SW8960507_HISTORICAL FILE_20101119

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 q�nUS�-1
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
Ep HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2.0 \ o \ 1 1 q
YYYYMMDD

Beverly Eaves Perdue
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Governor Director
November 19, 2010
Mr. Alfred Thomas, CEO
New Hanover Community Health Center, Inc.
925 North 4th Street
Wilmington, NC 28401
Subject: Approved Plan Revision
New Hanover Community Health Center, Inc.
Stormwater Project No. SW8 960507
New Hanover County
Dear Mr. Thomas:
Dee Freeman
Secretary
On November 16, 2010, the Wilmington Regional Office received a complete plan
revision for Stormwater Management Permit Number SW8 960507. The revisions
include the addition of a 582 square foot storage building and 296 square feet of
sidewalk. In the process, 352 square feet of existing sidewalk shall be removed
resulting in a net addition of 526 square feet of impervious area. It has been
determined that a formal permit modification is not required for the proposed changes.
We are forwarding you an approved copy of the revised plans for your files. Please add
the attached plans to the previously approved plan sheets.
Please be aware that all terms and conditions of the permit issued on July 9, 1996
and renewed on September 29, 2009, remain in full force and effect. Please also
understand that the approval of this revision to the approved plans for the subject
State Stormwater Permit is done on a case -by -case basis. Any other changes to
this project must be approved through this Office prior to construction. The issuance
of this plan revision does not preclude the permittee from complying with all other
applicable statutes, rules, regulations or ordinances which may have jurisdiction over
the proposed activity, and obtaining a permit or approval prior to construction.
If you have any questions concerning this matter, please do not hesitate to call
Georgette Scott or me at [phone].
Sincerely,
Steve G. Pusey
Environmental Engineer
GDS\sgp: S:\WQS\STORMWATER\PERMIT\960507PR.nov10
PC: Phil Tripp, Tripp Engineering, P.C.
New Hanover County Building Inspections
Steve Pusey
Wilmington Regional Office Files
Wilmington Regional Office '
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 One
Phone: [phone]FAX: [phone] Customer Service:1-87T623-6748 NO thCarrolina
Internet: vmw.ncwaterqualily.org �j.` Naturally
An Equal Opportunity I Alfrmahve Acton Employer

Date Received
Fee Paid (express only)
Permit Number
8 �J 2�51
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT PLAN REVISION APPLICATION FORM
This form may be photocopied for use as an original
1. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW8 960507��
2. Project Name: New Hanover COminllnit v Health Center /1`0CT 17
3. Permit Holder's name (specify the name of the corporation, individual, etc.):
New Hanover Community Health Center, Inc. ----_/
4. P/rrint Owner/Signing Official's name and title (person legally responsible for permit):
F4 ,i -Qd 7T%x6m9S C-k1� C4�t,�Jf D\ kt CP q
5. Mailing Address for person listed in item 2 above:
City:Wihnington State:NC Zip:28401
Phone: (910 ) 343-0270 Fax: [phone]
Email:
It. PLAN REVISION INFORMATION
1. Summarize the plan revision proposed (attach additional pages if needed):
582 sf storage building addition and 296 sf of additional sidewalk. 352 sf of existing sidewalk will be covered
up by the building or removed. 'Phis creates a total net increase of 526 sf of impervious area
Ill. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the DWQ Office that issued the permit.
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Initials
• Original & 1 copy of the Plan Revision Application Form
• Two (2) copies of revised plans (must be revisions of original approved plait sheet(s)) %
If applyingfor or Express review (only available in 20 coastal counties):
• Application fee of $500.00 (made payable to NCDENR)
VI. APPLICANT'sCERTIFICATION /�
1, (print or type name of person listed in General Information, item 3) A CA o rn a S
certify that I have authorized these plan revisions and that the information included on this plan revision
application is, to t �of my knowlec e, correct and complete.
Signahr
j �f ZQ Q
Date:
Plan Revision Form Rev 13Ju1y2010 Page I of 1

TRII'P ENGINEERING, P.C.
419 Chestnut Street
Wilmington, North Carolina 28401
Phone: [phone] • FAX: [phone]
November 16, 2010
NCDENR
Division Water Quality
127 Cardinal Drive
Wilmington, NC 28405-3845
Attn: Mr. Steve Pusey
Re: New Hanover Community Health Center
Permit No. SW8 960507
TE 10032
Dear Steve:
In response to your email comments dated November 15, 2010, we are
submitting two (2) copies of the revised plan showing the 352 sf of existing sidewalk to
be removed.
Please review for approval and contact us with any questions, comments or if
you need additional information. Thank you.
Sincerely,
Tripp Engineering, P.C.
lf��
Elizabeth Brosman
EJB:dcb
Enc.
NOV 16 2010

