NCG020273_Supplemental Info Review_20190606

Submittal Dated: 6/6/2019
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are ansmred.
Existing Project Information:
Rease supply the perrrit nunber for this project.
D# * FL-rrrit Narrber
NCG020273
Ecanples: SWxxxxxxx, NOQaxxxx, or NOSxxxxxx
Facility Name:* Sibelco - Buna (previously Unimin)
County: Mitchell
Name: Jeff Ferguson
Who is subrritting the information?
Email Address:* Jeff. [e-mail]
Please upload all files that need to be submited.
nick the upload button or drag and drop files here to attach document
SPS 2018-02-12
785.6KB
BUNA_Annual_DMR_stormwater_su mmary_2017. p...
SPS 2019-03-01
3.3MB
BUNA_Annual_DMR_stormwater_su mmary_2018. p...
160408 QU Buna Dormant Status DLQ Approval. pdf 195.91 KB
Only pdf files are accepted.
Describe the attachments:
I received email request from Shane Strickland to upload 2016, 2017 and 2018 DMRs for Buna Mine COC#
NCO20273.
I have uploaded DMRs for 2017 and 2018 only as the site was 'dormant' in 2016 with no sampling required. I have
included the approved "Exemption from Monitoring During Dormant Status". Dormant status was lifted in late June
2017, thus 2017 monitoring was re -implemented for the remaining two quarters of 2017.
* W By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND

o I intend to electronically sign and submit the Supplemental Information form."
Full Name:* Jeffrey S. Ferguson
Signature:
Date Submitted: 6/6/2019

Initial Review
Updated ID#: IWORfANT: FEVIBAERSHOLLDVERIFY and revise here if necessary.
NCG020273
Who needs a V Central Office
copy?* F Regional Office
Central Office Reviewer:*
Shane Strickland - eads\sstrickland9
Select Reviewing Office*
Asheville Regional Office — 828-296-4500
Select RO Reviewer:*
[e-mail]