NCG021007_Mining Application _20221118

Adam Parr
NC Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Land Quality Section
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Subject: Meads Pond - Mining Permit Application
Dear Mr. Parr:
Elliott Consulting
202 Elliott Road
PO Box 112
Aydlett, North Carolina 27916
Phone: [phone]
On behalf of Ms. Terri Lynn Meads, Elliott Consulting is requesting review of an Application for a Mining
Permit for a new mine operation slated for development in Nixonton Township, Pasquotank County, North
Carolina. The operation is referred to as the Meads Pond based on family ownership of the property and
includes a total permit area of 7.35 acres.
The following documents are enclosed to support the Application (6 copies of each):
• Mining Permit Application
• $3,750 permit Processing Fee
• Copy of Application for NCG020000 coverage for proposed dewatering activities
• Copy of NCDEQ DWR Registration Application for Water Usage
• Mine and Reclamation Maps
• Adjoinder Notification Map
• USGS Quad Site Map
• GPS Coordinate Site Map
We respectfully ask for your review of the above -listed enclosures as they support the requested mining
permit application for the proposed Meads Pond excavation. Should you have any questions or need any
additional information, please do not hesitate to contact me. We thank you for your time and review of this
request.
Regards,
i,.
t < LQ c I,
Ken Elliott
Elliott Consulting
11/15/2022

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
NOTE: It is recommended that you contact the appropriate Regional Office or the Raleigh Central Office for a PRE -
APPLICATION MEETING to discuss your intentions and address any questions.
1. Name of Mine
County
Latitude (decimal degrees to four
places)
Longitude (decimal degrees to four
places)
2. Name of Applicant
Applicant Contact
Applicant Email
Telephone
Cell Phone
3 Permanent Address for Receipt of
Official Mail'
Meads Pond
Pasquotank
River Basin
Pasquotank
36.226100
-76.277751
Terri Lynn Meads
Terri Lynn Meads
consultant Con tact
Kenneth Elliott
[e-mail]
ConsultantEmail
[e-mail]
252-339-6854
Telephone
252-339-9021
252-339-6854
Cell Phone
252-339-9021
1409 Nixonton Road, Elizabeth City, NC 27909
4. Mine Office Address 00000 Halls Creek Road, Elizabeth Citv, NC 27909
5. Mine Manager Terri Lynn Meads
Mine Manager Email [e-mail]
Telephone [phone] Cell Phone [phone]
I certify that all details contained in this permit application are true and correct to the best of our knowledge. We
fully understand that any willful misrepresentation of facts will be cause for permit revocation.
Signature"' 1A (_0 VIJ,LOIS
Print Name Terri Lynn Meads
Title Owner
Date 11/10/2022
'This will be the name that the mining permit will be issued to and the name that must be indicated on the reclamation bond (security) that
corresponds to this site.
"The Division of Energy, Mineral, and Land Resources must be noted of any changes in the permanent address or telephone number.
—Signature of company officer required
G.S. 7451 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a complete
application or, if a public hearing is held, within 30 days following the hearing and the filing of any supplemental information
required by the Department. All questions must be addressed, and all required maps provided before this application can
be considered complete. Attach additional sheets as needed.
Revised September 21, 2021 Page 11

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
NOTE: All the following questions must be thoroughly answered regarding your mining operation for the intended
life of the mine. All responses must be clearly conveyed on a corresponding, detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
1. Answer all the following that apply:
This is an application for a NEW permit.
Indicate the total acreage at the site to be covered by the permit 7.35 acres
(This is the acreage the new permit fee will be based upon.)
Of this acreage, how much is owned and how much is leased?
Acres owned: 7.35 Acres leased:
Property owner if leased:
This is an application for a MODIFICATION to a mining permit.
Mining Permit Number: Total permitted acreage:
Does the modification involve acreage within the previously approved permitted boundary?
1-1 YES F�NO
If yes, indicate the acreage to be covered by this modification
Does the modification involve acreage outside the previously approved permitted boundary?
YES FNO
If yes, indicate the additional acreage to be covered by this modification
NOTE: You must complete all of Section F of this application form entitled Notification of Adjoining
Landowners
Of the acreage to be added to the permit, will any portion be affected (i.e.: disturbed, ground cover
removed by the mining operation?
YES FjNO
If yes, indicate the acreage to be affected within the acreage to be added to the permit
The modification fee is based upon the proposed new affected acreage within the previously
approved permitted boundary plus the proposed total acreage to be added outside the previously
approved permitted boundary.
❑ This is an application for TRANSFER of a mining permit
Mining Permit Number:
Total permitted acreage:
Revised September 21, 2021 P a g e 12

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
MINING FEE SCHEDULE
A nonrefundable permit application processing fee when filing fora newmining permit, permit modification, ortransferred permit is
required as follows:
APPLICATION TYPE
0-25ACRES
26+ACRES
New Permit Applications
$3 750.00
$5,000.00
Permit Modifications
$760.00
$1,000.00
Permit Transfers
$100.00
$100.00
Annual Operating Fee
$400.00
$400.00
Acres for new permits means the total acreage at the she to be covered by the permit Acres for modification of permits means the
new affected acres within the previously approved permitted boundary plus the proposed total acreage to be added outside the
previously approved permitted boundary.
2. Name of all materials mined: Sand & topsoil
3. Mining Method:
Hydraulic Dredge
Dragline & Truck
Other (please explain):
0 Front end Loader &Truck QShovel &Truck
Self -loading Scraper QExcavator & Truck
4. Expected maximum depth of mine (feet) 30
Depth is relative to what benchmark? (e.g., natural ground level, mean seal level, road elevation, etc.)
Natural ground level
Expected average depth of mine (feet) 25 feet
5. Has anv area at this site been mined in the past?
YES NO
If yes, when and by whom was this activity conducted?
Stevenson Sand, for TL Meads, 0.43 ac
6. Estimated life of the operation (years): O
NOTE: The Department may request clarification on how life of mine was calculated.
Revised September 21, 2021 Page 13

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699.1612
Division of Energy, Mineral, and Land Resources [phone]
B. MAPS
1. Clearly mark and label the location of your mining operation on six (6) copies of a 7.5-minute quadrangle and a county
highway map. These maps, in addition to six (6) copies of all mine maps and reclamation maps, must be submitted
with each permit application.
7.5-minute quadrangles may be obtained from the N.C. Geological Survey:
Mailing Address Physical Address
1612 Mail Service Center 512 N, Salisbury St., 5th Floor
Raleigh, NC 27699-1612 Raleigh, NC 27604
Htti)://wnal.nedenr.org/webAr/geological home [phone]
County highway maps may be obtained from the N.C. Department of Transportation:
Mailing Address
NCDOT GIS Unit
1587 Mail Service Center
Raleigh, NC 27699-1587
htto://www.ncdotrgfiVois
Physical Address
NCDOT GIS Unit
3401 Carl Sandburg Court
Raleigh, NC 27610
[phone]
2. A tabletchart must be provided on the mine map that clearly lists the approximate acreage of tailings/sediment ponds,
stockpiles, waste piles, processing areas/haul roads, mine excavations and any other major aspect of the mining
operation that is proposed to be affected/disturbed during the life of the mining permit. A table/chart similar to the
following will be acceptable:
AFFECTED ACREAGE TABLE:
For new permits, complete only the total affected acreage column.
For modifications, complete all columns.
CATEGORY
CURRENT AFFECTED
ACREAGE
PROPOSED CHANGE TO
AFFECTED ACREAGE
TOTAL AFFECTED
ACREAGE
Tailings/Sediment Ponds
0.18
Stockpiles
0.98
Waste piles
Processing AreasMaul Roads
1.59
Mine Excavations
2.85
Other (Please explain) - U nexcE
rvated Buffers
0.86
Total Affected Acreage
6.46
Total Permitted Acreage
7.35
Revised Septembt: 21 2u,21 14

