto
O d Morganton Rd 'eke 2nd Waved drive to ri•ht.
(A copy de cotmty map or USOS quad sheet with facility clearly located cm tho map is requircd to be submitted with this application)
4) This NPDES permit application applies to which of the following :
t9 New [Gran definition see 15A NCAC Qj1L,Q103(1611 or Proposed
Q Modification
Please describe the modification:
o Renewal
Please specify existing permit number and original issue date:
S) Does this facility have any other NPDES permits [term definition see 15 A NCAC 02H .0103(1511?
3 No
o Yes - If yes, list the permit numbers for all currant NPDES permits for this facility:
Page 1 of 4 (Revised 9/1 4/2016

Sep. 12. 2011 11:10AM
No. 133 / P.
NCGS20000 New Application
6) Description of Discharge: (Required by 15A NCAC 02H10105(0(111
a) Is the discharge directly to the receiving water? 0 Yes 1 No - If no, submit a site map with the pathway to
the potential receiving waters clearly marked. This includes tracing the pathway ofthe storm sewer to the
discharge point if the storm sewer is the only viable means of discharge.
b) Number of discharge points (ditches, pipes, channels, etc. that envoy wastewawr from the property): N/A,
c) Volume of discharge per each discharge point (in GPD): #I: #2: #3: 04
d) Please describe the typo of process the sand dredging wastewater is being discharged from, be specific:
Sand dipped from ver on to landjwater flows into the field. •
e) Is there any treatment being applied to the wastewalr before discharge (deck the type of treatment in use).
❑ Settling pond
❑ Lagoon
elk None
O Other:
f) How much of the volume discharged is treated (state in percent)?
NONE
g) If any box in item (e) above, other than none, was checked, please include design specifics (Le, design
volume, retention time, surface area, etc.) with submittal package. Existing treatment facilities should be
described in detaiL Design criteria and/ operational data (including calculations) should be provided to
ensure that the facility can comply with the requirements of the general Permit, as required by 11631CAC,
0211 .0127.
The treatment Mall be sufficient to meet with the limits sat by the general permits. The trapping efficiency
should be greater than 75%. The surface area should be as large as poslc to insure sedimentation occurs.
To sere optimum efficiency the Bow length of due basin to the basin width should have a ratio of 2:1
Note: Construction of any wastewater treatment facilities requires submission of three (3) sets of plans and
specifications along with the application. Design of treatment facilities must comply with requirements of
ISA NCAC 02H .0138. If vonstrnciioa applies to this discharge, include the three sets of plans and
specifications with this application.
7) Discharge Frequency: (Required by 15A NCAC 02H , 0105(e1(I )]
a) The discharge is: 0 Continuous . 0 Intermittent
0 Mlle discharge is intermittent, describe when the discharge wilt occur:
IN Seasonal }--
ii)• If seasonal check the month(s) the discharge occurs: 0 Jan. 0 Feb. 0 Mar. 0 Apr. 0 May 0 Jot.
0 Jul. 0 Aug. 0 Sept. ❑ Oct. O Nov. ❑ Dec.
b) How many days per week is thew a discharge? N/A
c) Please check the days discharge occurs: 0 Sat 0 Sun. 0 Mon. 0 Tue. 0 Wed, 0 Thu. 0 Fri.
Sj Receiving waters: [Required by 1 SA NCAC 02H Qt 05(e i(111
a) What is the name ofthe body or bodies of water (creek, stream, river, lake, etc.) that the facility wastewater
discharges end up m? If the site wastewater discharges to a separate atom sewer system (45), nano the
eperatmr of the 4S (e.g. City of Raleigh). CATAWBA RIVER BASIN
b) Stream Classification: _
Page 2 of 4 Revised 9/14/2016

Sep. 12. 2011 11:18AM
No. 1337 P. 3
N CG520000 New Application
9) Alternatives to Direct Discharge:
[Evaluation required by O.S. 4 143 21 S.1(b)(51(a) and I5A NCAC 02H .0105(c)(2)1
Address the feasibility of implementing each of the following non -discharge altematives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrificadoon field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that a
snbsurfcs system is =ithcr feasible nor practical as well as written confirmation indicating that connection to a
POTW is not an option. It should also include a present value of costs analysis as outlined in the Division's
"Engineering .4lter„iyjs Analysts (EAR Guidance Dock'
Additiorsall Application' Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete. Per 15A. NCAC 02H .01 OS c
a) 7.5 minute series USCsS topographic map (or a photocopied portion thereof) with discharge
location clearly indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a stonn sewer to its discharge point.
a) Millis application it being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application
has been designated an authorized Representative of the applicant; per ISA NCAC 02H
.0138(b)(1).
d) Final plans for the treatment system' (if applicable). The plans must be signed and sealed by a
North Carona registered Professional Engineer and stamped -"Final Desigu-Not released for
construction;' per 15A NCAC 02H .0139.
e) Final specifications for all major treatment components (if applicable). The specifications must
be signed and sealed by a North Carolina registered Professiona ugineer and shall include a
narrative description of the treatment system to be constructed; per 15A NCAC 02H .0139.
Page 3 of 4 - Revised 9/14/2016

