NCG020927_NOI Application_20180406

NORTH CAROLINA
NCG020000 NOTICE OF INTENT
STORMWATER PERMIT APPLICATION
Tanglewood Sand
Halstead Blvd. Extended
Elizabeth City, NC 27909
Pasquotank County
State of North Carolina
RECEIVED
APR 0 6 2018
DEWLAND QUALITY
STORMWATER PERMITTING
Department of Environmental Quality
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612

ELLIOTT CONSULTING
April 5, 2018
NC Department of Environmental Quality
Division of Energy, Mineral and Land Resources
Stotmwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
To Whom It May Concern:
This NPDES Stormwater Permit application is a request by Nfr. John S. Crouse, manager
of Tanglewood Development, LLC, to allow excavated removal of a 16.39 -acre sand stockpile
with established groundcover on property owned by Mr. Crouse and an adjacent tract leased
from Liberty Warehouse 11, LLC, off Halstead Blvd., Elizabeth City, NC, in Pasquotank
County. The proposed permit area is in a flat, sandy, cultivated farm area, and will not present
any problems regarding runoff to adjacent areas when all proposed erosion and sediment
control measures are in place. The purpose of the excavation will be to return the land to
agricultural status.
The excavation area will be located geographically 460 feet from the nearest public
highway and will be accessible only by a privately -owned access road. Excavation activities
will be screened from public view on all sides by existing vegetated sand berms, and distance
across adjacent fields. Public access to the permit area is limited by private property, and gated
private road access. There will be minimum 25 -ft wide unexcavated buffers on all sides of the
permit area.
Upon receipt of the approved permits from NCDEQ, Mr. Crouse plans to excavate the
sand stockpile back to natural ground level for farm cultivation to proceed afterward.
Reclamation of the permit area will include grading, leveling, and establishment of
groundcover on all affected areas.
All adjacent landowners have been contacted and made aware of the proposed excavation
operation, and land entry agreements have been obtained. The excavation area will be well
marked with warning and keep out signs to prevent inadvertent public access.
Mr. Jon S. Crouse does hereby request approval for this NPDES Stormwater Permit and
asps that it be expedited as soon as possible. Mr. Crouse appreciates your consideration of
this permit application.
Sincerely,
Ken Elliott
For Jon S. Crouse
Tanglewood Development, LLC
110 110% 112 • AYM.11TT, N0NT11 CAROLINA • 27916
11110N1%: 252-339_9021 • [-\MAIL: KR.N9(KFN0BX.00N1

Division of Energy, Mineral and Land Resources /
Land Quality Section - Stormwater Permitting Program
National Pollutant Discharge Elimination System
NCG020000
NOTICE OF INTENT — General Permit Application
FOR AGENCY USE ONLY
Date Received
Year
Month
lay
Certificate of Covcragc
NICIGIO12
Check # Anwunt
Permit Assigned to
RECEIVED
APR 0 6 201E
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG020000: DENR-LAND QUALITY
STORMWATER PERMITTING
STORMWATER AND/OR WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code - 14XX Mineral Mining Industry (except as specified below) and
like activities
The following activities are included:
• Active or inactive mining operations (including borrow pits—except for NCDOT borrow pits) that discharge
stormwater contaminated with or that has come in contact with, any overburden, raw material, intermediate
products, finished products, byproducts or waste products located on the site of such operations;
• Stormwater from vehicle maintenance activities (VMA) at mining operations;
• Overflow from facilities that recycle process wastewater; and/or
• Mine dewatering (wastewater)
The following activities are specifically excluded from coverage under this General Permit:
• Stormwater discharges associated with peat mining, coal mining, and metal mining;
• Stormwater discharges from ruining operations which are intermixed on site with stormwater from concrete
operations;
• Stormwater discharges associated with oil and gas extraction operations; and
• Stormwater discharges associated with tourist gem mines
• NCDOT borrow pits (covered under individual permit NCS000150)
The following discharges are covered by NPDES -general permit NCG520000 instead of NCG020000;
Point source discharges of stormwater and wastewater from in -stream sand mining operations (sand dredging
or dipping operations) are covered instead by NPDES General Permit NCG520000, administered by the Division
of Water Resources NPDES Wastewater Permitting Program. Please contact DWR for more information.
Please Print or fvPe all entries in this abnlication form.