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
3. Mine maps must be accurate and appropriately scaled drawings, aerial photographs, or enlarged topographic maps of
the entire mine site. All aspects of the mine site must be clearly labeled on the maps along with their
corresponding (approximate) acreage. Thus, all mine and reclamation maps must denote those activities that
are intended to be conducted during the life of the mining permit. All maps must be of a scale sufficient to clearly
illustrate the following, at a minimum:
a) Property lines of the tract or tracts of land on which the proposed mining activity is to be located including
easements and rights -of -way.
b) Existing or proposed permit boundaries with geographic controls (e.g. metes and bounds, coordinates) labeled
c) Initial and ultimate limits of clearing and grading
d) Outline and width of all buffer zones (both undisturbed and unexcavaled)
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 (may be described as to location and distance from mine if
sufficiently far removed)
i) Locations and names of all streams, rivers, and lakes
j) Outline and acreage of all settling and/or processing wastewater ponds
k) Outline and acreage of all planned and existing access roads and on -site haul roads
1) Location of planned and existing on -site buildings
m) Location and dimensions of all proposed sediment and erosion control measures
n) Location of 100-year floodplain limits and wetland boundaries
o) Names of owners of record, both public and private, of all tracts of land that are adjoining the mining permit
boundary; 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.
p) Names of owners of record, both public and private, of all tracts of land that are adjoining the mining permit
boundary which lie directly across and are contiguous to any highway, creek, stream, river, or other watercourse,
railroad track, or utility or other public right-of-way. If an adjoining tract is owned or leased by the applicant or is
owned by the lessor of the mine tract, names of owners of record of tracts adjoining these tracts, that are within
1,000 feet of the mining permit boundary, must be provided on the mine map(s). NOTE: 'Highway' means a road
that has four lanes of travel or less and is not designated as an Interstate Highway.
q) Map legend
1) Applicant name 5) Scale
2) Mine name 6) Symbols used and corresponding names
3) North arrow 7) Date prepared and revised
4) County 8) Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE
MAP SCALE
0-49acres
V=50'
50 —199 acres
1, =100'
200+ acres
1' = 200'
NOTE: Smaller scaled.maps may be acceptable if they clearly illustrate the above items.
NOTE: In addition to the above, the maps must also include any site -specific information that is provided in
the answers to the following questions (italicized quesdons/statements) in this application form. This
application will not be considered complete without all relevant items being adequately addressed on the mine
maps.
Revised September 21, 2021 P a g e 15

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
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(s). Attach additional sheets as needed.
See Addendum-1, attached
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, and process areas), and give a detailed sequence of installation and schedule for
maintenance of the measures. Locate and label all sediment and erosion control measures on the mine map(s) and
provide typical cross-sections/oonstruction details of each measure. Engineering designs and calculations are required
to justify the adequacy of any proposed measures.
a. Operator will construct gravel construction entrance at intersection of new
mine access road and Halls Creek Road.
b. Operator will construct 2-ft tall x 8-ft wide (2:1 slope) vegetated berm for
erosion control along the permit area perimeter of the affected areas.
3. A) Will the operation involve washing the material mined, recycling process water, or other wastewater handling?
YES NO
If yes, briefly describe all such processes including any chemicals to be used.
Not applicable.
B) Will the operation involve discharging fresh or wastewater from the mine or plant as a point discharge to the waters
of the State?
YES �NO
FI
If yes, briefly describe the nature of the discharge and locate all proposed discharge points (along with their method of
stabilization) on the mine map(s).
a. Operator will construct a 0.18-acre above -ground sediment pond 30 feet southwest of the
excavation boundary. Sediment pond will be 105' x 90' x 75' x 95' with 0.18-acre water surface for
sedimentation. Sediment pond berm will be minimum 27 feet wide, 5 feet tall, with 15-ft wide exterior
slope at 3:1 grade, and 10-ft wide interior slope at 2:1 grade. Minimum 36-in half -pipe flash -board
riser overflow will be located at southwest corner of sediment pond, discharging into minimum 12-in
plastic pipe leading to an un-named field ditch draining to Halls Creek and Albemarle Sound.
b. Operator will install dewatering pump between northeast comer of sediment pond and excavation
area. Dewatering pump will be 8-In Godwin Dri-Prime model or similar running at idle speed with 250
gallon per minute (12 hours per day, average 180,000 gallons per day) flow into sediment pond.
c. Operator will dewater main excavation down approximately 25 feet below normal groundwater level.
Revised September 21, 2021 P a g e 16

Addendum-1
Page 6 - Mine Permit Application — Meads Pond
C. Protection of Natural Resources
1. Sequence of Events for Development and Operation:
a. Operator will obtain all required mining permits from NCDEQ.
b. Operator will construct one gravel construction entrance at intersection of mine access
road and SR 1140 Halls Creek Road.
c. Operator will remove topsoil down to 2.5 feet below natural ground level, and stockpile
overburden for use in erosion control berms.
d. Operator will construct 2-ft tall x 8-ft wide (2:1) vegetated berm for erosion control along
the perimeter of the affected areas.
e. Operator will maintain existing foliage and cultivated field visual screen along perimeter
of the affected area.
f. Operator will construct 0.18-acre above -ground sediment pond 30 feet southwest of the
southern excavation boundary. Sediment pond will be 105-ft x 90-ft x 7S-ft x 95-ft with
0.18-acre water surface for sedimentation. Sediment pond berm will have minimum 27
feet wide base width, 5 feet tall, with 15-ft wide exterior slope at 3:1 grade, and 10-ft
wide interior slope at 2:1 grade. Minimum 36-in half -pipe flash -board riser overflow will
be located at south corner of sediment pond, discharging into minimum 12-in plastic pipe
leading to existing field ditch flowing to Halls Creek.
g. Operator will install dewatering pump between north corner of sediment pond and
excavation area. Dewatering pump will be 8-in Godwin Dri-Prime model running at 1200
rpm with 15,000. gallon per hour flow into sediment pond. Pump will operate
intermittently for average 12 hours per day upon need.
h. Operator will begin excavation of pond (2.85 acres) by digging with excavator and
removing sand & topsoil to maximum depth feasible without dewatering the excavation.
i. Operator will dewater main excavation into sediment pond, discharging overflow water
from sediment pond through half -pipe riser water height control through discharge pipe
into field ditch leading to Halls Creek. Operator will dewater main excavation down
approximately 20 feet below normal groundwater level.
j. 3:1 cut slopes will be constructed around excavation edge down to normal groundwater
level. As water is removed from excavation, 2:1 cut slopes will be constructed below
normal groundwater level around excavation edge.
k. Pond will be excavated to average 25 feet and maximum 30 feet below natural ground
level while dewatering is maintained. Excavated material (sand) will be stockpiled in
unexcavated portion of proposed excavation area or 0.2S-acre processing area west of
excavation. Sand will be loaded onto trucks and removed from area via construction
entrance to SR 1140 Halls Creek Road.
I. When final excavation of pond is complete, dewatering will be discontinued, and pump
shut down and removed. Groundwater will refill the excavation to normal seasonal high
groundwater level.