Received Date:
Date
✓'=YP0r)K •x'=
Rule(s) Subject (check all that apply):
❑ 1995 Coastal ❑ 2008 Coastal ❑ Phase II ❑ Universal
Paperwork:
❑ Check for $505 (must be no older than 6 months)
❑ Application form with correct/original signatures (original plus 1 copy). If Corporation or LLC also:
o Print the info from the NCSOS
o Either, 1.) The applicant is listed on the NCSOS with his/her correct title or; 2.) A notarized etter of
authorization has been provided:
❑ Supplements (1 original per BMP). BMP type(s):- kN r�Qutst0N(_ ;&I Q (8 e,6—
❑ O&M with correct/original signatures (1 original per BMP, except level spreaders/filter to swales)
❑ Deed restrictions (if outparcel or subdividing) (original plus 1 copy)
o Deed restriction template (signed and notarized) or
o Proposed Declaration of Covenants and Restrictions (signed and., 8�e
❑ Soils report identifying the SHWT
❑ Supporting calculations, signed & sealed (if necessary)
❑ Receiving stream classification: _ If SA or ORW aiV.
o SA: USGS topo map with the site, the�(ecefving water�an a mile radius shown to scale.
o ORW: 575 It of MHWL for Area ofEnvironmentalConcer Na max BUA per rule.
❑ Modifications: 1.) If built: Designer's Cert., If p rtiall' built: P rtial Cert., 3.) If not built: No Cert. needed.
Development Type (check all that apply):
❑ Residential or ❑ Commercial ❑ Deed restrictions match?
❑ Subdivision or ❑ Single Lot ❑ Deed restrictions match?
❑ High Density or ❑ Low Density ❑ Deed restrictions match?
Ll
Density
Plans,LI
Offsite project ❑ Redevelopment ❑ Modification ❑ Exempt
NCG02 (bulkhead) ❑ NCG03 (cl r/grade) ❑ NCG04 (linear)
BUA calculations include common areas, c bhouse, sidewalks, etc.
BUA %: Matches hi ow ensity requirement for rule and receiving stream class.
No obvious_math errors
If Higl�Densi y: Design stor corr ct rule and receiving stream class.
signed and s valed (2 sets): \l/
t1i
o sets rece ed ❑ Layout (with proposed BUA dimensions)
ding Drainage area map (all HD systems & curb outlet swales)
❑ Project Boundaries ❑ Legend
o " 2'7i
❑ Details:
o Roads
o BMPs/
on plans o "No wetlands onsite" on plans
1/1
o Cul-de-sacs o Curbing o Sidewalk
spreaders/ Filter strips/ Curb outlet swales o Buildings (Apts or Condos)
Offsite Projects:
❑ Designer's Certification has been submitted for the Offsite BMP receiving the runoff from the project.
❑ Deed restrictions have been recorded and a copy submitted for the Offsite BMP permit.
❑ Lot size has not changed from what was approved under the Master Plan.
❑ Correct lot number is referenced on the supplement form.
❑ Offsite system is in compliance with its permit, if known.
Infiltration Projects:
❑ Soils report: SHWT, soil type, and expected infiltration rate are provided.
❑ DWQ has conducted a site visit? Date:
Wet Ponds: Permanent Pool Meets One of the Following:
❑ Is located no lower than 6" below the estimated SHWT.
❑ Incoming groundwater is quantified and evaluated, AND Storage volume verified, AND Outlet evaluated for free
drainage to the receiving waters under SHWT conditions.
Decision (check one):
❑ Complete: Return file to admin (Jo Casmer) to log in. (Stamped in received date = BIMS date)
❑ Slightly incomplete: E-mail consultant, request information to be returned within one business day (24 hours after
request. Info requests on Friday, allow a return on the following business day). If info not returned, issue an
application return letter and give everything to admin. (Add info received date = BIMS date)
❑ Substantially incomplete: Issue an application return letter and give everything to admin.

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TRwp ENGINEERING, P.C.
419 Chestnut Street
Wilmington, North Carolina 28401
Phone: [phone] • FAX: [phone]
October 7, 2010
NCDENR
Division Water Quality
127 Cardinal Drive
Wilmington, NC 28405-3845
Attn: Ms. Linda Lewis
Re: New Hanover Community Health Center
Permit No. SW8 960507
TE 10032
Dear Linda:
Prev oc r 8
2010
Enclosed please find two (2) sets of revised plans and a plan revision application form
for the above referenced project. We are proposing a 582 sf storage building addition
and 296 sf of sidewalk. 352 sf of existing sidewalk will be replaced by the building or
removed, creating a nedincreas� e of 5 6 sf (0.9%) of impervious area on the site.
THIS le, 0ki%.\0A'-) IYM 9QXM'��2d. O-VYVi-t)0) )
Please review for approval and contact us with any questions, comments or if you need
additional information. Thank you.
Rnc(n�TtEO � Sz3,�Ov
Sincerely, n,e1
Tripp Engineering, P.C.of
Elizab th Brosman
EJB:dcb
Enc.
RECEIVED
OCT 08 2010
BY: