SW8951014_HISTORICAL FILE_20210722

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 5101`{
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
101 \ 0-12-2
YYYYMMDD

Need an appointment? You can now text your provider's office directly! (/provider -directory)
n
C WILMINGTON
HEALTH
U WALK-IN PATIENT FIND A PRIMARY CARE OUR SCHEDULE AN
WAIT TIMES PORTAL DOCTOR 5 SPECIALTIES LOCATIONS APPOINTMENT
About Us Bill Pay
ABOUT US
OVERVIEW
MEET THE TEAM
MISSION & VISION
LEAVE A COMMENT
Careers Healthy Communities Research Patient Services News Referrals
HEALTH RESOURCES QUALITY
� Y vo-\c d `I 120I z 0 2-1
rn m ot,Y1-tk k fth
\S S(A. ' nanaw
G-F M to S CA v
Meet the Administration Team
JEFF JAMES - CHIEF EXECUTIVE OFFICER
Jeff joined Wilmington Health in 2008. As CEO, he is
responsible for the strategic vision and direction of
Wilmington Health. Prior to joining the group, he was the
Chief Financial and Chief Operating Officer for Christie
Clinic in Champaign, Illinois, and Chief Financial Officer
and Vice President of Finance at the Shannon Clinic in San
Angelo, Texas.
?U_C
CHRIS BUNCH _CHIEF OPERATING OFFICER
With more than 10 years of public accounting experience,
Chris joined Wilmington Health in 2007 as our Chief
Financial Officer. In 2012, he was named Chief operating
Officer. Chris graduated from the University of North
Carolina at Chapel Hill in May 1996 with a Bachelor of Arts
in Economics and a Minor in History. He attended the
University of North Carolina at Wilmington, achieving a Master of
Science in Accountancy in June 1998.
CHASITY CHACE - CHIEF FINANCIAL OFFICER
Chasity joined Wilmington Health in 2009. As Chief
Financial Officer, she oversees the accounting,
purchasing, biomedical, and business office functions.
Before joining Wilmington Health, Chasity was the Audit
Manager for McGladrey & Pullen LLP. Chasity graduated
with a Bachelor of Science in Business Administration as

well as a Master of Science in Accounting from the University of North
Carolina at Wilmington.
DR. MICHAEL MCWILLIAMS - BOARD PRESIDENT
Dr. McWilliams attended medical school at Georgetown
University Medical School. He completed his internship
and residency at the Osler Medical Training Program at
Johns Hopkins Hospital in Baltimore, MD. Dr. McWilliams
completed his cardiology and cardiac electrophysiology
fellowships at The Cleveland Clinic and served two years
as the Chief Cardiology Fellow. Dr. McWilliams is American Board
Certified in Internal Medicine (2007), Cardiovascular Disease (2005),
and Clinical Cardiac Electrophysiology (2007).
DR. )ONATHAN HINES - CHIEF MEDICAL OFFICER
Dr. Hines joined the Wilmington Health Internal Medicine
team in 1997 and became the organization's Chief Medical
Officer in 2012. He is a graduate of Baylor College of
Medicine and completed residency training there in 1997.
"'. He maintains board certification in Internal Medicine. As
CMO, Dr. Hines has overseen the development of
programs to track and improve quality, cost, and the patient
experience at Wilmington Health, and conducts oversight of providers
and planning for all new clinical services for the group.
DR. BRIAN WEBSTER - CHIEF MEDICAL INFORMATION OFFICER
Dr. Webster received his medical degree from the
University of North Carolina School of Medicine in Chapel
Hill in 1993. He completed an internship and residency in
Internal Medicine at Ohio State in 1996 and joined
Wilmington Health. Dr. Webster is Board Certified in
Internal Medicine and has been the chief medical
information officer in charge of helping providers in the organization
implement and efficiently use electronic medical records since 2011.
DR. DAVID SCHULTZ - ASSOCIATE CHIEF MEDICAL OFFICER
Dr. Schultz received his medical degree from the University
of Rochester School of Medicine in 1993. He completed his
internship at Naval Hospital Oakland in 1994, and his
residency in Internal Medicine at the University of
California, San Francisco in 1996. He was an internist at
Naval Hospital Camp Lejeune until completing service in
the Navy and joining Wilmington Health in 2000 as an original

