SW5090701_HISTORICAL FILE_20110203

STORMWATER DIVISION CODING SHEET
POST —CONSTRUCTION PERMITS
PERMIT NO.
SW 2?J719(
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
�P HISTORICAL FILE
c
DOC DATE
YYYYMMDD

LETTER OF TRANSMITTAL
CC,`
STEWART TO
FROM
Raleigh Regional Office
Adam Pike
Surface Water Protection
Project Engineer
3800 Barrett Dr.
[phone]
Raleigh, NC 27609
RE Et V EL!
DATE SENT VIA
2/2/11 UPS Ground 3 2011
TUC DElVP
aaleighRegfonal i)riic,^•.
PROJECT NUMBER PROJECT NAME
C9006 I Chatham MOB
COPIES DATE DESCRIPTION
1 1 BMP Certification Letter
For approval
For review & comment
G
Returned for corrections
For your use
Approved as submitted .
Returned after review
As requested
Approved as noted
Resubmit copies for approval
COMMENTS
Please find attached the certification letter and checklist for the bio retention area
BMP associated with state stormwater permit no. SW5090701. Please feel free to
contact me if you need anything else.
Thanks
SIGNED Y/ &-
Adam Pike, PE
COPIED TO
file
ENGINEERING. INNOVATION. SOLUTIONS."" 421 FAYETTEVILLE SIREET RALEIGH, NC T 919.380.5750
SUITE 400 27601 F 919.380.5752

State Stormwater Permit
Permit No.SW5090701
Chatham Hospital (Siler City Dialysis Center #3375)
Stormwater Permit No. SW5090701 MOD
Chatham County
Designer's Certification
I k dqm r i k as a duly registered fho Mt.c,r
in the State of North Carolina, having been authorized to observe eriodicall weekly/
full time) the construction of the project,
+C.- 0 3375
(Project)
for 64+ A4r., RIS1f @ TW (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number o 36231
Date
116111
SEAL
Page 6 of 7

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State Stormwater Permit
Permit No.SW5090701
Certification Requirements:
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The drainage area to the system contains approximately the permitted
acreage.
The drainage area to the system contains no more than the permitted
amount of built -upon area.
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All the built -upon area associated with the project is graded such that the
runoff drains to the system.
All roof drains are located such that the runoff is directed into the system.
The outlet/bypass structure elevations are per the approved plan.
The outlet structure is located per the approved plans.
Trash rack is provided on the outlet/bypass structure.
All slopes are grassed with permanent vegetation.
Vegetated slopes are no steeper than 3.1.
The inlets are located per the approved plans and do not cause short-
circuiting of the system.
The permitted amounts of surface area and/or volume have been
provided.
Required drawdown devices are correctly sized per the approved plans.
All required design depths are provided.
All required parts of the system are provided, such as a plants,
underdrains, planting media, and a forebay.
The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to
and:
Raleigh Regional Office
Surface Water Protection
3800 Barrett Drive
Raleigh, NC 27609
DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Page 7 of 7

Smith, Danny
From: Bennett, Bradley
Sent: Thursday, November 18, 2010 8:33 AM
To: Hodge, Al; Scott, Georgette; Smith, Danny; Henson, Belinda; Krebs, Rob
Cc: Lowther, Brian; Patterson, Robert; Randall, Mike; Karoly, Cyndi; Matthews, Matt
Subject: FW: OSA Information Request
Attachments: Stormwater Permit Sample FY2010.x1s
Hey Guys,
I just copied you on a response I sent to the auditors about this information. Take a look at the info below that they need.
I think all this information will be in the files that you have at the regional office. They are asking for a pretty quick turn
around on this. If you can scan it in and send by email Derek said that is okay. If you want, you can forward the
information to me and I'll pull it all together and send it to Derek.
Thanks for your help.
f:T3
Bradley Bennett
Stormwater Permitting Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: [phone]
Fax: [phone]
Email: [e-mail] (New Email Address)
Web: httg://portal.ncdenr.org/web/wq/ws/su
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third
parties.
From: Derek Allred[mailto:[e-mail]]
Sent: Wednesday, November 17, 2010 5:29 PM
To: Bennett, Bradley
Cc: Chuck Hefren; James D. Horne
Subject: OSA Information Request
Good Evening Bradley,
My name is Derek Allred and l am a member of the performance audit team from OSA that is currently conducting an
audit at DEN for permits that offer the Express Review option. I was referred to you by Ian McMillan. As part of our
performance audit fieldwork, we must perform a data reliability test to determine data accuracy in BIMS for key milestones
compared against source documentation. We have extracted a random sample of DENR permits for which the Express
Review option is available for permits issued during FY 2010 and have a list of 17 permit files for Stormwater
Management Permits for which we need source documentation from the Stormwater Branch. Please see the attached
Excel spreadsheet. For each of the sample items selected, we will need the following supporting documentation:
Front page of application and applicant signature page from the application package. (Supporting documentation
for application receipt date)
Supporting documentation for the last additional information request received from the applicant.
Supporting documentation for the Final Permitting Action Date (Approval, Disapproval, etc.).
We will be contacting you tomorrow to discuss the best way for completing this task, but we would like to obtain the
supporting documentation by Tuesday, November 23, 2010 COB.