• Sep.12. 2011 11:19AM
Flo. Ij51 r. 4
NCGS20000 New Application
CIERTHWICATION
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing DAVID HOFFMAN
Title: VICE PRESIDENT
(Please review 15A NCAC 02H .0 .Q ) for authorized s'sgaing officials)
(Signature *Applicant)
North Carolina General Statute § j43 218.68 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 rnIem eking proceeding or contested case
under this Article; or who falsifies, tempers with, or knowingly renders inaccurate any recording or monitoring device
or method required to be operated or maintained lender this Article or rules of the Commission implementing this
Article, shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars
(S10,000). 18 USX. Section 1001 provides a punishment by a fine or i mmpxisomnent not more than S years, or bath,
for a similar offense.
(Date Signed°
This application must be accompanied by a check or money order for $100.00 fps G s ta3-
215.3(aHibl) made payable to:
NCDEQ
Mail this application and one copy of the ere package (with cheek) to:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attn: Charles Weaver
Final Chest
This application will be returned as incompicty, as allowed by I SA NCAC 02H .0107�b , unless all of the
following items have been included:
❑ Complete application with an sltpporting documents (plus one copy of entire package)
❑ Check or money order far $100.00, payable to NCDENR
❑ 3 copies of county map or USGS quad sheet with location of facility clearly marked on map
❑ 3 sets of plans and specifications signed and sealed by a North Carolina P.E.
❑ Thorough responses to urns I-10 on this application
❑ Altematives analysis including present value of costs fur all alternatives
Note: The submission of this document does not guarantee the issuance of au NPDES permit.
Page 4 of 4 Revised 9114/2016

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
LAND QUALITY SECTION RECEfVED/NODE'6Q/DWR
APPLICATION FOR A MINING PERMIT MAY 2 g
2019
1. Name of Mine MILLER PIT
(PLEASE PRINT OR TYPE)
WaSecflon
Permittiterng Sec{i
County CALDWELL
River Basin CATAWBLatitude (dd.mm.ss) Longitude (dd.mm.ss)
2. Name of Applicant* DAVID HOFFMAN
3. Permanent address for receipt of official mail** 711 COMPLEX PLACE
LENOIR, NC 28645
Telephone [phone]
4. Mine Office Address 711 CCIMPT,F.X Pr,ACF.
T.FNOTR, N.0 28645
5. Mine Manager GERALD COFFEY
Telephone R28-754-5582
We hereby certify that all details contained in this Permit Application are true and correct to the best of our
knowledge. We fully understand that any willful misrepresentation of facts will be cause for permit
revocation.
***Signature
Print Name DAVID HOFFMAN
Title
LJ Date s-ate /
ZITCF PRFSTil1;NT
* This will be the name that the mining permit will be issued to and the name that must be indicated on the
reclamation bond (security) that corresponds to this site.
** The Land Quality Section must be notified of any changes in the permanent address or telephone number.
*** Signature of company officer required.
G.S. 74-51 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a
complete application or, if a public hearing is held, within 30 days following the hearing and the filing of any
supplemental information required by the Department. All questions must be addressed and all required maps
provided before this application can be considered complete. Attach additional sheets as needed.
-1-

APPLICATION FOR A MINING PERMIT
• NOTE: All of the following questions must be thoroughly answered with regards to your mining
opera n 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
Answer all of the following that apply:
1. a. 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 a "new permit" fee will be based upon):Less than 1 /2 acre.
Of this acreage, how much is owned and how much is leased? Acres owned: less 1 /2 Acres
leased: Property owner if leased:
b. 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):
c. If this is an application for a MODIFICATION to a mining permit, indicate the mining permit
number and the total (overall) acreage covered by the existing permit: Mining Permit
No.: 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 "ajor 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 (disturbed,
ground cover removed) by the mining operation? Yes No (if no, a "minor
modification" fee of $50.00 is required, despite the "undisturbed" acreage to be added). If yes,
indicate the acreage to be affected within the acreage to be added to the permit (the total acreage to
be added to the permit is the acreage that the "major modification" fee will be based upon):
d. If this is an application for TRANSFER of a mining permit, indicate the mining permit number and
the total (overall) acreage covered y 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: RIVER SAND
3. Mining method: Hydraulic Dredge Front-end Loader & Truck Shovel &Truck
Dragline & Truck x Self -loading Scraper Other (explain)
-2-

APPLICATION FOR A MINING PERMIT
4. a. Expected maximum depth of mine (feet) 4-5 . okei'
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
NATURIlT, GROUND IPA/FL
b. Expected average depth of mine (feet) 4-5 tiler
5. Has any area(s) at this site been mined in the past? Yes X No
If yes, when and by whom was this activity conducted? 15+ year's aqo- HOFFMAN PAVING oD.
6. Number of years for which the permit is requested (10 years maximum): 10 YEARS
B. MAPS
1. Clearly mark and label the location of your mining operation on six (6) copies of a 7.5 minute quadrangle
and a county highway map. These maps, in addition to six (6) copies of all mine maps and reclamation
maps, must be submitted with each permit application.
7.5 minute quadrangles may be obtained from:
N.C. Geological Survey
NCDENR
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
[phone]
County highway maps may be obtained from:
Location Department
State Highway Commission
Raleigh, North Carolina 27602
[phone]
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Caldwell County
May 23, 2019
This map is NOT of land survey quality and is NOT suitable for such use.
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Caldwell County
May 23, 2019
This map is NOT of land survey quality and is NOT suitable for such use.
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Caldwell County
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May 23, 2019
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Caldwell County
May 23, 2019
This map is NOT of land survey quality and is NOT suitable for such use.
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May 23, 2019
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RECEIVED/NCDEQ/DWR
MAY 2 9 2019
Water Quality
Permitting Section
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