NCG021077_Application_20260710

�. FOR AGENCY USE ONLY
NCG02 L 0 NB Project No. 25027
Assigned to:
ARO FRO MRO RRO WARD IR WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System RECEIVED
ry
NCG020000 Notice of Intent C C V ED
JUL 14 2026
This General Permit covers STORMWATER AND/OR WASTEWATER DISCHARGES associated with activities under
SIC(Standard Industrial Classification)Code 14[Mineral Mining Industry]except for:peat mining,rgggldrLj�ji{g�„A TIN�a
metal mining, oil and gas extraction, tourist gem mines, NCDOT borrow pits, in-stream sand mining, an U�tMW
discharges from mining operations which are intermixed on site with stormwater from concrete operations. You
can find information on the DEMLR Stormwater Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (9) below to: NCDEMLR Stormwater Program, 1612 MSC, Raleigh,NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator(to whom all permit correspondence will be mailed):
Name of legal organizational entity: Legally responsible person assigned in Item(10)below:
DLS Ground Maintenance Inc. Davy Lee Simmons
Street address: City: State: Zip Code:
14014 James B White Hwy S Tabor City NC 28463
Telephone number: Email address:
910-840-5255 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑ State
Non-government
IXBusiness(If ownership is business,a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility(facility being permitted):
Facility name: Facility environmental contact:
DLS Sand Pit Davy Lee Simmons
Street address: City: State: Zip Code:
5975 Galloway Farm TRL NW Ash NC 28420
Parcel Identification Number(PIN) County:
1630001716 Brunswick
Telephone number: Email address:
910-840-5255 1 [e-mail]
Latitude of entrance: Longitude of entrance: -78.4955
34.0127
4-digit SIC code: Facility is: Date operation is to begin or began:
19 New ❑ Proposed
1442 Cl Existing ASAP
Types of minerals mined at this facility:
❑ Clay ❑ Feldspar Ore ❑ Lithium Ore ❑ Phosphate []Soil 9 Construction Sand ❑ Industrial Sand
❑ Other:
Page 1 of 11

Is this a processing-only facility for materials mined elsewhere? Is this an inactive mine site?
❑ Yes ❑Yes
R No 19 No
Does total area of this mine site include ready-mixed concrete plant and/or asphalt plant areas?
❑ Yes,and has separate NPDES stormwater permits(provide permit numbers):
❑Yes,and does not have separate NPDES stormwater permits
!3 No
Does this facility already have a valid Mining Permit from DEMLR's Land Quality Section?
❑Yes(please provide the Mining Permit Number)
5? No(please indicate the status of the Mining Permit application)
Are you applying for a discharge permit in the same location as a previously permitted mine?
❑Yes(please provide permit number and mine name)
59 No
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
9 N/A
3. Consultant(if applicable):
Name of consultant: Co ulti0 f
orril 1716land Consulting Engineers P.C.
Strfipt�ddss -Little River Rd. NW City:Ash State NC zip Code
0
Telephone number: Email address:)[e-mail]
910-287-5900
4. Development Activities and Buffers
Mining operation will precede development activities at this site:
❑ Yes
& No
Mine is located within one of the 20 Coastal Counties,and will it add more than 10,000 ft2 of impervious surface:
❑Yes(to both)
R No,this mine is within one of the 20 Coastal Counties,but will not at more than 10,000 ft2 of impervious surface
❑ No,this mine is not within one of the 20 Coastal Counties
Mine is in the Neuse,Tar-Pamlico,or Catawba River Basins, OR in the Randleman or Jordan Water supply Watersheds?
❑Yes(specify size of stream buffers)
5? No
Mine site will include wastewater discharges from a ready-mix concrete batch plant?
❑ Yes(please seek additional coverage under General Permit NCG140000:Ready-Mix Concrete)
R No
S. Mine Dewatering
Mine dewatering will occur at this site:
9 Yes ❑ No(mark N/A for the rest of this section)
Mine dewatering from this facility will be discharged to:
❑Surface Waters and/or Wetlands
❑Other(specify)
Mine will not discharge dewatering to Surface Waters and/or Wetlands;specify how dewatering will occur and where
water will be directed: discharged to dewatering basin. Basin then discharges into onsite drainage ditch.
❑N/A
Page 2 of 11

Wetlands and/or Surface Waters are within 400'of the mine pit perimeter: 404/401 Certification permits required:
❑Yes(specify distance) ❑Yes(briefly describe)
19 No Environmental Consultant identified non. ❑ No
❑ N/A ❑ N/A
Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
❑Yes(please attach to this application) ❑ No
6. Wastewater Treatment
Will this facility wash mined materials?
❑Yes 9 No
Will discharges of process wastewater treatment systems occur(including possible recycle system overflows)
❑Yes(please describe)
19 No
Will this facility employ chemical additives to flocculate suspended solids?
❑Yes(specify name/manufacturer/quantity of daily use)
R No
Note: please visit:https//files nc aov/ncdea/water+Quality/Environmental+Sciences/ATU/PAM8 30 18 odf for list of
approved PAMS
Will any of the wastewater treatment facilities at this mine overflow only during rainfall events that exceed the 10-yr,24-hr
rainfall event?
❑Yes(specify which systems)
19 No
Are wastewater treatment facilities(including recycle systems)planned in the 100-year flood plain?
❑Yes 19 No
Wastewater Treatment Alternative Review as required by 15A NCAC 2H.0105(c)(2)
Types of wastewater this mine site will discharge: :R Mine Dewatering ❑ Process Wastewater
Types of wastewater considered for this alternative review: 19 Mine Dewatering ❑Process Wastewater
Are there existing sewer lines within a one-mile radius?
❑Yes
❑Wastewater treatment plant will accept wastewater
❑ Is feasible to connect(explain)
❑ Is not feasible to connect(explain)
❑Wastewater treatment plant will not accept wastewater(please attach letter documenting this)
R No
Page 3 of 11

Are you already proposing a closed-loop recycle system(CLRS)that meets design requirements of 15A NCAC 2T.10000?
❑Yes,for dewatering
❑ Yes,for process wastewater
❑Yes,for both
❑ No,this option is technologically feasible(explain)
❑ No,this option is not technologically feasible(explain)
❑ No,this option is otherwise feasible(explain)
&No,this option is otherwise not feasible(explain) Collected water needs to be removed from pit area.
What is the feasibility of building a CLRS compared to direct surface water discharge?
Surface or Subsurface Disposal System
9 A surface or subsurface disposal system is technologically feasible(explain)Water is routed to dewatering basin.
The basin then discharges into the onsite drainage ditch and is routed off site.
❑A surface or subsurface disposal system is not technologically feasible(explain)
❑A surface or subsurface disposal system is otherwise feasible to implement(explain)
❑A surface of subsurface disposal system is not otherwise feasible to implement(explain)
What is the feasibility of employing a subsurface of surface discharge as compared to a direct discharge to surface waters?
Direct Discharge to surface waters is the most environmentally sound alternative to all reasonably cost-effective options
for the wastewaters being considered?
R Yes
❑ No
If this review included all wastewater discharge types,would excluding some types make any of the above non-discharge
options feasible for some the wastewaters?
❑Yes
9 No
7. Outfalls(s)At least one outfall is required to be eligible for coverage.
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
1 1 Wet Ash Swamp C;SW ❑This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater IN Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HOW,
ORW,Tr,WS-1,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event 9 Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
On As Needed Basis
Latitude of outfall: Longitude of outfall: -78 4943
34.0122
Brief description of the industrial activities that drain to this outfall:
Sand Mine
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes 19 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Page 4 of 11

Discharge from this outfall is from:
❑ Stormwater ❑ Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody,(if discharging Mine Dewatering or Process Wastewater to waters classified as HOW,
ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar ear?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater ❑ Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody,(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW,
ORW,Tr,WS-1,WS-11,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: I Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater ❑ Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HOW,
ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL
Discharge from this outfall is from:
❑Stormwater ❑ Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HOW,
ORW,Tr,WS-I,WS-I I,WS-III,SA,or PNA):
Discharge occurs from this outfall:
Page 5 of 11