11
If you have any questions about our request, please give me a call.
Sincerely,
Derek Allred, MPA, CSSBB
Assistant State Auditor
North Carolina Office of the State Auditor
Performance Audit Division
2 South Salisbury St.
Raleigh, NC 27699-0601
Phone: (919)'807-7707
Fax: [phone]
WARNING: E-mail correspondence to and from The Office of the State Auditor may be subject to the North
Carolina Public Records Law and may be disclosed to third parties.
z

NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Benjamin Gilbert
Division of Water Quality
Coleen H. Sullins
Director
February 19, 2010
Dee Freeman
Secretary
Carolina Dialysis, LLC
101 Manning Drive
Chapel Hill, NC 27514 �1
Subject: A roved Plan Revision
Stormwater Permit No. SW5090701
Chatham Hospital (Siler City Dialysis Center #3375)
Chatham County
Dear Mr. Gilbert:
On February 18, 2010, the Stormwater Permitting Unit received a plan revision for Stormwater
Management Permit Number SW5090701. The revisions include changing the lease line to a
property line; and providing deed restrictions for this new outparcel created for the Siler City
Dialysis Center. 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 replace the old approved plan sheet(s) with the new one(s).
Please be aware that ail terms and conditions of the permit issued on January 5, 2010, 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 permlttee 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, or need additional information concerning this matter, please contact
me at [phone]; or [e-mail].
Sincerely,
Robert D. Patterson, PE
Stormwater Permitting Unit
M. Ms. Carol Straight - Chatham Hospital, Inc
Central Files
SW5090701 File
ec: Mr. Adam Pike, PE, Stewart Engineering
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carofna 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] l FAX: [phone] Customer Service: 1-877-623-6748
Internet: www,ncwaterquality.org
An Equal opportunity 1 Affirmative Action Employer
( ,V, 5090-a1
011 C
NoahCarolina

LETTER OF TRANSMITTAL
.I
• STEWART
TO FROM
Robert Patterson
Adam Pike
i
NCDENR - DWQ
Project Engineer Intern
512 North Salisbury St
[phone]
Raleigh, NC 27601
DATE SENT VIA
2/17/10 Hand Delivery
PROJECT NUMBER PROJECT NAME
c9046 Siler City Dialysis Center
COPIES DATE DESCRIPTION
2
2 17 10
Revised Plan Sheets
1
2 17 10
a plication, outparcel form letter
For approval
❑
For review & comment
Returned for corrections
For your use
Approved as submitted
Returned after review
As requested
Approved as noted
Resubmit cgpies _for_approvaI
I} '
COMMENTS
Robert, a1
Please find included the necessary documents for state stor'mwater-revision-for-5iler
City Dialysis Center. Please feel free to contact me if you have any questions.
Thanks
Adam Pike
SIGNED & /a/
Adam Pike, PE
COPIED TO
file
ENGINEERING. INNOVATION. SOLUTIONS.T" 421 FAYETTEVILLE STREFT RALEICH, NC T 919.380,8750
SUITE 400 27601 F 919.380,8752

ww wal�wnr�.enp.ca.n
T E WA R T February 17, 2010
Robert Patterson
NCDENR DWQ Stormwater Permitting
512 N. Salisbury St.
Raleigh, NC 27604
RE: Siler City Dialysis Center
Stewart Project# : C9046
Stormwater Permit Revision
Mr. Patterson,
Please find included in this submittal the revised plans and associative material for
Siler City Dialysis Center. This revision is due a lease line being revised to a
property line for the parcel where the proposed dialysis center is to be located.
There will be no change in ownership with the revision. Chatham Hospital will still
be the owner of the parcel. Per a phone conservation we had in mid January you
informed me that for this revision you would need the revised sheets for the site
plan, drainage area plan and overall site plan, a revised sheet for the Stormwater
application, and a signed high density development with outparcels deed
restrictions & protective covenances form. All the noted items are included in this
package. Please feel free to contact me if you have any additional comments or
questions.
Sincerely,
STEWART ENGINEERING, INC.
Adam Pike, PE
ENGINEERING. INNOVATION. SOLUTIONS."" 421 FAYETfEVILLE STREET RALEIGH, NC T 919.380,8750
SUITE 400 27601 F 919.380,8752

of
> A detailed narrative (one to two pages) describing the stormwater treatment/n,anagen,entfor
the project. This is required in addition to the brief summary provided in the Project
information, item 1.
r 6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
�PL
receiving streani drains to class SA waters within 1/2 mile of the site boundary, ii,clude, the'h
mile radius or, the map.
Apt
7. Sealed, signed and dated cakulations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
M
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MI-IW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j, Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and storrnwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers.(where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify AFL
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring. logs. Include an 8.5"xl1" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifif the SHWT prior
to subinittal, (9I0) 796-7378.) K
10. A copy of the most current property deed. Deed book: 2010 Page No: 22
11, For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
littR:Z/www.secretary.st,ite.iic.us/CorLioratioils/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
KPL
For all subdivisions, outparcels, and future development, the appropriate property restrictions anti protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot nun,her, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://h2o.enr.st,Ite.r,c.us/su/bmp for ms.lit n,'"tdeed restrictions. Download the latest versions for each submittal.
In the instances where ti,e applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants fora, while the applicant is responsible for ensurin},
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the fornis available on the webaite, that the covenants will be binning on all parties and Persons claiming
under theirs, that they will run with the land, that the required covenants cannot 11t• changed or deleted
without Cont:ul'I-CnCC front the N(.' DWQ, and Ihat they will be recorded prior to the sale of any lot.
Fol-111 till'I �- III I 07.i{ih)OW �; 01 7

