SW4091101_HISTORICAL FILE_20110728

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW�D�
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
I� HISTORICAL FILE
DOC DATE
r�%lI 07�i 0
YYYYMMDD

Homewood, Sue
From: Homewood, Sue
Sent: Thursday, July 28, 2011 10:06 AM
To: 'H. Mack Summey, Jr.'
Subject: RE: hospice of randolph
Thanks for the update. If they are occupying the building then you'll want to certify it based on any final inspection
notes you have and consider this work now to be repair work that they should just keep record of with their inspection
records. If you certify it now then now would be when they are authorized to occupy the building. Call me if that
doesn't make sense.
Sue Homewood
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: H. Mack Summey, Jr. [mailto:[e-mail]]
Sent: Wednesday, July 27, 2011 8:15 PM
To: Homewood, Sue
Subject: RE: hospice of randolph
Sue
met with the contractor up there and am having them dig out the mulch and replace it. I dug down in a few locations
and thankfully sediment does not go all the way thru. I am having them add more rip rap to stabilize the ditch on both
ends, that soil up there is terrible and they will always have a problem with it, the rip rap will allow the water to slow
down, deposit the silt and grass will eventually grow thru it....better than on the dirt....haha Will inspect and send cert
after it is done.
Thanks!
Mack
From: Homewood, Sue[mailto:[e-mail]]
Sent: Thursday, July 21, 2011 2:25 PM
To: H. Mack Summey, Jr.
Subject: RE: hospice of randolph
fyi
Sue Homewood
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]

FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: H. Mack Summey, Jr. [mailto:[e-mail]]
Sent: Thursday, July 21, 2011 2:22 PM
To: Homewood, Sue
Subject: RE: hospice of randolph
Yep, you got me, it fell to the side.....
Will write it down this time to take care of .... and email them now to fix the erosion, they will kill the cell if they don't....
Thanks!
Mack
From: Homewood, Sue[mailto:[e-mail]]
Sent: Thursday, July 21, 2011 2:20 PM
To: H. Mack Summey, Jr.
Subject: RE: hospice of randolph
Hey Mack,
Did this happen to fall off to the side? I still need that final cert. to consider this site in compliance. I also drove by and
they have some erosion in the'channels going to the cell that they need to make sure they address or watch.
Sue Homewood
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Homewood, Sue
Sent: Wednesday, July 06, 2011 3:22 PM
To: 'H. Mack Summey, Jr.'
Subject: RE: hospice of randolph
On your cert. be sure to make a note of when you considered it complete (maybe when you did your last inspection) so
we have a "start date". You can't back date the cert. but if you certify it now they'll have been out of compliance
because they are occupying the building. But you can put a note that indicates you did a final inspection and "cleared
them to occupy" etc, but didn't file the cert.
Their permit requires an annual report to be submitted, the first one would be a year after they occupy the
building/your final inspection, so you may need to get with them or remind them about that depending on when it was
finished....

Sue Homewood
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: H. Mack Summey, Jr. [mailto:[e-mail]]
Sent: Wednesday, July 06, 2011 3:16 PM
To: Homewood, Sue
Subject: RE: hospice of randolph
Yep, its done .... well almost.
The cell was designed for a future expansion and they are already building it now.
Will get you a cert this week.
Sorry about that!
Mack
From: Homewood, Sue[mailto:[e-mail]]
Sent: Wednesday, July 06, 2011 3:14 PM
To: H. Mack Summey, Jr.
Subject: hospice of randolph
Hey Mack,
Is this site completed? I don't see an eng. cert. in the file yet but I know sometimes that's just an oversight. We're
checking for those more now -a -days. Thanks.
Sue Homewood
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.

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Scott F. Cole
Licensed Soil Scientist
312 Copple's Road Ext.
Asheboro, NC 27205-0711
H: [phone]; M: [phone]
Summey Engineering Associates
Attn: Mr, Mack Summey
1342 E. Salisbury Street
Asheboro, NC 27203
January 30, 2010
Re: Identification of the seasonal high-water table for proposed Bio-Cell storm -water device at Hospice of
Randolph County (416 Vision Drive, Asheboro, NC)
Mr. Summey,
Per your request, soil conditions were evaluated at the proposed Bio-Ccll device on the above -referenced
property to determine the depth of the seasonal high-water table. Work was conducted to satisfy requirements
set forth in the North Carolina Division of Water Quality Stormwater Best Management Practices Manual.
Samples were collected with hand augers.
The seasonal high-water table is determined by a field evaluation for soil wetness conditions. Soil wetness
conditions are determined by the presence of colors with a chroma of 2 or less (in Munsell color notation) in
mottles or the horizon matrix. Colors of chroma 2 or less due to relic minerals from the parent material
(underlying rock) are not considered as indicators for soil wetness conditions.
RESULTS
Multiple soil borings were placed around the perimeter of the Bio-Cell (elevation 714'). The seasonal high-
water table was not observed within 8'of the surface (706').
The attached map shows the approximate location of each sampling point, its elevation, and the elevation at
which the seasonal high-water table was observed (if applicable).
I am pleased to be of service in this matter and will be available, if necessary, to provide additional services that
may aid in the successful completion of this project.
Thank you,
Scott F. Cole
North Carolina Licensed Soil Scientist
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21
3 Q 4 5 0 3 2 STATE OF NORTH CAROLINA
Department of the Secretary of State
STATEMENT OF CHANGE OF REGISTERS
OFFICE AND/OR REGISTERED AGENT
SOSID: 0029850
Date Filed: 11/912001 2:54 PM
Elaine F. Marshall
North Carolina Secretary of State
Pursuant to §55-5-02, §55A-5-02, §55-15-08, and §55A-15-08 of the General Statutes of North Carolina, the undersigned corporation
submits the following for the purpose of changing its registered office and/or registered agent in the State of North Carolina.
INFORMATION CURRENTLY ON FILE
The name of the corporation is: Centten o6 Living Home Heatth and Hospice, Inc.
The street address and county of the corporation's registered office currently on file is:
Number and Street: 416 V.izion Dt i.v t?
City, State, Zip Code
A4hebo�to, NC 27203
County: _ Rando.f'_ph
The mailing address If different from the street address of the registered office currently on file is:
The name of the current registered agent is:
B.i.e-f'.i_.e S. Vuncannon
NEW INFORMATION
1. The street address and county of the new registered office of the corporation is:
(complete this item only tf the address of the registered office is being changed)
Number and Street:
City, State, "Zip Code:
County:
2. The mailing address if different from the street address of the new registered office is:
(complete this Item only if the address of the registered office is being changer!)
3. The name of the new registered agent and the new agent's consent to appointment appears below:
(complete this item only if the name of the registered agent is being changed)
Rhonda t . Burtch _ _ _ _ 0-4L C4 t ° tic�� ( z-)
Type or Print Name of New Agent y J ~ * S�— S gnature & Title
4. The address of the corporation's registered office and the address of the business office of its registered agent, as changed,
will be identical.
5. This statement will be effective upon filing, unless a date and/or time is specified:
This is the. 29 day of _Or tobe-T , 20__O]_. c,
N ` or}Jp�Rra�tion Name
Signature
Rhonda L. Bun.ch, CFO
Type or Print Name and Title
Notes: 1. Filing fee is $5.00. This document and one exact or conformed copy must be filed with the Secretary of State.
* Instead of signing here, the new registered agent may sign a separate written consent to the appointment, which must be attached to this statement.
Revised January 2000 Form 13N-06
CORPORATIONS DIVISION P. 0. BOX 29622 RALEIGH, NC 27626-0622

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Project Narrative
Hospice of Randolph County
Vision Drive
Asheboro, NC
The purpose of this narrative is to briefly describe the development of a new 12 bed Hospice Care
Facility located on a 4.924 acre parcel at 416 Vision Drive in Asheboro NC behind the Administrative
offices.
This stormwater management plan is the result of the site being Tipped Into the NPDES Phase II
regulations and as a result must comply with the Post Construction Rules.
The existing 4.924 acre site is currently wooded with mostly hardwoods and a few evergreens. The
existing topography slopes from east to west and has a sanitary sewer service line draining from East
to West along the Northern property line. A portion of the existing Hospice Administrative parking lot
drains thru the proposed development area. No intermittent or perennial streams exist on the property.
The proposed development consists of clearing, grubbing & grading approximately 3 acres and placing
a building in the North — Northeastern corner of the property. The existing Built Upon area will flow
to a new grated inlet and be routed around the proposed bio-cell on the new site. The new Bio-cell will
be constructed and all new Built Upon Area (BUA) will be directed to the biocell thru a series of
grated inlets and a RCP stormwater network and will be discharged thru a Class B Rip Rap outlet and
into a grass lined channel then flow into the bio-cell. A detailed sequence of construction has been
provided to ensure the bio-cell is completed at the end of the project and that the site is stabilized prior
to allowing any stormwater to enter the completed bio-cell.
The total drainage area flowing to the bio-cell is approximately 80,586 sf (1.85 Ac.) of which 62,808 sf
(1.44 Ac) is Impervious. The bio-cell is large enough to treat the current site and will allow for future
expansion should the Hospice Center ever needs to expand.
The site has been approved by the City of Asheboro Planning and Engineering Departments and the
NCDENR-Division of Land Quality. Please see the attached plans, calculations and details for more
information.
n I M I I r«I
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Westpointe Luxury Apartments - Bio-Cell B
Summey Engineering Associates, PLLC
Engineering - Land Planning - Consulting
P.O. Box 968 .�`�� p �..0 . RO���'�
Asheboro, NC 27204 'z
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Phone - 336-328-0902 Fax - 336-328-0922
26447
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Bio-Retention Pond Worksheet %ic0 Sri�MM✓���`���
Job No. E-1273
Project: Hospice of Randolph County
Watershed: Class C
BRP# 1
Treatment Volume
P (Rainfall To Be Controlled) 1.00 in.
Rv (Volumetric Runoff Coefficient) 0.05 + 0.009(I) = 0.75
1 (% Imperviousness) 77.94 %
DA (Drainage Area) 1.85 ac. z
WQV (Water Quality Volume) = 0.12 ac.-ft. ✓
Filter Bed Surface Area
WQV (Water Quality Volume) = 5046.43 cf
df (Filter Bed Depth) 4.00 ft.
k (Coefficient Of Permeability Of Filter Media) 0.50 ft./day
hf (Average Height Of Water Above Filter Bed) 0.25 ft.
tf (Design Filter Bed Drain Time) 2.00 day(s)
Af (Filter Bed Surface Area) = 4750 s.f.