member of the Hospitalist department. Dr. Schultz is board certified by
the American Board of Internal Medicine and joined Dr. Hines in 2017
to share chief medical officer duties for the group.
MELISSA ODOM, CMPE- COO, PHYSICIANS HEALTHCARE
COLLABORATIVE
With more than 15 years of practice operation experience,
Melissa joined Wilmington Health in 2015 as our Director
of Strategic Innovations. In 2019, she was named Chief
Operating Officer, Physicians Healthcare Collaborative,
Wilmington Health's Accountable Care Organization.
Melissa graduated from Meredith College in May 1998 with
a Bachelor of Arts in Business Administration with a concentration in
Marketing. She is also a certified Medical Practice Executive per MGMA.
Melissa is actively involved as a local mentor with WILMA's Women to
Watch initiative and serves on several local non-profit Boards. Melissa
is actively involved at Wilmington Health in leading our Patient
Experience, Professional Development and Value Based Care
initiatives.
SUIY KEARNS, CHIEF COMPLIANCE OFFICER
Suzy joined Wilmington Health in 2014. As Chief
Compliance Officer, she oversees the Corporate Compliance
and Privacy functions. Before joining Wilmington Health,
Suzy was a Financial Reporting Manager for PPD, Inc. Suzy
graduated with a Bachelor of Science in Business
Administration as well as a Master of Science in
Accountancy from the University of North Carolina at Wilmington.
In M 0 111 0
© 2021 WILMINGTON HEALTH. ALL RIGHTS RESERVED
Wilmington Health 2021 Member,
1202 Medical Center Drive w �,.+oTDN .ON FOUNDATIOWilmington Chamber
Wilmington, NC 28401 „��q<,rmkY _�-w-„a of Commerce
910.341.3300

PROVIDER LOGIN (
HTTPS REMOTE.WILMINGTONHEALTH.COM/VPN/INDEX.HTML)_
LEAVE A COMMENT — (/COMMENTS)_
Select Language Powered by Go:gle " i'.

JUL 9 610a
Wilmington Health, PLLC
1202 Medical Center Drive
Wilmington NC 28401
July 15, 2021
Ms. Ashley Smith
NC Dept of Environmental Quality
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington NC 28405
Dear Ms. Smith:
WILMINGTON
HEALTH
I i
Thank you for your inquiry regarding our State Stormwater Management Permit Renewal Application for
our property at 1202 Medical Center Drive (Project #SW8 951014) that was recently submitted.
The signer, Chris Bunch, is, and at the time of the signing was, an authorized signer for Wilmington Health,
PLLC, the sole manager of MedSery Management Company, LLC.
If there are any questions regarding this request or additional information needed, please contact Chris Bunch
at [phone].
Thanks,
i
Nicole Carroll, MD
Manager
Wilmington Health
1202 Medical Center Drive Phone: [phone] wilmingtonheallh.com
Wilmington, NC 28401 Fax: [phone]

Burd, Tina J
From: Burd, Tina J
Sent: Friday, July 2, 2021 9:27 AM
To: '[e-mail]'
Subject: SW8 951014 - Wilmington Health Associates Clinic
The Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (Stormwater Section) accepted
the Stormwater Permit Renewal Application and $505.00 fee for the subject project on June 30, 2021. The project has
been assigned to Ashley Smith and you will be notified if additional information is needed.
Best Regards,
Tina Burd
Administrative Associate If
Wilmington Regional Office
Division of Environmental Assistance & Customer Service
Phone [phone]
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
Entail correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Website: http:lldeq,nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Based on the current guidance to minimize the spread of COVID-tq, the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered
shifts. To accommodate these staffing changes, all DEQ-office locations are limiting public access to appointments only. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email. We
appreciate your patience as we continue to serve the public during this challenging time.

