NCG020768_COMPLETE FILE - HISTORICAL_20140609

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
a
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ a b�7�b � 0 `'J
YYYYMMDD

J
AXWA
NCDENR
Nogt�� rlf�LIMA L1nMwi'+cwt OI
EkviwoNHeNT uio Nquww R��.IXiwCca
Division of Energy, Mineral & Land Resources
Land Quality SectionlStormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N d S C G 0 1 2 1 0 1 7 1 6 8
11. Permit status prior to requested change.
a. Permit issued to (company name): Anthony Evans
b. Person legally responsible for permit: Anthony Evans
Firs) MI Last
Owner
Title
119 Tynchtown Rd
permit Holder Mailing Address
Edenton NC 27932
City State Zip
(252) 333-065 1 ( )
Phone Fax
c. Facility name (discharge): Anthony Evans Sand Mine
d. Facility address: 400 Block Rocky Hock Creek Rd
Address
Edenton NC 27932
City State Zip
e. Facility contact person: Anthony Evans [phone]
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
First MI Last
D : 1.
__- •--�- ._ Title
JUN 0.:9 2014
Permit Holder Mailing Address
13R • OIJ," ?
City State 'Lip
Phone E-mail Address
d. Facility name (discharge):
e. Facility address:
Address
City State Zip
f. Facility contact person:
First Nil Last
( )
Phone E-mail Address
W. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact:
Ken
Elliott
First MI Last
Consultant
Title
PO Box 112
Mailing Address
Avdlett NC 27916
City State Zip
[phone] [e-mail]
kenobx.com
Phone [:--mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
® No (please explain) Mine is closed, permit com lets
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Ken Elliott, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. 1 understand that if all required parts of this application are not
completed and that if all required supporting; information is not included, this application package will be
returned as incomplete.
(�--May 21, 2014
Signature Date
APPLICANT CERTIFICATION
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting; Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

A• . Division of Energy, Mineral & Land Resources
rYA Land Quality Section/Storm water Permitting Program
r=
NCDENRNational Pollutant Discharge Elimination System
ND 7" C.�..OLINA DEV TMEw OF
S:HvinONMeHT ArP kaT�rtA4 RE�OVn4E5
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N''C g' N :C: G 0 2 7 6 8
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name Anthony Eya_ns / Anthony Evans Sand Mine
Facility Contact _Anthony Evans (Permit Contact: Ken Elliott, 252-339-9021, [e-mail]
Street Address 119 Tynchtown Road
City Edenton State NC ZIP Code 27932
County Chowan E-mail Address [e-mail]
Telephone No. 252-333-0651 Fax:
3) Reason for rescission request (This is reguired information. Attach separate sheet if necessary):
❑ Facility closed or is closing on F20111. All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to D on 1 . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other: Sand mine has ceased_ operation, land reclaimed by Jan 2013 and mining permit released.
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature
Date: June 4, 2014
L\ 9 r�yti dP, E l t..i�+ y
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone]
An Equal Opportunity 1 Affirmative Action Employer

RC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
April 16, 2010
Mr. Anthony Evans
119 Tynchtown Road
Edenton, NC 27932
Subject: General Permit No. NCG020000
Anthony Evans Sand Mine
COC NCG020768
Chowan County
Dear Mr. Evans:
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on March 25, 2010, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This general permit allows the discharge of stormwater and certain types of wastewater from
your facility including mine dewatering. In your application, you specified that mine dewatering
wastewater would be discharged from this facility temporarily for a period of approximately one week
during the excavation of material below the pond's water level. Dewatering operations lasting longer
than approximately one week may have potential to impact surrounding wetlands and are not
authorized by this permit. Additionally, if separate point -source discharges of stormwater occur (i.e.,
stormwater notcombined with mine dewatering water), you will be required to adhere to the
conditions in this permit for stormwater discharges.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land Resources,
Coastal Area Management Act or any other federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Cory Larsen at telephone
number [phone].
Sincerely, .
ORIGINAL SIGNED BY
KEN PICKLE
forColeen H. Sullins
cc: Washington Regional Office, Thom Edgerton
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch One 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 North Carol i t a
Location; 512 N, Salisbury St. Raleigh, North Carolina 27604 }
Phone: [phone]FAX:[phone]Customer Service: 1-877-623-6748 �%i/mil'a ll
Internet: www.ncwaterquality.org
An Equal CpportuMy 1 Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020768
STORMWATER AND MINE DEWATERING DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
ANTHONY EVANS SAND MINE
is hereby authorized to discharge stormwater and mine dewatering wastewater from a facility
located at
Anthony Evans Sand Mine
400 Block Rocky Hock Creek Road
Edenton, NC
Chowan County
to receiving waters designated as Chowan River, a class B; NSW water in the Chowan River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, Ili, IV, V, and VI of General Pen -nit No. NCG020000 as attached.
This certificate of coverage shall become effective April 16, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 16, 2010.
ORIGINAL SIGNED BY -
KEN PICKLE
for Coleen I•l. Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

LOCATION MAP:
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Anthony Evans Sand Mine
NCGO2O768
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Anthony Evans Sand Mine
Lab bade: 360 07' 02" N
Longitude: 760 41' 42° W
County; Chowan
Receiving Stream: Chowan River
Stream Class: B; NSW
Sub -basin: 03-01-01 (Chowan River Basin)
Facility Location

Larsen, Co
From: Edgurtcn, Thom
Sant: Monday, April 12, 2010 3:47 PM
To: Larsen, Cory
Subtoct: RE: Anthony Evans Sand Mine N00020768
Hello,
I have no objection to the issuance. Please let me know if you need additional information.
Thanks,
Thom
Thom Edgerton
Environmental Engineer
NCDENR - DWQ - Surface Water Protection Section
Washington Regional Office
[phone] Phone
[phone] Fax
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Larsen, Cory
Sent: Monday, April 12, 2010 3:36 PM
To: Edgerton, Thom
Subject: Anthony Evans Sand Mine NCG020768
Thom,
The attached mine has applied for coverage under NCG02. They are operating as a sand mine and have also applied to
DLR for modification of their mining permit to allow dewatering. They want to temporarily dewater their pond to
excavate material below the water table. The application says dewatering should occur for one week at approximately
25,000 gpd and be treated by a three chamber sediment basin.
There are wetlands adjacent to the site but I believe the limited length of time that dewatering will occur will prevent
any real impacts to wetland areas. Thus, I have no major concerns with permitting the facility. What are.yoOr thoughts
— should I move forward or would you like to have more information on the site? Please let me know within 30 days if
possible.
Thanks.
Cory Larsen
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.

0-OPT
AkTW4
MA Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
14 x_. F..wo _
FNYY1owMryT ti1n N41.M141. fbhWS./II
NCG020000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Ycar Month Da
Certificate ofco e
Chcck k Amount
Permil Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG020000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code - 14XX Mineral Mining Industry (except as specified below)
The following activities are also 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 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 mining operations which are intermixed on site with stormwater from asphalt
operations and/or concrete operations;
• Stormwater discharges associated with oil and gas extraction operations; and
• Stormwater discharges associated with tourist gem mines
• NCDOT borrow pits are covered under 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 (i.e., sand
dredging or dipping operations)
For new mining sites that require an authorization to construct (ATC) wastewater treatment facilities: This
NOI is also an APPLICATION FOR an ATC for new wastewater treatment facilities. ATC requests must be
submitted at least 90 days prior to construction'.
For existinmining sites that require an Authorization to Operate (ATO) wastewater treatment facilities:
This NOI is also an APPLICATION FOR an ATO for wastewater treatment facilities in place.
Construction modification or installation of anV new treatment comiponents at an existing site requires
an ATC. (If the site Is already covered by NCG020000, the ATC request may be submitted without an N01).
Some wastewater treatment facilities used to treat or recce process wastewater (even if commingled
with stormwater) at mining sites will require an ATC prior to construction per 15A NCAC 2H .0138.
Please see the NCG020000 General Permit for details about which treatment facilities require an
ATC (summarized in Table 1 at the end of this form). For example, an ATC is required for treatment
of mine dewatering discharge from clay pits and non -closed -loop wastewater recycle systems. The
authorization to construct or continue to operate will be issued at the same time as the Certificate of
Coverage (COC) for the NCG02 permit. Design of treatment facilities must comply with requirements
of 15A NCAC 2H .0138 & .0139.
;As per 15A NCAC 2H .0108 Page 1 of 7
ZUnless treatment facilities are designed, constructed, and put into operation by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes, 89C-25 (7), plans and specifications must be signed
and sealed by a P.E.
SWU-217-071408 Last revised 7/14/08

NCG020000 N.O.I.
Construction of wastewater treatment facilities subject to the ATC/ATO requirements in the NCG02 permit
at new or existing mining sites requires submission of three (3) sets of plans and specifications signed
and sealed by a Professional Engineer (P.E.) or qualified staff2 along with this application. A copy of the
design calculations should be included. Please see questions 18 & 19.
Table 1: Wastewater Permit ATC/ATO Requirements
Mine Dewatering
Yes
No
Quarries
—
Sand Pits
—
Clay Pits
—
Any Dewatering with Chemical Treatment
♦
—
Process Wastewater
Sand/Gravel
—
•
Closed -Loop Recycle
—
•
Other Recycle
—
For questions, please contact the DWG? Regional Office for your area. (See page 7)
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name _ ��1t�tow�� C-v Oki
Street Address t tCt 71� �-,c 6_._to�..�_',
City c� State rJc- ZIP Code 1S Z
Telephone No. a5I - U � 7 Fax:
E-mail Address
2) Location of facility producing discharge:
Facility Name P c _C�G�s SU.,�yd�; .,P__
Facility Contact
Street Address LA cc 3i0__rep-k-•C2vc'_C) -
City cA e— To State ZIP Code _ '� � 3z-
County
Telephone No. Fax:
Contact E-mail �ceV 06Y, CO
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). LLS 1-7 Ed5. L ,JC- 32 •�
LQiqn4eck� �fal he (A I -Li LePrTLc�k {� kC�ac1~��, a ••;.
4) Latitude , i . ' �O .634' Longitude LJ 02W 41, 7b s 1 (degrees, minutes, seconds)
5) This NPDES Permit NOI Application applies to which of the following:
G/ New or Proposed Facility Date operation is to begin
❑ Existing
❑ New Permit not applicable - ATC request only. NPDES Permit Number
Page 2 of 7
5WU-217-071408 Last revised 7/14108

NCG020000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 1 �4 c4 Z
7) Provide a narrative description of the types of minerals mined at this facility:
c rd -e- - ; G .,
8) Discharge Points:
Number of discharge points (ditches, pipes, channels, etc. that convey discharges from the property):
Stormwater: Mine dewatering; I Process Wastewater Overflow:
Discharge points should be clearly marked on the submitted site plan.
Please provide short narrative description of discharges: Sir -�to-7 rc-_.)e
�v SL,,cL r•..�� f7o�� -s ��5s_�..c, +t,r`n u,. '� k Y, k 2-5 ' b'4Ie_d -1 r.4�
9) 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 end up in? 1-. L-.s ct— ` z; -er
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
Receiving water classification (if known):
Note: Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N.C. Dept. of Environmental Health. If DEH does not approve, coverage
under NCG020000 cannot be granted. No new discharges of process wastewater are
permitted in receiving waters classified as WS-I or freshwater ORW.
10) Will mining operations require dewatering near wetlands or impact any stream, groundwater, or wetlands?
❑ No
L"Yes If yes, please provide information about any 404/401 Certification permits.
Note: 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 an Operation and Monitoring (O&M) Plan that has been approved by the Division.
The O&M Plan should be submitted to the Regional Office and must be approved prior too eratiQn.
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.
11) Does this facility already have a valid Mining Permit from the Division of Land Resources (DLR)?
❑l No (It not, please indicate the status of the Mining Permit application:
L!f Yes
If yes, please provide the Mining Permit number and include a copy with your application: 3 l - 11Z
Note: DWQ cannot issue a COC for the NCGO20000 Genera! Permit until a Mining Permit is issued or
renewed by the Division of Land Resources (DLR).
Page 3 of 7
SWU-217-071408 Last revised 7/14/08

NCG020000 N.O.I.
12) Will this mining operation precede development activities at this site?
Q/No
❑ Yes
13) Does this facility have any other NPDES permits?
dNo
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
14) Does this facility have any Non -Discharge permits (ex: recycle permits)?
dNo
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
15) Does this facility employ any best management practices for stormwater control?
❑ No
❑ Yes
If yes, please briefly describe:
16) Does this facility have a Stormwater Pollution Prevention Plan?
idNa
❑ Yes
if yes, when was it implemented?
17) Will vehicle maintenance activities occur at this facility?
L/ No ❑ Yes
Wastewater Treatment Facilities:
18) Will mine dewatering discharges occur? (ATCIATO required for clay pits or dewatering with Chem, treatment)
El No 10 Yes
19) Will discharges of overflows from process wastewater treatment systems occur? (ATC or ATO required,
unless san av mining r closed -loop recycle system)
JN0 Id/Yes
If yes, answer the following questions on the wastewater treatment system:
a. Please describe the type of process used to treat and/or recycle the process wastewater. Give
design specifics (i.e. design volume, retention time, surface area, etc.). Existing treatment
facilities should be described in detail, and design criteria or operational data should be provided
(including calculations) to ensure that the facility can comply with requirements of the General
Permit. [Use separate sheet(s)]
b. Does this facility employ chemical additives to flocculate suspended solids? Q No ❑ Yes
If yes, please state the name, manufacturer and the quantity of average daily usage of the
chemical additive
Note: Please see http://h2o.enr.state.nc.us/ws/PAMS list.htm for a list of approved polyacrylamide (DAMS)
products for use in North Carolina.
Page 4 of 7
SWU-217-071408 Last revised 7114/08