❑ only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls"found on the last page of this NOI.
8. Other Facility Conditions (check all that apply and explain accordingly):
❑This facility has other NPDES permits. If checked,list the permit numbers for all current NPDES permits:
❑This facility has Non-Discharge permits(e.g.recycle permit). If checked,list the permit numbers for all current Non-
Discharge permits:
19 This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram: Dewatering Basin
I?This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented: Currently Being Developed.
❑This facility stores hazardous waste in the 100-year floodplain.
If checked,describe how the area is protected from flooding:
❑This facility is a(mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked,indicate:
Kilograms of waste generated each month: Type(s)of waste:
How material is stored: Where material is stored:
Number of waste shipments per year: Name of transport/disposal vendor:
Transport/disposal vendor EPA ID: Vendor address:
❑This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions:
❑ Facility provides appropriate secondary containment for bulk storage of liquid materials
If checked, briefly describe these measures:
❑ Site has an active landfill within the mining permit boundary
If checked, please indicate type:
a) ❑ LCID(Land clearing and Inert Debris)
b) ❑ other(specify)
Page 6 of 11

9. Required Items(Application will be returned unless all of the following items have been included):
❑ Check for$120 made payable to NCDEQ
❑ Copy of most recent Annual Report to the NC Secretary of State(if applicable)
❑This completed application and any supporting documentation
❑ Copy of the approved mining permit or indication of mining permit application status
❑ Copy of US Army Corps—approved wetland delineation(if applicable)
❑ Line drawing of the water flow through the facility or block flow diagram
® Pictorial description of the nature of any sources of water and any collection and treatment measures
IR A site diagram showing, at a minimum,existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where process materials are stored
g) impervious areas
h) site property lines
copies of large scale(24"x36"minimum)site plan showing:
a) topographical lines
b) all outfall locations
c) applicable buffers and delineated wetlands
d) receiving waters
e) 100-year flood plain(if applicable)
9 Copy of county map or USGS quad sheet with the location of the facility clearly marked
If mines site is in one of the 20 Coastal Counties(if applicable)
®Applicant has check with the appropriate regional office to verify the need for a Coastal State Stormwater permit.
a) Indicate the Regional Office Contact: Christine Hail
9 Detailed list of: N/A
a) impervious surface areas and percentages
b) sub-drainage areas
c) total drainage area
If mine is dewatering and near wetlands,or may otherwise impact surface waters or groundwater
19 2 copies of large scale(24"x36"minimum)plans delineating areas on the listing acreage including:
a) wetlands
b) ditches
c) well-placements
d) pits
e) borrow areas
f) overburden storage
g) stormwater controls/BMPs
h) vehicle maintenance areas
1) settling basins
j) product process(such as screening,stockpiles,and waste piles)
k) total drainage area
I) impervious surface percentages(if state stormwater programs apply)
m) applicable buffers
n) access and/or haul roads
❑ Pump dewatering size and information on its specifications
Page 7 of 11

❑Well information(design,depths,maintenance)
❑ Physical monitoring for the wetland areas
Ed Settling pond size information,if applicable
❑ Level spreader design,if applicable
❑ Details about dewatering method
❑ Cone of influence calculations
❑ Description of measures to prevent erosion and flooding
❑ Description and information about 401/404 permits that have been obtained
❑ Copy of US Army Corps of Engineers wetlands delineations or approved wetland delineation(if applicable) N/A
❑ 1 have contacted my local regional office about a Pumping Operation and Monitoring(POM)plan
a) Regional Office Contact:
b) Date Contacted:
10.Applicant Certification:
North Carolina General Statute 143-215.6B(i)provides that: Any person who knowingly makes any false statement,
representation,or certification in any application,record,report,plan,or other document filed or required to be maintained
under this Article or a rule implementing this Article.. .shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars($10,000).
Under penalty of law, I certify that:
El�l am the person responsible for the permitted industrial activity,for satisfying the requirements of this permit,and for any
civil or criminal penalties incurred due to violations of this permit.
EfThe information submitted in this NOI is,to the best of my knowledge and belief,true,accurate,and complete based on
my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the
information.
2 I will abide by all conditions of the NCG020000 permit.I understand that coverage under this permit will constitute the
hermit requirements for the discharge(s)and is enforceable in the same manner as an individual permit.
IJ I hereby request coverage under the NCG020000 General Permit.
Printed Name of Applicant: 'R.,TS,
Title: �isi/1i.,.r /ota�»e✓'
s � S � 7'-53 -trio
(Signatu of Applicant) (Date Signed)
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 8 of 11

r 9
b4�1
J. Phillip Norris, P.E. Joseph K. Bland, P.E.N O R R I S Er BLAND [e-mail]
910-287-5900 r.COm - CONSULTING ENGINEERS, P.C. - 910-287-5900
910-287-5900
1429 Ash-Little River Road NW, Ash, NC 28420
www.nbengr.com
July 8, 2026
NCDEQ—StormwaterProgram D �(1f 117..0
512 N. Salisbury St., Office 640K Fiy� 1rOO O
Raleigh, NC 27604 RSTOR*'�k RPR�p���
Re: Notice of Intent General Permit for Dewatering Submittal ' V
DLS Sand Pit
Brunswick County, NC
NB Project No. 25027
Dear Reviewer,
This project is currently under review for a state mining permit. Also, a site assessment from our
Environmental Consultant identifies no wetlands onsite. We have requested confirmation from
ACOE. In connection with the NCG01 Notice, please find enclosed the following:
• Processing Fee $127.00 (Norris & Bland Check No 1271)
• A copy of the most recent Annual Report for DLS Ground Maintenance Inc.
• NPDES NCG02 Notice of Intent
• USGS map
• POM Plan
• Dewatering Calculations
• SEGI Environmental Consultant field sketch
• 2 Sets Sand Mine Maps with Details Sheet
Please review this information for approval and contact us with any questions or comments you
may have. Thank you for your assistance with this project.
NORRIS& BLAND
CONSULTING ENGINEERS, P.
A� �L l� -W
Jo eph �. Bland, P.E.
1KB/ttw
cc: Davy Simmons
NCBELS License C-5102

r!q,y. ■
,. ' BUSINESS CORPORATION ANNUAL REPORT
10-2017
NAME OF BUSINESS CORPORATION: DLS Ground Maintenance Inc. - - - -- ---
Filing Offim Use Only
SECRETARY OF STATE ID NUMBER: 1702266 STATE OF FORMATION: NC 1E 702266Reda Annual Report
CA202511805255
4r282025 09:32
REPORT FOR THE FISCAL YEAR END: 12131/2024
SECTION A: REGISTERED AGENTS INFORMATION Changes
1.NAME OF REGISTERED AGENT: Davy Lee Simmons
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
14014James B White Hwy S 14014 James B White Hwy S
Tabor City, NC 28463 Columbus County Tabor City,NC 28463
SECTION B:PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: GROUND MAINTENANCE ACTIVITIES
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
14014 James B White Hwy S 14014 James B White Hwy S
Tabor City, NC 28463 Tabor City,NC 28463
6.Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran-owned small business
❑ The company is a service-disabled veteran-owned small business
SECTION C:OFFICERS(Enter additional officers in Section E.)
NAME: Davy Lee Simmons NAME: NAME:
TITLE: President TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
14014 James B White-Hwy 5 - - --
Tabor City,NC 28463
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Davy Lee Simmons 4/28/2025
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Davy Lee Simmons President
Print or Type Name of Officer Print or Type Tifie of officer
I his Annual Keoort has been tiled electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

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PUMPING OPERATION&MONITORING PLAN
OILS SAND PIT
Galloway Farm Trail NW
Brunswick County,North Carolina
For
DLS Ground Maintenance
Davy Lee Simmons
14014 James B.White Hwy S,Tabor City, NC 28463
[e-mail]/910-840-5255
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Prepared by:
NORRIS&BLAND CONSULTING ENGINEERS,P.C.
1429 Ash-Little River Rd. NW,Ash, North Carolina 28420
[phone]/[e-mail]/[e-mail]
License#C-5102
N&B Project No. 25027

Pumping Operation&Monitoring Plan
DLS SAND PIT
PUMP SPECIFICATIONS
The selected pump will be the following:
• 4"Godwin CD 100S
MONITORING OF WETLAND AREAS
Sediment discharge sampling per General Permit No. NCG020000
Representative Sampling
Samples collected and measurements taken, as required herein, shall be characteristic of
the volume and nature of the permitted discharge. Analytical sampling shall be performed
during a measurable storm event. Samples shall be taken on a day and time that is
characteristic of the discharge.All samples shall betaken before the discharge joins or is
diluted by any other waste stream, body of water, or substance. Monitoring points as
specified in this General Permit shall not be changed without notification to and approval of
the Permit Issuing Authority[40 CFR 122.41(j)].
gecordi gResults
For each measurement or sample taken pursuant to the requirements of this General
Permit,the permittee shall record the following,information [40 CFR 122.41]:
• The date,exact place,and time of sampling or measurements;
• The individual(s)-who performed the sampling or measurements;
• The date(s)analyses were performed;
• The individual(s)who performed the analyses;
• The analytical techniques or methods used;and
• The results of such analyses.
Flow Measurements
Where .required, appropriate flow measurement devices and methods consistent with
accepted scientific practices shall be selected and used to ensure the accuracy and
reliability of measurements of the volume of monitored discharges.
Test Procedures
Test procedures for the analysis of pollutants shall conform to the EMC regulations
published pursuant to NCGS 143-215.63 at. seq, the Water and Air Quality Reporting Acts,
and to regulations published pursuant to Section 304(g),33 USC 1314, of the Federal Water
Pollution Control Act, as Amended, and Regulation 40 CFR 136.
To meet the intent of the monitoring required by this General Permit, all test procedures