Non -Transfer Application Completeness Review Checklist - Short Version
Project Name: WiLMUJ4 TDO HEAL711 A550C,065 G-7Nr C- Date Delivered to WIRO:
Project County/Location: /ZoZ WDICAL CE75T.L�bP_ BIMS Received/Accepted Date: �o hhp yOZ�
BIMS Acknowledged Date':
Permit Action: New Not located in the ETJ of the following deligated and New Permit #':
functioning programs:
NHC: Carolina Beach / Kure Beach / Wilmington / Wrightsville Beach
Bruns: Leland / Navassa (?) / Oak Island
Cart: Emerald Isle Onsl: Jacksonville
Pend: Surf City
Major Mod / Minor Mod Renewal
Permit Type: D / LD / LD Overall / HD &LD Combo
General Permit / Offsite / Exempt
Development Type: Commercial / Residential / Other 1�T1 TOTIIAiA L
Subdivided?: Subdivision
Rule(s):
Permittee Type & Docui
r—lProperty Owner(s)
Viable?
=Deed
=Not Subdivided:
"Subdivision: Common Area Deed
Coastal 1 11995 Coastal
Needed:
=Purchaser Lessee
=Viable? =Viable?
=Purchase ARmt =Lease
Coastal
Paperwork
®Application
Fee: O
$505 (within 6mo) Check#(s): 1 J 327Z
Supplement' (1 new form or for older forms: 1 original per SCM)
MO&M'
Soils Report (Intl or PP)
Calculations (signed/sealed)
Deed Restrictions, if subdivided '
Project Narrative
FTSGS Map (or on file?) Subject to SA?: Y / N Subject to ORW?:
Plans (2 Sets)
EIPE Certification
Electronic Copies
Easements, Recorded (2017 Rules)
lelliC
3Enter BIMS Acknowledged Date on this Sheet
'For New Projects -Enter New Permit # on Supplements & Deed Restiction Templates.
3If w/in 5 months and they are requesting a mod, STOP. Needs a renewal first.
EMAILED ENGINEER DATE:
REVIEWER NAME: '45'-A(Le i(
Comments:
Existing Permit#: SIaB / 51614
Expriation Date3: (,Z �ZD ZZ
I
F�Offsite to SW8:
E]Is Lot ID'ed in Master Permit?
HOA Developer
Viable? =Viable?
Election Minutes
IDNo Fee
4t G
1z �
6: WQ\\\Reference Library\Procedures\Checklists\Completeness Review Checklist 2020 0131

Smith, Ashley M
From:
Smith, Ashley M
Sent:
Wednesday, July 7, 2021 11:35 AM
To:
[e-mail]
Subject:
State Stormwater Permit SW8 951014
Attachments:
2021 07 addinfo 951014.pdf
Hello,
Attached is a pdf of the request for additional information for the subject project. Please let me know if you have any
questions or concerns.
Thanks!
Ashley Smith
Renewal Specialist
Division of Energy, Mineral and Land Resources, Wilmington Regional Office
NC Department of Environmental Quality
Phone [phone]
Email ash levm.smithlancdenr.eov
127 Cardinal Drive Ext.
Wilmington, NC 28405
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