Highty Developments with Outparcels
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Stormwater Management
Regulations, deed restrictions and protective covenants are required for High Density Developments
with Outparcels where outparcel lots will be subdivided from the main tract and sold. Deed restrictions
and protective covenants are necessary to ensure that the development maintains a "built -upon" area
consistent with the design criteria used to size the stormwater control facility.
I, Carol Straight, as President of Chatham Hospital Incorporated, acknowledge, affirm and agree by my
signature below, that I will cause the following deed restrictions and covenants to be recorded prior to
the sale of any outparcel or future development area:
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number_SW5090701 , as issued by the Division of Water Quality under
the Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming
under them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express
written consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the Division of Water Quality.
6. The maximum built -upon area for the ouiparcel(s) shown on the approved plans is as follows:
Outparcel # BUA Outparcel # BUA
1 41 769 ft2
These allotted amounts include any built -upon area constructed within the property boundaries,
and that portion of the right-of-way between the lot lines and the edge of the pavement. Built
upon area includes, but is not limited to, structures, asphalt, concrete, gravel, brick, stone, slate,
coquina and parking areas, but does not include raised, open wood decking, or the water
surface of swimming pools.
7. The runoff from all built -upon area within the outparcel or future development area must be
directed into the permitted stormwater control system.
8. Built -upon area in excess of the permitted amount will require a permit modification.
9. The connection from the outparcel's collection system into the stormwater control shall be made
such that short-circuiting of the system does not occur.
10. For those outparcels or future development areas whose ownership is not retained by the
permittee, the new owner shall submit a separate offsite stormwater permit application to the
Division of Water Quality and receive a permit prior to construction.
11. The project and each outparcel will maintain a 30** foot wide vegetated buffer between all
impervious areas and surface waters.
**50 foot for projects located in the 20 coastal counties.
Form DRPC-2 Rev.2 05Nov2009 Page 1 of 2

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Suilins Dee Freeman
Governor Director Secretary
January 5, 2010
Mr. Benjamin Gilbert
Carolina Dialysis, LLC Y
101 Manning Drive'
Chapel Hill, NC 27514
Subject: Stormwater Permit No. SW5090701 Modification
Chatham Hospital (Siler City Dialysis Center #3375)
High Density Commercial Wet Pond & Bioretention Project
Chatham County
Dear Mr. Gilbert -
The Stormwater Permitting Unit received a complete Stormwater Management Permit
Application for modifying the Chatham Hospital permit on December 10, 2009, with additional
information received on December 23, 2009 and January 4, 2010. Staff review of the plans and
specifications has determined that the proJJ'ect, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We are forwarding
modified Permit No. SW5090701, dated January 5, 2010, for the construction, operation and
maintenance of the subject project and the stormwater BMPs.
This permit shall be effective from the date of issuance until August 21, 2019, and shall be
subject to the conditions and limitations as specified therein. Please pay special attention to the
Operation and Maintenance requirements in this permit. Failure to establish an adequate system
for inspection and maintenance of the stormwater management system will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30)'days following
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this
permit shall be final an6 binding.
This project will be kept on file at the Raleigh Regional Office. If you have any questions, or
need additional information concerning this matter, please contact Robert Patterson at (919)
807-6375; or [e-mail],
Sincerely,
,for Coleen H. Sullins
Wetlands and Storrrrvlater Branch title 11
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 [v ll l h C�lI OI I Il i
Location:ne512 N. Salisbury St. Raleigh, North Carolina 27604ry �%�!lrtlll'll���/
•�• Pr7ane: 19$ii7-63001 FAX: 919-8[]7-64941 Customer Service: 1-$71-623 6748 i
Internet: www.naNaterqua8ty.0rg
An Equal Opportunity 1 Affirmative :lotion Employer
I

State Stormwater Permit
Permit No.SW5090701
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Chatham Hospital, Inc.
Chatham Hospital (M.O.B. & Siler City Dialysis Center)
475 Progress Blvd., Siler City, Chatham County
FOR THE
construction, operation and maintenance of a wet detention pond and bioretention cell
in compliance with the provisions of 15A NCAC 2H .1000 and S.L. 2006-246 (hereafter
referred to as the "stormwater rules') and the approved stormwater management plans
and specifications and other supporting data as attached and on file with and approved
by the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until August 21, 2019, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 on page 3 of this permit. The stormwater
control has been designed to handle the runoff from 51,449 square feet of
impervious area. This includes -the 2,826 square feet of future impervious area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Dnr-o 1 of 7

FA
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr, Roy Lorenzen, PE
Stewart Engineering, Inc.
421 Fayetteville St., Ste, 400
Raleigh, NC 27601
Dear Mr. Lorenzen:
Division of Water Quality
Coleen H. Sullins
Director
December 14, 2009
Subject: Request for Additional Information
Dee Freeman
Secretary
Stormwater Project No, SW5090701 MOD
Chatham Hospital (Siler City Dialysis Center)
Chatham County
The Division of Water Quality Central Office received a Stormwater Management Permit Application for
the subject project on December- 10, 2009. A preliminary review of that information has determined that
the application is not complete. The following information is needed to continue the stormwater review:
1. All items that must be signed by the applicant (Carolina Dialysis, LLC), must be signed by a
member/manager of the LLC. Alternatively, a member/manager of the LLC may submit an
original signed letter giving signature authority to Mr. Benjamin Gilbert.
2. A soils report must be submitted that provides information on the seasonal high water table
(SHWT). This needs to be provided based on soil boring within the footprint of the proposed
BMP.
3. The drainage area values are not consistent between SWU-101, the supplement form, plans, and
calculations. Please correct these so all these items show the same values.
4. The impervious areas were all left blank in Section IV. i0. of SWU-101. Please complete the
application fully.
5. Please show any wetlands on the plans or add a note stating there are not any.
6. The future expansion needs to be shown on the plans, calculations, and in the drainage area
table on SWU-101.
7. Underdrain calculations need to be provided. These calculations must show that the treatment
volume discharge rate < pre -development 1-yr, 24-hr stone discharge rate.
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NUrthCa� of i ��a
Location: 512 N. Salisbury 51. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1.877-623-6748 Nalitrally
Internet: www.ncwaterquality.a9
An Equal Opportunity % Affirmative Action Employer

