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HomeMy WebLinkAboutNCG021006_Application_20221104FOR AGENCY USE ONLY NCG02 Assigned to: ARO FRO MRO RRO WARO WIRO WSRO RECEIVED Division of Energy, Mineral, and Land Resources Land Quality Section'''4 04 2022 National Pollutant Discharge Elimination System NCG020000 Notice of Intent 0EMLR-SbMwffiI0rP10911111 This General Permit covers STORMWATER AND/OR WASTEWATER DISCHARGES associated with activities under SIC (Standard Industrial Classification) Code 14 [Mineral Mining Industry] except for: peat mining, coal mining, metal mining, oil and gas extraction, tourist gem mines, NCDOT borrow pits, in -stream sand mining, and discharges from mining operations which are intermixed on site with stormwater from concrete operations. You can find information on the DEMLR Stormwater Program at deq.nc.gov/SW. Directions: Print or type all entries on this application. Send the original, signed application with all required items listed in Item (9) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh, NC 27699-1612. The submission of this application does not guarantee coverage under the General Permit. Prior to coverage under this General Permit a site inspection will be conducted. 1. Owner/Operator (to whom all permit correspondence will be mailed): Name of legal organizational entity: Legally responsible person as signed in Item (10) below: Street address: City: State: Zip Code: 500 Jonestown Road Columbia NC 27925 Telephone number: Email address: 252-796-1910, 252-796-7558 smithdemo3@gmaii.com Type of Ownership: Government ❑ County ❑ Federal ❑ Municipal ❑ State Non -government ❑ Business (If ownership is business, a copyof NCSOS report must be included with this application) IN Individual 2. Industrial Facility (facility being permitted): Facility name: Facility environmental contact: Buddy Smith Mine KennethElliott,liqonsultinci Street address: City: State: Zip Code: 00000 Travis Road Columbia NC 27925 Parcel Identification Number (PIN) County: 870-974-0362 Tyrrell Telephone number: Email address: 252-796-1910, 252-796-7558 smithdemo3@gmail.com Latitude of entrance: Longitude of entrance: 35.906306 N -76.273719 W 4-digit SIC code: Facility is: Date operation is to begin or began: ❑ New IN Proposed 1442 ❑ Existing November 2022 Types of minerals mined at this facility: ❑ Clay ❑ Feldspar Ore ❑ Lithium Ore ❑ Phosphate ®Soil ® Construction Sand ❑ Industrial Sand ❑ Other: Page 1 of 11 Is this a processing -only facility for materials mined elsewhere? Is this an inactive mine site? ❑ Yes ❑ Yes I IN No IN No Does total area of this mine site include ready -mixed concrete plant and/or asphalt plant areas? ❑ Yes, and has separate NPDES stormwater permits (provide permit numbers): ❑ Yes, and does not have separate NPDES stormwater permits In No Does this facility already have a valid Mining Permit from DEMLR's Land Quality Section? ❑ Yes (please provide the Mining Permit Number) IN No (please indicate the status of the Mining Permit application) Mining permit application has been submitted. Are you applying for a discharge permit in the same location as a previously permitted mine? ❑ Yes (please provide permit number and mine name) 31 No If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4: ® N/A 3. Consultant (if applicable): Name of consultant: Consulting firm: Kenneth Elliott Elliott Consulting Street address: City: State Zip Code PO Box 112,202 Elliott Road Aydlett NC 27916 Telephone number: Email address: 252-339-9021 ken@kenobx.com 4. Development Activities and Buffers Mining operation will precede development activities at this site: ❑ Yes ® No Mine is located within one of the 20 Coastal Counties, and will it add more than 10,000 ft' of impervious surface: ❑ Yes (to both) IN No, this mine is within one of the 20 Coastal Counties, but will not at more than 10,000 ftz of impervious surface ❑ No, this mine is not within one of the 20 Coastal Counties Mine is in the Neuse, Tar -Pamlico, or Catawba River Basins, OR in the Randleman or Jordan Water supply Watersheds? ❑ Yes (specify size pf stream buffers) ® No Mine site will include wastewater discharges from a ready -mix concrete batch plant? ❑ Yes (please seek additional coverage under General Permit NCGI40000: Ready -Mix Concrete) ® No rvune Mine dewatering will occur at this site: ® Yes ❑ No (mark N/A for the rest of this section) Mine dewatering from this facility will be discharged to: ®Surface Waters and/or Wetlands ❑Other (specify) ❑Mine will not discharge dewatering to Surface Waters and/or Wetlands; specify how dewatering will occur and where water will be directed: Page 2 of 11 Wetlands and/or Surface Waters are within 400' of the mine pit perimeter: 404/401 Certification permits required: ® Yes (specify distance) 350 It ❑ Yes (briefly describe) ❑ No ® No ❑ N/A ❑ N/A Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers? ❑ Yes (please attach to this application) ® No 6. Wastewater Treatment Will this facility wash mined materials? ❑ Yes M No Will discharges of process wastewater treatment systems occur (including possible recycle system overflows) ❑ Yes (please describe) Rl No Will this facility employ chemical additives to flocculate suspended solids? ❑ Yes (specify name/manufacturer/quantity of daily use) Rl No Note: please visit: httos://files.nc.gov/ncdeg/Water+Quality/Environmental+Sciences/ATU/PAM8 30 18.pdf for list of approved PAMS Will any of the wastewater treatment facilities at this mine overflow only during rainfall events that exceed the 30-yr, 24-hr rainfall event? ❑ Yes (specify which systems) ® No Wastewater treatment facility will discharge more frequently (i.e. during smaller rain events). Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain? Cal Yes ❑ No Wastewater Treatment Alternative Review as required by 15A NCAC 2H.0105(c)(2) Types of wastewater this mine site will discharge: IN Mine Dewatering ❑ Process Wastewater Types of wastewater considered for this alternative review: 1?l Mine Dewatering ❑ Process Wastewater Are there existing sewer lines within a one -mile radius? ❑ Yes ❑ Wastewater treatment plant will accept wastewater ❑ Is feasible to connect (explain) ❑ Is not feasible to connect (explain) ❑ Wastewater treatment plant will not accept wastewater (please attach letter documenting this) Rl No Page 3 of 11 Are you already proposing a closed -loop recycle system (CLRS) that meets design requirements of 15A NCAC 2T .10000? ❑ Yes, for dewatering ❑ Yes, for process wastewater ❑ Yes, for both ❑ No, this option is technologically feasible (explain) 10 No, this option is not technologically feasible (explain) Inadequate space for system. ❑ No, this option is otherwise feasible (explain) El No, this option is otherwise not feasible (explain) What is the feasibility of building a CLRS compared to direct surface water discharge? Building and maintaining a treatment system prior to discharge is more feasible than a CLRS. Surface or Subsurface Disposal System ❑ A surface or subsurface disposal system is technologically feasible (explain) 251 A surface or subsurface disposal system is not technologically feasible (explain) Inadequate space and power source. ❑ A surface or subsurface disposal system is otherwise feasible to implement (explain) ❑ A surface of subsurface disposal system is not otherwise feasible to implement (explain) What is the feasibility of employing a subsurface of surface discharge as compared to a direct discharge to surface waters? Building and maintaining a treatment system prior to discharge is more feasible than a subsurface or surface discharge system. Direct Discharge to surface waters is the most environmentally sound alternative to all reasonably cost-effective options for the wastewaters being considered? M Yes ❑ No If this review included all wastewater discharge types, would excluding some types make any of the above non -discharge options feasible for some the wastewaters? ❑ Yes El No 7. Outfalls(s) At least one outfall is required to be eligible for coverage. 3-4 digit identifier: I Name of receiving water: I Classification: ❑ This water is impaired. SDO-1 IScuppernong River, Albemarle Soundl SC, SB ❑ This watershed has a TMDL. Discharge from this outfall is from: ❑ Stormwater ® Mine Dewatering ❑ Process Wastewater 7Q30 Flow of receiving waterbody (if discharging Mine Dewatering or Process Wastewater to waters classified as HOW, ORW, Tr, WS-I, WS-II, WS-III, SA, or PNA ): n/a Discharge occurs from this outfall: ❑ Only during a rainfall event ® Intermittently (indicate how often) I ❑ continuously (indicate flow in CFS) Avg 12 hrs/day (daily upon need, 3-4 tim s per year) Latitude of outfall: Longitude of outfall: 35.901681 N -76.275118 W Brief description of the industrial activities that drain to this outfall: Dewatering 7.70-acre sand mine excavation to 0.265-acre sediment pond to treat wastewater. Outfall is sediment pond overflovy Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ® No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Page 4 of 11 ❑ Only during a rainfall event ❑ Intermittently (indicate how often) ❑ Continuously (indicate flow in CFS) Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? All outfalls must be listed and at least one outfall is required. Additional outfalls maybe added in the section "Additional Outfalls" found on the last page of this NOL S. Other Facility Conditions (check all that apply and explain accordingly): ❑ This facility has other NPDES permits. If checked, list the permit numbers for all current NPDES permits: n/a ❑ This facility has Non -Discharge permits (e.g. recycle permit). If checked, list the permit numbers for all current Non - Discharge permits: n/a ® This facility uses best management practices or structural stormwater control measures. If checked, briefly describe the practices/measures and show on site diagram: Gravel construction entrance, sediment pond riprap outall protection, berm around active areas of mine, direct stormwater into ® This facility has a Stormwater Pollution Prevention Plan (SWPPP). If checked, please list the date the SWPPP was implemented: SWPPP in development now. ❑ This facility stores hazardous waste in the 100-year floodplain. n/a If checked, describe how the area is protected from flooding: ❑ This facility is a (mark all that apply) n/a ❑ Hazardous Waste Generation Facility ❑ Hazardous Waste Treatment Facility ❑ Hazardous Waste Storage Facility ❑ Hazardous Waste Disposal Facility If checked, indicate: Kilograms of waste generated each month: Type(s) of waste: How material is stored: Where material is stored: Number of waste shipments per year: Name of transport/disposal vendor: Transport/disposal vendor EPA ID: Vendor address: ❑ This facility is located on a Brownfield or