53188D - Brunswick

LAMA ­61IREDGE & FILL
"ENER.,,AL PERMIT
I
6ew L.Modification L J Complete Reissue El Partial Reissue
Previous permit #
Date previous permit issued
53
ized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC a [.Rules attached.
Name Project Location: County Zoe qf ft, C K -F " & —
/10 T1Ay e og%" Street Address/ State Road/ Lot #(s) � S
StateAJ.AC ZIP-z-",.?2
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ad Agent
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Phone �� _44r,,;9�4 River Basin
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yes e-K�D PNA yes /0. Crit.Halb. yes / no
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ing permit may be required by: YA ft r 41-'CAe <
Special Conditions 41 L I
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COUNTY OF BRUNSWICK
ENGINEERING SERVICES
Posy OFFICE Box 249
20 REFERENDUM DRIVE NE • BouvLA, NORTH CAROLINA 28422
BUILDING G
TELEPHONE [phone]
FAX: [phone]
24, 2008
1 Lutheran
hern Environmental Group
South College Road, Ste. E
lington, NC 28412
452-2711
3runswick Community Hospital
.utheran
�� D
>olutions, the engineering firm designing the utilities for the new hospital, has requested this letter be written
essed to your office. The language below is as discussed in our phone conversation, 7/9/2008.
is to certify that the Brunswick County Engineering and Utilities Departments are aware of the intentions to df
:onstruct a sanitary sewer force main to serve the Brunswick Community Hospital. The routing of said force i
,equire construction on Brunswick County property used for the West Brunswick Regional Treatment Fa(
swick County has authorized surveying crews to gather information from the site for design purposes
ninary review of the force main plans has been completed and all locations and distances have been verified b,
ies Department for the purposes of eliminating conflict between the two systems. Any changes made to the d(
:ended method of installation will have to be approved by our offices.
i have any questions, or you should need any additional information, please feel free to contact my office at
enience (910-253-2407).
rely,
D. Murray 1
Bering Plan Reviewer

North Carolina Department of Environment and Natural Resources
iel F. Easley, Governor
tarty K. Lawing, County Manager
"unswick County
O. Box 249
Olivia, NC 28422
ear Mr. Lawing:
Division of Water Quality
Q�o� W A7F
L)
o �
December 5, 2008
William G. Ross, Jr., Sec
Coleen H. Sullins, C
Subject: Permit No. WQ0033575
Brunswick County
Brunswick Novant Medical Center Sewer
Wastewater Collection System Extension
Brunswick County
accordance with your application received October 27, 2008, we are forwarding herewith Permit t
Q0033575, dated December 5, 2008, to Brunswick County for the construction and operation up
�rtification of the subject wastewater collection system extension. This permit shall be effective frc
e date of issuance until rescinded and shall be subject to the conditions and limitations as specifi(
erein. This cover letter shall be considered a part of this permit and is therefore incorporated therE
( reference.
copy of this permit, the Brunswick County Health Department and the Brunswick County Buildir
spections Department are advised that, no certificates of occupancy are to be granted prior to tl
bmittal of a sealed engineer's certification per Condition 6 of this permit.
ease note the following standard conditions that are contained in this permit.
:)ndition 3: Requires that the wastewater collection facilities be properly operated ar
maintained in accordance with 15A NCAC 2T .0403 or any individual system-wic
collection system permit issued to the Permittee.
)ndition 6: Requires that the system be properly certified upon completion of constructic
and prior to being placed into operation.
mdition 7: Regarding the installation of gravity sewer at greater than ten percent below tl'
minimum required slope per the Division's Gravity Sewer Minimum Design Criter
shall not be acceptable and shall not be certified until corrected.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
n accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina
emended, other applicable Laws, Rules, and Regulations, and in conformity with 15A NCAC 2T; 1
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and Minimum Des!
::riteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000
Dpplicable, and other supporting data subsequently filed and approved by the Department
nvironment and Natural Resources and considered a part of this permit;
PERMISSION IS HEREBY GRANTED TO:
Brunswick County
:or the construction and operation upon certification of approximately 5,500 linear feet of 8-inch gra"
ewer; a 375-gallon per minute pump station with duplex pumps, on -site audible and visual high wa
)larms, telemetry, on -site generator with automatic transfer switch with approximately 3,050 linear fE
)f 6-inch force main to serve a 78 bed hospital x 300gpd/bed + future expansion of 122 bed!
20gpd/bed and medical offices totaling 75,000sf w/250gpd/paractitioner x 36 practitioners as part
he Brunswick Novant Medical Center Sewer project, and the discharge of 69,000 gallons per day
-ollected domestic wastewater into Brunswick County's existing sewerage system, pursuant to t
)pplication received October 27, 2008.
he sewage and wastewater collected by this system shall be treated in the West Brunswick Regior
Nastewater Treatment Facility (Permit No. WQ0023693) prior to being land applied by spray irrigation.
his permit shall be effective from the date of issuance until rescinded and shall be subject to the
ollowing specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed
accordance with the conditions of this permit, 15A NCAC 2T; the Division of Water Qualit),
(Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; tl
Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mai
adopted June 1, 2000 as applicable; and other supporting materials unless specifically mention(
herein.
Thir nermit rhnll hP Pff-r-tiva only with n=cznart +n fha nnti ira r,nrl vnh imc of %Alric+oc AJ cr rikA ;. 41

If the ,permit is issued to a private entity with an Operational Agreement then a copy of the Arti
of Incorporation. Declarations, and Bylaws that have been appropriately filed with the applici
County's Register of Deeds office shall be submitted with the certification
A complete certification is one where the form is fully executed and the supporting documents
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines
force mains) of the wastewater collection system extension. Record drawings are defined
the design drawings that are marked up or annotated with after construction information c
show required buffers, separation distances, material changes, etc.
b. One copy of the supporting pump station design calculations (selected pumps, system cur
operating point, buoyancy calculations, available storage if portable generator(s) or storm
greater than longest past three year outage reliability option selected) for any pump static
permitted as part of this project.
C. Changes to the project that do not result in non-compliance with this permit, regulations, o
the Minimum Design Criteria should be clearly identified on the record drawings, on the
certification in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resultin,
non-compliance with this permit (including pipe length increases of 10% or greater, increased fl
pump station design capacity design increases of 5% or greater, and increases in the number/t).
of connections), regulations, or the Minimum Design Criteria. Requested modifications or varian
to the Minimum Design Criteria will be reviewed on a case -by -case basis and each on its own ml
Please note that variances to the Minimum Design Criteria should be requested and appro)
during the permitting process prior to construction. After -construction requests are discouraged
the Division and may not be approved, thus requiring replacement or repair prior to certificatio
activation.
Gravity sewers installed greater than ten percent below the minimum required slope per
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certif
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have be
examined, a slope variance can be requested from the Division with firm support
documentation. This shall be done through a permit modification with fee. Such variance requ(
will be evaluated on a case -by -case basis. Resolution of such request shall be evident prior
completing and submitting the construction certification.
A copy of the construction record drawings and pump station designs, if applicable, shall
maintained on file by the Permittee for the life of the wastewater collection facilities.
Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; I
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Divisio
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopt
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to
enforcement action by the Division, in accordance with North Carolina General Statutes § 1
215.6A through § 143-215.6C.
0. In the event that the wastewater collection facilities fail to perform satisfactorily, including

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
Brunswick County
PERMIT #:
WQ0033575
PROJECT:
Brunswick Novant Medical Center Sewer
SSUE DATE:
December 5, 2008
COUNTY:
Brunswick
'his project shall not be considered complete nor allowed to operate in accordance with Conditioi
:)f this permit until the Division has received this Certification and all required supporting documentati(
consequently, it should be submitted in a manner that documents the Division's receipt. Send t
'equired documentation to the Regional Supervisor, Surface Water Protection Section at the address
he bottom.
\ny wastewater flow made tributary to the wastewater collection system extension prior to completi
)f this Certification shall be considered a violation of the permit and shall subject the Permittee
)ppropriate enforcement actions. The Permittee is responsible for tracking all partial certifications
)ntil a final certification is received. A Final Certification shall be a complete set of record drawings a
Jesign calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuc
o the applicable standards & requirements, the Professional Engineer below has provided applicat
Jesign/construction information to the Permittee, and the Permittee is prepared to operate & maint<
he wastewater collection system permitted herein or portions thereof.
'rinted Name, Title Signature Date
ENGINEERS CERTIFICATION
as a duly registered Professional Engineer in the State of North Carolir
laving been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of tl
xoject name and location as referenced above for the above Permittee hereby state that, to the bE
>f my abilities, due care and diligence was used in the observation of the construction such that tl
:onstruction was observed to be built within substantial compliance of this permit; 15A NCAC 2T; tl
)ivision of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 19
is applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations at
:orce Mains adopted June 1, 2000 as applicable; and other supporting materials.
forth Carolina Professional Engineer's Seal w/signature & date