m. After all excavation is complete, operator will establish groundcover on 3:1 above -water
slopes of excavation and will construct 8-ft wide 4:1 berm around excavation edge to
prevent erosion of pond slopes, with outside edge of berm graded down to natural
ground level.
n. Aboveground sediment pond will be fully drained into excavated pond. Operator will
dismantle and remove sediment pond berms; half -pipe riser and discharge pipe will be
removed. Sediment pond area will be graded, leveled, and sown with groundcover. Area
will be allowed to return to previous field state.
o. Former stockpile / berm areas and processing areas outside of main excavations will be
graded, leveled, and seeded with groundcover. Areas will be allowed to return to
previous non -erosive field state.
p. Internal roadways and haul roads will be graded, leveled, seeded with ground cover, and
allowed to return to natural field state. A field path will remain around the perimeter of
the excavated pond.
q. Operator will grade and level access road to Halls Creek Road back to original non -erosive
state.
r. Remaining affected areas inside main permit area will be fertilized and returned to natural
field state.
s. Remaining pond will be utilized by landowner for scenic & recreational purposes, and for
wildlife habitat.

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
C) Will any part of the proposed mine excavation(s) extend below the water table?
YES ❑ NO
If yes, do you intend to dewater the excavation(s)?
YES ❑ NO
Estimated withdrawal rate in gallons per day: 180, 000.00
If yes, what impact, if any, will mine dewatering have on neighboring wells? Locate all existing wells on the mine
mapis) that tie within 500 feet of the proposed excavation area. Provide data to support any conclusions or statement
made, including any monitoring well data, well construction data, and current water withdrawal rates. Indicate whether
the proposed mine locale is served by a public water system or private wells.
Closest groundwater well is Iocated1,250 feet from closest excavation edge.
Area is served by Pasquotank County water system. Water withdrawal will be
average 12 hrs/day upon need.
D) If you answered yes to any of the above questions, provide evidence that you have applied for or obtained the
appropriate water quality permits) (i.e., non -discharge, NPDES, Stortnwater, etc.) from the Stormwater Program. In
addition, the applicant Is required to register water use with the Division of Water Resources, Ground Water
Management Branch, if the operation withdraws more than 10,000 gallons per day and needs a capacity use permit
from the Division of Water Resources, Ground Water Management Branch, if the operation lies in a capacity use area
and withdraws more than 100,000 gallons per day.
Operator is currently applying for coverage under NPDES general permit
NCG020000 for mine dewatering, copy of application attached, COC will be
provided once approved. Operator is applying to NCDEQ DWR for water usage
registration, copy of application attached.
4. A) Will the operation involve crushing or any other air contaminant emissions?
YES FX
If yes, indicate evidence that you have applied for or obtained an air quality permit issued by the Division of Air Quality
or local governing body.
Not applicable.
B) How will dust from stockpiles, haul roads, etc., be controlled?
Spraying or spreading water from water supply trucks or excavator on dirt haul
roads and process areas will control dust. Stockpiles will also be sprayed with
water weekly if necessary, to control dust.
Revised September 21, 2021 P a g e 17

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
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 vide 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 under buffer may be needed depending on site
conditions. Show all buffer locations and widths on the mine map(s).
Southeast side of permit area will have 15-ft wide unexcavated buffer alongside
of 50-ft wide undisturbed property line setback Remainder of permit area will
have minimum 25-ft wide unexcavated buffers on all sides. Unexcavated buffers
will contain haul roads and erosion control berms.
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? Showall buffer locations and widths on the mine
map(s).
Closest USFWS defined wetlands are 1140 feet from excavation top edge. No
undisturbed buffers required, but operator will maintain 50-ft wide undisturbed
property line setback along southeast side of permit area, per County
requirement. Setback will contain natural woodland growth and undisturbed
clear land.
6. A) Describe methods to prevent landslide or slope instability adjacent to adjoining permit boundaries during mining.
Minimum 2 horizontal to 1 vertical slopes or Batter for clayey material and minimum 3 horizontal to 1 vertical slopes or
flatter for sandy material are generally required unless technical justification can be provided to allow steeper slopes.
Exposed excavation slopes will be constructed at a 3:1 gradient during mining.
All sediment & erosion control berms will be constructed with minimum 2:1 slope
grades, cross -sections attached to mine & reclamation map. Fill slope will be
established at excavation edge during reclamation of mine. Slope will have 4:1
grade.
B) Provide a cross-section on the mine maps) for all fill slopes (berms, waste piles, overburden disposal areas, etc.),
clearly indicating the intended side slope gradient, installation of any benches and/or slope drains (With supporting
design information) if needed, and the method of final stabilization.
Revised September 21, 2021 P a g e 18

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
C) In excavations) of unconsolidated (non -rock) materials, specify the angle of all cut slopes including specifications
for benching and sloping. Cross -sections for all cut slopes must be provided on the mine map(s).
Cut slope from natural ground level to water level will have 3:1 grade and cut
slope from water level to bottom of excavated area will have 2:1 grade.
D) In hardrock 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, no hard -rock excavation.
7. Describe other methods to be taken during mining to prevent physical hazard to any neighboring dwelling, house,
public road, or public, commercial or industrial building from any mine excavation. Locate all such structures on the
mine map if they are within 300 feet of any proposed excavation.
No dwellings or buildings within 300 feet of excavation. Access road to Halls
Creek Road goes through farm area owned by mine operator, and will have rock
& gravel construction entrance maintained by operator.
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, appropriate fencing and adequate boulder barriers may be acceptable
high wall barricades. A construction detail/cross-section and location of each type of barricade to be used must be
indicated on the mine map(s).
No high wall areas in permit area. Access to excavation area will be by private
gated access road through landowner's private property. "No Trespassing" signs
will be installed around affected area boundaries.
9. Are acid roducing minerals or soils resent?
lfYES nX NO
If yes, how will acid water pollution from the excavation, stockpiles, and waste areas be controlled?
Not applicable, sand only.
Revised September 21, 2021 P a g e 19

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
10. A) Describe specific plans (including a schedule of implementation) for screening the operation from public view such
as maintaining or planting trees, bushes or other vegetation, building berms or other measures. Show the location of all
visual screening on the mine map(s) and provide cross -sections through all proposed berms orproposed spacing,
sizes and species for tree plantings.
Operation is screened from all homes and public road by natural full -growth
existing trees and foliage along all sides of mine activity area (illustrated on mine
map).
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?
No publicly owned parks, forests or recreation areas located near permit area.
11. Will ex I sives be used? NO
YES FX
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 ollsite occupied structure(s) to the proposed excavations) on the mine
map and indicate its approximate distance to the proposed excavation.
Not applicable.
12. Will fuel tanks, solvents, or other chemical reagents be stored on -site?
IYES �NO
If yes, describe these materials, how they will be stored and method of containment in case of spill. Indicate the
location(s) of all storage facilities on the mine map(s).
An aboveground storage tank will be provided temporarily on -site for refueling of
mining equipment. The tank shall be standard state -approved double wall type or
placed within a state -approved spill containment structure. See plan for
anticipated location.
Revised September 21, 2021 P a g e 110