Superfund site n/a If checked, briefly describe the site conditions: ❑ Facility provides appropriate secondary containment for bulk storage of liquid materials n/a If checked, briefly describe these measures: ❑ Site has an active landfill within the mining permit boundary n/a If checked, please indicate type: a) ❑ LCID (Land clearing and Inert Debris) b) ❑ other (specify) Page 6 of 11 9. Required Items (Application will be returned unless all of the following items have been included): ® Check for $100 made payable to NCDEQ ❑ Copy of most recent Annual Report to the NC Secretary of State (if applicable) lD This completed application and any supporting documentation ID Copy of the approved mining permit or indication of mining permit application status ❑ Copy of US Army Corps — approved wetland delineation (if applicable) ® Une drawing of the water flow through the facility or block flow diagram ❑ Pictorial description of the nature of any sources of water and any collection and treatment measures PO A site diagram showing, at a minimum, existing and proposed: a) outline of drainage areas b) surface waters c) stormwater management structures d) location of stormwater outfalls corresponding to the drainage areas e) runoff conveyance features f) areas where process materials are stored g) impervious areas h) site property lines ® 2 copies of large scale (24"x36" minimum) site plan showing: a) topographical lines b) all outfall locations c) applicable buffers and delineated wetlands d) receiving waters e) 100-year flood plain (if applicable) ® Copy of county map or USGS quad sheet with the location of the facility clearly marked If mines site is in one of the 20 Coastal Counties (if applicable) ® Applicant has check with the appropriate regional office to verify the need for a Coastal State stormwater permit. a) Indicate the Regional Office Contact: Cad Dunn, WaRO, 0,13-2022 ❑ Detailed list of: a) impervious surface areas and percentages b) sub -drainage areas c) total drainage area If mine is dewatering and near wetlands, or may otherwise impact surface waters or groundwater IT 2 copies of large scale (24"x36" minimum) plans delineating areas on the listing acreage including: a) wetlands b) ditches c) well -placements d) pits e) borrow areas f) overburden storage g) stormwater controls/BMPs h) vehicle maintenance areas 1) settling basins j) product process (such as screening, stockpiles, and waste piles) k) total drainage area 1) impervious surface percentages (if state stormwater programs apply) m) applicable buffers n) access and/or haul roads ® Pump dewatering size and information on its specifications Page 7 of 11 ❑ Well information (design, depths, maintenance) ❑ Physical monitoring for the wetland areas ® Settling pond size information, if applicable ❑ Level spreader design, if applicable ® Details about dewatering method ❑ Cone of influence calculations ® Description of measures to prevent erosion and flooding ❑ Description and information about 401/404 permits that have been obtained ❑ Copy of US Army Corps of Engineers wetlands delineations or approved wetland delineation (if applicable) 911 have contacted my local regional office about a Pumping Operation and Monitoring (POM) plan a) Regional Office Contact: Cad Dunn, WaRO b) Date Contacted: 09-13-2022 10. Applicant Certification: North Carolina General Statute 143-215.68 (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). Under penalty of law, I certify that: ® 1 am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any civil or criminal penalties incurred due to violations of this permit. ® The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. ® 1 will abide by all conditions of the NCG020000 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. ® 1 hereby request coverage under the NCG020000 General Permit. Printed Name of Applicant: Title: Alvin R. Smith Owner / Operator A� J420fA- (Signaturi of Appllcantr Mail the entire package to: 09/15/2022 (Date Signed) DEMLR — Stormwater Program Department of Environmental Quality 1612 Mail Service Center Raleigh, NC 27699-1612 Page 8 of 11 PUMPING OPERATION AND MAINTENANCE PLAN SAND MINE DEWATERING WITH SEDIMENTATION POND Operator: Alvin R. Smith, 500 Jonestown Rd., Columbia, NC 27925 Job Location: Buddy Smith Mine, 00000 Travis Road, Columbia, NC 27925 County: Tyrrell County Prepared by: Ken Elliott, consulting Date: October 26, 2022 This plan defines responsibilities for operating, inspecting, and maintaining equipment and structures used for dewatering the Buddy Smith Mine safely, and that dewatering will not degrade or negatively impact any wetlands or waters of the state. Description and Current State of the Buddy Smith Mine Site and Mining Application: The Buddy Smith Mine is a proposed 7.70-acre sand mine excavation to be operated by Alvin R. (Buddy) Smith, applicant, in a 20.27-acre permit area, of which 11.62 acres will be affected, located 1.5 miles southwest of Columbia, NC on Travis Road in Tyrrell County. The permit area is on cultivated, sandy land at 2-3-ft elevation, owned by the applicant, located adjacent to a canal/tributary of the Scuppernong River. At this time Mr. Smith is applying for a mining permit with the NCDEQ Division of Energy, Mineral and Land Resources to construct the sand mine and begin operation in November or December 2022. An NPDES General Permit application for dewatering is being submitted to NCDEQ, registration for water usage has been submitted to the Division of Water Resources. Stormwater Pollution Prevention Plan is under development and will be implemented upon approval of the discharge permit application. Sand Mine Dewatering: It will be necessary to dewater the pond as it is being excavated to allow excavating equipment to enter the area safely and efficiently remove the sand from the pond bottom. This will allow for full permitted depth of excavation of the pond and proper reclamation of the edges of the pond. It is the intention of the operator to only dewater the excavation as needed, which will not entail full-time dewatering. For excavation purposes, dewatering will occur intermittently three to four times per year. The operator plans to excavate approximately 25,000 cubic yards of sand at a time while dewatering and stockpile it for later usage. Once the stockpiled sand is depleted, the operator will dewater the excavation again and remove another quantity of sand. Mine dewatering wastewater will be treated before release to the Waters of the State. Use of a sedimentation pond separate from the excavated mine is a traditional and effective means to remove sediment from wastewater generated during mine dewatering operations. Sedimentation Pond Construction and Overflow Discharge: The operator plans to construct a 0.265-acre (30' wide x 385' long) above -ground sedimentation pond located 25 feet southwest of the main excavation area. The aboveground pond will have 6-ft tall berms around the pond with 3:1 exterior slope and full groundcover, and interior 2:1 slope. The pond berms will have a minimum 1.5 feet of freeboard between the water surface and the top of the sediment pond bank. The sediment pond will be located between the proposed mine site field and a 6-ft wide groundwater leveling canal into which the sediment pond will overflow during dewatering activity. This canal is regulated for water height by the Tyrrell County Water Management Committee and is part of the Riders Creek/Travis Special Use Water Management District. This SUWMD designated primary "C" canal is directly connected to Scuppernong River located one mile east. Water height in the primary "C" canal is kept naturally full by its direct connection with Scuppernong River. Sediment pond water level will be controlled by a half -pipe flash -board water height control device installed in the southwest corner of the sediment pond berm. This control structure will allow water to flow across the flash boards into a 25ft long x 15" wide buried PVC discharge pipe running westward through the berm 20 feet to a discharge outlet on the shoreline of the groundwater levelling canal draining 5200 feet to Scuppernong River (SC). From there, discharge water will flow 5.7 miles through the Scuppernong River (SC) to Albemarle Sound (SB). Dewatering Procedure: The operator will install a 6-inch dewatering pump between the main excavation and sediment pond at the southwest end of the excavation. Discharge from the dewatering pump will enter the sediment pond at its northeast corner, and there will be a constructed half -pipe flash board water height control device (see attached diagram) discharge point located on the southwest corner of the sediment pond. The discharge point will release clear water through the water -height control device into the existing foliated primary "C" canal which will drain to Scuppernong River. Water will be pumped from the excavated pond to the sediment pond by the 6-in gasoline -powered transfer pump operating at idle speed, approximately 1100 rpm. Estimated maximum flow from the pump will be 15,000 gallons/hour, operating 12 hours per day, 0.180-mgd. It is the intention of Mr. Smith to drop the water level in the excavation approximately 20 - 25 feet below normal ground level as needed. Time and distance will allow all sedimentation to occur to acceptable levels before the overflow water reaches outfall and then the waters of the State. Water will have to travel a minimum of 350 feet to reach the overflow point which will give enough surface area to allow sufficient sedimentation to occur. There will be a minimum 1.5 feet of freeboard between the water surface in the sediment pond and the top of the sediment pond bank. Stormwater drainage will be unable to enter the sediment area and damage the sediment pond rates, due to the height of a surrounding 2-ft tall sediment pond berm. Wetlands Protection: Removing water from the excavation using an aboveground sedimentation pond with overflow is a valid dewatering method for this size pond. The excavation can be dewatered quickly, and water removed from the excavation will be used to uniformly hydrate adjacent wetlands. Once dewatered, excavation activity will be focused on removing sand as quickly as possible to shorten the periods of dewatering. This will allow groundwater level in the pond to return to normal as soon as possible to lessen possible impacts to adjacent wetlands, once dewatering ceases. Groundwater Control: Groundwater levels are not expected to impact areas outside of the immediate excavated dewatering area. Groundwater levels are expected to remain stable despite dewatering of the excavation. The excavation site is surrounded on three sides by canals kept naturally full by direct drainage connection to Scuppernong