SW7061105_CURRENT PERMIT_20200915

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STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
sw:z6 �
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD
I

f
ROY COOPER
caven.a,
MICHAEL S. REGAN
.Secrerary
BRIAN WRENN
AOM9 Duecrar
Dr. Todd H. Rankin
608 McCarthy Blvd.
New Bern, NC 28562
NORTH CAROLiN.A
Environmental Quality
September 15, 2020
Subject: Stormwater Permit No. SW7061105 Renewal
Todd H. Rankin, DDS
High Density Project
Craven County
Dear Dr. Rankin:
The Washington Regional Office received a Stormwater Management Permit
Application for renewal of the subject permit on August 13, 2020. Staff review of the
applications have determined that the permit can be reissued. We are forwarding Permit
No. SVV7061105 dated September 15, 2020, for the continued operation of the subject
project.
This permit, upon its effective date, will replace all previous State Stormwater permits for
this project. This permit shall be effective from January 25, 2021 until January 24, 2029
and shall be subject to the conditions and limitations as specified therein, and does not
supercede any other agency permit that may be required. Please pay special attention to
the Operation and Maintenance requirements in this permit. Failure to establish an
adequate system for operation and maintenance of the stormwater management system
will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714.
Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please
contact me at [phone].
Sincerely,
Roger K. Thorpe
Environmental Engineer
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
Todd H. Rankin
Todd H. Rankin, DDS
Located at 608 McCarthy Blvd., New Bern, NC, Craven County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and
the approved stormwater management plans and specifications and other supporting
data as attached and on file with and approved by the Division of Energy, Mineral, and
Land Resources (Division) and considered a part of this permit.
This permit shall be effective from January 25, 2021 until January 24, 2029, and shall
be subject to the following specified conditions and limitations:
IR.»yl;H.11lIF-A.r.17_1 TIR
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described on page 2 of this permit, the Project Data Sheet.
3. A maximum of 0.66 acres of built upon area is allowed.
4. All stormwater collection and treatment systems must be located in either dedicated
common areas or recorded easements. The final plats for the project will be recorded
showing all such required easements, in accordance with approved plans.
5. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.

6. No homeowner/lot owner/developer shall be allowed to fill in, alter, or pipe any
vegetative practices (such as swales) shown on the approved plans as part of the
stormwater management system without submitting a revision to the permit and
receiving approval from the Division.
T The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
C. Transfer of ownership
d. Redesign or addition to the approved amount of built -upon area
e. Further subdivision of the project area.
In addition, the Director may determine that other revisions to the project should
require a modification to the permit.
& The Director may notify the permittee when the permitted site does not meet one or
more of the minimum requirements of the permit. Within the time frame specified in
the notice, the permittee shall submit a written time schedule to the Director for
modifying the site to meet minimum requirements. The permittee shall provide
copies of revised plans and certification in writing to the Director that the changes
have been made.
II. SCHEDULE OF COMPLIANCE
1. The permittee will comply with the following schedule for construction and
maintenance of the stormwater management system.
a. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surfaces except roads.
b. During construction, erosion shall be kept to a minimum and any eroded areas
of the system will be repaired immediately.
2. The facilities must be properly maintained and operated at all times. The approved
Operation and Maintenance Plan must be followed in its entirety and maintenance
must occur at the scheduled intervals.
3. The permittee shall at all times provide the operation and maintenance necessary to
assure the permitted stormwater system functions at optimum efficiency including,
but not limited to:

4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or
replacement stormwater management systems.
5. The permit may be modified, revoked and reissued or terminated for cause. The
fling of a request for a permit modification, revocation and reissuance or termination
does not stay any permit condition.
6. This permit is effective from January 25, 2021 until January 24, 2029. The
Permittee, at least six (6) months prior to the expiration of this permit, shall submit in
writing a request for an extension along with appropriate application fee.
Permit issued this the 15th day of September 2020.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
or
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
f0-Tiill a,"I TitT�iy'�'ilrI�f[�F1