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
D. RECLAMATION PLAN
1. Describe your intended plan for the final reclamation and subsequent use of all affected lands and indicate the
sequence and general methods to be used in reclaiming this land. This must include the method of reclamation of
settling ponds and/or sediment control basins and the method of restoration or establishment of any permanent
drainage channels to a condition minimizing erosion, siltation and other pollution. This information must be illustrated
on a reclamation map and must correspond 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 of the
reclamation plan and the location(s) of all permanent channels must be indicated on the reclamation map.
The bulk of the reclamation will commence upon the completion of the mining
operation. When possible, reclamation will be conducted simultaneously with
mining operations. Excavated areas that are not backfilled during the mining
operation will be reclaimed as a future lake for possible future development and/or
recreational purposes. At the completion of the operation all disturbed areas
outside of the excavation area, such as overburden piles, stockpiles, sediments
basins, recharge ditches and basins will be graded level, seeded and stabilized.
Entrance road and perimeter haul roads may remain for future site access.
2. Is an excavated or impounded body of water to be left as part of the reclamation?
AlYES FNO
11 yes, Illustrate the location of the body(s) of water on the reclamation map and provide a scaled crass -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 shallower water body will be productive and
beneficial at this site.
Will the body(s) of water be stocked with fish?
YES —]NO
If yes, specify species.
Bass, bream, & crappie.
3. Describe provisions for safety to persons and to adjoining property in all completed excavations in rock including what
kind of permanent baricade 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, no rock excavation is anticipated.
Revised September 21, 2021 Page 111

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
4. Indicate the method(s) of reclamation of overburden, refuse, spoil banks or other such on -site mine waste areas,
including specifications for benching and sloping. Final cross -sections and locations forsuch areas must be provided
on the reclamation map.
Overburden and reclaimed mine fill areas will be leveled, seeded, and stabilized
as needed.
5. A) Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
Portions of the on -site roadways may be kept for lake access and/or utilized as
subgrade for possible future development. Stockpile areas will be leveled, seeded
, and stabilized as needed.
B) Will any on -site roadways be left as part of the reclamation?
RYES FIND
If yes, Identify such roadways on the reclamation map and provide details on permanent road and ditch line
stabilization.
Portions of the on -site roadways may be kept for lake access and/or utilized as
subgrade for possible future development.
6. Describe the method of control of contaminants and disposal of scrap metal, junk machinery, cables, or other such
waste products of mining. (Note definition of refuse in The Mining Act of 1971.)
No off -site generated waste shall be disposed of on the mine site without prior written approval from the NC
Department of Environmental Quality, Division of Energy, Mineral, and Land Resources and either the Division
of Waste Management (DWM) or local governing body. If a disposal permit has been issued by DWM for the
site, a copy of said permit must be attached to this application. All temporary and permanent refuse disposal
areas must be clearly delineated on the mine map(s) and reclamation map, along with a list of items to be disposed in
said areas.
No off -site generated bulk waste, hazardous waste, commercial waste, garbage,
construction, or demolition waste shall be placed on the site. Waste materials
generated onsite will be removed during reclamation and disposed of at
Pasquotank County landfill site in Elizabeth City, NC.
Revised September 21, 2021 P a g e 112

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
7. Describe your plan for revegetation or other surface treatment of the affected areas. This plan must include
recommendations for year-round seeding, including the time of seeding and the amount and type of seed, fertilizer,
lime and mulch per acre. The recommendations must include general seeding instructions for both permanent and
temporary revegetation. Revegetation utilizing only tree plantings is not acceptable. Recommendations can be sought
from:
a. Authorized representatives of the local Soil and Water Conservation District;
b. Authorized representatives of the NC Forest Service, Department of Agriculture and Consumer Services;
c. Authorized county representatives of the North Carolina Cooperative Extension Service, specialists and
research faculty with the Colleges of Agriculture and Life Sciences and Forest Resources at North Carolina
State University;
d. North Carolina licensed landscape architects;
e. Private consulting foresters referred by the NC Forest Service, Department of Agriculture and Consumer
Services;
f, N.C. Erosion and Sedimentation Control Planning and Design Manual;
g. N.C. Surface Mining Manual: A Guide for Permitting, Operation and Reclamation;
It. Others as may be approved by the Department.
Lime Rate of Application (tonstacre): 2000 lbs./acre or follow recommendations of soil test
1000 lbs./acre 8-8-8 or 10-10-10 or follow
Fertilizer Analysis and Rate of Application (lbs/acre): recommendations of soil test
Seed type(s) and rate(s) of application Included year-round seeding schedule (Ibs/acre):
NOTE: Include legumes
SEED TYPES
SEEDING DATES
SEEDING RATES Lbs./Acre
Kobe Lespedeza
February 15 - April 1
10
Bahiagrass
50
Redtop
"
1
Winter Rye (grain)
"
15
Common Bermuda
April 1 -July 31
50
Lespedeza (unscadfied)
August 1 -October
30
German Millet
40
Rye(grain-temporary) October 25-February 15
120
Mulch Type, Rate of Application (Ibs/acre), and Method of Anchoring:
All seeded areas will be mulched using small grain straw at a rate of 2000 Ibs./acre
and anchored appropriately
Other Vegetative Cover(s) Type(s) and Rate(s) of Application Including Seeding Schedule (Ibs/acre, trees/
acre, spacing of trees/shrubs, etc.):
Plan written from recommendations taken fromNC Surface Mining Manual: A Guide for Permitting, Operation, and
Reclamation
Revegetation and/or reforestation plan approoved by:
Signature Kenneth Elliott,'-::m'-"Date
Print Name Kenneth Elliott
Title
Agency
Consultant
Elliott Consulting
10-16-2022
Revised July 13, 2021 Page 113

NORTH CAROLINA MINING State of North Carolina
PERMIT APPLICATION Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond
per affected acre) for each permitted mine site based upon the acreage approved by the
life of the mining permit. Please insert the approximate acreage for each aspect of the a
1612 Mail Service Center
Raleigh, NC 27699-1612
[phone]
upon a range of $500 to $5, 000
went to be affected during the
CATEGORY
AFFECTED
RECLAMATION
RECLAMATION
ACREAGE
COSTIACRE
COST
Tailings/SedimentPonds
0.18
Ac.
X
$
1,500
/Ac.
= $270.00
Stockpiles
0.98
Ac.
X
$
1,800
/Ac.
= $1,764.00
Waste Piles
Ac.
X
$
IAc.
= $ 0.00
Processing Area/Haul Roads
1.59
Ac.
X
$
1,800
/Ac.
= $2,862.00
Mine Excavation
2.85
Ac.
X
$
500
/Ac.
= $ 1,425.00
Other
0.86
Ac.
X
$
1,800
/Ac.
= $ 1,548.00
TOTAL AFFECTED AC.:
6.46
Ac.
TOTAL PERMITTED AC.:
7.35
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 6.46 Ac.
b) Positive Drainage Ac. X $1,50D.00 = $ 0.00
SUBTOTAL COST: $ 7, 869.00
Inflation Factor:
SUBTOTAL COST
0.02 X $ 7,869.00
Total Reclamation Bond Cost:
LIFE OF MINING OPERATION OR LIFE
OF LEASE (YEARS)
X8
INFLATION COST
= $1,259.04
TOTAL RECLAMATION BOND COST = SUBTOTAL+ INFLATION = P,100.00
Round down to the nearest $100.00
NOTE: The reclamation bond cannot exceed $1 million per GS 74.54
Revised September 21, 2021 P a g e 114

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
SCHEDULE OF RECLAMATION COSTS
Based upon range of $500-$5,000 per affected acre
COMMODITY CODES:
SG
Sand and/or Gravel
DS
Dimension Stone
PF
Pyrophyllite
CL
Clay/Shale
GS
Gemstone
FS
Feldspar
OL
Olivine
PE
Peat
Borrow
Borrow/fill dirt
MI
Mica
KY
Kyanite/Sillimanite/Andalusite
AU
Gold
CS
Crushed Stone
LI
Lithium
PH
Phosphate
TI
Titanium
OT
Other
TYPE
TIS PONDS
STOCKPILES
WASTE PILES
P. AREA/H.R.
MINE EXCAVATION
SG, GS, Barrow
$500/ac. (L)
$1800/ac.
$2000/ac.
$1800/ac.
$500/ac. (L)
1500 (FI)
2000 (PD)
CS, DS, FS, MI, LI,
500 (L)
1800
2000
2000
500 (L)
PF, OL, KY
1500 (FI)
2500 (PD)
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, TI, OT
1000(L)
2500
3000
3500
2000 (L)
2500 (FI)
5000 (PD)
(L) = Reclamation to a lake and revegetating side slopes
(FI) = Reclamation by filling in and revegetating
(PD) = Reclamation by grading for positive drainage & revegetating
AS PER NCAC 15A 513.0003, IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINED BY THE BOND CALCULATION
WORKSHEET, YOU MAY SUBMIT AN ESTIMATE OF RECLAMATION COSTS FROM A THIRD -PARTY CONTRACTOR.
SAID ESTIMATE MUST BE PROVIDED WITHIN 30 DAYS TO THE FOLLOWING ADDRESS: Mining Program,1612 Mail
Service Center, Raleigh, North Carolina 27699.1612
ALL ESTIMATES MUST INCLUDE THE FOLLOWING, AS A MINIMUM:
• FINAL GRADING COSTS PER ACRE
• LIME AND FERTILIZER COSTS PER ACRE
• YEAR-ROUND SEEDING MIXTURE COSTS PER ACRE (FROM APPROVED REVEGETATION PLAN IN
APPLICATIONIPERMIT DOCUMENT)
• MULCH AND ANCHORING COSTS PER ACRE
• ANY OTHER RECLAMATION COSTS NECESSARY TO COMPLY WITH THE APPROVED RECLAMATION PLAN
FOR THE SITE IN QUESTION
YOU WILL BE NOTIFIED AS SOON AS POSSIBLE OF THE DIRECTOR'S FINAL BOND DETERMINATION.
Revised September 21, 2021 Page 115

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
F. NOTIFICATION OF ADJOINING LANDOWNERS
The "Notice" form, or a facsimile thereof, attached to this application must be sent certified or registered mail, return receipt
requested, to:
(1) the chief administrative officer of each county and municipality in which any part of the permitted area is located as
Indicated on the mine map(s);
(2) all owners of record, both public and private, of all tracts of land that are adjoining the mining permit boundary; if an
adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine tract, all owners of record of
tracts adjoining these tracts must be notified (that are within 1,000 feet of the mining permit boundary) as indicated on
the mine map(s); and
(3) all owners of record, both public and private, of all tracts of land that are adjoining the mining permit boundary
which lie directly across and are 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 Energy, Mineral, and Land Resources.
A copy of a tax map (or other alternative acceptable to the Department) must be mailed with the completed "Notice" form (the
proposed overall permit boundaries and the names and locations of all owners of record of lands adjoining said
boundaries must be clearly denoted on the tax map).
The "Affidavit of Notification" attached to this application must be completed, notarized and submitted to the Department, with the
remainder of the completed application form before the application will be considered complete.
NOTES:
THIS SECTION MUST BE COMPLETED FOR ALL APPLICATIONS FOR NEW MINING PERMITS AND ALL MODIFICATIONS
OF A MINING PERMIT TO ADD LAND TO THE PERMITTED AREA, AS REQUIRED BY NCGS 74-50(b1).
SEE THE NEXT TWO PAGES FOR THE "NOTICE" FORM AND THEAFFIDAVIT OF NOTIFICATION"
Revised September 21, 2021 P a g e 116

NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
NOTICE (TYPICAL)
Pursuant to provisions G.S. 74-50(bl) of The Mining Act of 1971, Nofice is hereby given that
Terri Lynn Meads has applied on 11 /01 /2022 to the Division of Energy,
(Applicant Name) (Date)
Mineral, and Land Resources, North Carolina Department of Environmental Quality,1612 Mail Service Center, Raleigh, North
Carolina 27699-1612, for (check one):
a new surface mining permit,
Fla modification of an existing surface mining permit to add land to the permitted area; or
Fla modification of an existing surface mining permit to add land to the permitted area with no disturbance in
the area proposed, Please note that future modification(s) maybe submitted by the applicant to allow
disturbance within this area without re -notification of adjoining landowners.
The applicant proposes to mine sand & topsoil on 7.35 acres located 4.60
(Mineral, Ore) (Number) (Number)
miles south of Elizabeth City offlnew road SR 1100 Halls Creek Rd
(Direction) (Nearest town) (Number, Name)
in Pasquotank County.
'SEE ATTACHED MAP FOR PROPOSED PERMIT BOUNDARIES AND CORRESPONDING ADJOINING LANDOWNER
NAMES AND LOCATIONS'
In accordance with G.S. 74-50(bl), the mine operator is required to make a reasonable effort, satisfactory to the Department, to notify all
owners of record, both public and private, of all tracts of land that are adjoining the mining pennit 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. 7451, a public hearing will be held within 60 days of the end of the 30-day
comment period specified above.
A copy of the permit application materials is on file and available for public review during normal business hours at the above listed address as
well as at the appropriate regional office. For Information regarding the specifics of the proposed mining activity, please contact the
applicant at the following telephone number: 252-339-6854
For information on the mining permit application review process, please contact the Mining Program staff at [phone]. Please note that
the Department will consider any relevant written comments/documentation within the provisions of the Mining Act of 1971 throughout the
application review process until a final dedsion is made on the application.
Pinheads, LLC, Sandra H. Evans, mgr.
150 BridgerSt., Murfreesboro, INC 27855 Terri Lynn Meads
Addressee/Owner of Records Name and Address Name of Applicant. Include Contact Person & Company Name, if Applicable
10/13/2022 1409 Nixonton Rd., Elizabeth City, NC 27909
Date of Issuance of this NoficelMailedtoAddressee/Owner ofRecord Address of Applicant
Revised September 21, 2021 Page 117