River. Groundwater level depletion is not expected to affect any neighboring groundwater wells. The closest residence to excavation is located 1030 feet from the proposed excavation. The area is served by Tyrrell County Water System. Sedimentation and Erosion Control: The operator will maintain a 35-ft wide unexcavated buffer on the north, south, east, and west sides of excavation activity. All erosion and sedimentation will remain inside the permit area. The operator will construct and maintain an 104wide x 2-ft tall grass -covered sand berm around the perimeter of the current affected area of the excavation during all phases of operation, inside the unexcavated buffer. Stormwater falling inside the active mining area will be directed to drain into the excavation. Maintaining the Dewatering Equipment and Erosion Control Measures: Inspections and maintenance are required to obtain the intended function of safely dewatering the sand mine, and to maintain the life of any nearby wetlands or waters of the State. Items to inspect and maintain during the anticipated 10-year life of the mine dewatering permit are: • Inspect embankments, berms and appurtenant structures, and repair as needed. • Monitor overflow ditches for damage or stoppage from beaver activity, repair as needed. • Repair any damage to vegetated areas or berms with compacted earth fill, reshaping, sodding, reseeding, and mulching as needed. • 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 Dewatering Process and Effects of Dewatering: Analytical and qualitative monitoring of mine dewatering wastewater will be in accordance with the NCG020000 permit, as follows: • Buddy Smith Mine will discharge mine dewatering wastewater into Scuppernong River, classified as SC, and Albemarle Sound, classified as SB. Discharge water will be analyzed quarterly per requirements of the NPDES permit. • Discharge water will be sampled and analyzed for pH, Settleable Solids (SS), Total Suspended Solids (TSS), turbidity, salinity, and Enterococcus bacteria. Samples with benchmark exceedances will require the operator to increase sampling, per NPDES permit, until sample results are cleared. • All excavated ponds in the Buddy Smith Mine permit area will be inspected daily by the operator to identify any abnormal conditions. • All berms and erosion control structures will be inspected for damages monthly and within 24 hours after every storm event greater than 1.5 inches, and all structures will be repaired immediately. • Special inspections will be conducted immediately following severe storms, vandalism, and other significant events. • Dewatering process will be inspected daily during periods of dewatering the excavation. • Rain gauge data will be collected by monitoring local rain gauge data monthly and after each rain event. Wetlands Monitoring: Wetlands are located northward and southward of the proposed Buddy Smith Mine site. Level 1 wetlands landscape assessment by US Fish & Wildlife Service indicate three types of wetlands on the Smith parcel: • Seasonally saturated, Palustrine scrub/shrub needle -leaved evergreen forested wetlands, 450 ft south and 350 ft northwest of excavation boundary. • Seasonally saturated, Palustrine evergreen & deciduous forested wetlands, 715 ft south of excavation boundary. • Seasonally flooded, Palustrine deciduous forested wetlands, 800 ft north of excavation boundary. Level 2 wetlands assessment has not been performed on the site, due to presence of permanently flooded groundwater lowering ditches connected to flooded "C" channels between the excavation area and adjacent wetlands. Flooded ditches will serve as hydration devices to help maintain normal groundwater levels. Operator will monitor drainage ditches weekly to always ensure presence of water in the ditch. Records Data will be collected as follows: • Visual monitoring of adjacent wetlands and farmland for potential dehydration during mining or dewatering activities will take place weekly. Solutions to any degradation caused by any mining activity will include alteration of dewatering process. DWQ will be consulted as needed; alterations to process will be recorded. • Elliott Consulting will maintain the following records in a permanent file at the Elliott Consulting office at PO Box 112, 202 Elliott Road, Aydlett, NC 27916: a record of all significant actions taken; as -built drawings; permits; analytical results from sampling; and related material. Copies of all inspections, monitoring reports and lab analyses shall be provided to NCDWQ on a regular basis and as requested. BMP Conditions • The permittee will utilize best management practices to ensure that dewatering the Buddy Smith Mine will not degrade or negatively impact any wetlands or waters of the State. BMP's will include: o All berms and erosion control and sedimentation control structures will be inspected for damages monthly and within 24 hours after every storm event greater than 1.5 inches, and all structures will be repaired immediately. o Temporary gravel construction entrance will be maintained at foot of mine access road at intersection with Woodley Road. o Operator will maintain riprap outfall protection on the overflow drainage ditch downstream of sediment pond. o Groundcover will be established on all sections of the permit area when not in use by mining activities. Signed, Ken Elliott for Alvin R. Smith, owner Buddy Smith Mine, Columbia, NC October 26, 2022 0LIMITED LIABILITY COMPANY ANNUAL REPORT 116n0n NAME OF LIMITED LIABILITY COMPANY: Smith's Demolition & Clean Up, LLC SECRETARY OF STATE ID NUMBER: 0803250 STATE OF FORMATION: NC REPORT FOR THE CALENDAR YEAR: 2021 SECTION A: 1. NAME OF REGISTERED AGENT: Smith, Alvin R. , ,Jr. 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 0803250 CA202209404174 4/4/2022 12:30 Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 500 Jones Town Rd 500Jones Town Rd Columbia, NC 27925-9769 Tyrrell County Columbia, NC 27925-9769 SECTION B: 1. DESCRIPTION OF NATURE OF BUSINESS: Debris Removal 2. PRINCIPAL OFFICE PHONE NUMBER: (252) 796-7558 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS 500 Jones Town Rd 500 Jones Town Rd Columbia, NC 27925-9769 Columbia, NC 27925-9769 6. Select one of the following if applicable. (Optional see Instructions) ❑ The company is a veteran -owned small business ❑ The company is a service -disabled veteran -owned small business SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.) NAME: Alvin Smith, Jr. NAME: TITLE: Manager TITLE: ADDRESS: 500 Jonestown Road Columbia, NC 27925 ADDRESS: NAME: TITLE: SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Alvin Smith Jr. SIGNATURE Fom1 must be signed by a Company Official listed under Section C of This form. 4/4/2022 DATE Alvin Smith Jr. Manager Print or Type Name of Company Official Print or Type Title of Company Official This Annual Report has been filed electronically. MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27625-0525 Duly Authorized Representative (DAR) Delegation Form FacilityName: Buddy Smith Mine AM Prior to completing this form, please ensure the person completing this form is an authorized signatory. An authorized signatory is as follows: (1) For a corporation. By a responsible corporate officer. For the purpose of this section, a responsible corporate officer means: (1) A president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy- or decision -making functions for the corporation, or (ii) the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure longterm environmental compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. (2) For a partnership or sole proprietorship, a general partner or the proprietor, respectively; or (3) For a municipality, State, Federal, or other public agency, either a principal executive officer or ranking elected official. For purposes of this section, a principal executive officer of a Federal agency includes: (i) the chief executive officer of the agency, or (ii) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency. This authorization may specify either named individual(s) or position(s) that must have responsibility for the overall operation of the regulated facility, activity, or environmental matters for the company. Please identify either named individuals) or position(s) (not both) and then complete the "Facility Contact Identification Form "for identified individuals. I certify I am an Authorized Signatory and am requesting the following persons/positions to be Duly Authorized Representative (DAR) in order to complete reports required by NCDEQ pennits and submit information requested by the NCDEQ Director on behalf of the above facility. Kenneth Elliott I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Alvin R. Smith Typed or printed name of authorized signatory Owner / operator Title of authorized signatory Signature of authorized signatory 09-15-2022 Date Facility Contact Identification Form Name: /fan existing contact is being replaced with a new contact, please identify the existing contact that is to be replaced on the "Existing Contact" line. New Facility Contact: Kenneth Elliott Title: Consultant Existing Facility Contact to be replaced (if applicable): Facility Contact Mailing Address: PO Box 112, Aydlett, NC 27916 Facility Contact Telephone No: 252-339-9021 New Facility Contact: Existing Facility Contact to be replaced (if applicable): Facility Contact Mailing Address: Facility Email: ken@kenobx.com Facility Contact Telephone No: Facility Email: New Facility Contact: Existing Facility Contact to be replaced (if applicable): Facility Contact Mailing Address: Facility Contact Telephone No: New Facility Contact: Existing Facility Contact to be replaced (if applicable): Facility Contact Mailing Address: Facility Contact Telephone No: Facility Email: Facility Email: Title: Title: Title: `N} 8L t•[ .9S.fC 9La[ VLBF .K .S{ CLfi( N.FC ^SF pw ppp kLi{ 1 f Y +''-fin.-tea. �\ al s t '•y4_ A d#. 1 �A«r'�: � +�� y i #i L1 i[.' '� .':Z.. x ll • � q - C �, � I �X83da.��� ... � m \ t rya , e••yt'+a ��. A ei e + � � 3 4x � f i "� tp]1 tr��+ x • i � � Flax l a ¢ F .r A n Y a i 4eY1 vA+a f +qe fA ik 5 �� � 4 i�� pia+`fit RAC _ t, fy .k _ A. 2 f. Y akfi 5 1,: � � � 1"f P d v _ 8• i�pWy �y k1? (/ A ,t A E q ` • 4. ied a 4 x � '. n � � �.• e c k¢ ! oit ?brl bx A � zg xk s r CQ SL sC e�w FLOOD ZONES DATA DOWNLOAD +,mw --� 1I M COUNTY DRAW BOX Loney AE, AE: 1%Annual Chance Flood Hazard Contented In Structure, 1%Annual Chance Flood Hazard Conditions N 09.4l't 30, GPS COORDINATES PERMIT BOUNDARY A-35,906304 N,-76.273648 W B - 35.902115 N. -76.271959 W C - 35.902202 N,-76.272217 W D - 35.902095 N. -76.273237 W E - 35.901681 N,-76.275079 W F - 35.903608 N. -76.275904 W G - 35.903935 N,-76.275113 W H - 35.904320 N,-76.275247 W 1- 35.904845 N. -76.273167 W J - 35,906289 N,-76.273748 W COORDINATES MAP %mb(fol� BUDDY SMITH MINE TRAVIS ROAD, COLUMBIA, NC 27925 TYRRELLCOUNTY OPERATOR: ALVIN R. "BUDDY" SMITH MAP BY ELLIOTT CONSULTING OCTOBER 25, 2022 1165 W1P6 N]TACERIf® SUINFYND WVS IpTBEEHFE}M'EU BYAICORLGOYERtM�RODENC/FOR CDI@WMl WFFIM'IPNILWe 1A10 CEYEWIENIREOIINICNS. EXCAVATION K - 35.903581 N,-76.272673 W L - 35.902486 N,-76.272232 W M - 35.901779 N. -76.274819 W N - 35.902853 N,-76.275249 W S 23.1630" W 70' im F w in xa IN FOn ABOVEGROUND SEDIMENT POND CONSTRUCTION DETAIL BUDDY SMITH MINE COLUMBIA, NC TYRRELLCOUNTY kn�a DIAGRAM BYELLIOTT CONSULTING OCTOBER d, 2022 Berm Construction Details Buddy Smith Mine Mine Columbia, NC Tyrrell County Narrow -based berm The narrow -based berm is the most common berm having a top of 2 feet (0.6 m) and side slopes of two horizontal: 1 vertical. This berm is the most economical to build as it requires the least material. The steep side slopes of this type of berm eliminate the possibility of working on it with farm machinery. NEW BERM EXISTING GRADE Berm Construction The berm construction comprises of the scraping back of the topsoil from the area where the berm and storage basin is to be built. A subsoil material, free of stones, rubble, stumps etc. and with at least 10% clay should be used to construct the berm. The material for the berm may be obtained from the area behind or in front of the berm location or moved from a borrow pit located elsewhere on the farm. An earth mover will be required to move material from a pit located a distance away while a bulldozer would be used if material is located in the berm area. The berm material is to be placed in layers and compacted as each layer is added. After the berm has a final shape the sides of the berm should also be compacted. Emergency Overflow To provide for larger -than designed peak flows, an overflow system is used, namely: • "The level -top vegetated berm crest" which provides for very flat berm top so that the water will overflow along the berm length in a thin layer so as not to create erosion problems. Ken Elliott, consulting October 4, 2022 Water Height Control: Construction Details Half -pipe Water Level Control with Flash Board Risers NRCS Code 587 Buddy Smith Mine Columbia, NC Tyrrell County emergency spll" riprap concrete base DESCRIPTION A structure in a water management system that conveys water, controls the direction or rate of flow, maintains a desired water surface elevation or measures water. Water height control structure is standard structure used by agricultural and horticultural farms in North Carolina to raise or lower water height in ditches and ponds per need (NRCS). Water height control structure to be installed in the south berm of the sedimentation pond at the Buddy Smith Mine. Overflow to be directed down stabilized ditch to nearby blue -line stream, eventual outflow to Scuppernong River. PURPOSE To convey water from one elevation to a lower elevation within, to, or from a water conveyance system, such as a ditch, channel, canal, or pipeline designed to operate under open channel conditions. Typical structures: drops, chutes, turnouts, surface water inlets, head gates, pump boxes, and stilling basins (NRCS). This water management system will be used to maintain a maximum water surface elevation in the sedimentation pond at the Buddy Smith Mine, Travis Road, Columbia, NC. Sedimentation pond is a part of the dewatering management system of the Buddy Smith Mine, used to remove settleable matter and turbidity from mine dewatering wastewater. CONSTRUCTION Structure consists of 26' x 3' horizontal galvanized steel culvert running under the sedimentation pond berm. A vertical 6' half pipe 52" x 30" is attached on the north end of the culvert with stacked flash boards allowing adjustable height of the water level in the sedimentation pond. Water flows over the flash boards and into the discharge pipe and down the rip -rap stabilized ditch. Overflow ditch is lined with riprap for 20 feet down its length. Existing slopes adjacent to the culvert are heavily grassed with natural grass and weeds with no erosion present. MAINTENANCE Structures will be checked and necessary maintenance, including removal of debris, shall be performed after major storms and at least semi-annually. l Ken Elliott, consulting October 4, 2022 Discharge Outfall Outlet Protection: Construction Details Practice Standards and Specifications 6.41, 6.31, 6.15 Buddy Smith Mine Columbia, NC Tyrrell County 6.41 Outlet Stabilization Structure 6.31 Riprap and Paved Channels 6.15 Riprap Pipe Outlet to Well-defined Channel ins Trapezoidal Riprap Channel --- Oeslyn W I dln Design depth L °,ter layer gravel Or fabric Riprap lined apron located at end of mine dewatering overflow pipe to prevent scour and undermining in discharge ditch, and to absorb the impact of the water flow and reduce the velocity to non -erosive levels, before flow reaches wetlands. Riprap Apron Size: Overflow pipe discharges directly into well-defined channel. The apron will extend across the channel bottom and up the channel banks to the top of the bank. Length of apron will be 20- feet downstream to maintain velocity control of maximum 2.0 feet per second. Grade: Apron will have zero grade and no overfill at end of apron. Alignment: Apron will be straight throughout entire length if possible. If curve is necessary to align the apron with the receiving channel, the curve will be located in the upstream section of the riprap. Materials: Riprap will consist of a well graded mixture of NCDOT Class A (2" to 6") stone or slag. Thickness: Minimum thickness of riprap will be 1.5 times the maximum stone diameter. Filter: Operator plans to install a layer of heavy duty silt fence filter cloth between the riprap and the underlying soil to prevent soil movement into or through the riprap. Filter cloth will extend to the top of both channel banks, and edges will overlap 12 inches. Upstream end will be buried 12 inches and downstream end will be buried if necessary. Maintenance: inspect riprap outlet structures weekly and after significant rainfall events to see if any erosion around or below the riprap has taken place, or if stones have become dislodged. Repair all damage immediately. Maintain all vegetation adjacent to the channel in healthy condition to prevent scour or erosion during out -of -bank flow. Control weeds and brush growing in the riprap by cutting. Ken Elliott, consulting October 4, 2022 Temporary Gravel Construction Entrance / Exit Details Practice Standards and Specifications 6.06 Buddy Smith Mine Columbia, NC Tyrrell County Ff9r^e 6.pea Gravel onwroe:aait keeps �a0nrcnf from bavmg E+¢ cw.3`✓rcMn siM (mWrlied Iron Va SWCC). Graveled pad located at entrance to access road at Buddy Smith Mine, where traffic moves directly onto Travis Road. Thickness: 6 inches minimum Width: 25 feet Length: 40 feet minimum Aggregate Size: 2-in to 3-in coarse slag Maintenance: Maintain the gravel pad to prevent mud or sediment from leaving the construction site. Periodic top dressing with 2-inch stone will occur as needed during the life of the permit. After rainfalls, immediately remove all objectionable materials spilled, washed, or tracked onto public roadways. r Ken Elliott, consulting October 4, 2022 Sediment Fence (Silt Fence) Construction Details: Practice Standards and Specifications 6.62 Buddy Smith Mine Columbia, NC Tyrrell County A temporary permeable barrier erected on small disturbed areas to capture sediment from sheet flow. it is made of filter fabric buried at the bottom, stretched and supported by steel posts. Planning: Silt fence will be installed along the perimeter of a 25ft wide access road when crossing an existing field ditch. Narrow width of fenced area will allow only shallow pools to form behind fence while promoting deposition of sediment and preventing sedimentation into adjacent wetlands. Ends of fence will be curled uphill in "J" pattern to prevent end flow. Stabilized outlets will be provided to protect the fence system and release storm flow that exceeds the design. Design considerations: Silt fence will be constructed of extra -strength synthetic filter fabric. Height of fence will not exceed 2 feet above natural ground level, and will be constructed from a continuous roll to minimize joints. All joints will be fastened at a support post with 4 feet minimum of overlap. Extra -strength filter fabric will be fastened to road side of steel posts (installed 2 feet deep) every 6 feet (every 8 feet if using standard strength filter fabric with wire mesh backing) and fastened with wire ties. Trench will be excavated along inside of fence approximately 4 inches wide by 8 inches deep, into which 12 inches of fabric will be placed along the bottom and side of the trench. Trench will be backfilled and compacted. Maintenance: Inspect sediment fence every week and after each rainfall. Make any required repairs immediately. Replace any collapsed, damaged, or decomposed fence promptly. Remove all fencing materials and unstable sediment deposits and bring the area to grade and stabilize it after the contributing drainage area has been properly stabilized. Ken Elliott, consulting October 4, 2022 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707.9220 NOTE: It is recommended that you contact the appropriate Regional Office or the Raleigh Central Office for a PRE - APPLICATION MEETING to discuss your intentions and address any questions. 1. Name of Mine County Latitude (decimal degrees to four places) Longitude (decimal degrees to four places) 2. Name of Applicant Applicant Contact Applicant Email Telephone Buddy Smith Mine Tyrrell County River Basin Pasquotank 35.902759 N. -76.273759 W. Alvin R. Smith Alvin R. Smith Consultant Contact Kenneth Elliott smithdemo3@gmail.com Consultant Email ken@kenobx.com 252-796-1910 Telephone n/a Cell Phone 252-796-7558 Cell Phone 252-339-9021 Permanent Address for Receipt of 3. Official Mail** 500 Jonestown Road, Columbia, NC 27925 4. Mine Office Address Travis Road, Columbia, NC 27925 5, Mine Manager Alvin R. Smith Mine Manager Email smithdemo3@gmail.com Telephone 252-796-1910 Cell Phone 252-796-7558 I 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" 49� 44yJe—z� Date 09/15/2022 Print Name Alvm R. Smith Title Owner / operator '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 Division of Energy, Mineral, and Land Resources 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. Revised September 21, 2021 Page 11 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 NOTE: All 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. 1. Answer all the following that apply: This is an application for a NEW permit. Indicate the total acreage at the site to be covered by the permit 20.27 acres (This is the acreage the new permit fee will be based upon.) Of this acreage, how much is owned and how much is leased? Acres owned: 20•27 Acres leased: Property owner If leased: This is an application for a MODIFICATION to a mining permit. Mining Permit Number: Total permitted acreage: Does the modification involve acreage within the previously approved permitted boundary? YES FINO If yes, indicate the acreage to be covered by this modification Does the modification involve acres a outside the previously approved permitted boundary? YES acres 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 the acreage to be added to the permit, will any portion be affected (.e.: disturbed, ground cover removed by the mining operation? BYES FINO If yes, indicate the acreage to be affected within the acreage to be added to the permit The modification fee is based upon the proposed new affected acreage within the previously approved permitted boundary plus the proposed total acreage to be added outside the previously approved permitted boundary. This is an application for TRANSFER of a mining permit. Mining Permit Number: Total permitted acreage: Revised September 21, 2021 P a g e 12 NORTH CAROLINA MINING State of North Carolina PERMIT APPLICATION Department of Environmental Quality Division of Energy, Mineral, and Land Resources 1612 Mail Service Center Raleigh, NC 27699-1612 (919) 707-9220 MINING FEE SCHEDULE A nonrefundable permit application processing fee when filing for a new mining permit, permit modification, or transferred permit Is required as follows: APPLICATION TYPE 0 — 25 ACRES 26+ACRES New Permit Applications $3,750.00 $5,000.00 Permit Modifications $750.00 $1,000.00 Permit Transfers $100.00 $100.00 Annual Operating Fee $400.00 $400.00 Acres for new permits means the total acreage at the she to be covered by the permit Acres for modification of permits means the new affected acres within the previously approved permitted boundary plus the proposed total acreage to be added outside the previously approved permitted boundary. 2. Name of all materials mined: Sand & topsoil 3. Mining Method: ❑ Hydraulic Dredge X❑ Dragline & Truck Other (please explain): ❑X Front-end Loader & Truck QShovel & Truck Q Segloading Scraper 13�Excavator &Truck 4. Expected maximum depth of mine (feet) Depth is relative to what benchmark? (e.g., natural ground level, mean seal level, road elevation, etc.) Natural ground level Expected average depth of mine (feet) 25 ft S. Has any area at this site been mined in the past? YES NO If yes, when and by whom was this activity conducted? 6. Estimated life of the operation (years): 10 NOTE: The Department may request clarification on how life of mine was calculated. Revised September 21, 2021 P a g e 13 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699.1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 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 the N.C. Geological Survey: Mailing Address Physical Address 1612 Mail Service Center 512 N. Salisbury St, 5L^ Floor Raleigh, NC 27699-1612 Raleigh, NC 27604 Http://portal.ncdenr.orgfweb/trlgeological home (919) 733.2423 County highway maps may be obtained from the N.C. Department of Transportation: Mailing Address NCDOT GIS Unit 1587 Mail Service Center Raleigh, NC 27699-1587 httpI/www.ncdot.rcirit/gi Physical Address NCDOT GIS Unit 3401 Cad Sandburg Court Raleigh, NC 27610 (919)212-6000 2. A tableichart must be provided on the mine map that Beady lists the approximate acreage of tailingsisediment ponds, stockpiles, waste piles, processing areaslhaul roads, mine excavations and any other major aspect of the mining operation that is proposed to be affected/disturbed during the life of the mining permit. A tablelchart similar to the following will be acceptable: AFFECTED ACREAGE TABLE: For new permits, complete only the total affected acreage column. For modifications, complete all columns. CATEGORY CURRENT AFFECTED ACREAGE PROPOSED CHANGE TO AFFECTED ACREAGE TOTAL AFFECTED ACREAGE Tailings/Sediment Ponds 0.27 Stockpiles 0.97 Waste piles Processing Areas/Haul Roads 0.94 Mine Excavations 7.70 Other (Please explain) Unexiavated Buffers 1.74 Total Affected Acreage 11.62 Total Permitted Acreage 20.27 Revlseu Seplemocr 21 2021 14 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 3. 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. Thus, all mine and reclamation maps must denote those activities that are intended to be conducted during the life of the mining permit. All maps must be of a scale sufficient 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 with geographic controls (e.g. metes and bounds, coordinates) labeled 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 andfor permanent overburden disposal areas h) Location and acreage of all processing plants (may be described as to location and distance from mine if sufficiently far removed) 1) Locations and names of all streams, rivers, and lakes J) Outline and acreage of all settling and/or processing wastewater ponds k) Outline and acreage of all planned and existing access roads and on -site haul roads 1) Location of planned and existing on -site buildings m) Location and dimensions of all proposed sediment and erosion control measures n) Location of 100-year floodplain limits and wetland boundaries o) Names of owners of record, both public and private, of all tracts of land that are adjoining the mining permit boundary; 'd 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. 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) Applicant name 5) Scale 2) Mine name 6) Symbols used and corresponding names 3) North arrow 7) Date prepared and revised 4) County 8) Name and title of person preparing map Map scales should meet the following guidelines: PERMITTED ACREAGE MAPSCALE 0 — 49 acres 1" = 60, 50 —199 acres 1" =100' 200+ acres 1" = 200' NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items. 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 (italicized questions/statements) in this application form. This application will not be considered complete without all relevant items being adequately addressed on the mine maps. Revised September 21, 2021 P a g e 15 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 C. PROTECTION OF NATURAL RESOURCES 1. Descdbe 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. See Addendum #1 attached. 2. Descdbe specific erosion control measures to be installed prior to land disturbing activities and dudng mining to prevent offsite sedimentation (include specific plans for sediment and erosion control for mine excavation(s), waste piles, accessrmine 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 maps) and provide typical crosssectionsiconsbuction details of each measure. Engineering designs and calculations are required to justify the adequacy of any proposed measures. a. Operator will construct gravel construction entrance at intersection of new mine access road and Travis Road. b. Operator will construct 2-ft tall x 10-ft wide (2:1 slope) vegetated berm for erosion control along the permit area perimeter of the affected areas. 3. A) will the operation involve washln the material mined, recycling process water, or other wastewater 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 wastewater from the mine or plant as a point discharge to the waters of the State? YES ❑NO if yes, briefly describe the nature of the discharge and locate all proposed discharge points (along with their method of stabilization) on the mine map(s). a. Operator will construct a 0.265-acre above -ground sediment pond 25 feat west of the excavation boundary. Sediment pond will be 30 feet wide by 385 feet long with 0.265-acre water surface for sedimentation. Sediment pond berm will be minimum 32 feet wide, 6 feet tall, with 18-ft wide exterior slope at 3:1 grade, and 12-ft wide Interior slope at 2:1 grade. Minimum 36-in half -pipe flash -board riser overflow will be located at southwest comer of sediment pond, discharging into minimum 12-in plastic pipe leading to an un-named blue -line stream ditch draining to Scuppemong River and Albemarle Sound. b. Operator will Install dewatedng pump between northeast comer of sediment pond and excavation area. Dewatering pump will be 8-in Godwin Dri-Prime model or similar running at idle speed with 250 gallon per minute (12 hours per day, average 180,000 gallons per day) flow into sediment pond. c. Operator will dewater main excavation down approximately 25 feet below normal groundwater level. Revised September 21, 2021 P a g e 16 Addendum-1 Page 6 - Mine Permit Application — Buddy Smith Mine C. Protection of Natural Resources 1. Sequence of Events for Development and Operation: a. Operator will obtain all required mining permits from NCDEQ. b. Operator will construct one gravel construction entrance at intersection of mine access road and Travis Road. c. Operator will remove topsoil down to 2.5 feet below natural ground level, and stockpile overburden for use in erosion control berms. d. Operatorwill construct 2-ft tall x 10-ft wide (2:1) vegetated berm for erosion control along the perimeter of the affected areas. e. Operator will maintain existing foliage and cultivated field visual screen along perimeter of the affected area. f. Operator will construct 0.265-acre above -ground sediment pond 25 feet west of the western excavation boundary. Sediment pond will be 30 feet wide by 385 feet long with 0.265-acre water surface for sedimentation. Sediment pond berm will be minimum 32 feet wide, 6 feet tall, with 18-ft wide exterior slope at 3:1 grade, and 12-ft wide interior slope at 2:1 grade. Minimum 36-in half -pipe flash -board riser overflow will be located at southwest corner of sediment pond, discharging into minimum 12-in plastic pipe leading to existing blue -line stream ditches flowing to Scuppernong River. g. Operator will install dewatering pump between northeast corner of sediment pond and excavation area. Dewatering pump will be 8-in Godwin Dri-Prime model running at 1200 rpm with 15,000 gallon per hour flow into sediment pond. Pump will operate intermittently for average 12 hours per day upon need. h. Operator will begin excavation of pond (7.70 acres) approximately 25 feet east of sediment pond by digging with excavator and removing sand &topsoil to maximum depth feasible without dewatering the excavation. i. Operator will dewater main excavation into sediment pond, discharging overflow water from sediment pond through half -pipe riser water height control through discharge pipe into blue -line stream ditch leading to Scuppernong River. Operator will dewater main excavation down approximately 20 feet below normal groundwater level. j. 3:1 cut slopes will be constructed around excavation edge down to normal groundwater level. As water is removed from excavation, 2:1 cut slopes will be constructed below normal groundwater level around excavation edge. k. Pond will be excavated to average 25 feet and maximum 30 feet below natural ground level while dewatering Is maintained. Excavated material (sand) will be stockpiled in unexcavated portion of proposed excavation area or 0.26-acre processing area east of excavation. Sand will be loaded onto trucks and removed from area via construction entrance to SR 1110 Travis Road. I. When final excavation of pond is complete, dewatering will be discontinued, and pump shut down and removed. Groundwater will refill the excavation to normal seasonal high groundwater level. m. After all excavation is complete, operator will establish groundcover on 3:1 above -water slopes of excavation and will construct 8ft wide 4:1 berm around excavation edge to prevent erosion of pond slopes, with outside edge of berm graded down to natural ground level. n. Aboveground sediment pond will be fully drained into excavated pond. Operator will dismantle and remove sediment pond berms; half -pipe riser and discharge pipe will be removed. Sediment pond area will be graded, leveled, and sown with groundcover. Area will be allowed to return to previous field state. o. Former stockpile / berm areas and processing areas outside of main excavations will be graded, leveled, and seeded with groundcover. Areas will be allowed to return to previous non -erosive field state. p. Internal roadways and haul roads will be graded, leveled, seeded with groundcover and allowed to return to natural field state. A field path will remain around the perimeter of the excavated pond. q. Operatorwill grade and level access road to Travis Road backto original non -erosive state. r. Remaining affected areas inside main permit area will be fertilized and returned to natural field state. s. Remaining pond will be utilized by landowner for scenic & recreational purposes, and for wildlife habitat. NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 C) Will any part of the proposed mine excavation(s) extend below the water table? ©YES NO If yes, do you intend to dewater the excavation(s)? YES NO Estimated withdrawal rate in gallons per day: 180, 000.00 If yes, what impact, If any, will mine dewatering have on neighboring wells? Locate all existing wells on the mine map(s) that lie within 500 feet of the proposed excavation area. Provide data to support any conclusions or statement 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. The locale served by a public water system. There are no known water supply wells within 500 ft of the proposed mine excavation area. This is based on there being no buildings located within 1, 200 ft of the excavation area. Dewatering will be performed under an NPDES Stormwater General Permit NCG02000 noted in (d) below. Replenishment of the groundwater and protection of adjacent wetland areas north and south of the excavation area is achieved by pre-existing flooded ditches located between mine activity area and adjacent wetlands. Ditches have direct permanent connection to Scuppemong River. Dewatering wastewater will be discharged into these ditches. D) If you answered yes to any of the above questions, provide evidence that you have applied for or obtained the appropriate water quality permit(s) (i.e., non -discharge, NPDES, Stonnwater, etc.) from the StonTwater Program. In addition, the applicant is required to register water use with the Division of Water Resources, Ground Water Management Branch, if the operation withdraws more than 10,000 gallons per day and needs a capacity use permit from the Division of Water Resources, Ground Water Management Branch, if the operation lies in a capacity use area and withdraws more than 100,000 gallons per day. Operator is applying for coverage under NPDES general permit NCG020000 for mine dewatering, copy of application attached, COC will be provided once approved. Operator is registering water usage with NCDEQ DWR, copy of 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 or spreading water from water supply trucks or excavator on dirt haul roads and process areas will control dust. Stockpiles will also be sprayed with water weekly if necessary, to control dust. Revised September 21, 2021 Page 17 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707.9220 5. A) A buffer will be required between any mining activity and any mining permit boundary or right-of-way. It maybe 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). Operator will maintain 40-ft wide unexcavated buffer between mining activity and existing ditches along permit boundary, and 30-ft wide unexcavated buffer between mining activity and other permit boundaries. Unexcavated buffers will contain processing areas and sediment & erosion control measures 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 bufferlocations and widths on the mine map(s). Closest wetlands are 275 feet from current proposed excavation area, no undisturbed buffers required. Operator will maintain adjacent 8.65-acre field inside permit boundary as undisturbed from mining activity. 6. A) Describe methods to prevent landslide or slope instability adjacent to adjoining permit boundaries during mining. Minimum 2 horizontal to 1 vertical slopes or flatter for clayey material and minimum 3 horizontal to 1 vertical slopes or flatter for sandy material are generally required unless technical justification can be provided to allow steeper slopes. Exposed excavation slopes will be constructed at a 3:1 gradient during mining. Ali sediment & erosion control berms will be constructed with minimum 2:1 slope grades, cross -sections attached to mine & reclamation map. Fill slope will be established at excavation edge during reclamation of mine. Slope will have 4:1 grade. B) Provide a cross-section on the mine maps) for all fill slopes (berms, waste piles, overburden disposal areas, etc.), clearly indicating the intended side slope gradient, installation of any benches and/orslope drains (with supporting design information) if needed, and the method of final stabilization. Revised September 21, 2021 Page 18 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 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 from natural ground level to water level will have 3:1 grade and cut slope from water level to bottom of excavated area will have 2:1 grade. D) In hardrock excavalions, specify proposed bench widths and heights in feet. Provide crass -sections of the mine excavation clearly noting the angles of the out slopes, widths of all safety benches and mine benches, and the expected maximum depth of the excavation. Not applicable, no hard -rock excavation. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling, house, public road, or 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 or buildings within 300 feet of excavation. Access road to Travis Road goes through farm area owned by mine operator, and will have rock & gravel construction entrance maintained by operator. B. Describe what kind of bardcade 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 in permit area. Access to excavation area will be by private gated access road through landowner's private property. "No Trespassing" signs will be installed around affected area boundaries. 9. Are acid roducing minerals or soils present? RYES FX1 NO If yes, how will acid water pollution from the excavation, stockpiles, and waste areas be controlled? Not applicable. Revised September 21, 2021 Page 19 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699.1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 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 bee plantings. Proposed mine activity area is 675 feet from closest public highway, separated by natural foliage and cultivated fields. Mine will have foliated berm around active area. No additional screening planned. 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? Alligator River Game Lands (undeveloped) located 8 miles east of mining area. Pettigrew State Park located 10 miles southwest of mining area. Public -owned areeas will not be affected by mining activities. 11. Will ex losives be used? YES FX NO If yes, specify the types of explosive(s) and describe what precaution(s) will be used to prevent physical hazard to persons or neighboring property from flying rocks or excessive air blasts or ground vibrations. Depending on the mine's location to nearby structures, more detailed technical information may be required on the blasting program (such as a third -party blasting study). Locate the nearest o8site occupied structure(s) to the proposed excavation(s) 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 FINO If yes, describe these materials, how they will be stored and method of containment in case of spill. Indicate the location(s) of all storage facilities on the mine map(s). An aboveground storage tank will be provided on -site for refueling of equipment. The tank shall be standard state approved double wall type or placed within a state approved spill containment structure. See plan for anticipated location. Revised September 21, 2021 Page 110 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707.9220 D. RECLAMATION PLAN 1. 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 direcBy with the information provided on the mine map(s). In adddion, design information, including typical crass -sections, of any permanent channels to be constructed as part of the reclamation plan and the location(s) of all permanent channels must be indicated on the reclamation map. The bulk of the reclamation will commence upon the completion of the mining operation. When possible, reclamation will be conducted simultaneously with mining operations. Excavated areas that are not backfilled during the mining operation will be reclaimed as a future lake for possible future development and/or recreational purposes. At the completion of the operation all disturbed areas outside of the excavation area, such as overburden piles, stockpiles, sediment basins, recharge ditches and basins will be graded level, seeded and stabilized. Entrance road and perimeter haul roads may remain for future site access. 2. Is an excavated or impounded bod of water to be left as part of the reclamation? YES of If yes, illustrate the location of the body(s) of water on the reclamation map and provide a scaled cross-section(s) through the proposed body(s) of water. The minimum water depth must be at least 4 feet, measured from the normal low water table elevation, unless information is provided to indicate that a shallower water body will be productive and beneficial at this site. Will the body(s) of water be stocked with fish? YES FINO If yes, specify species. Bass, bream, crappie. 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. No rock excavation is anticipated. Revised September 21, 2021 Page 111 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 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 forsuch areas must be provided on the reclamation map. Overburden and reclaimed mine fill areas will be leveled, seeded, and stabilized as needed. 5. A) Describe reclamation of processing facilities, stockpile areas, and on -site roadways. Portions of the on -site roadways may be kept for lake access and/or utilized as subgrade for possible future development. Stockpile areas will be leveled, seeded , and stabilized as needed. 8) 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. Portions of the on -site roadways may be kept for lake access and/or utilized as subgrade for possible future development. 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 offsite generated waste shall be disposed of on the mine site without prior written approval from the NC Department of Environmental Quality, Division of Energy, Mineral, and Land Resources 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 deady delineated on the mine map(s) and reclamation map, along with.a list of items to be disposed in said areas. No off -site generated bulk waste, hazardous waste, commercial waste, garbage, construction, or demolition waste shall be placed on the site. Waste materials generated onsite will be removed during reclamation and disposed of at Tyrrell County waste disposal site in Columbia, NC. Revised September 21, 2021 Page 112 NORTH CAROLINA MINING PERMIT APPLICATION State of North Carolina Department of Environmental Quality Division of Energy, Mineral, and Land Resources 1612 Mail Service Center Raleigh, NC 27699.1612 (919) 707-9220 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 NC Forest Service, Department of Agriculture and Consumer Services; 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 NC Forest Service, Department of Agriculture and Consumer Services; I. N.C. Erosion and Sedimentation Control Planning and Design Manual; g. N.C. Surface Mining Manual: A Guide for Permitting, Operation and Reclamation; It. Others as may be approved by the Department. Lime Rate of Application (tonslacre): 2000 lbs./acre or follow recommendations of soil test 1000 lbs./acre 8-8-8 or 10-10-10 or follow Fertilizer Analysis and Rate of Application (Ibslacre): recommendations of soil test Seed type(s) and rate(s) of application included Year-round seeding schedule (Ibsfacre): NOTE: Include legumes SEED TYPES SEEDING DATES SEEDING RATES Lbs./Acre Kobe Lespedeza February 15 -April 1 10 Bahiagrass 50 Redtop 1 Winter Rye (grain) 15 Common Bermuda April 1 - July 31 50 Lespedeza (unscarified) August 1 - October 30 German Millet - 40 Rye (grain- temporary) October 25 - February 15 120 Mulch Type, Rate of Application (Ibslacre), and Method of Anchoring: All seeded areas will be mulched using small grain straw at a rate of 2000 lbs./acre and anchored appropriately Other Vegetative Cover(s) Type(s) and Rate(s) of Application Including Seeding Schedule (lbalacre, trees/ acre, spacing of trees/shrubs, etc.): Plan written from recommendations taken fromNC Surface Mining Manual: A Guide for Permitting, Operation, and Reclamation Revegetation and/or reforestation plan approved by: Signature 9 Kenneth Elliott ' "° — '« - Date Print Name Kenneth Elliott Title Agency Consultant Elliott Consulting 10-25-2022 Revised July 13, 2021 P a g e 113 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 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 peraffected acre) for each permitted mine site based upon the acreage approved by the Department to be affected during the fife of the mining permit. Please insert the approximate acreage, for each aspect of the mining operation, that you intend to affec CATEGORY AFFECTED ACREAGE TailingstSediment Ponds 0.27 Stockpiles 0.97 Waste Piles Processing Area/Haul Roads 0.94 Mine Excavation 7.70 Other Unexcay. Buff. 1.74 TOTAL AFFECTED AC.: 11.62 TOTAL PERMITTED AC.: 20.27 RECLAMATION RECLAMATION COSTIACRE COST Ac. X $ 1,500 /Ac. = $405.00 Ac. X $ 1,800 /Ac. = $1,746.00 Ac. X $ /Ac. = $ 0.00 Ac. X $ 1,800 IAc. = $1,692.00 Ac. X $ 500 /Ac. = $ 3,850.00 Ac. X $ 1,800 /Ac. = $ 3,132.00 Ac. Ac. Temporary & Permanent Sedimentation & Erosion Control Measures: Divide the TOTAL AFFECTED AC. above into the following two categories: a) affected acres that drain into proposedlexisting 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 11.62 Ac. b) Positive Drainage Ac. X $1,500.00 = $ 0.00 SUBTOTAL COST: $ 1 0, 825.00 Inflation Factor: SUBTOTAL COST LIFE OF MINING OPERATION OR LIFE INFLATION COST OF LEASE (YEARS) 0.02 X $10,825.00 X 10 = $2,165.00 Total Reclamation Bond Cost: TOTAL RECLAMATION BOND COST = SUBTOTAL+INFLATION = 02,900.00 Round down to the nearest $100.00 NOTE: The reclamation bond cannot exceed $1 million per GS 74.54 Revised September 21, 2021 P a g e 114 NORTH CAROLINA MINING State of North Carolina PERMIT APPLICATION Department of Environmental Quality Division of Energy, Mineral, and Land Resources SCHEDULE OF RECLAMATION COSTS Based upon range of $500 - $5,000 per affected acre COMMODITY CODES: 1612 Mail Service Center Raleigh, NC 27699-1612 (919) 707-9220 SG Sand and/or Gravel DS Dimension Stone PF Pyrophyllite CL Clay/Shale GS Gemstone FS Feldspar OL Olivine PE Peat Borrow Borrow/fill dirt MI Mica KY Kyanite/Sillimanite/Andalusite AU Gold CS Crushed Stone LI Lithium PH Phosphate TI Titanium OT Other TYPE T!S PONDS STOCKPILES WASTE PILES • P. AREAIH.R. MINE EXCAVATION $5001ac. (L) $500/ac. (L) SG, GS, Borrow $1600/ac. $2000/ac. $1600/ac. 1500 (FI) 2000 (PD) CS, DS, FS, MI, LI, 500 (L) 1600 2000 2000 500 (L) PF, OL, KY 1500 (FI) 2500 (PD) 1000 (L) 2000 (L) PH 2500 SODO 5000 2500(FI) 5000 (PD) 1000 (L) 2000 (L) CIL 2500 5000 5000 2500 (FI) 3700 (PD) 1000(L) 2000 (L) PE, AU, TI, OT 2500 3000 3500 2500 (FI) 5000 (PD) (L) = Reclamation to a lake and revegetating side slopes (FI) = 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,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 APPLICATIONIPERMIT 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 DIRECTORS FINAL BOND DETERMINATION, Revised September 21, 2021 P age 11s NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 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 configuous to any highway, creek, stream, fiver, 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 Energy, Mineral, and 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. NOTES: 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 7450(bl). SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF NOTIFICATION" Revised September 21, 2021 Page j 16 NORTH CAROLINA MINING State of North Carolina PERMIT APPLICATION Department of Environmental Quality Division of Energy, Mineral, and Land Resources NOTICE (TYPICAL) Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Notice is hereby given that Alvin R. Smith (Applicant Name) has applied on 08/15/2022 (Date) 1612 Mail Service Center Raleigh, NC 27699-1612 (919) 707-9220 to the Division of Energy, Mineral, and Land Resources, North Carolina Department of Environmental Quality, 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 11.62 acres located 1.50 (Mineral, Ore) (Numbs) (Number) miles southwest of Columbia, NC (Direction) (Nearest town) in Tyrrell County. offlnear roadOld Columbia Road (Number, Name) 'SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING ADJOINING LANDOWNER NAMES AND LOCATIONS' In accordance with G.S. 74-50(bi ), the mine operator is required to make a reasonable effort, satisfactory to the Department, to notify all owners of record, both public and private, of all tracts of land that are adjoining the mining permit boundary; if an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract, all owners of record of tracts adjoining these tracts must be notified (that are within 1,000 feet of the mining permit boundary). In addition, the mine operator must also notify the chief administrative officer of the county or municipality in which any part of the permitted area is located. Any person may file written comment(s) to the Department at the above address within thirty (30) days of the issuance of this Notice or the filing of the application for a permit, whichever is later. Should the Department determine that a significant public interest exists relative to G.S. 74-51, a public hearing will be held within 60 days of the end of the 30-day comment period specified above. A copy of the permit application materials is on file and available for public review during normal business hours at the above listed address as well as at the appropriate regional office. For information regarding the specifics of the proposed mining activity, please contact the applicant at the following telephone number: 252-796-7558 For information on the mining permit application review process, please contact the Mining Program staff at (919) 707-9220. Please note that the Department will consider any relevant written commentsidocumentatlon within the provisions of the Mining Act of 1971 throughout the application review process until a final decision is made on the application. David149,Columbia, Manager x4Nrrell C 7925 Alvin R. Smith AddresseWwnw of Record's Name and Address Name of Applicant Include Contact Person & Company None, if Applicable 08/01/2022 500 Jonestown Rd., Columbia, NC 27925 Date of Issuance of this NoecalMailed to Addressee/Owner of Record Address of Applicant Revised September 21, 20< I ` 1 17 ELLIOTT CONSULTING October 29, 2022 David L. Clegg Tyrrell County Manager 108 S. Water Street, PO Box 449 (TYPICAL) Columbia, NC 27925 Dear Mr. Clegg. I am writing to you on behalf of Mr. Alvin R. `Buddy" Smith, 500 Jonestown Road, Columbia, NC 27925, to let you know that Mr. Smith intends to apply to the State of North Carolina to excavate a 7.85-acre pond, to be known as the Buddy Smith Mine, on land he owns off Travis Road. Total permit area will be 20.27 acres with 11.62 acres affected. The pond will be located on a cultivated tract of land, 1.50 miles southwest of Columbia. This letter is to notify you that Mr. Smith is applying to the NC Department of Environmental Quality, Division of Energy, Mineral and Land Resources, for a mining permit to perform the excavation. One part of the permit process requires Mr. Smith to send all adjacent landowners and the Tyrrell County Manager an official certified and dated notice of his intention to excavate the pond. This letter and notice represent only a required part of the paperwork process for his permit with the NC Department of Environmental Quality, and does not require any action on your part, regarding NCDEQ. Mr. Smith seeks to assure you that he will take 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 pond will be located on private property off Travis Road owned by Mr. Smith, and the excavation area will only be accessible by a private gated entrance. Please find attached to this letter a map showing the location of the proposed permit area and new excavation. We appreciate your help and cooperation on these matters. Mr. Smith is always available to answer any questions you may have and can be reached at 252-796-1910. I am also available for any questions and please do not hesitate to call me at 252-339-9021 if I can be of assistance. Sincerely, Ken Elliott For Alvin R. "Buddy" Smith PO BOX 112 • AYDLETT, NORTH CAROLINA • 27916 PHONE: 252-339-9021 • EMAIL: KENQKENOBX.COM NORTH CAROLINA MINING State of North Carolina PERMIT APPLICATION Department of Environmental Quality Division of Energy, Mineral, and Land Resources AFFIDAVIT OF NOTIFICATION 1612 Mail Service Center Raleigh, NC 27699-1612 (919) 707-9220 Kenneth Elliott 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 Environmental Quality, being first duly swom, 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 Henry & Victor D. Skinner, c/o Robyn Skinner PO Box 2366, Merrifield, VA 22116 Thomas W. & Patricia H. Spruill 1745 Hwy. 94 North, Columbia, NC 27925 Darryl D. Skinner 950 Travis Road, Columbia, NC 27925 Scuppernong Enterprises, LLC 100 Chapel Hill Road, Columbia, NC 27925 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: David Clegg, Tyrrell County Manager PO Box 449, Columbia, NC 27925 Chief Administrative Officer Name Address (i.e.: City Manager, County Manager, Mayor, etc.) 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(b1) and 15A NCAC 5B .0004(d). I understand that it is the responsibility of the applicant to retain the receipts of mailing showing that the ab notic g w�cf Gs to be mailed and to provide them to the Department upon request. t( \/ 09/12/2022 Signatu a of Applicant or Agent Date If person executing Affidavit is an agent or employee of an applicant, provide the following information: Name of Applicant Title of person executing Affidavit Alvin R. Smith Consultant Authorized Agent for Alvin R. Smith I. t m4 %Fr LkA liw4 kcri' a Notary Public of the County of &AkJDIr' .�p forgot., ��� State of North Carolina, do hereby certify that 11Q r�rM +tn l li U appeared bej; � 7,9 y "4 day and under oath acknowledged that the above Affidavit was made by himther. =��U� �09 Witness my hand and notarial seal, this ^^ li Aday of S It �� 20 D a _ �10Tgq� Notary: l t � ^j My commission expires: �� as I :mil Q S = m A--��y v � y V. 2� Revised September 21, 2021 �P a �R�R 120- �`'�`,` NORTH CAROLINA MINING State of North Carolina PERMIT APPLICATION Department of Environmental Quality Division of Energy, Mineral, and Land Resources AFFIDAVIT OF NOTIFICATION 1612 Mail Service Center Raleigh, NC 27699-1612 (919) 707-9220 1 Kenneth Elliott 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 Environmental Quality, being first duly swom, 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 Ray & Jean McClees 531 Travis Road, Columbia, NC 27925 Ty Fleming, Tyrrell Soil & Water District Mgr. 155E LA Keiser Dr., USDA Ser. Ctr., Columbia, NC 27925 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: David Clegg, Tyrrell County Manager Chief Administrative Officer Name (i.e.: City Manager, County Manager, Mayor, etc.) PO Box 449, Columbia, NC 27925 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(b1) and 15A NCAC 513 .0004(d). I understand that it is the responsibility of the applicant to retain the receipts of mailing shoving that the ab notieracaus d to be mailed and to provide them to the Department upon request. t_e'® 09/12/2022 Sigiiatilre of Applicant or Agent Date If person executing Affidavit is an agent or employee of an applicant, provide the following information: Name of Applicant Alvin R. Smith Title of person executing Affidavit Consultant Authorized Agent for Alvin R.Smith I, Cis. c- A 1. VJAa \.,0-f a Notary Public of the County of ` w-"-U t U r A%` !. I A-u State off orth Carolina, do hereby certify that x ,frt'�i Y 1 i%t fY� appea?erfJefore me U day and under oath acknowledged that the above Affidavit was made by himther. Z co e, NY Witness my hand and notarial seal, this t a day of s!SR �� k Notary: CA",zgc.Q v(x��MyComm'issionexpires: � Revised September 21, 2021 17021 0950 0001 5503 5078 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse' so that we can return the card to you. ■ Attach this card to the back of the malipiece, or on the from N space permits. 1. Article Addressed to: David Clegg Tyrrell County Manager D. Is deliv* ad If YES, enter PO Box 449 Columbia, NC 27925 3. San IN1111111111111811NIIi11111�II�IIIIINIIII ❑"°an Atlulf CeNI 9590 9402 6222 0265 6896 99 Cl 7021 0950 0001 5503 5078 Ps Form 3811. July 2020 PSN 7530-02-000-9os3 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, cr o t the front if space permits. Ty Fleming Tyrrell Soil & Water District Mgr. 155E LA Keiser Drive USDA Service Center Columbia, NC 27925 Illllllllgl�llllilllllinl I IIIIIi11Nl IIII 9590 9402 6222 0265 6894 08 7021 0950 0001 5503 5085 PS Form 3811, July 2020 PSN 7530-02-coo-9D53 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the bank of the mailplece, or on the front If solace permits. Thomas W. & Patricia H. Spruill 1745 Hwy. 94 North Columbia, NC 27925 em from item l? U Yet ldress below: \RrNo V O _ e Type 0 Nonry Mail Express® : / •1, grudwe 0 Registered Mai}"' i .; � ' gnaturs Restrcteo Delivery ❑ Registered Mall Reetrlcwd IMao I Man Resulaw of Delivery DeIIvxY ❑ swaomcvOrnatlona 1 ❑ Signature CoMnnalon i 1. ry H m DN N •� on Delivery Resldoted p®dvery Rss cted v I i C a "I Restdetod Denvery 1I ` \ N V t4 Dn.nwwHc Rwhnn Rwrwirtt I i •' �r ;7021 0950 0001 5503 5085 A Signature li gi o I o m Agent -_ jji gg Xy�� i S. Received by (Printed Nmrle) C. to of Delivery �3 •. Avrtn Fbr�vv�� z� m _� n D. Is delivery address dlgerent from item 1? ❑ Yes S R° T rn °•; k o ,�. It YES, enter delivery address below: 0 No m :E rl: cl • P i Service Type D Priority Mai Express® r, ,� I Adum Signature I Adult Signature Restrbtetl DOINM D Ragfstww Mail- (3 Re Vend Man Restrictod P. I Cemleed More ) Ce1Med Mad RestmolAd OWMrY very ❑Signature Cosh utbnoa _ r f I Count on Delivery I Collect on Delivery Restrcted De "iffy O Signature Con&matlon Restricted Delvery v1al (•a j OAa 4al Ftmtdctetl Delivery 10). Domestic Return Receipt - -- —7021 0950 0001 5503 5146 ❑ Agent iri ieceived by (R Name) C. D to of Delivery 1uci7cs/11 LL 166 , Werent from item l? ❑ Yes as N y address below: ONO x (to A n 0 0 S. Service Type ❑ pdodty Mal Exp " G Illllliillllllliiilllllllill IIII111IIIIIIII ns �RefticW WN" 0 0Dg�kMall Rerl Cled 9590 9402 6222 0265 6893 61 O 0000d Maa Retad 130a Qcolectonw"y 0Ng"sh"CO1flAnaaenY ❑ s'igneture Connro'bon - a P. Article Number frraralN from service 19ball ❑ Coneot na Nary Restrcted Dedvwy Restrcted Delivery IQ 7021 0950 0001 5503 5146 MRes ked Delivery �mal Ps Porn 3811, July 2020 PSN 753042.000.8053 Domestk Return Receipt ,.�_.;..__.'. J ■ Complete Items 1, 2, and 3. 1 A. a ■ Print your name add address on the reverse [D� so that we can return the card to you. ■ Attach this card to the back of the mailpieoe, or on the front if space permits. 1. Article Addressed to: Ray & Jean McClees 531 Travis Road Columbia, NC 27925 ❑ event from item 1? ❑ Ye: address below: g.No 3. Service Type ❑ Pftft W Expw III11111111�111111111111111111111111111111111 0 Delivery Redebt ❑edMall Pe 9590 9402 6222 0265 6893 92 ❑c.t AdMet A mdedDWWy ❑snnetr eoM&M ❑ Cdbctw Delivery ❑ agnatere cpNmu 2. Article Number (Kansan rrom Service Aebeg D Collectm Dsevery Restricted Delivery FieArbied DOMen 7021 0950 0001 5503 5092 0 Rntricted DOW" PS Form 3811, July 2020 PSN 7530-02-000-9053 Domestic Return Re ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this cans to the back of the mallpieoe, A. signature 0 AV X i AAM B. Received by Ofnw Name) or on the front if space permits, f kttev 1. Article Addressed to: D. Is deAveryaddress different from item t? U Y If YES, ender delivery address below: ❑ No Darryl D. Skinner 950 Travis Road Columbia, NC 27925 IIIIIilllllllllllllllllllliliil!IIIIIIIllilll o� RDelivery , 9590 9402 6222 0265 6893 78 ❑ Certified ewRestricted O*My 080°xec0td D Cowl an Delivery OSOWM Cml 7. Article Number?Fmsfer from Service labeO DCWect an Delivery Ras5letad Deiverry Resldeted Ode 7021 0950 0001 5503 5139 Ace Restricted Deemy PS Form 3811, July 2020 PEN 7530-02-DOO.9053 Domestic Retum ■ Complete hems i; Z?and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front If space permits. 1. Article Addressed to Scuppernong Enterprises, LLC 100 Chapel Hill Road Columbia, NC 27925 U a. R,*ved by (Panted Name) ( 1. Dabs of I •Shr`tiltl l� D. Is delivery address different fmm Item 17 ❑ Yw If YES, enter delivery address below: Zj No IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillilllllilll 0cor �° e °°��° 9590 9402 6222 0265 6893 85 ❑OWWaeMWAesb1CsedDelivery ❑ Caeect on Delrery 2. Article Number frmnsfer from 3"cO fW I�Copect?n Delivery Restricted De 7021 0950 0001 5503 5108 a DWKM PS Form 3811, July 2020 PEN 7530-02-OD0.9053 Domestic Return 7021 0950 0001 5503 5092 �. k o i N y � d x ' 'Ali ill H L gy} III www C -� � r" co o�.�q crier N � Fd 7021 0950 0001 5503 5139 ggigggia13OO � 0 o � 0 =1 N•• i N 7Y 7021 0950 0001 5503 5108 n Y c � n o •i w w Ilfjr'�e v 0 A N W V. N 6 xQQ; l 7r I 1 N w r a Maittl�I aolilit�rrJill Ken and Debra Elliott Elliott Conswhing P.O. Box 112 Aydlett,NC27916 7021 0950 0001 5503 5153 F2 RETURN TO SENDER UNABLE TO FORWARD UNABLE TO FORWARD RETURN TO SENDER III,�II�I,III,I��111„I,tlllt,.I,.II„III„III��III„III,I,II,I,II�I R F S 7021 0950 0001 5503 51! a HIM � x � o n "!'I « 1 w :+ 1 n O A p O O wwwww� O < t r 0 c — O �� A N y, w F O p mil) A r EDENTONEANC PAID 2]932 AMOUNi22 $7.85 R230SK142781-07 �, �� ✓ram p,�Imrl,hl4v911!l11P11 NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612 Division of Energy, Mineral, and Land Resources (919) 707-9220 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. 74.69. LANDOWNER: Signature Print Name Alvin R. Smith Title(if applicable) Owner, operator Company (if applicable) Address 500 Jonestown Road Columbia, NC 27925 Telephone 252-796-1910 Date Signed 09/15/2022 APPLICANT: Signature L%ET// /.t'/ / 1 a i�Y'�r-✓ Print Name Alvin R. Smith Title Owner, operator Company Mine Name Buddy Smith Mine Telephone 252-796-1910 Date Signed 09/15/2022 'Signature must be the same as the individual who signed Page 1 of this application. Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at (919) 707-9220. Revised September 21, 2021 P a g e 119