Mr. Roy Lorenzen, PE .
SW5090701 MOD — Chatham Hospital •
December 14, 2009
8. Please provide velocity information for the bioretention inlet Swale feature at the west corner of
the parking lot. Inlet velocities into the bioretention cell 'should be < I fps.
9. The bioretention plan shows a single underdrain line on the east side of the cell. It is highly
recommended that some redundancy is provided in the underdrains in case one of the lines
becomes clogged.
10. The outlet invert shown on the. bioretention area detail appears to be incorrect.
Please note that this request for additional information is in response to a preliminary review. The
requested information should be received by this Office prior to January 15, 2010, or the application will
be returned as incomplete. The return of a project will necessitate resubmittal of all required items,
including the application fee.
If you need additional time to submit the infonmation, please mail or fax your request for a time extension
to the Division at the address and fax number at the bottom of this letter. The request must indicate the date
by which you expect to submit the required information. The Division is allowed 90 days from the
receipt of a completed application to issue the permit.
The construction of any impervious surfaces, other than a construction entrance under an approved
Sedimentation Erosion Control Plan, is a violation of NCGS 143-215.1 and is subject to enforcement
action pursuant to NCGS 143-215.6A.
Please reference the State assigned project number SW5090701 on all correspondence. All original
documents must be returned or new originals must be provided. Copies are not acceptable, if you L,Ve
any questions concerning this matter please feel free to call me at [phone].
Sincerely,
obert D. Patterson, P.E.
Environmental Engineer
Stormwater Permitting Unit
cl.: Mr. Benjamin Gilbert, Carolina Dialysis, LLC, UNC Hospitals, Medical School Wing E, 4"' Fluor,
Chapel Hill, NC 27514
Ms. Carol Straight, Chatham Hospital, Inc., PO Box 649, Siler City, NC 27517
Raleigh Regional Office
DWQ Central Files
Sto]-n'iwatcr Permitting Unit Files
Page 2of2

DWQ USE ONLY
Da Rgcj%,ed
Fein Paid
t'ermit Number
f = 0 �'�
rApIicahle
yVS �.�
.5k,15 '` c�-)b �ic,�
Rule.: ❑ Coastal SW —1995
ci all tliut apply) ❑ Non -Coastal SW- 1-1QkV/ORW
❑ Other kklQ M mt flan:
❑ Coastal SW — 2008 P11h 11 - Post Construction
Waters ❑ Universal Stormwater lvlanagement flan
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM.,_ .t
This form nary be photocopied for use as an original
1. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Siler Citv Dialysis Center #3375
2. Location of Project (street address):
475 Progress Blvd T _
City:Siler City „• _ County:Chatham Zip:27517
3. Directions to project (from nearest major intersection):
64W heading from Raleigh, make a left on Progress Blvd. Make a left on Campus Blvd. Site will be on the
4. Latitude:350 43' 33" N Longihide:79° 24' 51" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): []New ®Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberSW5090701 its issue date (if known)August 21, 2009 and the status of
construction: ®Not Started ❑Partially Completed* 0 Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, NjA and the previous name of the project, if different than currently
proposed, N/A
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major ®Sedimentation/Erosion Control: 2.2 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.lf any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:Other permits are in the process of being obtained.
Form SWU-101 Version 071uly2009
Page 1 of 6

VII1. COrNSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you ,wish to designate authority to another individual and/or firer (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional informati)n).
Consulting 1 ngineer
Consulting Firm: Stewart Engineering, Inc.
Mailing Address:421 Fayetteville Street Suite 400
City:
Phone:
State:NC
Zip:27601
3808750 Fax: (919 ) 380 8752
Email: rlorenzenQstew-a rt-errQ.com
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has beery filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) r l certify that I
o„,n the property identified in this permit application, and thus give permission to ( or type name of person
listed in Contact Information, item Ii Lb Q with (print or hype name of organization listed inn
Contact Information, item 1b) ar- l 'T ; LC. to develop the project as currently proposed. A copy of
the lease agreement or pending property sale, contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Storni„•ater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.I and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature:
0
Date: // x 9
P- &,_ r`.!�e -5 a Notary Public for the State of or-`{'k 64,ivf r'rsr� ,County of
do hereby certify that _ [_ personally appeared
before me this 21A day of _jU 00R , and aPf
low•ledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission expires 1,G 21, o20J 1)
Form SWU-101 Version 07July2009
Page 6 of 7

X. APPLICANT'S CERTIFICATION r
�i, {pr-+rit cir 7i11r�rrrrrrrc� cif ��crsn�; lrsf�i� irr Cnrrfrrc'f Irrforrrrnirnrr, ifcru 2) L � �a �I V{ � � V�9-�``� �_
certify that the inforniation included on this permit application forth is, t the best of my knovviedge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed projectconiplies %vith the requirements Of the
applicable stormw^ter rules under 15A NCAC 2H .1000, SL 2006-240 (Ph. II -)Most Construction) or SL 2008-211.
Signature:
Date: 1 Z - 1 -g
I, �y �(� J , a Notary Public for the State of his_, Counhr of
do hereby certify that a WI I personally appeared
d iy"
before nee this day of _Z(/� 5 and ac o�vledge the Lie execu ion of the application for
a storrmvater permit. Witness rn), hand and official seal,
Diane Owens
Notary Public
Durham County
North Carolina
M Commission Ex fires
t.
SEAL
My commission expires S "__z J� _
Fonn SWU-101 Version 07Julv2009 Page 7 of 7