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
13 7-o
5-a5- -
5 w 7o // o 5
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60. (c). This application form is for permit renewals only- J4 AUG I
l.,
A. PROJECT INFORMATION
1. State Stormwater Permit Number: S W 10l0) I 0
2. Project name: _ f - TO66 4. R� ai ktr
3. Project street address: GOB Ac/Q rA4 byot
City: New Bern 1i County: Craver. ZIP: )8561
4. What, if any, changes have been made to the project as permitted? rat) nt'
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: https://deg.ne.gov/abouUdivisions/energy-
mineral-land-resources/energy-m ineral-la nd-rules/stormwater-pros ram/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https://deg.nc.gov/about/divisions/energy-mineral-land-
resourceslenergy-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
Current Permit Holder's
2. Signing Official's Name:
3. Signit
4. Mailir
City:
5. Stree
City:
6. Phoni
01
N
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
J 1. A permit application processing fee of $505.00 payable to NCDEQ.
2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner,
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4. O&M Agreements, Please select one:
❑ I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTEE'S CERTIFICATION
by- • I Od� 4. %h Kl y\ the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All information provided on this permit renewal application is, to the best of my
knowledge, correct and complete.
Signature:'Date: , S V
NOTARIZATION
I, -Cold, a r CJ' wft . a Notary Public for the State of
A/a,e,/A Corol; „w , County of ✓Vales , do hereby certify
that % dd /✓. 7? n C; personally appeared before me
this the J-M— day of 64.pUs% 20 �W , and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signal,
My commission expires
M
HA PMANrth Carolin1 2021res Dec•
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018

�1CLogt.eL 2
.A
ROBERT M. CHILES, P.E.
ENGINEERS, CONSULTANTS
8
417-A BROAD STREET MARINE SURVEYORS
P.O. BOX
NEW KERN,N, NORTH CAROLINA 28584-3496
June 22. 1998
Mr. William Moore
North Carolina Department of Environment & Natural Resources
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
BUSINESS: 252-637.4702
NIGHTS: 252-63 2346
FAX: [phone]W
NOV - 5 2006
®lPt QNVAR0
PROJECT: New Bern Medical Developments, LLC - attn: Mr. Todd H. Rankin Manager
Lot No. 2, Dr. Todd H. Rankin, D.D.S.
608 McCarthy Blvd., New Bern, Craven County, NC
Stormwater Permit No. SW7961006
Dear Bill:
Designer's Certification.
I, Robert M. Chiles , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe periodically the construction of the project, New Bern
Medical Developments, LLC - Lot No. 2 for Dr. Todd H. Rankin, D.D.S. , hereby state that
to the best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial compliance and
intent of the approved plans and specifications.
Signature:
Registration Number:
Date:
BDF/bdf
cc:
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*((C SEAL' )
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Dr. Todd H. Rankin, D.D.S.
New Bern Medical Developments, LLC
Clty Inspections Dept.
File
96136SW StateCertLot2ltr.doc
MECHANICAL, CIVIL, AND
COMMERCIAL, INDUSTRIAL, MARINE AND RAILROAD MARINE HYDROGRAPHIC AND LAND SURVEYS
FACILITIES DESIGN
FORENSIC ENGINEERING AND FAILURE ANALYSIS
BOUNDARY SURVEYS AND MAPPING SERVICE

ROBERT M. CHILES, P.E.
ENGINEERS, CONSULTANTS
a
417-A BROAD STREET MARINE SURVEYORS
P.O. BOX 3496
NEW BERN, NORTH CAROLINA 28584-3496
June 22, 1998
Mr. Johnny Clark, Chief Building Inspector
Mr. Lenwood Toler, Inspector
City of New Bern Planning & Inspections Department
City of New Bern
P.O. Box 1129
New Bern, INC 28560
Copy
BUSINESS: 252-637.4702
NIGHTS: 252-83&2348
FAX [phone]
PROJECT: New Bern Medical Developments, LLC - attn: Mr. Todd H. Rankin Manager
Lot No. 2, Dr. Todd H, Rankin, D.D.S.
608 McCarthy Blvd., New Bern, Craven County, NC
Stormwater Permit No. SW7961006
Dear Johnny/Lenwood:
Designer's Certification
I, Robert M. Chiles as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe periodically the construction of the project, New Bern
Medical Developments LLC - Lot No 2 for Dr. Todd H. Rankin D.D.S. , hereby state that
to the best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial compliance and
intent of the approved plans and specifications.
Signature:
Registration Number: Co'�) (P5
Date: C� Z2 419 i3
BDF/bdf
cc: Dr. Todd H. Rankin, D.D.S.
New Bem Medical Developments, LLC
File
96136SW CityCertLot2ltr.doc
MECHANICAL, CIVIL, AND MARINE ENGINEERING
*(x SEAL' i*
�O F�'GINEEQ
�77 Tvi. C
COMMERCIAL. INDUSTRIAL, MARINE AND RAILROAD
FACILITIES DESIGN
MARINE HYDROGRAPHIC AND LAND SURVEYS
AND FAILURE ANALYSIS
BOUNDARY SURVEYS AND MAPPING SERVICE