ELLIOTT CONSULTING
(TYPICAL)
November 14, 2022
Finheads, LLC
Sandra H. Evans, Mgr.
150 Bridger Road
Murfreesboro, NC 27855
Dear Adjacent Owner:
I am writing to you on behalf of Ms. Terri Lynn Meads, 1409 Nixonton Road, Elizabeth City, NC
27909, to let you know that Ms. Meads intends to apply to the State of North Carolina to excavate a
2.85-acre pond for her personal use, to be known as Meads Pond, on land she owns off Halls Creek
Road in Pasquotank County. Total permitted area will be 7.35 acres with 6.46 acres affected by
excavation activity. The pond will be located on a wooded tract of land, 4.6 miles southwest of
Elizabeth City. This letter is to notify you that Ms. Meads is applying to the NC Department of
Environmental Quality, Division of Energy, Mineral and Land Resources, for a mining permit to
perform the excavation.
One part of the permit process requires Ms. Meads to send all adjacent landowners and the
Pasquotank County Manager an official certified and dated notice of her intention to excavate the
pond. This letter and notice represent only a required part of the paperwork process for her permit
with the NC Department of Environmental Quality, and does not require any action on your part,
regarding NCDEQ.
Ms. Meads seeks to assure you that she will take all measures necessary to prevent physical hazard to
any neighboring dwellings, roads or public facilities and will also provide adequate fencing or notices
to prevent inadvertent public access to the mining permit area. The pond will be located on her
private property off Halls Creek Road, and the excavation area will only be accessible by private gated
entrance.
Please find attached to this letter a map showing the location of the proposed permit area and new
excavation.
We appreciate your help and cooperation on these matters. Ms. Meads is always available to answer
any questions you may have and can be reached at 252-339-6854. I am also available for any questions
and please do not hesitate to call me at 252-339-9021 if I can be of assistance.
Sincerely,
Ken Elliott
For Terri Lynn Meads
PO BOX 112 • AYDLETT, NORTH CAROLINA • 27916
PHONE: [phone] • EMAIL: KEN©KENOBX.COM

NORTH CAROLINA MINING State of North Carolina
PERMIT APPLICATION Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
AFFIDAVIT OF NOTIFICATION
1612 Mail Service Center
Raleigh, NC 27699-1612
[phone]
I, Kenneth Elliott , an applicant, or an agent, or employee of an applicant, for a
new Mining Permit, or a modification of an existing Mining Permit to add land to the permitted area, from the N.C. Department of
Environmental Quality, being first duty swom, do hereby attest that the following are all known owners of record, both public and
private, of all tracts of land that are adjoining the mining permit boundary (including, where an adjoining tract is owned or leased
by the applicant or is owned by the lessor of the mine tract, all owners of record of tracts adjoining these tracts, that are within
1,000 feet of the mining permit boundary) and that notice of the pending application has been caused to be mailed, by certified or
registered mail, return receipt requested, to said owners of record at their addresses shown below, such notice being given on a
form provided by the Department:
Adjoining Landowner Name
Address
Finheads, LLC, Sandra H. Evans, mgr.
150 Bridger Road, Murfreesboro, NC 27855
Martha Haskett
120 E. Camp Perry Road, Hertford, NC 27944
L.M. Twiford, Jr., LoyCe W. Twiford
1353 Four Forks Road, Elizabeth City, NC 27909
Mark A. Grant, Dwaynia K. Grant
PO Box 224, Carrollton, VA 23314
Attach additional list d necessary.
I do also attest that the following individual is the chief administrative officer of the county or municipality in which any part of the
permitted area is located and that notice of the pending application has been caused to be mailed, by certified or registered mail,
return receipt requested, to said office at the following address:
Sparty Hammett, Pasquotank County Manager 206 E. Main Street, Elizabeth City, NC 27909
Chief Administrative Officer Name Address
(i.e.: City Manager, County Manager, Mayor, etc.)
The above attestation was made by me while under oath to provide proof satisfactory to the Department that a reasonable effort
has been made to notify all known owners of record, both public and pdvate, 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(bl) and 15A NCAC 58.0004(d). I understand that it is the responsibility of the applicant to retain the receipts of mailing
showing that the abo notices were caused to be mailed and to provide them to the Department upon request.
11 /04/2022
Signature of Applicant or Agent Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
Name of Applicant
Title of person executing Affidavit
Terri Lynn Meads
Authorized
for
5 McSpQa
'�. Mary
7
E1N9n Mf eW 2
I. a Notary Public of the County of '
State of Carolina, do ereby certify that appeared° ftA y�t7u� �
day and under oath acknowledged that the above Affidavit was made by him/her,
WitnessR�y and and_notarial seal, this day of Q% 20).
Notary: V My commission expires: Lei S4
Revised September 21, 2021 1 18

NORTH CAROLINA MINING State of North Carolina
PERMIT APPLICATION Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
AFFIDAVIT OF NOTIFICATION
1612 Mail Service Center
Raleigh, NC 27699-1612
[phone]
I, Kenneth Elliott , an applicant, or an agent, or employee of an applicant, for a
new Mining Permit, or a modification of an existing Mining Permit to add land to the permitted area, from the N.C. Department of
Environmental Quality, being first duly swom, do hereby attest that the following are all known owners of record, both public and
private, of all tracts of land that are adjoining the mining permit boundary (including, where an adjoining tract is owned or leased
by the applicant or is owned by the lessor of the mine tract, all owners of record of tracts adjoining these tracts, that are within
1,000 feet of the mining permit boundary) and that notice of the pending application has been caused to be mailed, by certified or
registered mail, return receipt requested, to said owners of record at their addresses shown below, such notice being given on a
form provided by the Department:
Adjoining Landowner Name
Address
Louis B. Twiford, Margaret Twiford
1365 Four Forks Road, Elizabeth City, NC 27909
Ava Ann Coppersmith, Annette Coppersmith Dixon
5701 Dean Ave., Raleigh, NC 27616
Jo Ann Haskett Overton
120 E. Camp Perry Road, Hertford, NC 27944
Mary S. Pritchard, Nancy P. Lane
704 W. Church St., Apt. 204, Elizabeth City, NC 27909
Amon adamonai ust it necessary.
I do also attest that the following individual is the chief administrative officer of the county or municipality in which any part of the
permitted area is located and that notice of the pending application has been caused to be mailed, by certified or registered mail,
return receipt requested, to said office at the following address:
Sparty Hammett, Pasquotank County Manager 206 E. Main Street, Elizabeth City, NC 27909
Chief Administrative Officer Name Address
(i.e.: City Manager, County Manager, Mayor, etc.)
The above attestation was made by me while under oath to provide proof satisfactory to the Department that a reasonable effort
has been made to notify all known owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary (including, where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine
tract, all owners of record of tracts adjoining these tracts, that are within 1,000 feet of the mining permit boundary) and the chief
administrative officer of the county or municipality in which any part of the permitted area is located in compliance with N.C.G.S.
74-50(bl) and 15A NCAC 5B .0004(d). I understand that it is the responsibility of the applicant to retain the rNiiiiptstifaaaUjr�
showing that the a s we a caused to be mailed and ve noficeto provide them to the Department upon r` t.$ M C S"O'
Z. 11/04/2022
Signature of Applicant or Agent Date Z` �lotgy
7
If person executing Affidavit is an agent or employee of an applicant, provide the following infornatiod, S' ZC
Name of Applicant Terri Lynn Meads i,�''�e� COt1n�1 S'
Title of person executing Affidavit Authorized Representative for Terri
I, C a Notary Public of the County of L3 i'Ct A CY24
State of N64 Carolina, do hereby certify that appeared before me this
day and under oath acknowledged that the above Affidavit was made by him/her.
Witnes y hand and notarial seal, this day of ht ntskec 201.
. J /
Notary: y commission expires: in_I O
Revised September 21, 2021 1 18

NORTH CAROLINA MINING State of North Carolina
PERMIT APPLICATION Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
AFFIDAVIT OF NOTIFICATION
1612 Mail Service center
Raleigh, NC 27699-1612
[phone]
1, Kenneth Elliott an applicant, or an agent, or employee of an applicant, for a
new Mining Permit, or a modification of an existing Mining Permit to add land to the permitted area, from the N.C. Department of
Environmental Quality, being first duly 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, return receipt requested, to said owners of record at their addresses shown below, such notice being given on a
form provided by the Department:
Adjoining Landowner Name
Address
Michael Thigpen
905 W. Elizabeth Street, Elizabeth City, NC 27909
Roger C. Ferrell, Laurin Ferrell
1005 Halls Creek Road, Elizabeth city, NC 27909
nLwrai auummmi na[ it necessary.
I do also attest that the following individual is the chief administrative officer of the county or municipality in which any part of the
permitted area is located and that notice of the pending application has been caused to be mailed, by certified or registered mail,
return receipt requested, to said office at the following address:
Sparty Hammett, Pasquotank County Manager 206 E. Main Street, Elizabeth City, NC 27909
Chief Administrative Officer Name Address
(i.e.: City Manager, County Manager, Mayor, etc.)
The above attestation was made by me while under oath to provide proof satisfactory to the Department that a reasonable effort
has been made to notify all known owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary (including, where an adjoining tract is owned or leased by the applicant or is owned by the lessor of the mine
tract, all owners of record of tracts adjoining these tracts, that are within 1,000 feet of the mining permit boundary) and the chief
administrative officer of the county or municipality in which any part of the permitted area is located in compliance with N.C.G.S.
74-50(bt) 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 mailed and to provide them to the Department upon request.
t--� 11 /04/2022
Signature of Applicant or Agent Date
If person executing Affidavit is an agent or employee of an applicant, provide the following information:
Name of Applicant Terri Lynn Meads
Title of person executing Affidavit Authorized Reore
a Notary
Of
for Terri
61
State of RTh Carolina, Whereby certify that ►' pnpQy� t � Z$ppeare gfp eyme this
day and under oath acknowledged that
�the
��above Affidavit was made by him/her. _
W tne�s)Nny, hand
/and
dnnotarial seal, this`1'� % day of L4QMfflJQRC �200 �o�ntp " G p4blic U
Notayt,ttiad /aoe� t44�_ My commission expires:
Revised September 21, 2021 Page 118

III Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the from if space permits.
1. Anrcle Atldressed to: -- -�_
Finheads, LLC
Sandra H. Evans, Mgr.
150 Bridget Road
Murfreesboro, NC 27855
A
C.
0
D. Is delivery address different from ftem 1? b Ye:
If YES, enter delivery address below: 0 No
iIIIIIIII
III!III!!II
IIII
IINIII
IIlIII'
111lull
n Restricted Delivery Lj
9590 9402 5869 0038 1153 61
DAemr
0 Cedifled Mail ResUkted Defivery 0
❑ Collect on "'Slivery
2. Article Number Mansfier from servirh lntwa
❑ colect on Mlivery Restricted DaBvery 0
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Ava Ann Coppersmith
Annette Coppersmith Dixon
5701 Dean Avenue
Raleigh, NC 27616
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Louis 8. Twiford
Margaret Twiford
1365 Four Forks Road
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so that we can return the card to you.
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1. Article Addressed to:
10 Ann Haskett Overton
120 East Camp Perry Road
Hertford, NC 27944
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1. Article Addressed to: ----
Mr. Sparty Hammett
Pasquotank County Manager
206 East Main Street
Elizabeth City, NC 27909
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■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Roger C. Ferrell
Laurin Ferrell
1005 Halls Creek Road
Elizabeth City, NC 27909
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Ken and Debra Elliott I I " FJ �IITEr2E a
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Dwaynia K. Grant
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AYDLETT, NC 27916
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November 7. 2022 in AYOLETT, NC 27916.
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GRANDY. NC 27939
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7019 0160 0000 9887 4741
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NORTH CAROLINA MINING State of North Carolina 1612 Mail Service Center
PERMIT APPLICATION Department of Environmental Quality Raleigh, NC 27699-1612
Division of Energy, Mineral, and Land Resources [phone]
G. LAND ENTRY AGREEMENT
We hereby grant to the Department or its appointed representatives the right of entry and travel upon our lands or operation
during regular business hours for the purpose of making necessary field inspections or investigations as may be reasonably
required in the administration of the Mining Act of 1971 pursuant to G.S. 74-56.
We further grant to the Department or its appointed representatives the right to make whatever entries on the land as may be
reasonably necessary and to take whatever actions as may be reasonably necessary in order to carry out reclamation which the
operator has failed to complete in the event a bond forfeiture is ordered pursuant to G.S. 74-59.
LANDOWNER:
Signature
Print Name Terri Lynn Meads
Title (if applicable) Owner -
Company [If applicable)
Address 1409 Nixonton Road
Elizabeth City, NC 27909
Telephone [phone]
Date Signed 11 /10/2022
APPLICANT:
Signature'
Print Name
Terri Lynn Meads
Title
Owner
Company
Mine Name
Meads Pond
Telephone
252-339-6854
Date Signed
11 /10/2022
'Signature must be the same as the individual who signed Page 1 of this application.
Inquiries regarding the status of the review of this application should be directed to the Mining Program staff at [phone].
Revised September 21, 2021 Page 119

WATER WITHDRAWAL AND
TRANSFER REGISTRATION
New Registration
NCDEQ
Division of Water Resources
1611 Mail Service Center
Raleigh, NC 27699-1611
Tel: [phone]
Fax: [phone]
Web: htto://www.ncwater.oro
1-A.
Facility Name: Iwedua rules
For Office Use Only
1-B.
Owner Name: Tend Lynn Meads
Reoistration C
1-C.
Address: 1409 Nixonton Road
City: Elizabeth City
State: NC Zia Cade: 279M
1-0.
Countv: Pasquotank
1-E. River Sub -Basin: Pasquotank
1-F.
Contact Person: Kenneth Elliott 1-G.
Title: Consultant
1-H.
Telephone: ( 1 252-339-9021 1-I.
Fax: ( 1 n/a
i-J.
Email: ken(ad)kPnnhx.com
1-K.
Water Use. Type (select one):
..._....
.._...
❑ Agriculture-aquacufture
❑
.._.......__.. _........... .---......_... _ .............
Industrial-metaVplastic/fiberglass manufacturing
❑ Agriculture -row -crop fanning and research
❑
Industrial -animal processing
❑ Agriculture -land drainage/waterfowl impoundments
❑
Industrial -textile manufacturing
❑ Agriculture -plant nursery
❑
Industrial-wood/paper products
❑ Agriculture -sod and turf production
❑
Industrial -environmental remediation
❑ Agriculture -Christmas tree production
Mining -mineral extraction
❑ Agriculture -animal production
❑
PWS-drinking water (ID# )
❑ Energy -hydropower
❑
Recreation -temporary filling of ponds
❑ Energy -pipeline testing (temporary)
❑
Recreation -golf course
❑ Energy -thermal -electric (steam -electric power, nuclear,
El
Recreation-snowmaking
turbine generator)
❑ Industrial -chemical and pharmaceutical
❑
Recreation -water sports
2-A Avwnne Aaily withdrawal and ma»mum day withdrawal by mnn}h in million nallnne ror day /Mr:rll
Month
# of Days
Used
Average Daily
Withdrawal
MGD
Maximum Day
Withdrawal
MGD
Month
# of Days
Used
Average Daily
Withdrawal
MGD
Maximum Day
Withdrawal
MGD
Jan
July
Feb
Aug
Mar
Sep
Apr
Oct
May
Nov
Jun
Dec
2-B. Ground Water Information — Please complete a row for each around water withdrawal source used in 2009.
Well or Sump
Identifier
(35.1t23456)
(-77.itude t23456)
Well
Dept
(Feet)
Pump
(Depth
Feet
Screen Depth
Wntakeell
Diameter
(Inches)
Average
Daly
Withdrawal
MGD
# of
days
used
Pumping
Capacity
(MGD)
Top
(Feet)
Bot
(Feet)
51-r C, vfaro Wa}ar Infnrmlnno
Source Identifier
' Source
Source
Latitude
(35.123456)
Longitude
(-77.123456)
Average Daily
Withdrawal
GD
# of
days
used
Sub -Basin
Pumping
Capacity
MGD
Meads Pond
Quarry
36.225386
-76.278223
Pasquotank
0.180
Source Type — Choose one of the following: Lake, Pond, Quarry, Reservoir, River, or Stream.
Rev. 05108/2017

SECTION 3: DISCHARGE INFORMATION
3-A. Enter the average dajIv amount of water disc ha ed each month in million gallons Per da MGD .
Month
# of Days
Discharged
Average Daily
Discharge
MGD
Maximum Day
Discharge
MGD
Month
# of Days
Discharged
Average Daily
Discharge
MGD
Maximum Day
Discharge
MGD
Jan
July
Feb
Aug
Mar
Sep
Apr
Oct
May
Nov
Jun
Dec
3-B. Please complete a row for each discharge method.
Identifier or
Perk Number
"Discharge
Type
Latitude
(35.123456)
Longitude
(-77.123456)
Average Daily
Discharge
MGD
#of
Days
Used
Sub -Basin
Permitted
Capacity
MGD
SDO-1
Discharge
36.224842
-76.278418
Pasquotank
0.180
" Discharge Type - Choose one of the following: Discharge, Hydropower, Land Application, Subsurface, or To Another System.
SECTION 4: SURFACE WATER BASIN TRANSFER
Complete this section if you withdraw or purchase water that is not returned to the river sub -basin from which It was withdrawn.
w m. rmase com iece a row Tor eacn vransrer or surace waver
mom one sup-oasin to anomer.
Description of Transfer
Source Sub -Basin
Receiving Sub -Basin
Daily Transfer
Capacity
MGD
4-B. Enter the average daily and maximum day surface water transfer amounts by month in million gallons per day (MGD):
Month
# of Days
Transferred
Average Daily
Transfer
MGD
Maximum Day
Transfer
MGD
Month
# of Days
Transferred
Average Daily
Transfer
MGD
Maximum Day
Transfer
MGD
Jan
July
Feb
Aug
Mar
Sap
Apr
Oct
May
Nov
Jun
Dec
If latitude and longitude are unknown for any water withdrawal or discharge location listed above please submit a map clearly
marking and labeling all water withdrawal and discharge locations on an appropriate US Geological Survey topographic map or a
comparable map.
Do you have any comments? Mine dewatering wastewater withdrawn from mining operation discharges to sediment pond
which then overflows & discharges to field ditch draining to Halls Creek thence to Little River,
and then to Albemarle Sound.
Kenneth Elliott for Terri Lynn Meads Kenneth Elliott
PRINT/TYPE Name of Person Registering
Signature
November 15, 2022
Date
Rev. 05/08/2017

Duly Authorized Representative (DAR) Delegation Form
Facility Name: MeadS Pond
Ala: 1
Prior to completing this form, please ensure the person completing this form is an authorized signatory. An authorized signatory is as
follows:
(1) For a corporation. By a responsible corporate officer. For the purpose of this section, a responsible corporate officer means:
(i) A president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any
other person who performs similar policy- or decision -making functions for the corporation, or
(ii) the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to
make management decisions which govern the operation of the regulated facility including having the explicit or implicit
duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to
assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit application
requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with
corporate procedures.
(2) For a partnership or sole proprietorship, a general parmer or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency, either a principal executive officer or ranking elected official. For
purposes of this section, a principal executive officer of a Federal agency includes: (i) the chief executive officer of the
agency, or (ii) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the
agency.
This authorization may specify either named individual(s) or position(s) that must have responsibility for the overall operation of the
regulated facility, activity, or environmental matters for the company. Please identify either named individual(s) orposition(s) (not
both) and then complete the "Facility Contact Identification Form "for identified individuals.
I certify I am an Authorized Signatory and am requesting the following persons/positions to be Duly Authorized Representative
(DAR) in order to complete reports required by NCDEQ permits and submit information requested by the NCDEQ Director on behalf
of the above facility.
Kenneth Elliott
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
Terri Lynn Meads Amaja .P
Typed or printed name of authorized signatory Signature of authorized signatory
Owner / operator
Title of authorized signatory
11-10-2022
Date

Facility Contact Identification Form
Number:
/fan existing contact is being replaced with a new contact, please identify the existing contact that is to be replaced on the
"Existing Contact" line.
New Facility Contact: Kenneth Elliott Title, Consultant
Existing Facility Contact to be replaced (if applicable):
Facility Contact Mailing Address: PO Box 112, Aydlett, NC 27916
Facility Contact Telephone No:
New Facility Contact:
252-339-9021
Existing Facility Contact to be replaced (if applicable):
Facility Contact Mailing Address:
Facility Contact Telephone No:
New Facility Contact:
Existing Facility Contact to be replaced (if applicable):
Facility Contact Mailing Address:
Facility Contact Telephone No:
New Facility Contact:
Existing Facility Contact to be replaced (if applicable):
Facility Contact Mailing Address:
Facility Email: [e-mail]
Facility Email:
Facility Email:
Facility Contact Telephone No: Facility Email:
Title:
Title:
Title: