NCC240923_ESC Approval Submitted_20240401

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ELIZABETH S.BISER �` _ 4�L
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WILLIAM E.TOBY VINSON,JR NORTH CAROLINA
Interim Director Environmental Quality
December 5, 2023
LETTER OF APPROVAL
Goshen Medical Center,Inc.
ATTN: Greg Bounds
412 SE Center St.
Faison,NC 28341
RE: Project Name: Goshen Medical Center
Acres Approved: 4.96
Project ID: RICHM-2024-0100
County: Richmond City: Rockingham Address: US Highway 74 Business
River Basin: Yadkin—Pee Dee
Stream Classification: C—Aquatic Life, Secondary Contact Recreation,Fresh Water
Submitted By: Neal Smith Engineering, Inc.
Date Received by DEMLR: October 31,2023
Plan Type: New-Commercial
Dear Mr. Bounds:
This office has reviewed the subject erosion and sedimentation control plan and hereby issues this Letter
of Approval. This plan approval shall expire three (3) years following the date of approval, if no land-
disturbing activity has been undertaken,as is required by Title 15A NCAC 4B .0129. Should the plan not
perform adequately,a revised plan will be required(G.S. 113A-54.1)(b).
As of April 1,2019,all new construction activities are required to complete and submit an electronic Notice
of Intent (eNOI) form requesting a Certificate of Coverage (COC) under the NCG010000 Construction
General Permit. After the form is reviewed and found to be complete,you will receive a link with payment
instructions for the $100 annual permit fee. After the fee is processed, you will receive the COC via
email. As the Financially Responsible Party shown on the FRO form submitted for this project,you MUST
obtain the COC prior to commencement of any land disturbing activity. The eNOI form may be
accessed at deq.nc.gov/NCG01. Please direct questions about the NOI form to Paul Clark at
paul.clark n,ncdenr.gov. After you submit a complete and correct NOI Form, a COC will be emailed to
you within three business days.A$100 fee will be charged annually until a Notice of Termination is issued.
This fee is to be sent to the DEMLR Stormwater Central Office staff in Raleigh. If the owner/operator of
this project changes in the future,the new responsible party must obtain a new COC.
Title 15A NCAC 4B .0118(a)and the NCGO1 permit require that the following documentation be kept on
file at the job site:
1. The approved E&SC plan as well as any approved deviation.
2. The NCGO1 permit and the COC,once it is received.
3. Records of inspections made during the previous 12 months.
D •s North Carolina Department ofEnvironmental QualityIDivision of Energy.MineralandLand Resources
FtillRilOffi1225GSSt714IFillNhCli28301NOR'!=CA O!JNA
Depathrent of E,..f, n nbt Pal 910.433.3300

Letter of Approval
Goshen Medical Center,LLC
December 5,2023
Page 2 of 2
Title 15A NCAC 4B .0118(a)requires that a copy of the approved erosion control plan be on file at the job
site. Also,this letter gives the notice required by G.S. 113A-61.1(a) of our right of periodic inspection to
ensure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Act is performance-oriented, requiring protection of
existing natural resources and adjoining properties. If, following the commencement of this project, it is
determined that the erosion and sedimentation control plan is inadequate to meet the requirements of the
Sedimentation Pollution Control Act of 1973 (North Carolina General Statute 113A-51 through 66), this
office may require revisions to the plan and implementation of the revisions to ensure compliance with the
Act.
Acceptance and approval of this plan is conditioned upon your compliance with Federal and State water
quality laws, regulations,and rules. In addition, local city or county ordinances or rules may also apply to
this land-disturbing activity. This approval does not supersede any other permit or approval.
Please note that this approval is based in part on the accuracy of the information provided in the Financial
Responsibility Form,which you provided.You are requested to file an amended form if there is any change
in the information included on the form. This permit allows for a land-disturbance, as called for on the
application plan,not to exceed the approved acres. Exceeding the acreage will be a violation of this permit
and would require a revised plan and additional application fee.In addition,it would be helpful if you notify
this office of the proposed starting date for this project.
Your cooperation is appreciated.
Sincerely,
Ki
elly J nas
Envir mental Engineer
DEMLR
Enclosures: Certificate of Approval
NPDES NCGO1 Fact Sheet
ec: Bryan Welborn,Neal Smith Engineering,Inc.,Chavis Design Associates
Gary Williams,Richmond County Inspections Office
cc: DEMLR-Fayetteville Regional Office