DHEC Form 3114 (MR-4001GP1) "Notice of Intent for Coverage Under a General Mine Operating Permit - Gp1" - South Carolina

What Is DHEC Form 3114 (MR-4001GP1)?

This is a legal form that was released by the South Carolina Department of Health and Environmental Control - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 4, 2020;
  • The latest edition provided by the South Carolina Department of Health and Environmental Control;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DHEC Form 3114 (MR-4001GP1) by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Environmental Control.

ADVERTISEMENT
ADVERTISEMENT

Download DHEC Form 3114 (MR-4001GP1) "Notice of Intent for Coverage Under a General Mine Operating Permit - Gp1" - South Carolina

381 times
Rate (4.4 / 5) 19 votes
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
BUREAU OF LAND AND WASTE MANAGEMENT
DIVISION OF MINING AND SOLID WASTE MANAGEMENT
2600 Bull Street
Columbia, S.C. 29201
Telephone: 803-898-1362
Fax: 803-898-1426
E-mail: AskMines@dhec.sc.gov
NOTICE of INTENT
FOR COVERAGE UNDER A GENERAL MINE OPERATING PERMIT - GP1
FORM MR-400GP1 ADOPTED 1/15/99; Revised 6/4/20
*********************************************************************************************************************************************************************************************************
The South Carolina Mining Act, Sections 48-20-10 through 48-20-310, Code of Laws of South Carolina, 1976, as amended provides in
part: "No operator may engage in mining without having first obtained from the Department an operating permit which covers the
affected land and which has not been terminated, been revoked, suspended for the period in question, or otherwise become invalided."
(Section 48-20-60). Section 48-20-55 states "The Department may develop and implement general permits for the regulation of
mining limited to excavations for topsoil or sand/clay fill material which do not require further processing. General permits developed by
the Department must contain at a minimum, standard plans and specifications for environmental protection, storm water management,
public health and safety protection, and reclamation of affected lands in accordance with promulgated regulations."
*******************************************************************************************************************************************************************************************************
I. APPLICANT INFORMATION
A. Name of Applicant_______________________________________________________________________________
Type of business entity: Corporation
Partnership
Limited Partnership
Sole Proprietorship
B. Name of Proposed Mine ____________________________________ County*______________________________
*Coastal Zone Consistency certification must be issued for operations in Charleston, Beaufort, Berkeley, Colleton, Dorchester,
Georgetown, Horry, or Jasper counties
C. Home Office Address_____________________________________________
_____________________________
Street and PO Box
Telephone Number
____________________________________________________________
___________________________
City
State
Zip Code
Fax Number
D. Local Office Address _______________________________________________
____________________________
Street and PO Box
Telephone Number
_______________________________________________________________
____________________________
City
State
Zip Code
Fax Number
E. Official Mail is to be sent to:
Home Office_________________
Local Office_________________
F. Name, title and contact information of party responsible for official business and correspondence:
____________________________________________________
____________________________________
Name
Title
_________________________________________________
______________________________________
e-mail Address
Mobile Phone Number
Location of Mine ______________________________________
_________________________________________
G.
State or County highway number
Nearest town or city
D-3114 06/20
1
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
BUREAU OF LAND AND WASTE MANAGEMENT
DIVISION OF MINING AND SOLID WASTE MANAGEMENT
2600 Bull Street
Columbia, S.C. 29201
Telephone: 803-898-1362
Fax: 803-898-1426
E-mail: AskMines@dhec.sc.gov
NOTICE of INTENT
FOR COVERAGE UNDER A GENERAL MINE OPERATING PERMIT - GP1
FORM MR-400GP1 ADOPTED 1/15/99; Revised 6/4/20
*********************************************************************************************************************************************************************************************************
The South Carolina Mining Act, Sections 48-20-10 through 48-20-310, Code of Laws of South Carolina, 1976, as amended provides in
part: "No operator may engage in mining without having first obtained from the Department an operating permit which covers the
affected land and which has not been terminated, been revoked, suspended for the period in question, or otherwise become invalided."
(Section 48-20-60). Section 48-20-55 states "The Department may develop and implement general permits for the regulation of
mining limited to excavations for topsoil or sand/clay fill material which do not require further processing. General permits developed by
the Department must contain at a minimum, standard plans and specifications for environmental protection, storm water management,
public health and safety protection, and reclamation of affected lands in accordance with promulgated regulations."
*******************************************************************************************************************************************************************************************************
I. APPLICANT INFORMATION
A. Name of Applicant_______________________________________________________________________________
Type of business entity: Corporation
Partnership
Limited Partnership
Sole Proprietorship
B. Name of Proposed Mine ____________________________________ County*______________________________
*Coastal Zone Consistency certification must be issued for operations in Charleston, Beaufort, Berkeley, Colleton, Dorchester,
Georgetown, Horry, or Jasper counties
C. Home Office Address_____________________________________________
_____________________________
Street and PO Box
Telephone Number
____________________________________________________________
___________________________
City
State
Zip Code
Fax Number
D. Local Office Address _______________________________________________
____________________________
Street and PO Box
Telephone Number
_______________________________________________________________
____________________________
City
State
Zip Code
Fax Number
E. Official Mail is to be sent to:
Home Office_________________
Local Office_________________
F. Name, title and contact information of party responsible for official business and correspondence:
____________________________________________________
____________________________________
Name
Title
_________________________________________________
______________________________________
e-mail Address
Mobile Phone Number
Location of Mine ______________________________________
_________________________________________
G.
State or County highway number
Nearest town or city
D-3114 06/20
1
II. OPERATIONS AND SITE CHARACTERIZATION
A. Operations
1. Material(s) to be mined:
sand/clay ______________
topsoil ________________
2. Total acres requested to be affected under this proposed operation:
_______________acres
A maximum of 5 acres can be affected under the GP1. Sites affecting 2 acres or less, may begin mining upon written notification
from DHEC of the receipt of a complete GP1 NOI packet (NOI, maps, CZM certification, financial assurance, NPDES NOI or
permit number).
3
Projected depth of mining (
)
______________feet
.
maximum depth allowed is 20 feet
4. State the anticipated number of years this site will be mined:
______________years
5. a) Provide county or municipality zoning designation for the area where the mine will be located:___________________
(NA if area is not zoned)
b) Does the zoning designation allow mining as a land use? Yes
No*
*Section 48-20-250 of the SC Mining Act states no provisions of the Act supersede a zoning regulation or ordinance. Local officials
are noticed of coverage under the GP1. If restrictions do not allow for mine activities, the county/ municipality has the authority to
stop mining activities.
B. Maps
1. Accurately locate the mine on a SC highway map and submit with this NOI
2. Name of 7.5' U.S.G.S. Topographic Map that mine site is located: ___________________________________________
3. Submit a mine map depicting the property boundaries derived from a land survey plat, county parcel map, or other scaled
map approved by DHEC. This map shall include the proposed: a) dimensions of the pit and distances to adjacent property
lines; b) all haul roads, gates, fences, natural barriers, or other means of restricting public access; c) stockpile storage
areas; d) sediment basins and other storm water control measures; e) other criteria as required in Section IV of the GP1.
4. a) State number of houses (frame, trailer), commercial buildings, churches, etc. within the following distances of the mine:
1000 ft _________
500 ft ________
200 ft _________
b) On the diagram below* showing the mine site, locate the existing land uses within 1000 feet of the proposed mine site
at the time of submittal of the GP1 Notice of Intent. The land uses shown should include: grassland, forest, ponds,
lakes, streams, rivers, wetlands, houses, churches, commercial facilities, roads, property lines and fences. This is only
an indication of the adjacent land uses and not intended to be a scaled drawing of the area.
*this information can be submitted on an aerial image of the area (from county GIS page, Google Earth, etc.). The proposed
mine site and any buildings constructed after the photo was taken must be noted; all information requested must be labeled.
N
MINE
D-3114/ June 2020
2
C. Public Safety and Screening
1. a) Will existing vegetation be adequate to screen this site from homes within 500 feet of the operation? Yes
No
b) State the distance between the edge of the excavation and the adjacent property line.
___________feet
GP1 requires a minimum 50 feet setback distance to adjacent property lines.
2. A perimeter fence and locking gate are required for sites located within 1000 feet of an obvious gathering place for
children (e.g., schools, playgrounds , day cares). Is the mine within 1000 feet of a gathering place? Yes*
No
*if yes, fencing must be provided; what type of fence will be constructed? _____________________________________
3.
Reclamation/ Wetlands/ Stormwater/ Cultural Resources
1. What is the anticipated land use upon final reclamation of the mine?
grassland
pond
commercial
other (describe)_________________________________________
2. a) Is the proposed mine located in jurisdictional wetlands? Yes
No
b) Are wetlands, streams, rivers, or other water bodies located near the area where mining will occur? Yes*
No
*a 50' undisturbed setback from the water resource must be marked and maintained for the life of operation
c) Will the access road to the site be constructed through wetlands? Yes*
No
*If Yes, is there another route for access so the road will not disturb wetlands?
Yes
No
The GP1 does not allow for access roads in wetlands for sites n the Coastal Zone Management Area (CZM) including the
counties of Charleston, Beaufort, Berkeley, Colleton, Dorchester, Georgetown, Horry, or Jasper.
3. a) Will stormwater be contained onsite?
Yes
No
b) Will groundwater be pumped and discharged from the mine?
Yes
No
Prior to operations, the Operator must receive coverage under the appropriate NPDES discharge permit.
4. Is the proposed mine site located in an area known to have significant cultural or historic resources determined eligible
for the National Register of Historic Places (NRHP)?
Yes*
No
*a 50' undisturbed setback from this resource must be marked and maintained for the life of operation.
III LAND OWNERSHIP
A. 1. Tax Map Parcel Number: _______________________________________________________________________
2. Landowner Name as noted on County Tax Records:__________________________________________________
B. 1. Is the land owned or leased by the applicant/operator? Owned*
Leased
*the applicant name must match the owner name listed on the county tax records
2. If the land is owned by the applicant, will the site be mined by the applicant or a contractor*?
a) Applicant _______________
b)
Will more than one contractor mine the site? Yes
No
Contractor*________________
*If mine operations are contracted, the permit holder is responsible for 1) compliance with the permit, GP1 Reclamation Plan, Act
and regulations, 2) maintaining the financial assurance, and 3) required reclamation until coverage under the GP1 is cancelled
c) If the land is leased, complete the following information for the landowner listed in III A2:
Landowner's address:____________________________________________
(Street and PO Box, if applicable)
_________________________________________________
(City, State, Zip)
Landowner phone #: ____________________________________________
(Area code/ Number)
Landowner cell phone #:__________________________________________
(Area code/ Number)
Landowner e-mail address:________________________________________
D-3114/ June 2020
3
IV. CERTIFICATION
A. Land Owner Certification
The Landowner has granted the applicant, hereinafter sometimes referred to as Operator, permission to conduct a mining
operation on the referenced tract of land. Coverage under the GP1 Mine Operating Permit will be granted to the applicant.
The applicant is responsible for maintaining access to the site to ensure compliance with the GP1 permit, Reclamation Plan
and the SC Mining Act and regulations until reclamation is accepted by DHEC.
The Landowner acknowledges that due to required responsibilities for the operator under the GP1 (posting of financial
assurance, compliance, reclamation), no other entity can mine the area without permission from the permit holder.
Coverage and responsibilities under the GP1 are cancelled with DHEC's acceptance of the reclamation of the mine.
The operator is required to conduct operations and reclamation in accordance with the GP1 permit, Reclamation Plan, and
the SC Mining Act and regulations. The Landowner acknowledges that Section 48-20-130, Code of Laws of South Carolina,
provides that accredited representatives of DHEC, at all reasonable times, may enter the land subject to the operating permit
for inspection purposes.
The Landowner acknowledges the anticipated final land use, as indicated in Section II, D. (1), may change. DHEC can
accept reclamation to any final land use that meets the criteria in Section I: Final Land Use Reclamation Standards of the
approved GP1 Reclamation Plan as set in the regulations.
Mines operating under a GP1 are required to post and maintain financial assurance with the South Carolina Department of
Health and Environmental Control (Department). The Landowner acknowledges and agrees that if a bond is forfeited
pursuant to Section 48-20-170, Code of Laws of South Carolina, 1976 (as amended), DHEC and its representatives and/ or
contractors shall have the right, and are hereby permitted, to make whatever entries on the subject land and to take whatever
actions as may be necessary in the sole judgment of DHEC or its representatives, in order to carry out reclamation which the
operator has failed to complete by the terms of the permit or reclamation plan.
As the landowner, I acknowledge the above statements.
Legal Signature of Landowner: ________________________________________________________________________
Landowner printed name:
________________________________________________________________________
B. Applicant Certification
The applicant hereby certifies all information and details contained hereinabove, within any supporting documents and the
map are true and correct to the best of their knowledge. It is fully understood that any willful misrepresentation of facts will be
cause for revocation of coverage under the GP1 permit.
The applicant acknowledges Section 48-20-110, Code of Laws of South Carolina, states each applicant for an operating
permit shall file financial assurance. The bond must be continuous and liability under the bond must be maintained as long as
reclamation is not completed in compliance with the approved reclamation plan unless released only upon written notification
from DHEC.
The applicant acknowledges Section 48-20-130, Code of Laws of South Carolina, provides in part: "Upon receipt of the
operator's annual report or report of completion of reclamation and at any other reasonable time DHEC may elect, DHEC
shall inspect the permit area to determine if the operator has complied with the reclamation plan, the requirements of this
chapter, regulations promulgated by its authority, and the terms and conditions of this permit. Accredited representatives of
DHEC at all reasonable times may enter upon the land subject to the certificate of exploration or operating permit for the
purpose of making the inspection."
The applicant acknowledges the requirement for posting financial assurance and the yearly submittal of the Annual Operating
Fee/ Annual Reclamation Report. Financial assurance and the fees/reports are required until coverage under the GP1 permit
is cancelled by DHEC.
As the authorized representative of the applicant, I acknowledge the above statements.
Legal Signature of Authorized Representative:___________________________________________________________
Printed Name of Authorized Representative:______________________________________________________________
Title of Authorized Representative:_____________________________________________________________________
Date: _______________________________________________
D-3114/ June 2020
4
--------------------------------------------------------------DEPARTMENT USE ONLY--------------------------------------------------------------
GP1 NOI Number:_______________________________
Bond received date:__________________________
ACTION TAKEN:
Coverage Approved:_____________
Coverage Denied:_____________
Individual MOP Required:_____________
Decision Date:______________________________________________
By:_______________________________________________________
Title:______________________________________________________
D-3114/ June 2020
5
Page of 12