ROY COOPER
Gove.nar
DIONNE DELLI-GATTI
Ccr�r
BRIAN WRENN
Dirwtar
July 7, 2021
NORTH CAROLINA
Enrlronaurntat Quattry
Via email only: ebunch(ii),,wilminetonhealth.com
Medsery Management Company, LLC
Arm: Chris Bunch
1202 Medical Center Dr
Wilmington, NC 29401
Subject: Request for Additional Information
Stormwater Project No. SW8 951014
Wilmington Health Associates Clinic
New Hanover County
Dear Mr. Bunch:
The Wilmington Regional Office received and accepted a State Stormwater Management Permit Renewal
Application for the subject project on June 30, 2021. A preliminary in-depth review of that information has
determined that the application is not complete and that additional information is needed. To continue the review,
please provide the following additional information in a single, hard copv submittal package:
15A NCAC 02H.1040(l)(a) and .1042(2)(b)(ii) : The application was signed by Chris Bunch; however
the provided documentation from the NC Secretary of State does not identify Mr. Bunch as a member or
manager of this LLC. In the case of a limited liability corporation (LLC), the application must be signed
by a manager or company official as defined in GS 57D. Please either:
a. Provide official documentation showing that Mr. Bunch is a Member or Manager and authorized
to sign for the LLC;
b. Have one of the identified members of the LLC sign the application documents; or
c. The signature by other agents shall be accepted on the application only if accompanied by a letter
of authorization signed by the appropriate authority. Provide a letter of authorization from one of
the identified members of this LLC authorizing Mr. Bunch to sign on their behalf.
Please remember to confirm that any revised information is presented consistently throughout the application
documents. Please also remember to provide a hard copy of any updated documents per 15A NCAC
02H.1045(3).
The requested information should be received in this Office by July 22, 2021, or the application will be returned
as incomplete. If additional time is needed to submit the requested information, please email your extension
request prior to this due date to the email address provided below with a justification and a date of when the
requested information will be submitted, which shall be no later than 15 days past the original due date. Please
note that onlv two letters requesting additional information is allowed in the State Stormwater Program for a
total of 30 days to submit the requested additional information. If the information is not satisfactorily provided
after either the second request or 30 days, the project will be returned. If the project is returned and you wish to
re -submit later, you will need to resubmit all required items at that time, including the application fee.
Please reference the State assigned application number on all correspondence. If you have any questions
concerning this matter, please feel free to call me at [phone] or email me at ash][e-mail].
Sincerely,
P¢44�-# sonid
Ashley Smith
Permit Renewal Specialist
D E Q�� North Carolina Department of EnvironmQua
lity ality I Divislon of Energy, Wneral and Land Resources
./ Wilmington Regional Office 1 127 Cardinal Drive Extension I Wllmington. North Carolina 28405
-�� / 910.796.7215

State Stormwater Permit No. SW8 951014
Page 2 of 2
DES/ams:
cc:
\\\Stormwater\Pelrnits & PTO1CCtS\l995\951014 HD\2021 07 addinfo 951014
Wilmington Regional Office Stormwater File
Oil North Carolina Department of Environmental Quality I Dhision of Energy,
neral and land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extenslon I Wilmington, North Carolina 28405
�� 910.796.7215

Smith, Ashley M
From:
Smith, Ashley M
Sent:
Thursday, May 13, 2021 4:31 PM
To:
[e-mail]
Cc:
Hall, Christine
Subject:
Stormwater Permit Renewal SW8951014
Good afternoon Mr. Bunch,
I received a voice message about your renewal for the Stormwater permit SW8951014. Your current permit does expire
on January 2, 2022 and the permit renewal applications are due 180 days before the expiration date. In order to renew
the permit you can visit our website : https://deg.nc.goy/about/divisions/energy-mineral-and-land-
resources/stormwater/stormwater-program/post-construction-2. This is where you will find the permit renewal form
along with the documents we require for a complete application. Once we receive the submitted application and
documentation, we will begin the renewal process.
Please let me know if you have any questions.
Thank you
Ashley Smith
Renewal Specialist
Division of Energy, Mineral and Land Resources, Wilmington Regional Office
NC Department of Environmental Quality
Phone [phone]
Email ashleym.smith(@ncdenr.gov
127 Cardinal Drive Ext.
Wilmington, NC 28405
> S
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.