must produce minimum detection and reporting levels and all data generated must be
reported down to the minimum detection or lower reporting`Level of the procedure. If no
approved methods are determined capable of achieving minimum detection and reporting
levels below the General Permit discharge requirements,then the most sensitive (method
with the lowest possible detection and reporting level)approved method must be used.
Bepresentative Outfall
If a facility has multiple discharge locations with substantially identical stormwater
discharges that are required to be sampled, the permittee may petition the Director for
representative outfall status. If it is established that the stormwater discharges are
substantially identical and the permittee is granted representative outfall status, then
analytical sampling requirements may be performed at a reduced number of outfalls.
Records Retentton
Visual monitoring shall be documented and records maintained at the facility along with the
Stormwater Pollution Prevention Plan (SPPP). Copies of analytical monitoring results shall
also be maintained on-site or be available electronically to a DEMLR inspector upon
request.The permittee shalt retain records of all monitoring information, including:
• All calibration and maintenance records
• All original strip chart recordings for continuous monitoring instrumentation
• Copies of all reports required by this General Permit, including Discharge Monitoring
Reports(DMRs)and eDMR or other electronic DMR report submissions
• Copies of all data used to complete the Notice of Intent to be covered by this
General Permit
These records or copies shalt be maintained for a period of at least 5 years from the date of
the sample, measurement, report or Notice of Intent application. This period may be
extended by request of the Director at anytime[40 CFR 122.41].
Inspection and E-Ury
The permittee shall allow the Director, or an authorized representative (including .an
authorized contractor acting as a representative of the Director), or in the case of a facility
which discharges through a municipal separate storm sewer system, an authorized
representative of a municipal operator or the separate storm sewer system receiving the
discharge, upon the presentation of credentials and other documents as may be required
by Law,to:
• Enter upon the permittee's premises where a regu Lated facility or activity
is located or conducted, or where records must be kept under the
conditions of this General Permit;
• Have access to and copy,at reasonable times,any records that must be
kept under the conditions of this General Permit;
• Inspect at reasonable times any facilities, equipment (including
monitoring and control equipment), practices, or operations regulated
or required underthis General Permit;and

• Sample or monitor at reasonable times, for the purposes of assuring
permit compliance or as otherwise authorized by the Clean Water Act,
any substances or parameters at any location [40 CFR 122.41(i)].
Discharge QDD Wring Reports
Samples analyzed in accordance with the terms of this General Permit shall be recorded on
Discharge Monitoring Report (DMR) forms provided by the Director or submitted
electronically to the appropriate authority using an approved electronic DMR reporting
system (e.g., eDMR). Annual Summary DMRs shall be delivered to the Division (Central
Office)no later than March 1 of each year(See 2. of this section). In addition, any samples
analyzed in accordance with the terms of this permit that violate a wastewater effluent limit
orexceed a stormwater benchmark value shall be submitted to the Division Regional Office
on a DMR form and delivered to the Division Central Files no later than 30 days from the
date the facility receives the sampling results from the laboratory. DMR forms are
available on the Division's website (http://pQrta_1.ncdenr.orWweb/ir/npdes-stormwater).
Regardless of the submission method (paper or electronic), submittals shall be delivered to
the Division, or appropriate authority, according to the provisions above.
When no discharge has occurred from the facility during the report period, the permittee is
required to submit a discharge monitoring report,within 30 days of the end of the specified
sampling period, giving all required information and indicating "NO FLOW" as per NCAC
T15A 02B .0506.
If the permittee monitors any pollutant more frequentlythan required bythis General Permit
usingtest procedures approved under 40 CFR Part 136 and at a sampling location specified
in this General Permit or other appropriate instrument governing the discharge, the results
of such monitoring shall be included in the data submitted on the DMR.
The permittee shall record the required qualitative monitoring observations on the SDO
Qualitative Monitoring Report form provided by the Division and shall retain the completed
forms on site.Qualitative monitoring results should not be submitted to the Division,except
upon DEMLR's specific requirement to do so. Qualitative Monitoring Report forms are
available at the website above.
Submittin R-e Dits
Two signed copies of the Annual Summary Discharge Monitoring Report (DMR) shall be
submitted no later than March 1 of each year to DWR Central Files (not DEMLR):
Central Files
Division of Water Resources
(DWR) 1617 Mail Service
Center
Raleigh, North Carolina 27699-1617

If wastewater monitoring results indicate a wastewater effluent limit violation, a signed
DMR form for that monitoring period shall be sent to the appropriate DEMLR Regional Office
(Attn: Stormwater Permitting Program) no later than 30 days from the date the facility
receives the sampling results from the laboratory.
If stormwater monitoring results indicate a stormwater benchmark value exceedance or
the facility is in Tier 2 monitoring, a signed DMR form for that monitoring period shall be
sent to the appropriate DEMLR Regional Office (Attn: Stormwater Permitting Program) no
Later than 30 days from the date the facility receives the sampling results from the
Laboratory. All stormwater outfall parameters shall be monitored and reported for any
monitoring period that the facility is following a Tier 2 response.
Addresses for each RO and the counties covered by each RO can be found here:
https//portal.ncd-en�org/we_blguuA/_reeional-offices. The permittee shall retain the
completed originals on site.Visual(Qualitative) monitoring results should not be submitted
to the Division unless specifically requested.
Blank DMR forms, Annual Summary DMR forms, and visual monitoring forms are available
at the website of the Division's Stormwater Permitting Program:
htto://nortat.ncdenr.org/web/tr/o s-stormwater
The Permit Issuing Authority may require the permittee to begin reporting monitoring data
electronically during the term of this permit. The permittee may be required to use North
Carolina's eDMR internet application for that purpose. Until such time that the state's eDMR
application is compliant with EPA's Cross-Media Electronic Reporting Regulation
(CROMERR), permittees will be required to submit all discharge monitoringdata to the state
electronically using eDMR and will be required to complete the eDMR submission by
printing, signing, and submitting one signed original and a copy of the computer printed
eDMR to the address above.
Availability of Rep-ojts
Except for data determined to be confidential under NCGS 143-215.3(a)(2)or Section 308 of
the Federal Act, 33 USC 1318, all reports prepared in accordance with the terms shall be
available for public inspection atthe offices of the Division.As required bytheAct,analytical
data shall not be considered confidential. Knowingly making any false statement on any
such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.66 or in Section 309 of the Federal Act.
ND_n-,5_tormw_ater Ql cha ges
If the storm event monitored in accordance with this General Permit coincides with a non-
stormwater discharge, the permittee shall separately monitor all parameters as required

_ under all other applicable discharge permits and provide this information with the
stormwater discharge monitoring report.
Planned Changes
The permittee shall give notice to the Director as soon as possible of any planned changes
at the.permitted facility which could significantly alter the nature or quantity of pollutants
discharged [40 CFR 122.41(l)]. This notification requirement includes pollutants which are
not specifically listed in the General Permit or subject to notification requirements under40
CFR Part 122.42(a).
Anticipated N no comP_(i-D
The permittee shall give advance notice to the Director of any planned changes at the
permitted facility which may result in noncompliance with the General Permit [40 CFR
122.41(l)(2)l.
S ills
The permittee shall report to the local DEMLR Regional Office,within 24 hours,all significant
spills as defined in Part VI of this General Permit. Additionally, the permittee shall report
spills including:
• Any oil spill of 25 gallons or more, any spill regardless of amount that
causes a sheen on surface waters, any oil spill regardless of amount
occurringwithin 100 feet of surface waters, and any oil spill Less than 25
gallons that cannot be cleaned upwithin 24 hours.
Bypass
Notice[40 CFR 122.41(m)(3)1:
• Anticipated bypass. If the permittee knows in advance of the need for a bypass, it
shalt submit prior notice, if possible at least ten days before the date of the bypass;
including an evaluation of the anticipated quality and effect of the bypass.
• Unanticipated bypass. The permittee shall submit notice within 24 hours of
becoming aware of an unanticipated bypass.
Twenty-four Hour Re on rting
The permittee shall report to the central office or the appropriate regional office any
noncompliance which may endanger health or the environment. Any information shall be
provided orally within 24 hours from the time the permittee became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
The written submission shall contain a description of the noncompliance, and its causes;
the period of noncompliance, including exact dates and times, and if the noncompliance

has not been corrected,the anticipated time compliance is expected to continue;and steps
taken or planned to reduce, eliminate, and prevent reoccurrence of the-noncompliance-[40
CFR 122.41(l)(6)].
• The Director may waive the written report on a case-by-case basis for reports under
this section if the oral report has been received within 24 hours.
• Occurrences outside normal business hours may also be reported to the Division's
Emergency Response personnel at [phone], [phone] or (919) 733-
3300.
Other Noncomplianc
The permittee shall report all instances of noncompliance not reported under 24 hour
reporting at the time monitoring reports are submitted [40 CFR 122.41(t)(7)].
Other Information
Where the Permittee becomes aware that itfailed to submit anyrelevant facts in a Notice of
Intent to be covered under this General Permit, or submitted incorrect information in that
Notice of Intent application or in any report to the Director, it shall promptly submit such
facts or information[40 CFR 122.41(l)(8)].
DEWATERING METHOD
Water will be discharged to the nearby wetlands. Mining will begin towards the back of the
property and work its way to the front. Dewatering basin locations have been shown on the
plans.
DLS Sand Pit
• Place the portable pump at the proposed location designated on the plans.
o Pump water into the existing dewatering basin.
o Monitor discharge from basin to existing onsite ditch.
EROSION AND FLOOD PREVENTION
Silt fence will be installed along the haul road where wetlands are immediately adjacent.
Other measures will be implemented as deemed necessary.

DEWATERING CALCULATIONS
DLS SAND PIT
Galloway Farm Trail NW
Brunswick County,North Carolina
For
DLS Ground Maintenance
Davy Lee Simmons
14014 James B.White Hwy S,Tabor City, NC 28463
[e-mail]/910-840-5255
Z' SEA►- __
.41620
•.F I ,v
G P Q,�O�•
Prepared by:
NORRIS& BLAND CONSULTING ENGINEERS, P.C.
1429 Ash-Little River Rd. NW,Ash, North Carolina 28420
[phone]/[e-mail]/[e-mail]
License#C-5102
N&B Project No. 25027

Dewatering Basin Design *items in red are inputs
Version 2.27.09
volume of the borrow pit dewaterfng basin wilt be based on a 2 hots retention time. Using the formula
...ns's:. . `" pa a. ♦ i.''.• d �t ...... ,3io{t-Y.._ # r.¢l5P ro snn>t 1tA B pf3`y''? g�
STEP 1: Input required variables
A the borrow pit dewatering basin
Pump Rate: GPM i s t).4"on a 2 hour retention time.The
Retention Time: hours np rate shall not exceed 1,000 GPM (60,000
,PH). The contractor may desire a greater
retention time for managing turbidity;
Required Volume: 8020.3 ft3 never, work associated with this Increased
�kYSSfde!'ed insi�irentai.
STEP 2: Design of the Dewatering Basin
Final Required Volume: 8020.3 ft3
Design Depth: not to exceed 3 feet
Proposed Basin Side Slopes: :1 side slopes "must be at least 1.5:1 or flatter
OPTIONS
2:1 L: 3:1 L:
Suggested Top Width (ft): 37 30
Suggested To Length ft: 74 90
Final Design Top Width (ft):
Final Design To Length ft: 112 138
Final Design Depth ft : 3 3
15936.00 15876.00
Verify Storage(ft') OK OK
Tf?e dewateritg basin shall be designed in accordance with the Borrow Pit
Dewatering Basin Detail Drawing.
Comments:

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f. l;Approximate Proposed Mine Area-—10 ac.
Property Line
Approx.pitch
0 it S00 ft 250 ft 400 ft
Map Source:2024 NC Statewide Orthoimagery Field Sketch N •
Galloway Farm Trail Tract
All Tines are approximate and should be used for Ash,BNOSWlCk Co.,N.C. ,
preliminary planning purposes only.This is not a survey. 5/8/2025 025-075.01
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