1) Mailing address of ownerloperator (official address to which all permit correspondence will be mailed):
Legal Owner Name Jon S. Crouse, manager, Tanglewood Development, LLC
(Attach the most recent Annual Report to the NC Secretary of State showing the current legal name of the corporation or entity.
Alternatively this permit can be given to an individual or government authority. This name most be the same name as appears on the
Division of Energy, Mineral, and Land Resources' Mining Permit.)
Signee's Name (as signed for in question 41. at end)
Street Address 102 Breezewood Drive
Jen S. Crouse
City Elizabeth City State_
Telephone No. 252 332-3033 E-mail
Alternate Contact Name*
NC ZIP Code 27909
[e-mail]
E-mail (if different)
Alternate Contact Telephone (if different)
*Alternate contact should be affiliated with the Owner/Operator. Consultant information can be provided
in question 5.
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2)
Location of facility producing discharge:
Facility Name Tanglewood Sand
Facility Street Address Halstead Blvd. Ext.
Facility City Elizabeth City
Facility County Pasquotank
Facility Contact
Telephone No,
State NC ZIP Code 27909
Jon S. Crouse, manager, Tanglewood Development, LLC
252 331-3033 Fax:
Contact E-mail [e-mail]
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). os 17 Bypass exit 258 Halstead Blvd. , go east
0.7 mi: on Halstead to 2nd stoplight, left on Mt. Everest Dr., site is 0.1 mi straight ahead.
4) Facility Location Coordinates:
5)
Latitude 36.297731 deg N Longitude -76.291058 deg W (degrees/ minutes l seconds or decimal
degrees)
Consultant Information (if applicable):
Consultant: Ken Elliott
Consulting Firm: Elliott Consulting
Mailing Address: PO Box 112
City: Aydlett
State: NC Zip Code:
Phone:( 252 ) 339-9021 Fax: ( 88& )_
E-mail: [e-mail]
27916
637-6241
Permits:
6) This NPDES Permit Application applies to which of the following:
(Optional)
Staple Business Card Here
® New or Proposed Facility Date operation is to begin: April 2018
❑ Existing Date began mining:
7) Standard Industrial Classification:
8)
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility SIC Code: 1 4 4 2
Provide a description of the types of minerals mined at this facility:
Sand & topsoil
9) Is this a PROCESSING -ONLY facility for materials mined elsewhere? ® No ❑ Yes
10) Is this an inactive mine site?
❑ No
❑ Yes If yes, have you certified to the Stormwater Permitting Program that all portions of the site where
clearing, grading, and/or excavation activities have occurred have been stabilized?
❑ No ❑ Yes (If yes, the site may be eligible for "Dormant Status" and reduced BMP
inspections. See the General Permit.)
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11) Does this facility already have a valid Mining permit from DEMLR's Land Quality Section?
® No If no, please indicate the status of the Mining Permit application:
❑ Yes If yes, please provide the Mining Permit number: Also provide a copy of
the DEMLR Mining Permit with this NPDES application.
12) Does this facility have any other NPDES permits?
® No
❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility:
13) Are you applying for a discharge permit in the same location as a previously permitted mine?
12 No
❑ Yes If yes, specify permit number and mine name if Known:
14) Does this facility have any Non -Discharge permits from DWR (e.g., recycle permits)?
® No
❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility:
15) Does total area of this mine site include ready -mixed concrete plant and/or asphalt plant areas?
10 No
❑ Yes If yes, do they have separate NPDES stormwater permits? ❑ No ❑ Yes (provide permit
number(s) )
If not owned by the same company, who is the owner?
Development Activities and Buffers:
16) Will this mining operation precede development activities at this site?
® No
❑ Yes
17) Is this mine located within one of the 20 Coastal Counties, and will it add more than 10,000 ft2 of
impervious surface?
❑ Yes (to both)
® No, this mine site IS in one of the 20 Coastal Counties but will NOT add 10,000 ft2 of impervious surface.
❑ No, this mine site is NOT in any of the 20 Coastal Counties.
If this site is in one of the 20 Coastal Counties, you may be required to apply for an additional State
Stormwater Permit. Check with your local Regional Office (see contact information and checklist below).
18) Is this mine located the Neuse, Tar -Pamlico, or Catawba River Basins, or the Randleman or Jordan
Water supply Watersheds?
® No
❑ Yes If yes, what size stream buffers are included on site? ft. You must show buffers on site
plans. Also include information and plans showing diffuse flow through buffers as required.
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Discharge Points, Receiving Waters & Wetlands:
19) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges will end up in? __ebbs Creek to Pasgug2tank River
To find the waterbody, please see the "MAPS" tab on http:/lportal.ncdenr.org/web/wq for a map of NC
Surface Waterbody Classifications.
Kecelving water classiticatlon(s) for the waters: Knobbs Creek - C • Sw Pas uotank River - SC
If the site will discharge to a separate storm sewer system, name the operator of the separate storm sewer
system (e.g. City of Raleigh municipal storm sewer).
Discharge of wastewater to receiving waters classified as WS -II through WS -V, or SA, must be
approved by the Division of Water Resources (DWR) or Division of Marine Fisheries
(DMF). DEMLR cannot grant coverage under NCG020000 without that approval. Also be advised that
no new discharges of Wastewater are permitted in receiving waters classified as W5-1 or
freshwater ORW. Wastewater discharges to saltwater ORW will not be approved under General Permit
NCG02 but may be eligible for an individual permit.
20) Will this mine site discharge wastewater or stormwater to waters classified as High Quality Waters
(HQW), Primary Nursery Areas (PNA), Trout (Tr) waters, or a class with a symbol like "+" or "@" that
denotes a special management strategy is in place?
M No
❑ Yes, PNA*
❑ Yes, HQW* ❑ Yes, includes "+" or "@"
❑ Yes, Trout (Tr)
21) Will this mine site discharge wastewater or stormwater to waters classified as Shellfish (SA) waters?
M No
❑ Yes, SA*
*For questions 19-20, be advised that the NCG02 General Permit limits the discharge volume of total combined
wastewaters to 50 percent of the receiving water in -stream flow under 7Q10 conditions in HQW waters (PNA and
SA waters are considered HQW by definition). You maybe required to contact USGS to obtain a 7Q10 flow.
22) Will this mine site discharge wastewater or stormwater to impaired waters, or to waters with an
approved "Total Maximum Daily Load" (TMDL)?
To find impaired waters, please see the "Impaired Waters" map on the "MAPS" tab on
http:/Iportal.ncdenr.orn/web/wq.
To find approved TMDLs in North Carolina, please see DWR's Water Planning Section website:
hftr):/Iportal.ncdenr.org/web/wg/12s/mtu/tmdl/tmd[s.
® No
❑ Yes, these waters are impaired for (list pollutants):
❑ Yes, these waters have a TMDL for (list pollutants):
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N00020000 N.O.I.
23) List discharge points (outfalls) that convey discharge from the mine site (both on-site and off-site) and
location coordinates. Attach additional sheets if necessary, or note that this information is specified
on the site plan. Include proposed maximum daily flow rate for each wastewater outfall.
You must show all discharge points clearly on the submitted site plan. Be advised
that NCDEQ may require you to apply for an individual permit, based on proposed
discharge rates and receiving stream conditions (low flows, impairments, etc.)
Stormwater
Stormwater Outfall No. 1
Latitude (degrees/minutes/seconds or decimal degrees): 36.296124
deg N
Longitude (degrees/minutes/seconds or decimal degrees): _-76.290073
deg W
Stormwater Outfall No. 2
Latitude (degrees/minutes/seconds or decimal degrees): 36.296034
deg N
Longitude (degrees/minutes/seconds or decimal degrees): -76.290928
deg W
Stormwater Outfall No. 3
Latitude (deg reeslminuteslseconds or decimal degrees): 36.295945
dea N
Longitude (deg reeslminuteslseconds or decimal degrees): -76.291775
dea W
Stormwater Outfall No.
Latitude (degreeslminuteslseconds or decimal degrees):
N
Longitude (degrees/minutes/seconds or decimal degrees):
W
Stormwater Outfall No.
Latitude (degreeslminuteslseconds or decimal degrees):
N
Longitude (degrees/minutes/seconds or decimal degrees):
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds or decimal degrees):
N
Longitude (degrees/minutes/seconds or decimal degrees):
W
Mine Dewatering
Mine Dewatering (Wastewater) Outfall No.
Proposed maximum flow rate:
Latitude (degrees/minutes/seconds or decimal degrees):
N
Longitude (deg reeslminuteslseconds or decimal degrees):
W
Mine Dewatering (Wastewater) Outfall No.
Proposed maximum flow rate:
Latitude (degrees/minutes/seconds or decimal degrees):
N
Longitude (deg reeslminuteslseconds or decimal degrees):
W
Process Wastewater
Process Wastewater Outfall No. Wastewater Description:
Proposed maximum flow rate:
Latitude (degrees/minutes/seconds or decimal degrees):
N
Longitude (degreeslminutes/seconds or decimal degrees):
W
Process Wastewater Outfall No. Wastewater Description:
Proposed maximum flow rate:
Latitude (deg reeslminuteslseconds or decimal degrees):
N
Longitude (degreeslminuteslseconds or decimal degrees):
W
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24) Help us understand what will happen to the dewatering water at this mine site:
IN NIA — this mine is not dewatering at all and will not dewater in the future.
a) Will this mine be dewatering and discharging to waters of the state? (Answer only if dewatering)
IN No
❑ Yes If yes, where to? ❑ Surface Waters and/or Wetlands (on-site or off-site)
❑ Other (on-site or off-site) Describe:
b) Will this mine be dewatering but not discharging to waters of the state? (Answer only if dewatering)
® No
❑ Yes If yes, explain how you are dewatering, and where that water will be directed:
25) Are there wetlands or surface waters within 400' of the mine pit perimeter?
❑ No
® Yes If yes, what distance are they from the mine pit perimeter? 90 feet.
Note: removal of stockpiles only, no excavated pit.
26) Will mining operations require dewatering near wetlands or other waterbodies, and will dewatering
potentially impact any wetlands or other waterbodies?
10 No, dewatering will not occur near (within 400') of wetlands or other waterbodies (e.g., streams, lake, etc.)
❑ Yes, dewatering will be near wetlands or other waterbodies
Wetlands must be CLEARLY DELINEATED on the site plan. Mine dewatering activities that
have the potential to drain wetlands or otherwise impact surface water or groundwater MUST develop and
implement a Pumping Operation and Monitoring (POM) Plan that has been approved by the
Department.
For sites that may drain wetlands — approval of a POM Plan may be required prior to coverage under
this permit. The POM Plan should be submitted to the appropriate Regional Office and in all cases must be
approved prior to operation.
The plan shall include, but is not limited to: (1) Groundwater monitoring strategies to demonstrate the effect of
pumping and to establish any pumping regime necessary to reduce impacts, and (2) Detailed plans to maintain
surrounding hydrology and respective monitoring to demonstrate compliance. See checklist at the end of the
application. Contact the Regional Office for questions specific to your mine.
27) Have you been required to obtain 404/401 Certification permits?
® No
❑ Yes if yes, please briefly describe below (include information such a required mitigation, BMPs,
setbacks, and/or O&M plans for on or off-site wetlands or other pertinent information). Attach other sheets as
necessary:
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NCG020000 N.Q.I.
28) Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
® No ❑ Yes If yes, please attach to application submission.
Stormwater BMPs and Vehicle Maintenance:
29) Does this facility employ best management practices for stormwater control?
❑ No M Yes If yes, please briefly describe:
HQQk dam control device t_�L_crri?ss—swi?le1 rock dzu control 4evice to tLtc�
30) Does this facility have a Stormwater Pollution Prevention Plan?
M No ❑ Yes If yes, when was it implemented? Note: SPPP ander development now.
31) Are vehicle maintenance activities (VMA) occurring or planned at this mine site?
® No 11 Yes, If yes, will VMA area runoff discharge into the wastewater treatment system(s)?
❑ No, VMA runoff will discharge separately through a stormwater outfall
❑ Yes, VMA runoff will drain back to the mine pit or other wastewater system
Wastewater Treatment Facilities:
32) Will mine dewatering occur? (Yes, we are asking about dewatering again.)
❑ No
❑ Yes If yes, will the mine discharge this water?
33) Will this facility wash mined materials?
❑ No
❑ Yes If yes, will the mine discharge this water?
34) Will discharges of process wastewater treatment systems occur (including possible recycle system
overflows)?
❑ No
❑ Yes If yes, describe what kind of systems:
35) Will this facility employ chemical additives to flocculate suspended solids?
❑ No
❑ Yes If yes, provide the name, manufacturer, and the quantity of average daily usage of the chemical
additive (if known):
Note: Please see our website for a list of evaluated polyacrylamide (PAMS) products for use in North
Carolina: http://portal.ncdenr.org/web/Ir/construc,tion-stormwater
36) Will any of the wastewater treatment facilities at this mine overflow only during rainfall events that
exceed the 10 -yr, 24 -hr rainfall event?
❑ Yes If yes, which treatment systems are those?
❑ No, all wastewater treatment facilities will discharge more frequently (i.e., during smaller rain events)
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NCG020000 N.O.I.
37) Are wastewater treatment facilities (including recycle systems) planned in the 100 -year flood plain?
❑ No
❑ Yes
38) A WaSteWater treatment alternatives reviewis required by 15A NCAC 2H.0105 (c)(2)
for any new or expanding water pollution control facility discharges in North Carolina. You may
attach additional sheets. List the types of wastewater this mine site will discharge:
❑ Mine Dewatering
❑ Process Wastewater (such as washing or recycle system overflows, other mining activity wastewater)
a) What wastewaters were considered for this alternatives review? ❑ Dewatering ❑ Process WW
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? ..................................... ❑ Yes ❑ No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes ❑ No
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
c) Closed-Ioop Recycle System (meets design requirements of 15A NCAC 2T.1000):
i) Are you already proposing a closed-loop recycle system (CLRS)? ......................... ❑ Yes ❑ No
(1) If Yes, for what type of wastewater at this mine site? ❑ Dewatering ❑ Process WW
(2) If No, is this option technologically feasible (possible)? Why or why not?*
(3) If No, is it otherwise feasible to build a CLRS at this site? Why or why not?*
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?*
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? ...
Why or Why not?*
.............. ❑ Yes ❑ No
ii) Is a surface or subsurface disposal system otherwise feasible to implement?*............ ❑ Yes ❑ No
Why or Why not?*
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NGG020000 N.O.I.
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?*
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options for the wastewaters being considered?*
❑ Yes ❑ No
f) If this review included all wastewater discharge types, would excluding some types (e.g. mine
dewatering) make any of the above non -discharge options feasible for some of the wastewaters?
❑ Yes ❑ No
* Feasibility should take into account initial and recurring costs. You may be asked to provide
further information to support your answers to these questions after the initial review.
Other:
39) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
IN No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 9000 kg. of hazardous waste generated per month) of
hazardous waste?
IN No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
40) Is your facility providing appropriate secondary containment for bulk storage of liquid materials? (See
permit text for secondary containment requirements.)
® No
❑ Yes
41) Does your site have an active landfill within the mining permit boundary?
IN No
❑ Yes If yes, specify type: ❑ LCID (Land Clearing and Inert Debris) ❑ Other:
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NCG020000 N.0.1.
Final Checklist:
'f=ir This application will be returned as incomplete information has beent included by been included and
1 } initialed for. Please show that the followingrequired ,...initialing in each
space below.
KE Pee of $100 made payable to NCDIWQ.
KE Completed application and all supporting documents.
X Copy of the valid approved mining permit (MP) for the facility or indication of MP application status.
KE Copy of a county map or other general location map that shows the mining site and nearest major roads.
KE Copy of USGS topographic map showing the mining site and surrounding areas, or other map that clearly
shows site location in relation to nearby streams, wetlands, and other waters, etc.
KE 2 copies of large-scale (minimum 24" x 36") site plan with topographical lines with
all outfalls, applicable buffers and wetlands clearly delineated, receiving waters, and
I00 -year flood plain line if applicable.
NA A copy of your US Army Corps -approved wetland delineation if you marked "yes" to question 27 above.
KE A line drawing of the water flow through the facility or block flow diagram. A pictorial description of the
nature of any sources of water and any collection and treatment measures.
KE If mine site is in one of the 20 Coastal Counties:
• Applicant has checked with the appropriate regional office to verify the need for a Coastal State
Stormwater permit. Indicate the Regional Office Contact: WARO Thom Edgerton 03-23-18
• Applicant has included a detailed list of impervious surface areas and percentages, sub -drainage
areas, and total drainage area. No impervious surface in permit area.
NA If the mine is dewatering and near wetlands, or may otherwise impact surface waters or groundwater,
include the following and contact your local regional office about a Pumping Operation and
Monitoring (POM) Plan. An approved POM plan may be required uriorto N,CG02 issuance.
2 copies of detailed Full Size Plans (at least 24" x 36") delineating areas on the
plans and listing acreage (including: wetlands, ditches, well -placements, pits,
borrow areas, overburden storage, stormwater controls/BMPs, vehicle
maintenance areas, settling basins, product process (such as screening,
stockpiles, waste piles), total drainage area, impervious surface percentages (if
state SW programs apply), applicable buffers, and access and/or haul roads).
Pump dewatering size and information on its specifications.
Well information (design, depths, maintenance).
Physical monitoring for the wetlands areas.
Settling pond sizing information, if applicable.
Level spreader design, if applicable.
Details about dewatering method.
Cone of influence calculations.
Description of measures to prevent erosion and flooding.
Description and information about 4011404 permits that have been obtained.
Copy of US Army Corps of Engineers wetland delineations or approved wetland delineation (if
applicable).
I have contacted my local regional office about a POM Plan.
Regional Office Contact: Date contacted:
-OR-
KE I will not impact any nearby wetlands, surface waters, or groundwaters by dewatering.
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Certification: North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
41) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) 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 (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I agree to abide by the following as a part of coverage under this General Permit:
1. I agree to abide by the approved Mining Permit for this mining activity. (A copy of the valid mining
permit must be attached to this request.)
2. 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPDES permit specifically issued therefore.
3. 1 agree that bulk storage of petroleum products and other chemicals shall have adequate protection
so as to contain all spills on the site.
4. 1 agree that solid wastes will be disposed of in accordance with N.C. statutes and rules governing
solid waste disposal.
5. 1 agree that maintenance activities for vehicles and heavy equipment will be performed so as to not
result in contamination of the surface or ground waters.
I agree to abide by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General Permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate.
Printed Name of Person Signing:
Jon S. Crouse
Title: 1 11 Manag()r, ,;,yglewocd Development, LLC
of Applicant)
April 4, 2018
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ.
Page 11 of 12
SWU-NCG02-NOI Last revised 911012015

NCG020000 N.O.I.
Mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Dote
The submission of this document does not guarantee coverage under the NPDES
NCG02 General. Permit. Upon review of the submittal, the Division may
determine that coverage under an individual permit is more appropriate. Also be
advised that renewed and continued coverage under NCG02 may be dependent
upon the permittee's compliance success and/or status of the receiving waters.
For questions, please contact the DEMLR/Land Quality Section Regional Office for your area.
DEMLRILand Quality Section Regional Office Contact Information:
Asheville Office ...... [phone]
Fayetteville Office ... [phone]
Mooresville Office ... [phone]
Raleigh Office ........ [phone]
Washington Office ...[phone]
Wilmington Office ... [phone]
Winston-Salem ...... [phone]
Central Office... ...... [phone]
Page 12 of 12
Swt1-NCG02-NO] Last revised 9/10120 16

OPERATION AND MAINTENANCE PLAN
ABOVE -GROUND STOCKPILE REMOVAL/ STORMWATER SEDIMENTATION PREVENTION
Operator: Tanglewood Development, LLC, Jon S. Crouse, manager, 102 Breezewood Drive, Elizabeth
City, NC 27909
Job Location: Tanglewood Sand, Mining Permit #70-36, Halstead Blvd. Ext., Elizabeth City, NC 27909
County: Pasquotank County
Prepared by: Ken Elliott, consulting
Date: April 4, 2018
This plan defines responsibilities for installing, operating, inspecting, and maintaining erosion and
sedimentation control structures used to prevent sedimentation from leaving the Tanglewood Sand
permit area during excavation and removal of existing sand stockpiles, and that the excavation and
removal will not degrade or negatively impact any wetlands or waters of the State.
Description and Operation of the Tanglewood Sand project:
The Tanglewood Sand excavation and sand removal project is a proposed 16.39 -acre above -ground
excavation operated by Tanglewood Development, LLC, Jon Crouse, manager, in a 22.95 -acre permit
area located off Halstead Blvd. Ext., Elizabeth City, NC, in Pasquotank County. The permit area is on high
sandy land and was formerly a cultivated farm field until excavation of the Tanglewood Lake starting in
2005, on property owned by Tanglewood Development, LLC. The proposed Tanglewood Sand project
area served as the stockpile area for the Tanglewood Lake excavation in 2005, and the stockpiles were
never fully removed from the site. Now,.Tanglewood Development is applying for a mining permit with
the NCDEQ Division of Energy, Mineral and Land Resources to remove the sand stockpiles and return the
land to cultivated farm field, beginning in April 2018. The site is located in the Elizabeth City planning
district and is not required to have a Use Permit to perform this project, though copies of all State
permits will be furnished to the Elizabeth City Planning Department.
Site Description and Stockpile Removal:
The 16.39 -acre Tanglewood Sand excavation area consists of three adjacent large stockpiles. Stockpile A
is approximately 1100 feet long by 200 feet wide and ranging in height from 2 feet to 30 feet. Stockpile
B is approximately 1100 feet long by 200 feet wide and approximately 2-3 feet in height. Stockpile C is
approximately 275 feet long by 175 feet wide and ranging in height from 2 feet to 8 feet. Stockpiles A
and B consist of white sand from the excavation of Tanglewood Lake in 2005, and stockpile C consists of
sandy topsoil from the construction of Tanglewood Pavilions Phase 1 shopping center in 2015 located
adjacent.
Stockpile A is directly adjacent to a grassed field irrigation ditch on the stockpile's east side. The head of
the ditch is adjacent to the north end of stockpile A and drains southward alongside Mt. Everest Dr. to
Halstead Blvd roadside ditches, and thence to Knobbs Creek and Pasquotank River. There are remnants
of sedimentation control measures, silt fence, along stockpile A's eastern and southern sides, which are
covered by sand or in disrepair.

There are also smaller ditches, formerly field ditches, located between stockpile A and B, and between
stockpiles B and C. Both ditches drain southward to roadside ditches along Conlon Way and Halstead
Blvd. and thence to Knobbs Creek and Pasquotank River.
Upon reclamation, the operator, Tanglewood Development, LLC, plans to remove all stockpiles
completely down to surrounding natural ground level. Afterward all land in the permit area will be
returned to cultivated farmland use.
Sedimentation and Erosion Control
Main area of concern with offsite sedimentation at this site is with stockpile A located adjacent to the
eastern most field ditch draining from the property. Once the operator begins to excavate along the
eastern flank of stockpile A, he will construct a minimum 8 -ft wide by 2 -ft tall berm along the ditch to
prevent sedimentation from entering the ditch from the excavation area. The berm will be stabilized
with groundcover and will be constructed the full length of the ditch. There is already an existing 4 -ft
tall sand berm with groundcover along the eastern full-length side of the ditch between the ditch and
permit boundary in the field adjacent.
In addition to berms along the eastern ditch, the operator will construct and maintain a riprap rock dam
in the ditch as it discharges from the permit area at the southern permit boundary. This dam will serve
as a final filter to screen sediment from leaving the permit area. This dam is identified on the mine map
as SDO #1(Stormwater Discharge Outfall #1), and water will be monitored for sedimentation there.
Operator will also install rock dams in the other two field ditch discharge points leaving the permit area
on the south side, identified on the mine map as SDO #2 and SDO #3. Water leaving these ditch
discharge points will be monitored for sedimentation.
Operator will install silt fence at two access road crossings of ditches for sedimentation control,
illustrated on the mine map. Existing 1 -ft tall by 12 -ft wide grassed berm along the secondary access
road, between the road and Tanglewood Lake, will prevent sedimentation from entering the lake.
All erosion and sedimentation will remain inside of the permit area. The operator will construct and
maintain an 8ft wide x 2ft tall grass -covered sand berm around the perimeter of the current affected
area of the excavation during all phases of operation. During mining operations and dewatering, most
of the water leaving the excavation will remain inside of the permit area and will only overflow through
the ditches with rock dams occasionally. Any excess water passing through the ditches and rock dams
will flow downstream 8.5 miles via Knobbs Creek to Pasquotank River.
Maintaining the Overflow Rock Dam Structures and Ditches
Inspections and maintenance are required to obtain the intended function of safely allowing stormwater
discharge from the permit area, and to maintain the life of any adjacent wetlands or waters of the State.
Items to inspect and maintain during the anticipated 10 -year life of the mining permit are:

• Remove accumulated debris from the overflow rock dam structure.
• Inspect the structure for excessive settlement or seepage.
• Inspect all components of the structure, including appurtenances, and repair or replace any
damaged items as needed.
• Inspect embankments, berms and appurtenant structures, and repair as needed.
• Repair any damage to vegetated areas or berms with compacted earth fill, reshaping, sodding,
reseeding and mulching as needed.
• Inspect riprap outlet stabilization structures in ditches regularly, replace dislodged rock as
necessary.
Monitoring the Process and Effects of Stormwater Control
Analytical and qualitative monitoring of stormwater will be in accordance with the NCG020000 permit,
as follows:
• Outflow of stormwater at each stormwater discharge outlet will be monitored semi-annually
during a measurable storm event at the exit stabilization structures (discharge points) for pH,
settleable solids, turbidity, and total flow. Samples will be collected and tested onsite for pH,
and the remainder will be tested for the remaining parameters by a North Carolina certified lab.
Analytical results will be documented in the Tanglewood Sand SPPP and reported annually to
NCDEQ.
• Qualitative monitoring of each stormwater discharge outlet will be performed semi-annually
during a measurable storm event, results will be documented in the Tanglewood Sand SPPP and
reported to NCDEQ annually.
• Rain gauge data will be collected by monitoring rain gauge data monthly and after each rain
event and documented in the Tanglewood Sand SPPP.
• The Tanglewood Sand permit area will be inspected daily by the operator to identify any
abnormal conditions.
• 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.
• Special inspections will be conducted immediately following severe storms, vandalism, and
other significant events.
Records
Data will be collected as follows:
• The operator will implement and maintain a Stormwater Pollution Prevention Plan (SPPP) for
this site. The operator requests NCDEMLR to allow the SPPP to be maintained offsite at the
offices of Elliott Consulting, PO Box 112, 202 Elliott Road, Aydlett, NC 27916, as there are no
offices or buildings owned by Tanglewood Development LLC onsite. The SPPP will be available
for inspection by NCDEMLR personnel at any time.

• Data will be collected from samples taken from the three stormwater point source discharges in
operation at the time.
• Point source discharge data: data from the site taken semi-annually, date & time, general
weather conditions, pH of sample, status of process at point source, inlet or outlet, other DWQ
required data.
• Visual monitoring of farmland for potential flooding or dehydration during excavation activities
will take place weekly. Solutions to any degradation caused by any mining activity will include
alteration of excavation process or sedimentation control implementation. 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 NCDWQon a regular
basis and as requested.
BMP Conditions
• The permittee will utilize best management practices to ensure that dewatering the Bayview
Sand Mine will not degrade or negatively impact any wetlands or waters of the State. BMP's will
include:
o All berms, rock dams 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 Outlet ditches will have rock lining or riprap stone layer to prevent erosion, scour or
sloughing of embankment.
Signed,
Ken Elliott
for Jon S. Crouse, manager, Tanglewood Development, LLC
April 4, 2018

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MINE MAP - WEST PORTION
TANGLEWOOD SAND
HALSTEAD BLVD EXT
ELIZABETH CITY, NC 27909
PASQUOTANK COUNTY
EWOOD
XE
SILT
FENCE
CULVERT
= 10 111'41, l C W X l I
SAND BERM BETWEEN
ACCESS ROAD &
TANGLEWOOD LAKE,
CULTIVATED FIELD
MAP BY NOTE: THIS MAP IS NOT A CERTIFIED
ELLIOTT CONSULTINGSURVEY AND HAS NOT BEEN REVIEWED
FEBRUARY 14, 2018RT7f BY A LOCAL GOVERNMENT AGENCY FOR
COMPLIANCE WITH ANY APPLICABLE
REVISED MAR 31, 2018 LAND DEVELOPMENT REGULATIONS.
150 0 75 150 300
(IN FEET) 8'W X 2'
1 inch= 150 ft. SAND BEI
EXCAVATION UN RY
GLCRAIT oris .r.ene rw .._..—..—..—...
CULVERT
N/F
TANGLEWOOD DEV.. LLC
FIELD DITCH
CULTIVATED FIELD
N/F
LIBERTY WAREHOUSE 11, LLC
1
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{
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,h GRASS AREA
,CONSTRUCTION
'•1 ENTRANCE
i
EXISTING 12'W x TT
SAND BERM BETWEEN
ACCESS ROAD &
TANGLEWOOD LAKE,
WITH GROUNDCOVER
STORM
WATER
POND
FIELD DITCH
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