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U.S. ARMY CORPS OF ENGINEERS
WII NRNGTON DISTRICT
Action Id. SAW-2008-1690 County: Brunswick U.S-G.S. Quad: Supply
NOTIFICATION OF JURISDICTIONAL DETERMNATION
Property Owner `Eunaton I'artn LLC arcel #s k - 04411 & 152 04201. _
Address: cJoBrace Cameron
PO"Boz 3 49 -
Wilnlrisrtom:lYC 2$406
Property Owner. Brunswick Community Hospital LLC 1pareel # 15200042)
Address: c/o Dave Macmillan
PO Box 33549
Charlotte, NC 28233
Property description:
Size (acres) 385.35 Nearest Town Supply
Nearest Waterway 0eaverdam Swamp River Basin Lumber
USGS HUC 03040208 Coordinates N 34.0377 W 78.2577
Location description The parcel is located along HVIr 17 and Landfill Road near Su B unswick Coun North
Carolina. Par el #s 15200042 1 00 4411 & 1520004201.
Indicate Which of the Following Apply:
A. Preliminary Determination
Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
--this property inspected to determine the extent of Department of the Army (DA) jurisdiv t ii -To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331).
R. Approved Determination -
There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters ofthe U.S. including wetlands on the above described property subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
_ The wetland on your property have been delineated and the delineation has been verified by the Corps. We strongly
suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps.
Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property
which nrnuif6r1 there .

Action 1D: SAW-2008-1690
There are no waters of the U.S., to include wetlands, present on the above described property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Wilmington, NC, at [phone] to determine
their requirements.
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Ms. Kimberly Garvey, Regulatory Specialist at f2LO)
2SI-4482 or Idmberly 1 earve a@usace army mil.
C. Basis For Determination
The site exhibits wetland criteria as described in the 1987 Corps Wetland Delineation Manual and water bodies with
ordinary hieh water marks that drain to Beaverdam Swamp and to the Lockwoods Folly River, a Traditionally
Navigable Water. This determination is ased on information submitted by The Clark Groulp and a site visit b
Kimberly Garvey, of this office, on 1130108
D. Remarks
E. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR part 331. Enclosed you will find
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
District Engineer, Wilmington Regulatory Division
Attn: Kimberly Garvey, Project Manager,
Wilmington Regulatory Field Office
PO Box 1890
Wilmington, North Carolina 28403
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 331.5, and that it has been received by the District Office within 60 days of the date of the
Should you decide to submit an RFA form, it must be received at thle,ecl)ove address by July 24, 2008.
**It is not necessary to submit an
correspondence.**
Corps Regulatory
Date May 24, 2008
do not object to the determination in this
NAP.