AGA
NC®NR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Benjamin Gilbert
Carolina Dialysis, LLC
101 Manning Drive
Chapel Hill, NC 27514
Division of Water Quality
Coleen H. Sullins
Director
February 19, 2010
Dee Freeman
Secretary
1 23M/0
Subject: Approved Plan Revision
Stormwater Permit No. SW5090701
Chatham Hospital (Sher City Dialysis Center #3375}
Chatham County
Dear Mr. Gilbert:
On February 18, 2010, the Stormwater Permitting Unit received a plan revision for Stormwater
Management Permit Number SW5090701. The revisions include changing the lease line to a
property line; and providing deed restrictions for this new outparcel created for the Siler City
Dialysis Center. 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 replace the old approved plan sheet(s) with the new one(s).
Please be aware that all terms and conditions of the permit issued on January 5, 2010, 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, or need additional information concerning this matter, please contact
me at [phone], or [e-mail].
Sincerely,
Robert D. Pattersol ;, PE
Stormwater Permitting Unit
cc: Ms. Carol Straight - Chatham Hospital, Inc.
Central Files
SW5090701 File
ec: Mr. Adam Pike, PE, Stewart Engineering
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality org
An Equal Opportunity 4 Affirmative Aclion Employer
One
NorthCarolina
Naturally

r■ -
LETTER OF TRANSMITTAL
STEWART
TO
FROM
Robert Patterson
Adam Pike
NCDENR - DWQ
Project Engineer Intern
512 North Salisbury St
[phone]
Raleigh, NC 27601
DATE SENT VIA
2/17/10 Hand Delivery
PROJECT NUMBER PROJECT NAME
c9046 Siler City Dialysis Center
COPIES DATE DESCRIPTION
2
2 17 10
Revised Plan Sheets
1
2 17 10
_application, outparcel form letter
For approval
For review & comment
EReturned
for corrections
For your use
Approved as submitted
Returned after review
As requested
Approved as noted
Resubmit copies -for -approval
COMMENTS� FEB 2 Uf;oi"1
Robert, a
Please find included the necessary documents for state stormwater-revision-fbr Siler
City Dialysis Center. Please feel free to contact me if you have any questions.
Thanks
Adam Pike
SIGNED / / %, COPIED TO
(/.f/,�j� JT file
Adam Pike, PE
ENGINEERING. INNOVATION. SOLUTIONS.TM 421 FAYETTEVILLE STREET RALEIGH, NC T 919-380,8750
SUITE 400 27601 F 919,380.8752

w-tte-t-• R.-
STEWART
February 17, 2010
Robert Patterson
NCDENR DWQ Stormwater Permitting
512 N. Salisbury St.
Raleigh, NC 27604
RE: Siler City Dialysis Center
Stewart Project#: C9046
Stormwater Permit Revision
Mr. Patterson,
Please find included in this submittal the revised plans and associative material for
Siler City Dialysis Center. This revision is due a lease line being revised to a
property line for the parcel where the proposed dialysis center is to be located.
There will be no change in ownership with the revision. Chatham Hospital will still
be the owner of the parcel. Per a phone conservation we had in mid January you
informed me that for this revision you would need the revised sheets for the site
plan, drainage area plan and overall site plan, a revised sheet for the Stormwater
application, and a signed high density development with outparcels deed
restrictions & protective covenances form. All the noted items are included in this
package. Please feel free to contact me if you have any additional comments or
questions.
Sincerely,
STEWART ENGINEERING, INC.
Adam Pike, PE
ENGINEERING. INNOVATION. SOLUTIONS.T~ 421 FAYETTEVILLE STREET RALEIGH, NC T 919.380.8750
SUITE 400 27601 F 919.380.8752

5. A detailed narrative (one to two pages) describing the stormwater treatment/rnanagementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item "I.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within'/2 mile of the site boundary, include the
mile radius on the map.
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the Ml-IW or NI-IW line of tidal
waters, and an), coastal wetlands landward of the MHW or NI-IkV lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MI-iW (or NI-IW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of clualifications and identify the person who
made the determination on the plans.
n. Gxisting drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify APL
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x"I1" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Scherlrrle a site visif for DWQ to verify the SHWThrior
to subinittal, [phone].)
10. A copy of the most current property deed. Deed book: 2010 Page No: 22 RK
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC �VL
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item -la, 2a, and/or 3a per NCAC 21-1.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
htLI2://www.secretary.state.nc.us/CorL)orations/CSearcii.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
APL
X PL
APL
RPL
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://h2o.enr.state.nc.us/sir bmp forms.htm-deed restrictions. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form v ide the applicant is responsible for ensuring;
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DVVQ, and that they will be recorded prior to the sale of any lot.
Perin S1VlJ-101 VvT-sion 07Jt6y2009 � ol'7

-71
UWQ USE ON I-Y
Da ' RgQivcd
Fck2 Paid Permit Number
J _7 Ll° v
Soy � -,5 V s-o7 o � O .Lt 6
Applicable Mule : ❑ Coastal SW — 1995 ❑ Coastal SW — 2008 P 1sh 11 - Post Construction
(select all that apply) ❑ Non --Coastal SW- I-IQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ NI mt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality-
', ? es
STORMWATER MANAGEMENT PERMIT APPLICATION FORM';1
This farm nray be photocopied for use as an original ja�•�✓
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Siler City Dialysis Center #3375
2. Location of Project (street address):
475 Progress Blvd
City:Siler City County:Chatham Zip:27517
3. Directions to project (from nearest major intersection):
64W heading from Raleigh, make a left on Progress Blvd. Make a left on Campus Blvd. Site will be on the
right _.
4. Latitude:35° 43' 33" N Longitude:79° 24' 51" W of the main entrance to the project.
II. PERMIT INFORMATION:
I.a. Specify whether project is (check one): []New ®Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberSW5090701 , its issue date (if known)AugList 21, 2009 , and the status of
construction: ®Not Started ❑Partially Completed* Ej Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, N/A and the previous name of the project, if different than currently
proposed, NIA
4. a. Additional Project Requirements (check applicable blanks, information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 2.2 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:Other permits are in the process of being obtained.
Farm SWt1-101 Version 07July2009 Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the pr9jgq :
Applicant/ Organization:Carol ina Dialysis, LLC _
Signing Official & Title:Benjamin Gilbert, Registered Agent
b.Contact information for person listed in item 1a above:
Street Address: UNC Hospitals, Medical School Wing E. 4t1% Floor
City:Chapel Hill State:NC Zip:27514
Mailing Address (if applicabie):101 Manning Drive
City:Chapel Hill State:NC Zip:27514
Phone: [phone] Fax. (919_._ ) 966-3709
Emai]:B 'lbert®unch.unc.edu
c. ]'lease check the appropriate box. The applicant listed above is:
❑ The property owner (Skip to Contact Information, item 3a)
® Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser" (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization:Chatham Hospital, Inc
Signing Official & Title Carol Straight,, President T�
b.Contact information for person listed in item 2a above:
Street Address:PO Box 649
City:Sifer City - State:NC Zip:27517 -
Mailing Address (if applicable):
City: State: Zip:
Phone: ( I Fax:
Email:
3. a. (Optional) Print the name and title of another contact such as the projecfs construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
City:
Phone: { )
Email:
State: Zip:
Fax: ( -- ) -
4. Local jurisdiction for building permits: Siler City
Point of Contact -.Charlie McLaurin Phone #: [phone]
Form SWU-101 Version 07July20fl9 Page 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briellV summarize how the stormwater runoff will be treated.
Stormwater for the proposed improvements Will involve runoff being captured bv_proposed storm drainage
12ipes and sheet flow from proposed impervious that will be routed to the proposed bio retention area at
northwest portion, of the project. The bio retention area will then capture and detain the first flush of the
runoff and drawdown the first flush volume to the fill media within "12 hours.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUDApproval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b. Identify the regulation(s) the project has been designed in accordance with:
[] Coastal SW -- 1995 ® Ph I1— Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area: 30.38 acres
5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) —Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project Area':
30.38 acres
Total project area shall be calculated to exclude the followinY: the normal pool of impounded structures, the area
between the batiks of streams and rivers, the area below the j Jormal High Water (NHW) line or Mean High Water
(NIHW) line, and coastal wetlands landward from the NHW (or Ml-IW) line. The resultant project area is used to
calculate overall percent built upon area (BLIA). Non -coastal wetlands landward of the NHW (or MHW) line may be
included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 30
9. How many drainage areas does the project have?2 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Form SWU-101 Version 07July2009 Page 3 of 7

Basin Information
Drainage Area 1
Drainage Area 2
Draina a Area _
Drainage Area
Receiving Stream Name
Rocky River
Rocky River
Stream Class
C 17--43-(8)
C 17--43-(8)
Stream Index Number *
C 17--43-(8)
C 17--43-(8)
Total Drainage Area (sf)
169013
59340
On -site Drainage Area (sf)
169013
59340
Off -site Drainage Area (so
0
0
Proposed Im ervious Area** (sf)
93218
41769
"% lm ervious Area** (total)
55
70
Impervious— Surface Area
Draina e Area 1
Draina e Area 2
Draina e Area
Draina e Area _
On -site Buildings/Lots (sf)
15158
9608
On -site Streets (so
5050
0
On -site Parking (so
72340
26423
On -site Sidewalks (so
670
2912
Other on -site (sf)
0
0
Future (so
0
2826
Off -site (so
0
0
Existing BUA*** (so
0
0
Total (so:
93218
41769
* Stream Class and Index Number can be determined at: httn://h2o.enr.state.nc.us/brms/reports/reportsWRIdnil
** Int )ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
siYe7valks, gravel areas, etc.
*** Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that is
to be removed and Which will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. N/A
Pro
iects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened c4c
E ndangered Species watershed that may be subject to more stringent stormwater requirements as per NCAC 02B .0000.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://h2o.enr.state. nc.usIsu/bmp forms.htm.
VI. 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. A detailed application instruction sheet and BMP
checklists are available from http://h2o.enr.state;nc.us/su/bmp forms.htm. The complete application package
should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating project
on the interactive online map at http://h2o.enr.state.nc.us/su/msi maps.htm.)
Please indicate that the following required information have been provided by initialing in the space provided for
each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions for
each submitted application package from htt h2o.enr.state.nc.us su bm forms.htm.
njtj,�is
1. Original and one copy of the Stormwater Management Permit Application Form. c
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M 1r�1
agreement(s) for each BMP. p
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to t
htt www.envheII2.org a es /onestol2exi2ress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
Form SWU-101 Version 071uly2009 Page 4 of 7

5. A detailed narrative (one to two pages) describing the stormwater treatment/management for i'Z.
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6, A USGS rnap identifying the site location. If the receiving stream is reported as class SA or the A0
receiving stream drains to class SA waters within 1/z mile of the site boundarv, include the 112
mile radius on the map.
7. Sealed, signed and dated calculations. 4P
S. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including: V
a. Development/Project name.
b, Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an S.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(In€iltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].)
L�
- Mk.
A copy of the most current property deed. Deed book: 1292 Page No: 1094
For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per NCAC 2H.1003(e). The
corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
httj2://www.secretary.state.nc.us/Corl2orations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
htW://,h2o.enr,state.nc.usLu/bml2 forms.htm#deed restrictions. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version 07July2009 Page 5 of 7

V.III. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting 1 ngineevlR
Consulting Firm: Stewart Engineering, [tic.
Mailing Address:421 Fayetteville Street Suite 400
City:Raleigh _ State:NC Zip:27601
Phone: (919 ) 3808750 Fax: [phone]
l'-.'iii,iii:riorenzen@,,tewart-eiig.com
IX. PROPERTY OWNED AUTHORIZATION (if Contact Information, itern 2 has been filled out, complete this
section)
1, (print or hjpe narrre of person listed in Contact Information, item 2a) (- j certify that I
own the property identified in this permit application, and thus give permission to ( t or type name of person
listed in Contact lrrforrnatiory itcrn 1a} n 4Mi�l 6 t Lb 4 f+ with (print or hjpe name of organization listed in
Contact Information, item 1b) ar t�,o, kst.s . LL<. to develop the project as currently proposed. A copy of
the lease agreement or pending property sale, contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designates[
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts rack to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating; a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-2151 and may result in appropriate enforcement action including;
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6,
Signature:
M
Date:�i
11kft 10— a Notary Public for the State of .>r-+k +ry r' t , Cowlty of
_9. .' �mel01,10 k , do hereby certify that _ CAR-W t SA-r.T personally appeared
before me this -214 day of _ Ga-- o09 , and ac iowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAT.
My commission expires 4.� 1 U 1)
Form SWU-101 Version 07July2009 Page 6 of 7

X. APPLICANT'S CERTIFICATION
1, (print or type mime of person listed iri Contact Information, item 2) �� I a �! � G"! ��f
certify that the information included on this permit application form is, t the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwrater rules under 15A NTCAC 21-1 .1000, SL 2006-246 (Ph. II - Post Construction) or SL 2008-212.
Signatu
Date:
a Notary Public for the State of_/f�_, County of
do hereby certify that�� �i� personally appeared
before nie this / day of _ ,and ac Zow�ledge the ue execu ion of the application for
a storniwjater permit. Witness my hand and official sea[, bovtL
Notary Public
Durham County
North Carolina
Commission Exoires—
SEAL.
My commission expires ur "_ Z ` fy _
Form SWU-101 Version 07July2009 Pace 7 of 7

CA 01 A
carrboro • pittsboro
sonford • siler city
December 17, 2009
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
512 Salisbury Street
Raleigh, NC 27604
To Whom It May Concern:
Please accept this letter authorizing Benjamin Gilbert as signatory for the following
documents as they relate to the Carolina Dialysis, LLC:
• Financial Responsibility/Ownership Form -Sedimentation Pollution Control Act
• Storm Water Management Permit Application
• Bioretention Operation and Maintenance Agreement
Should you have any questions, please contact me at [phone].
Since y,
William L. R�D,
Manager Carolina Dialysis, LLC
l'
Ot
105 RENEE LYNNE COURT • CARR130R0 • NORTH CAROLiNA • 27510 • [phone]

�'`� •�ti,
North Carolina
Elaine F. Marshall
DEPARTMENT 0i
SECRETARY STATE
Secretary
OF
PO Rot 7%;-2 Rafe Ul, NC 2T0260622 IA:?tA(:7 TIX10
CORPORATIONS
_orporafions Home
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etretary of State Home
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Date: 12/9/2009
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PC, PLLC, LP and Non -Profit entities are not required to file annual reports.
Corporation Names
Name
NC Chatham Hospital, Incorporated
Non -Profit Corporation Information
Neme Type
Legal
SOSID:
0026829
Status:
Current -Active
Date Formed:
1/27/1939
Citizenship:
Domestic
State of Inc.:
NC
Duration:
Perpetual
Registered Agent
Agent Name:
Gilbert, Benjamin
Registered Office Address:
University of North Carolina Health System
Wing E, Medical School, CB7600
Chapel Hill NC 27514
Registered Mailing Address:
University of North Carolina Health System
Wing E, Medical School, CB7600
Chapel Hill NC 27514
Principal Office Address:
475 Progress Boulevard
Slier City NC 27344
Principal Mailing Address:
475 Progress Boulevard
Slier City NC 27344

SOSI D: 0026829
Date Filed: 7122I2008 1:01:011 PM
Elaine F. Marshall
Norlh Carolina Secretary of State
C200820400092
State of North Carolina
Department of the Secretary of State
AR'riCLES OF RESTATEMENT'
FOR NONPROFIT CORPORATION
Pursuant to §55A-10-06 of the General Statutes of North Carolina, the undersigned corporation hereby
submits the following for the purpose of restating its Articles of Incorporation.
1. The name of the corporation is: Chatham Hospital, Incorporated_
2. The text of the Restated Articles of Incorporation is attached.
3. (Check a, b, c, and/or d, as applicable.)
a. These Restated Articles of Incorporation were udopted by the board of directors and
do not contain an amendment.
b. ;j These Restated Articles of Incorporation were adopted by the board of directors and
contain an amendment not requiring member approval. (Set forth a brief explanation of why
member approval was not required for such amendment.) The corporation had no member as
of the date of adoption and approval of members was adgMion.
C. These Restated Articles of Incorporation contain an amendment requiring member
approval, and member approval was obtained as required by Chapter 55A of the North
Carolina General Statutes.
d. These Restated Articles of Incorporation contain an amendment requiring approval by
a person whose approval is required pursuant to N.C.G.S, §5SA- 10-30, and such approval was
obtained.
4. These articles will be effective upon filing, unless a delayed date and/or time is specified:
This the -:W4 day of July, 2008.
atham I 1. Inco2grated
=N..f orporation
tgnaturc
Laura Clapp, Chairman
Type or Print Name and Title
Notes:
1. Filing fee is S 10, unless the Restated Articles of Incorporation include an amendment, in which case the filing fee
is $25. This document and one exact or conformed copy of these articles must be filed with the Secretary of State.
(Revised May 1998) (Form N--03)
Corporations Division PO Box 29622 Raleigh, NC 27626-0622