NCG020000 N.O.I.
Does this facility overflow only during rainfall events exceeding the 10-yr, 24-hr rainfall event?
❑ No Gd Yes
20) Aree,wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
El No ❑ Yes If so, include information to demonstrate protection from flooding, (Minimum design
requirements for treatment works include protection from the 100-year flood, per 15A NCAC 2H .0219.)
21) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
M/ No ❑Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
h ardous waste?
Zo ❑ 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 / disposal vendor:
Vendor address:
22) 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 tact 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).
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.
Page 5 of 7
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NCG020000 N.O.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.
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: Prnth0�"s >—
Title:n
of Applicant)
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ Copy of the valid approved mining permit (MP) for the facility or indication of MP application status
❑ Copy of a county map or other general location map that shows'the mining site and nearest major roads
❑ 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.
❑ Copy of mining site plan with all wetlands clearly delineated
❑ If the mine is near wetlands, or may otherwise impact surface water or groundwater, contact the regional
office about an O&M Plan (contact information on the next page). Please refer to this O&M Plan checklist:
✓ Site map with wetlands, ditches, well -placements, borrow areas, overburden storage, stormwater
controls/BMPs, vehicle maintenance areas, settling basins, product process areas, and access roads.
✓ 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
✓ Description of measures to prevent erosion and flooding
❑ If an ATC or ATO is required, three (3) sets of plans, specifications, and design calculations, signed,
sealed, and dated by a P.E. ATC and ATO requirements in NCG02000 are summarized in Table 1 on
Page 2 of this NOI (see the permit text for more details). Plans shall show all pertinent design features,
including the location of the outfall(s). If stormwater is flowing off -site, the plan must show that stormwater
will not be mixed with wastewater.
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
SW U-217-071408 Page 6 of 7
Last revised 7114108

NCG020000 N.O.I.
For questions, please contact the D WO Regional Office for your area.
DWO Re ional 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 .........(919)
807-6300
Page 7 of 7
SWU-217.071408 Last revised 7114108

OPERATION AND MAINTENANCE
MINE DEWATERING
Landowner/Operator: Anthony Evans
Job Location: Evans Sand Mine, Rocky Mock Creek Road, Edenton, NC 27932
County: Chowan
Prepared by: Ken Elliott, consultant
Date: March 20, 2010
The intended purpose of dewatering the Evans Sand Mine is to be able to safely and efficiently achieve
full depth excavation of the pond, and to allow proper construction of the excavated edges of the pond
as per the requirements of the permit reclamation standards. The natural water table level in the area
is only slightly below the edge of this excavation, and requires a 2ft high berm around the excavation to
prevent overflow during heavy rainfall. The excavated area is located on very sandy land approximately
50ft from adjacent swampy lowlands at a lower elevation. Test excavations in the area indicate pure
sand down to 15ft depth around the eastern perimeter of the wetland.
The sediment trap being constructed will be 340ft long x 125ft wide, with a 8ft x 4ft sand berm on the
north, south and east sides, open on the lower west end. Water will be removed from the excavation by
a 4in pump running at idle speed, and will be slowly pumped into the higher east end of the trap, where
it will flow down the trap through 3 rock baffles constructed across the trap to slow the rate of flow and
separate sediment from the water flow. The 20ft long by 3ft high by 8ft wide rock baffles are located in
the center of three 8ft wide by 4ft high sand berms stretching across the trap, located equidistant down
the length of the sediment trap. Each rock baffle itself consists of a mixture of riprap and smaller gravel,
which will allow water to flow through the berm and allow sediment to drop out of the pumped water.
Upon exiting the trap, water flow will be at sheet -flow rate or less, clear of sediment, and will then enter
the lowland swamp wetland outside of the permit area, filtering naturally into the water table. A large
amount of the pumped water will filter naturally into the water table inside the sediment trap due to
the sandy nature of the soil.
Partial excavation of the Evans Sand Mine has been able to occur without dewatering this pond. It is the
intention of Mr. Evans to dewater this pond only once for a period of approximately 1 week in order to
achieve complete excavation and construction of proper sloped edges. The area is under no water
restrictions and is above average rainfall for the year. The adjacent swamp lowland has high water
levels at this time.
Inspections and maintenance are required to obtain the intended function of safely dewatering the sand
mine, and to maintain the life of the adjacent wetland. Items to inspect and maintain during the 3 year
life of the mine permit are:
• Check the pump inlet, pump outlet, embankments adjacent to the pump outlet, sediment trap
embankments, rock baffles, and sediment control measure outlet after heavy rains for possible
damage. Inspect annually for damage.
0 Remove accumulated trash away from water flow control baffles, pump inlet, or pump outlet.

• Repair erosion at pump outlet as needed. Repair erosion behind baffles as needed.
• Fill rills and gullies that occur on the embankments and in the vegetated spillway of the
sediment trap. Reseed the filled areas.
• Inspect rock baffles and erosion fencing for secure installation weekly to insure continued water
velocity control and settling of sediment before the water leaves the sediment trap. Repair
rock baffles as needed, replace any dislodged rock, fill back to grade if displacement or
settlement occurs, and replace damaged erosion fencing before it blows out.
• Check frequently for burrowing animals. When found, remove the burrowing animals, replace
embankment materials and reseed.
• Maintain a vigorous sod inside the sediment trap and on the embankments by regular mowing
and fertilization. Time the first mowing after nesting birds have hatched (about August 15).
Remove excess top growth. Do not burn.
• Prevent woody vegetation from growing in or around the embankments or vegetated sediment
trap. Control tree and brush growth by hand cutting, mowing or chemicals. Avoid damaging
grass with herbicide sprays.
• Maintain a grass filter strip around the perimeter of the wetland to trap sediment.
Special considerations:

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Anthony Evans Sand Mine
SR 1207
Edenton, NC 27932
Chowan County
Map prepared by
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3-20-2010
CHOWAN COUNTY
NORTH CAROLINA
Anthony Evans
Sand Mine
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Anthony Evans Sand Mine
SR 1207 ;.>
Edenton, NC 27932
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BERM & ROCK BAFFLE DETAIL
Sediment Trap
Anthony Evans Sand Mine
Edenton, NC
18ft wide top of baffle
Sand Berm I Rock Baffle: Sand Berm
Ott x 8ft I I Riprap 8, smaller gravel Oft x 8ft
4�t 3Pt 14ft wide base of baffle
1 1 1ft
I 1ft high sand base
I 1
Ground level
Diagram prepared by
Ken Elliott, consultant
3-20-2010

MINE MAP
`ANTHONY EVANS SAND MINE
MODIFICATION
SR 1207, Edenton, NC
Chowan County, North Carolina
Anthony Evans - Operator
Map Scale: 1 inch = 50 feet
Map Prepared March 3, 2008
Map Updated March 15, 2010
By Ken Elliott
Permit Consultant
CATEGORY
AFFECTED
ACREAGE
Temp Sediment Trap
0.859
Stockpiles
0.210
Wastepiles (berms)
0.203
Processing Area 1 Haul
Roads
2.780
Mine Excavation
1.085
Undisturbed Buffer
0.459
Unexcavated Buffer
1.186
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AFFECTED
ACREAGE
Temp Sediment Trap
0.859
Stockpiles
0.210
Wastepiles (berms)
0.203
Processing Area / Haul
Roads
2.780
Mine Excavation
1.085
Undisturbed Buffer
0.4
59
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i
MAP
ANTHONY EVANS SAND MINE I
MODIFICATION
SR 1207, Edenton, NC
Chowan County, North Carolina
Anthony Evans - Operator
Map Scale: 1 inch = 50 feet
Map Prepared March 3, 2008
Map Updated March 15, 2010
By Ken Elliott
Permit Consultant
t
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Sand Berm
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i

NORTH CAROLINA
MINING PERMIT APPLICATION
State of North Carol i na
Department of Environment
And Natural Resources
Division of Land Resources
Land Quality section
1612 Mail service Center
Raleigh, North Carolina -276.99-1612
[phone]
Revised 4/2002

ELLIOTT CONSULTING
Match 20, 2010
Dear Sir or Madam:
This mine permit application is for a modification of an existing sand mine operated by
Anthony Evans, on property owned by Anthony and Beverly Evans, located in the 400 block
of Rocky Hock Creek Road (SR 1207), Edenton, NC in Chowan County, Permit #21-18.
The modification involves the addition a 25ft x 100ft extension of an unexcavated buffer on
the north side of the permit area, and the construction of an open-ended 3-sided temporary
125ft x 340ft sediment trap located on the north side of the permit area between the
excavated area and the new permit boundary. The modification will not include any
additional excavated area. The purpose of the sediment trap impoundment will be to aid
Mr. Evans in having his pond excavated to its full permitted 12ft maximum depth without
suffering erosion problems while digging. The impoundment will be built at ground level on
a high sandy field which has a high filtration rate, and will have 8ft wide x 4ft high sand
berms. Water will be pumped from the pond into the higher east end of the impoundment
area to temporarily lower the water level in the pond to allow more efficient excavation and
sloping of the pond edges, and the removed water will be allowed to flow downhill through
3 rock baffles for sediment collection and out the open west end of the impoundment.
There the sheet -flow rate water will re-enter the existing vast wetlands nearby. Plans are for
the excavation to be dewatered only once to achieve final depth excavation of the pond and
to slope the sides of the excavation as required for reclamation.
The entire impoundment area is located on high sandy land with a high filtration rate.
The soil in the impoundment area is pure sand down to at least IS ft depth. There is no clay
layer present to this depth. The adjoining wetland swamps are too large (80+ acres) and too
close to natural water table levels for there to be a danger of drying out from this temporary
dewatering. It is absolutely necessary to dewater this excavation to complete the reclamation
needed, and will only be dewatered for a short time.
At the end of excavation and after final excavated depths are achieved, die interior
impoundment berms will be removed and the area inside the impoundment will be graded,
leveled and seeded and will be reclaimed to its original field state. The remaining exterior
berms of the impoundment area will be graded, seeded and grassed and will be left in place
as per the wishes of Mr. Evans. The rock baffle on the exterior berm will be replaced by a
full sand berm.
Reclamation of the mine area will include grading, leveling, and grassing of all affected
areas. Mr. Evans will use the excavated pit and water pond after mining activity ceases for
personal scenic and recreational purposes. The entire process is expected to take 3 years or
less.
All adjacent landowners have been contacted and made aware of the proposed mine
operation and there, with no negative comments so far, and all land entry agreements have
been obtained. The Chowan County Planning and Inspections Department has given
approval to Mr. Evans for construction of this project on his property, in accordance with
their zoning ordinances, and has been made aware of this requested modification. The mine

-2—
March 20, 2010
area will be well marked with warning and keep out signs to prevent inadvertent public
access.
Mr. Evans does hereby request approval for this mining permit modification, and asks
that it be expedited as soon as possible. Mr. Evans appreciates your consideration of this
mine application.
Sincerely,
Ken Elliott
622 ROCKY MOCK CREEK ROAD • EDENTON, NORTH CAROLINA • 27932
PHONE: [phone] • FAX: 252-22I-8695

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
LAND QUALITY SECTION
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
Name of Mine Anthon Evans Sand Mine County Chowan
River Basin Chowan Latitude (dd.mm.ss) N 36' 07.034' Longitude (dd.mm.ss) W 076' 41.765'
2. Name of Applicant* Anthony Evans
3. Permanent address for receipt of official mail**
119 Tynchtown Road, Edenton, North Carolina 27932
Telephone [phone]
4. Mine Office Address Same
Telephone [phone]
Mine Manager Anthony Evans
We hereby certify that all details contained in this Permit Application are true and correct to the best of our
knowledge. We fully understand that any willful misrepresentation of facts will be cause for permit
revocation.
***Signaturey Date March 15, 2010 -
Print Name_ Anthony_Evans_
Title Owner
This will be the name that the mining permit will be issued to and the name that must be indicated on the
reclamation band lsecurity� that corresponds to this site.
** The Land Quality Section must be notified of any changes in the permanent address or telephone number.
*** Signature of company officer required.
G.S. 74-51 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a
complete application or, if a public hearing is held, within 30 days following the hearing and the filing of any
supplemental information required by the Department. All questions must be addressed and all required maps
provided before this application can be considered complete. Attach additional sheets as needed.
-1-

APPLICATION FOR A MINING PERMIT
■ NOTE: All of the following questions must be thoroughly answered with regards to your mining
operation for the intended life of the mine. All responses must be clearly conveyed on a corresponding,
detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
Answer all of the following that apply:
1. a. If this is an application for a NEW permit, indicate the total acreage at the site to be covered by the
permit (this is the acreage that the "new permit" fee will be based upon):
Of this acreage, how much is owned and how much is leased? Acres owned: Acres
leased: Property owner if leased:
b. If this is an application for RENEWAL of a mining permit, indicate the mining permit number and
the total (overall) acreage covered by the existing permit: Mining Permit No.: Total
permitted acreage (this is the acreage that the "renewal" fee will be based upon):
c. If this is an application for a MODIFICATION to a mining permit, indicate the mining permit
number and the total (overall) acreage covered by the existing permit: Mining Permit
No.: 21-18 Total permitted acreage: 6.625 Ac.
Does the modification involve acreage within the previously approved permitted boundary?
Yes X No . If yes, indicate the acreage to be covered by this modification {this is the acreage that
the "major modification" fee will be based upon): 0.164 acres
Does the modification involve acreage outside the previously approved permitted boundary?
Yes No X . If yes, indicate the additional acreage to be covered by this
modification. 0.157 acres (NOTE: you must complete all of Section F. of this application form
entitled Notification of Adjoining Landowners).
Of this acreage to be added to the permit, will any portion of this acreage be affected (disturbed,
ground cover removed) by the mining operation? Yes X No (if no, a "minor
modification" fee of $50.00 is required, despite the "undisturbed" acreage to be added). If yes,
indicate the acreage to be affected within the acreage to be added to the permit (the total acreage to
be added to the permit is the acreage that the "major modification" fee will be based upon):
0.157 acres
d. If this is an application for TRANSFER of a mining permit, indicate the mining permit number and
the total (overall) acreage covered by the existing permit: Mining Permit No.:
Total permitted acreage: '. I;
n SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO
BE PAID FOR THE REQUESTED PERMIT ACTION(S) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined: Sand and Topsoil
3. Mining method: Hydraulic Dredge X Front-end Loader & Truck X Shovel & Truck
Dragline & Truck Self -loading Scraper Other (explain)
Excavator
-2-