Is 1S100042U1 & 1520004411) and Brunswick Community
lospital Wo Dave Macmillan for parcel # 15200042
2008
attached is:
See Section
below
INITIAL PROFFERED PERMIT Standard Permit or Leper ofpermission)
PROFFERED PERMIT Standard Permit or Letter ofpermission)I
PERMIT DENIAL
APPROVED JURISDICTIONAL DETERMINATION
PRELIlVONARY JURISDICTIONAL DETERMINATION
I
I
A: NIT'IAL PROFFERED PERMIT: You may accept or object to the permit.
ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your sigt
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appe,
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request tl
permit be modified accordingly. You must complete Section H of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to al
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify th
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district. engine
will send you a proffered permit for your reconsideration, as indicated in Section B below. _
PROFFERED PERMIT: You may accept or appeal the permit
ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your sign
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appea
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this i
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date
this notice.
PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process
apleting Section Il of this form and sending the form to the division engineer. This form must be received by the division engine
hen 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
'egarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an apprc
fD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide
nformation for further consideration by the Corps to reevaluate the JD.
MASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information
his form to clarify where your reasons or objections arc addressed in the a.dministrdtive record.)
.DDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
temorandum for the record of the appeal conference or meeting, and any supplemental information that the
.view officer has determined is needed to clarify the administrative record. Neither the appellant nor the Cc
ay add new information or analyses to the record. However, you may provide additional information to ch
e location of information that is already in the administrative record.
You have questions regarding this decision
.d/or the appeal process you may contact:
strict Engineer, Wilmington Regulatory Division,
tn: Kimberly Garvey, Project Manager
ilmington Regulatory Field Office
) Box 1890
ilmington, North Carolina 28402
If you only have questions regarding the appeal proses;
may also contact:
W. Mike Bell, Administrative Appeal Review officer
CESAD-ET-CO-R
U.S. Army Corps of Engineers, South Atlantic Divisioi
60 Forsyth Street, Room 9M15
Atlanta, Georgia 30303-8801
GHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and an,
vernment consultants, to conduct investigations of the project site during the course of the appeal process.
I be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all sit
,estijzations.
Telephone number:
of appellant or
For appeals on Initial Proffered Permits and approved Jurisdictional Determinations send this
form to:
District Engineer, 'Wilmington Regulatory Division, Attn: Kimberly iarvpv prn;nn* �►�r.._ .� _ VVY.. . _ _

7
io
WETLAND SURVEY FOR
FUNSTON PARTNERS
BRUNSWICK COUNTY
NORTH CAROLINA
DATE JAN. 7. 2008
Feb. 11, 2008 REV. No. 2 (Corps Comments)
April 29, 2008 REV. No. 3 (Corps Comments)
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WETLAND SURVEY FOR
FUNSTON PARTNERS
BRUNSWICK COUNTY
NORTH CAROLINA
DATE. April 28. 2008 (Rev. No. 3)
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BRUNSWICK COUNTY
NORTH CAROLINA
DATE April 29, 2008 (Rev. No. 3)
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FUNSTON PARTNERS
BRUNSWICK COUNTY
NORTH CAROLINA
DATE April 28, 2008 (Rev. No. 3)
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BRUNSWICK COUNTY
NORTH CAROLINA
DATE April 29, 2008 (Rev. No. 3)
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
ConleXcrCR-0e . Lim rrl PQr-
P- +n : Y . aal:>p Ha d e�
WlIm117�, Ike 2Q�1
A. Signature
X ' u'co&t-,qc.A._
❑ Agent
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❑ Addressee
B. Received IV (Printed Name)
Vvc�d C')
C. Date of elivery
l
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D. Is delivery address different from item 1?
❑ Yes
If YES, enter delivery address below:
❑ No
G- -aI .
o. o�er�vice lype
E Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Rrstrirtnri
I-- ' -1 U Yes
�. Afuuie IVumoer
(Transfer from service label) 7005 2570 0000 7862 0355
PS Form 3811, August 2001 Domestic Return Receipt
102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
Agent
X ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
"— 3. SS 'e Type
Certified Mail
❑ Registered
❑ Insured Mail
❑ Express Mail
❑ Return Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 2570 0000 7862 0362
(Transfer from service label)
PS Form 3811, August 2001 Domestic Return Receipt
102595-02-M-1540

SITE SOLUTIONS, INC.
FIRST CITIZENS BANK 013
2320 W. MOREHEAD ST.
& TRUST COMPANY
CHARLOTTE, NC 28208
CHARLOTTE, NC 28202
PH. [phone]
66-30-531
7tly Four hundred and no / 100 Dollars
DATE
7/23/2008
j NC Dept. of Environ. and Nat. Resources
NC
112000191323110 1:0 5 3 i00 3001:000 1 3 146 5 i 7 1i1m
19823
19823
AMOUNT
$400.00