APPLICATION FOR A MINING PERMIT
4. a. Expected maximum depth of mine (feet) 12 feet
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
natural ground level _
b. Expected average depth of mine (feet) 10 feet
5. Has any area(s) at this site been mined in the past? Yes X No
If yes, when and by whom was this activity conducted? Anthony Evans first permitted this mine in 2007
6. Number of years for which the permit is requested (10 years maximum): 3 years
(5 years on original permit, expire in 2012)
B. MAPS
1. Clearly mark and label the location of your mining operation on six (6) copies of a 7.5 minute quadrangle
and a county highway map. These maps, in addition to six (6) copies of all mine maps and reclamation
maps, must be submitted with each permit application.
7.5 minute quadrangles may be obtained from:
N.C. Geological Survey
NCDENR
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
[phone]
County highway maps may be obtained from:
Location Department V.
,
State Highway Commission
Raleigh, North Carolina 27602
[phone] ' `"'
.. 1 U.
-3-

APPLICATION FOR A MINING PERMIT
2. 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. As a reminder, mining permits can
only be issued for up to 10 years; thus, all mine and reclamation maps must only denote those
activities that are intended to be conducted during the life of the mining permit. All maps must be
of a scale sufficient (see minimum requirements listed below) 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.
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 and/or permanent overburden disposal areas.
h. Location and acreage of all processing plants TI).
rocessing plants may be described as to location and
move
distance from mine if sufficiently far re
i. Locations and names of all streams, rivers and lakes.
j. Outline and acreage of all settling and/or processing wastewater ponds.
k. Location 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; 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 mind iridp
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. Name of applicant
2. Name of mine
3. North arrow
4. County
5. Scale
6. Symbols used and corresponding names
7. Date prepared and revised
S. Name and title of person preparing map
Map scales should meet the following guidelines: 1.__ "`'"" .
PERMITTED ACREAGE
MAP SCALE
0-99 Acres
I inch = 50 feet
100-499 Acres
1 inch = 100 feet
500+ Acres
I inch = 200 feet
(NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items)
-4-

APPLICATION FOR A MINING PERMIT
A table/chart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment
ponds, stockpiles, wastepiles, processing arealhaul roads, mine excavation and any other major aspect of the
mining operation that is proposed to be affected/disturbed during the life of the mining permit. A table/chart
similar to the following will be acceptable:
CATEGORY
AFFECTED ACREAGE
Temp Sediment Pond / Trap
0.859 acres
Stockpiles
0.210 acres
Waste piles (Berms)
0.203 acres
Processing Area/Haul Roads
2.780 acres
Mine Excavation
1.085 acres
Unexcavated Buffer
1.186 acres
Undisturbed Buffer
0.459 acres
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 IN
THIS APPLICATION FORM (PLEASE NOTE THE ITALICIZED QUESTIONS/STATEMENTS
THROUGHOUT THE FORM). THIS APPLICATION WILL NOT; BE ,CONSIDERED COMPLETE
WITHOUT ALL RELEVANT ITEMS BEING ADEQUATELY ADDRESSED ON THE MINE MAPS.
—5—

APPLICATION FOR A MINING PERMIT
C. PROTECTION OF NATURAL RESOURCES
1. Describe in detail the sequence of events for the development and operation of the mine and reference the
sequence to the mine map(5). Attach additional sheets as needed.
1. Acquire proper permits from NC Department of Environment and Natural Resources.
2. Proposed excavated mine pit area will have topsoil removed down to 2.5 feet below natural
ground level and stockpiled. Sand will be dug from excavation area by excavator down to
average 10 feet below existing natural ground level, and stockpiled for later removal from
premises.
3. To complete full depth excavation and slope construction of the pond's edges, the pond will
have to be dewatered, tentatively once.
4. To achieve dewatering and recovery of sediment, a temporary 125ft x 340ft open-ended 3-
sided bermed aboveground sediment trap will be established 50ft north of excavation on high
sandy area in an unexcavated buffer area. There will be 3 rock berm sediment fences located
equidistant down the sedimentation area and a rock carpet at the end of the sedimentation
area for erosion control, leading to a level spreader for dispersion of any water outside the
permit area. There is an approximate lft elevation drop down the length of the sediment
trap.
5. To dewater the pond, water will be pumped slowly into the higher east end of the sediment
trap. Pump will run several days continuously at idle speed until water level in the pond has
decreased to a level that will accommodate further excavation. Pumped water will flow
slowly downhill toward the west end of the sedimentation area and through the 3 rock
sediment baffles, which will reduce water flow and help capture sediment as the water flows.
At the end of the sedimentation area, the water flow rate will be at sheet -flow rate or less
and will be allowed to flow naturally out of the permit area and filter naturally into the water
table. A large amount of the pumped water will filter naturally back into the water table
inside the sediment trap before it reaches the end of the sediment trap area.
6. It is the intention of Mr. Evans to dewater the pond only once to achieve full depth
excavation. `
7. After the pond is dewatered Mr. Evans will have the pond excavated to its full depth and will
have the slopes graded per reclamation requirements.
8. Minimum 2:1 graded slopes established around edges of pond area below groundwater level.
9. Minimum 3:1 graded slopes established around edges of pond area above groundwater level.
10. After excavation and edge sloping is completed, the temporary sedimentation trap will be
deconstructed to a point where the interior baffles will be removed, leaving the perimeter
berms in place as part of the reclamation. These berms will be graded to 3ft x 8ft, seeded and
grassed for later use by Mr. Evans. Interior area of the former sediment trap will be leveled,
graded, seeded and grassed, and will return to natural field state.
H. Low I fit x 8ft berm will be established around perimeter of pit, with outside slope graded
down to natural ground level.
12. All former stockpile areas and the sedimentation area will be leveled and graded to natural
ground level; any trash or debris cleaned up.and removed.
13. Internal roadways of main permit area leveled and graded to natural ground level, to be
returned to natural field state.
14. Access road (field path) to SR1207 graded, leveled, and returned to pre-existing state.
15. Entire affected area inside of main permit area will be fertilized and seeded with groundcover
and will be returned to its pre-existing field state..
16. At end of permit period, affected area returns to pre-ekisting, natural state.
2. Describe specific erosion control measures to be installed prior to land disturbing activities and during
mining to prevent offsite sedimentation (include specific plans for sediment and erosion control for mine
excavation(s), waste piles, access/mine roads andprocess 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 map(ti) and provide typical cross-sections/construction details of each measure. Engineering
designs and calculations shall be required when needed to justify the adequacy of any proposed measures.
Permit area is located in center of large flat sandy area (>5 acres, no elevation changes); no offsite erosion
or sedimentation expected. Sand berm (6' W x 2' H) will be established around immediate edge of
excavation to prevent erosion of excavation by surrounding area run-off, and will be maintained for the
life of the excavation work, until establishment of final low berm at end of permit during reclamation.
Sand berm (8'W x 4'H) will be established around immediate edge of sediment trap area to prevent
offsite sedimentation during removal of water from pond. Water flow from trap will be controlled by
rock baffles in the trap.
3. a. Will the operation involve washing the material mined, recycling process water, or other waste water
handling? Yes No X . If yes, briefly describe all such processes including any chemicals to be
used.
b. Will the operation involve discharging fresh or waste water from the mine or plant as a point discharge to
the waters of the State? Yes X No . If yes, briefly describe the nature of the discharge and
locate all proposed discharge points (along with their method ofstabilization) on your mine map(s).
A temporary 125ft x 340ft open-ended 3-sided bermed aboveground sediment trap will be established
50ft north of excavation on high sandy area in an unexcavated buffer area. There will be 3 rock berm
sediment fences located equidistant down the sedimentation area and a rock carpet at the end of the
sedimentation area for erosion control, leading to a level spreader for dispersion of any water outside
the permit area.
Pond water will be pumped slowly into the higher east end of the sediment trap. Pump will run several
days continuously at idle speed until water level in the pond' has decreased to a level that will
accommodate further excavation. Pumped water will flow slowly downhill toward the west end of the
sedimentation area and through the 3 rock sediment baffles, which will reduce water flow and help
capture sediment as the water flows. At the end of the sedimentation area, the water flow rate will be
at sheet -flow rate or less and will be allowed to flow naturally out of the permit area and filter naturally
into the water table. A large amount of the pumped water will filter naturally back into the water table
inside the sediment trap before it reaches the end of the sediment trap area.
-7-

APPLICATION FOR A MINING PERMIT
Will any part of the proposed mine excavation(s) extend below the water table?
Yes X No . If yes, do you intend to dewater the excavation(s)? Yes X
No . If yes, what impact, if any, will mine dewatering have on neighboring wells?
Estimated withdrawal rate in gallons per day: 24�,000 . 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 statements 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.
Mine excavation will be de -watered as needed to achieve permitted average depth. Water will be
pumped from pond into a three -sided temporary sedimentation area located 25 feet from the
excavation area, and will be allowed to flow naturally through rock baffles back to natural ground
level, achieving clear sheet -flow rate at the outlet of the area.
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, Stormwater, etc.)
from the Division of Water Quality, Water Quality Section. In addition, the applicant is required to
register water use with the Division of Water Resources if the operation withdraws more than
100,000 gallons per day and needs a capacity use permit from the Division of Water Resources if
the operation lies in a capacity use area and withdraws more than 100,000 gallons per day.
Applicant is applying for NCG20000 permit at this time.
4. a. Will the operation involve crushing or any other air contaminant emissions?
Yes No X 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.
b. How will dust from stockpiles, haul roads, etc., be controlled?
Spraying water from water supply trucks on haul roads and process areas will control dust.
Stockpiles will also be sprayed with water weekly if necessary to control dust.
WE

APPLICATION FOR A MINING PERMIT
5. a. A buffer will be required between any mining activity and any mining permit boundary or right-of-
way. it may be 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).
A minimum 85ft wide unexcavated buffer will be established and maintained between excavation
area and mine permit boundary on north, east, and south sides of mine, containing roadways, berms,
and sediment control measures. A minimum 50ft wide unexcavated buffer will be established and
maintained between excavation area and mine permit boundary on northwest side of mine. A
minimum 20ft wide unexcavated buffer will be established and maintained between excavation area
and 100ft wide undisturbed buffer on west side of mine. Unexcavated buffer will contain roadways,
berms, and stockpiles within it. See attached mine map.
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 buffer
locations and widths on the mine map(s).
A 100ft wide undisturbed buffer will be established and maintained on west side of excavation
between west mine permit boundary and 20ft wide unexcavated buffer adjacent to excavation.
Undisturbed buffer is located in wooded area and will not be entered.
G. 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.
Landslide or slope instability adjacent to adjoining permit boundaries will be prevented by
construction of graded cut slopes during mining activities. Slopes will have a minimum of 3
horizontal to 1 vertical gradient.

APPLICATION FOR A MINING PERMIT
b. Provide a cross-section on the mine map(s) for all fill slopes (berms, wastepiles, overburden
disposal areas, etc.), clearly indicating the intended side slope gradient, installation of any benches
and/or slope drains (with supporting design information) if needed, and the method of final
stabilization.
Fill slope cross-section (berms) attached to reclamation and mine maps.
Fill slope will be established at edge of cut during reclamation of mine. Slope will have 4:1 grade.
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 table. level will have 3:1 grade, and cut slope from
water table level to bottom of excavated area will have 2:1 grade.
d. In hardrock excavations, specify proposed bench widths and heights in feet. Provide cross -sections
of the mine excavation clearly noting the angles of the cut slopes, widths of all safety benches and
mine benches, and the expected maximum depth of the excavation.
Not applicable.
7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling
house, public road, public, commercial or industrial building from any mine excavation. Locate all such
structures on the mine snap if they are within 300 feet of any proposed excavation.
No buildings or public roads located within 0.5 miles of excavation. No additional physical hazard
prevention measures needed beyond gated access.
8. Describe what kind of barricade will be used to prevent inadvertent public access along any high wall area
and when it will be implemented. Vegetated earthen berms, appropriafe 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).
Caution signs, warning sins, no trespassing, and / or keep out signs will be installed around boundary of
permit area. Permit area is located 2250 feet from nearest public road (NC SR1207, Rocky Hock Creek
Road) and is only accessible from gated and locked, private owned farm path running through landowner's
property.
-10-

APPLICATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes No X How will acid water
pollution from the excavation, stockpiles and waste areas be controlled?
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 ofall visual screening on the mine map(s) and provide cross -sections
through all proposed berms or proposed spacing, sizes and species for tree plantings.
Mine location is in rural area of Chowan County surrounded by woods and fields. Main permit area
is naturally screened on three sides by thick woods and trees adjacent to permit area, with opening
for access road on southeast corner. North end of permit is bordered by a 375 ft uninhabited field,
and then thick woods. Entire permit area is located 0.5 mile from nearest public highway or private
dwelling.
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?
Mine permit area located on private -owned farmland. No public parks, forests, or recreation areas
located nearby.
11. Will explosives be used? Yes No X . 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 offsite occupied structure(s) to the proposed excavation(s) on the
mine map and indicate its approximate distance to the proposed excavation.
12. Will fuel tanks, solvents, or other chemical reagents be stored on-site?'Yes - No X
Ifyes, describe these materials, how they will be stored and method ofcontainment in case ofspill. Indicate
the location(s) of all storage facilities on the mine map(s).
-11-

APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
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
in
must be illustrated on a reclamation map and must correspond directly with the information
provided on the mine map(s).. In addition, design Information, including typical cross -sections, of any
permanent channels to be constructed as part ofthe reclamation plan and the location(s) ofallpermanent
channels must be indicated on the reclamation map.
Excavated body of water will be left as part of reclamation for recreational use by landowner. Berns around
ground level sedimentation area will be removed and area will be graded, leveled, fertilized and allowed to
revert back to original pasture and field. After mine excavation and removal of sand and topsoil stockpiles,
all disturbed land, affected areas and access and service roads inside the permit area will be leveled and,
graded away from edge of excavated mine pit 1 Oft until graded area reaches natural level. This will create a
low berm located at the edge of the pit 1 ft high and will extend 1 Oft wide away from the pit (see attached
cross-section). Access road to excavation area will be graded, seeded, and returned to pasture. After
excavation and edge sloping is completed, the temporary sedimentation trap will be deconstructed to a point
where the interior baffles will be removed, leaving the perimeter berms in place as part of the reclamation.
These berms will be graded, seeded and grassed for later use by Mr. Evans. Interior area of the former
sediment trap will be leveled, graded, seeded and orassed, and will return to natural field state. Graded land
and all affected area will be fertilized and sown with grass seed by mine operator, as per recommendation by
County Agriculture Extension Agent (attached). Ultimately all reclaimed land from 20ft out from
excavation will be returned to pasture and field.
2. is an excavated or impounded body of water to be left as a part of the reclamation? Yes X No
If yes, illustrate the location of the body(s) of water on the reclamation map and provide a scaled
cross -sections) 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 more
shallow water body will be productive and beneficial at this site. Will the body(s) of water be stocked with
fish? Yes No X . If yes, specify species.
Excavated body of water will be left for recreational and scenic use of landowner. Minimum depth of body
of water at end of mining operation will be 6ft, average depth 1 Oft.. Body of water will not be stocked with
fish at this time
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.
Not applicable.
-12-

APPLICATION FOR A MINING PERMIT
4. Indicate the method(s) of reclamation of overburden, refuse, s oil banks or other such on -site mine waste
areas, including specifications for benching and sloping. Fin2cross-sections and locations for such areas
must be provided on the reclamation map.
No mine site waste areas will exist; topsoil and sand stockpiles only.
5. a. Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
No processing facilities exist.
Stockpiles will be totally removed from premises; roadways adjacent to excavated area are to be removed
and will be filled, graded and sloped away from edge of excavated mine pit 1 Oft until graded area reaches
natural land level. Stockpile areas will be graded and leveled to flat natural ground level. All stockpile areas
will be fertilized and seeded with grass by mine operator at end of mining operation. Stockpile and affected
areas will be returned to agricultural use by landowner.
All on -site roadways in immediate vicinity of excavation will be graded and leveled to flat natural ground
level, and then fertilized and seeded with grass by mine operator. No roadways will remain in excavation
area.
b. Will any on -site roadways be left as part of the reclamation? Yes No X . Ifyes,
identify such roadways on the reclamation map and provide details on permanent ditch line stabilization.
Pre-existing access road (2250ft gated single -lane farm path) from SR1207 to main mine site area will be
returned to pre-existing standard during reclamation. This access road will be constantly maintained
during mining operations, and will be reclaimed by grading, leveling, and repairing potholes as necessary.
Pre-existing ditches wi 11 be maintained and repaired as necessary, and returned to pre-existing standard.
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 off -site
generated waste shall be disposed of on the mine site without rior written approval from the NC
Department of Environment and Natural Resources, Land Quality Section 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 clearly delineated on the mine map(s) and reclamation map, along with a list
of items to be disposed in said areas.
Any and all scrap metal, junk, cables or other such non -original waste materials will be removed from mine
premises by mine operator and disposed of properly at Chowan County landfill, Hobbsville, NC. All topsoil
or sand excavated by mining operation will be removed from premises before reclamation. No off -site
generated waste will be produced or disposed of on -site.
-13-

APPLICATION FOR A MINING PERMIT
Describe your plan for revegetation or other surface treatment of the affected areas. This plan must
include recommendations for ear -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 permanent revegetation and, if necessary, 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 Division of Forest Resources, Department of Environment and
Natural Resources;
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 Division of Forest Resources, Department of
Environment and Natural Resources;
f N.C. Erosion and Sedimentation Control Planning and Design Manual;
g. N.C. Surface Mining Manual: A Guide for Permitting, Operation and Reclamation;
h. Others as may be approved by the Department.
LIME - RATE OF APPLICATION (tons/acre): 0.5 ton / acre upon soil test
FERTILIZER - ANALYSIS AND RATE OF APPLICATION (pounds/acre):
10:10:10 fertilizer, 430 lbs / acre, Spring, Summer & Fall
SEED - TYPE (S) AND RATE (S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds/acre): [NOTE: Include Legumes]
Seed Tunes: Seedin�ates: Seeding Rates:
Kentucky Fescue April 250 lbs / acre
Rye Grass November 150 lbs / acre
Bermuda Grass May 85 lbs. / acre
MULCH - TYPE AND RATE OF APPLICATION (pounds/acre) AND METHOD OF ANCHORING:
Not Applicable
OTHER VEGETATIVE COVERS — TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre, trees/acre, spacing of trees/shrubs, etc):
Not Applicable
Revegetation and/or reforestation plan approved by:
Signature ** On File ** Date
Print Name
Title
Agency
—14—

APPLICATION FOR A MINING PERMIT
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 3500 to $5, 000 per affected acre) for each permitted mine site based upon the acreage approved by the
Department to be affected during the life ofthe miningperm it. Please insert the approximate acreage, for each
aspect ofthe mining, oneration. that you intend to affect during the life ofthis mining Hermit%in addition. please
this annlicallon
AFFECTED RECLAMATION RECLAMATION
CATEGORY ACREAGE COST/ACRE* COST
Tailings/Sediment Ponds: 0.000 Ac. X $ 500 /Ac. — $ 000.00
Stockpiles: 0.210 Ac. X $ 1800 /Ac. _ $ 378.00
Wastepiles: 0.203 Ac. X $ 2000 /Ac. — $ 406.00
Processing Area/Haul Roads: 2.780 Ac. X $ 1800 /Ac. _ $ 5004.00
Mine Excavation: 1.085 Ac. X $ 500 /Ac. _ $ 542.50
Other (Unexcavated Buffer: 1.186 Ac. X $ 1800 /Ac. _ $ 2134.80
TOTAL AFFECTED AC.: 6.323 Ac.
(TOTAL PERMITTED AC.: 6.782 Ac.)
Temporary & Permanent Sedimentation & Erosion Control Measures:
Divide the TOTAL AFFECTED AC. above into the following two categories: a) affected acres that drain into
proposed/existing 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 5.464 Ac.
b) Positive Drainage 0..859 Ac. X $1,500.00 = $ 1288.50
(Temp Sediment Trap)
Inflation Factor:
0.02 X SUBTOTAL COST: $ 195.08 X Permit Life (1 to 10 years): 3
INFLATION COST: $ 585.23
TOTAL COST = SUBTOTAL COST + INFLATION COST = $ 10 339.03
Total Reclamation Bone! Cost: $ 10 300.00
(round down to the nearest $100.00)
-15-

APPLICATION FOR A MINING PERMIT
F. NOTIFICATION OF ADJOINING LANDOWNERS
The "Notice" form, or a facsimile thereof, attached to this application must be sent certified or registered mail
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 is 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, 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 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.
NOTE: 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 74-50(b1).
■ SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THE "AFFIDAVIT OF
NOTIFICATION"
-16-

NOTICE
Pursuant to provisions G.S. 74-50(bI) of The Mining Act of 1971, Notice is hereby given that
AnthonyEvans _ has applied on _ _ February 26, 2010
(Applicant Name) (Date)
to the Land Quality Section, Division of Land Resources, North Carolina Department of Environment
and Natural Resources, 1612 Mail Service Center, Raleigh, North Carolina 27699-1612, for (check one):
(a) a new surface mining permit ❑
(b) a modification of an existing surface mining permit to add land to the permitted area
The applicant proposes to mine Sand and Topsoil _ on 6.782 acres located 4.0
(Mineral, Ore) (Number) (Miles)
Northwest of Edenton off/near SR 1207 / Rocky Hock Creek Road
(Direction) (Nearest Town) (Number/Name)
in Chowan County.
*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 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 are 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
ressardins3 the snecifics of the nronosed mining activity, nlease contact the a np licant at the following
Qne number: 252-22t-4467 For information on the mining permit application review process,
contact the Mining Program staff at 733-4574. Please note that the Department will consider any
Peter Rascoe, Chowan County Mgr.
PO Box 1030, Edenton NC 27932
(Addressee/Owner of Record's
Name and Address)
February 26, 2010
(Date of Issuance of this Notice/
Mailed to Addressee/Owner of Record)
-17-
Anthony Evans _
(Name of Applicant: Include Contact Person
& Company Name, if Applicable)
119 T nchtown Road Edenton NC 27932
(Address of Applicant)

APPLICATION FOR A MINING PERMIT
AFFIDAVIT OF NOTIFICATION
I, Kenneth C. 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 Environment and Natural Resources, being first duly sworn, 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, 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)
No new landowners
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, to said office at the following address:
(Chief Administrative Officer Name) (Address)
Peter Rascoe — Chowan County Manager _ PO Box 1030, Edenton, NC 27932
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(b 1) 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 above
notices were caused to be mail d and to provide them to the Department upon request.
Sign ure of Applicant or Agent Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
(Name of applicant) AnthonyEvans (title of person executing Affidavit)
Ken Elliott, Elliott Consultingagent for Anthony Evans
a Notary Public of the County of _ 1 &Vh , State
of North Carolina, do hereby certify that__ kek] V11'04
appeared before me this day and under oath acknowledged that the above Affidavit was made by him/her.
witness i hand and notarial seal, this �)V-�day of _ %Y)ayL 20 J D
Notary: My Commission expires: I �9-45 _

APPLICATION FOR A MINING PERMIT
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.
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.
74-59.
LANDOWNER:
APPLICANT:
Signature: Signature: *
Print Name: Anthony Evans
Address: _ 119 Tynch Town Road
Edenton NC 27932
Telephone: [phone]
Print Name: Anthony Evans
Title: Owner
Company: Butter Ridge Farm
Mine Name: _ Anthony Evans Sand Mine
*Signature must be the same as the individual who signed Page l of this application.
Six fi copies of the completed application, six 6 copies of all location maps'
mine maps and reclamation
mans, and the appropriate processing fee (see next page for fee schedule) in the form a check or money order
payable to the North Carolina Department of Environment and Natural Resources must be sent to the Land
Quality Section Central Office at the address listed on the front cover of this application form.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at
[phone].
—19—

SCHEDULE OF RECLAMATION COSTS10/2000 = applicos.sch.wpd
(Based upon range of.$500 - $5,000 per affected acre)
COMMODITY CODES: SG = Sand and/or Gravel, GS = Gemstone, Borrow =
Borrow/fill
dirt, CS
= Crushed Stone, DS = Dimension Stone, FS = Feldspar, MI
= Mica, LI =
Lithium,
PF = Pyrophyllite, OL = Olivine, KY = Kyanite/Sillimanite/Andalusite, PH
= Phosphate,
CL = Clay/Shale, PE = Peat, AU = Gold, TI =-Titanium, and OT = Other
Type
T/S Ponds S.piles W.piles _ P.area/H.R. Mine Excay.
SG, GS,
$500/ac.(L) $1800/ac. $2000/ac. $1800/ac.
$500/ac.(L)
Borrow
1500(FI)
$2000(PD)
CS, DS,
500(L) 1800 2000 2000
500(L)
FS, MI,
1500(FI)
2500(PD)
LI, PF,
OL, KY
PH
1000(L) 2500 5000 5000
2000(L)
2500 (FI)
5000 (PD)
CL
1000(L) 2500 5000 5000
2000(L)
2500 (FI)
3700 (PD)
PE, AU,
1000(L) 2500 3000 3500
2000(L)
TI, OT
2500(FI)
5000(PD)
(L) =
reclamation to a lake and revegetating sideslopes
(FI) =
reclamation by filling in and revegetating
(PD) =
reclamation by grading for positive drainage & revegetating
AS PER NCAC 15A 5B.00031 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, Land Quality Section, 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 APPLICATION/PERMIT 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 DIRECTOR'S FINAL BOND
DETERMINATION.
1,000 copies of this public document were printed at a cost of $845.81 or $.85 per copy. 4/2002
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF LAND RESOURCES - LAND QUALITY SECTION
-21-

BERM & ROCK BAFFLE DETAIL
Sediment Trap
Anthony Evans Sand Mine
Edenton, NC
t 8ft wide top of baffle
Sand Berm Rock Baffle: Sand Berm
Oft x 8ft Riprap & smaller gravel 4ft x 8ft
4�t Y 14ft wide base of baffle
I I , 1 ft
lfthign sand base
Ground level
Diagram prepared by
Ken Elliott, consultant
3-20-2010

_ Anthony Evans Sand Mine
SR 1207
�... �" Edenton, NC 27932
Chowan County
( `CA"1 11,
-.- ,MI - ,:� Map prepared by
Ken Elliott, consultant
3-20-2010
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■ Complete'Remsl,' 2, aiid 3. Also complete; .
kern 4 if Restricted Delivery Is desired.
■ 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 mallpiece;
or on ths,front if space permits,.
1.. Article Addressed to:
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Peter Rascoe
Chowan County Manager
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PO Box 1030
Edenton, NC 27932
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