AMENDED AND RESTATED ARTICLES OF I', iCORPORATCON
of
CHATHAM HOSPITAL., INCORPORATED
The undersigned, non -stock, nonprofit corporation, for the purposes of amending and restating its
certificate of incorporation, which shall hereinafter be referred to as its Amended and Restated Articles of
Incorporation, and in accordance with the provisions of Section 55A-10-06 of the North Carolina General
Statutes, hereby sets forth-
1. The name of this corporation is CHATHAM HOSPITAL, INCORPORATED (the
"Corporation").
2. The location of (lie principal office of the Corporation in this State is at 475 Progress
Boulevard, Siler City, Chatham County, North Carolina.
3. The address of the registered office of the Corporation in North Carolina shall be the
University of North Carolina Health Care System, Wing E, Medical School, CB 7600, Chapel Hill, NC
27514, and the name of the registered agent at such address is Benjamin Gilbert, Esq. The agent's written
consent to appointment appears below:
Benjamin Gilbert
4. The purposes for which this Corporation is formed are:
(a) To participate in and promote the provision of patient care, facilitate the education of
physicians and other health care providers, promote research in collaboration with the health sciences
schools of the University of North Carolina at Chapel Hill, and facilitate and promote the delivery of
other services designed to promote the health and well-being of the citizens of North Carolina.
(b) To make donations, transfer assets and provide other forms of aid and assistance to, for
the benefit of, or in connection with the University of North Carolina Health Care System and its
charitable, tax-exempt affiliates, and otherwise to promote, by guarantee, loan or otherwise, the interests
of the University of North Carolina Health Care System and its charitable, tax exempt affiliates.
(c) To promote and advance charitable, educational and scientific purposes by supporting
and operating for the benefit of and to carry out the purposes of the University of North Carolina Health
Care System.
C1II Amended and Rettated Article] of Irw"parplion
4812-3373-8626A7

(d) To establish, maintain and operate a hospital, clinics, and other related facilities to
provide for the care and treatment of persons suffering from illnesses, injuries or disabilities which
require hospital care, all of which shall be open to the public, free of discrimination based upon race,
creed, color, sex or national origin.
(e) To supply modern equipment and facilities to aid in the diagnosis and treatment of
disease, and to furnish to the staff of physicians and surgeons who practice in its hospitals an opportunity,
by their close association and cooperation, to offer to their patients, quickly and economically, the sum of
their combined skill and experience.
(f) To furnish to the said staff of physicians and surgeons the use of such physical equipment
for the practice of their profession as will enable them without undue hardships to give their best efforts
without compensation to those unable to pay for their services, as well as to facilitate them in their service
to patients who are able to pay compensation therefor.
(g) To furnish the equipment and organization for the instruction and training of doctors,
nurses and teOnicians in order to carry forward in the future the plan herein set out for the hlleviation of
disease, and to grant diplomas or certificates in connection with such instruction or training.
(h) To carry on any educational activities related to the care of the sick and disabled and the
promotion of health and preventative medicine, which in the opinion of the Board of 'trustees may be
justified by the facilities, personnel, funds or other resources that are, or can be made, available.
(i) To aid as far as practicable in the instruction and promotion of research and scientific
investigation in all branches of medicine and surgery.
0) To participate, so far as circumstances may warrant, in any activity designed and carried
on to promote the general health of the community.
(k) To appoint a medical staff composed of such physicians and surgeons as, in Xbe judgment
of the Board of Trustees, are properly qualified to conduct the professional work of the hospital, and
including trained and experienced technicians, and to promulgate suitable rules governing the conduct of
all physicians, surgeons and technicians who are permitted to practice in said hospital.
(1) To use the revenues of the Corporation and the profits, if any, for the purposes of
affording hospital care, to those unable to pay for the same, promoting betterment of public health, to
maintain its hospitals and equipment in good repair and modem condition, and in general to use, invest
and hold all revenues aAtd the profits, if any, for the purposes for which the Corporation is organized.
2
CIA Amcadcd and Rwwod Aiu¢ica arincorporatinn
O U-3573.8626.07

(m) In connection with the purposes above set forth and in order to carry them out, to solicit,
accept, receive and acquire by gift, devise, bequest, conveyance or otherwise donations, money, tax funds
and property of every kind, nature and description, from any person, firm or corporation, including any
municipality, county, state or the United States of America, and to hold, manage, spend, administer, use
and invest as may be directed by the donor, or as the Board of Trustees of the Corporation may determine
in the absence of such direction.
(n) And to engage in any lawful act or activity for which corporations may be organized
under Chapter 55A of the North Carolina General Statutes as it currently exists or as it may hereatter be
amended.
5. This Corporation is a charitable corporation as defined in Section 55A-1-40(4) of the General
Statutes of North Carolina, and as the same may be amended from time to time. The Corporation is
organized and shall be operated exclusively for charitable purposes, within the meaning of Section
501(e)(3) of the Internal Revenue Code of 1986 or the corresponding provisions of any future United
States Internal Revenue law (the "Code"). The Corporation shall not be permitted to issue capital stock;
nor shall any of its profits, if it has profits, inure to the benefit of any director, officer, private person, or
the member of the Corporation, unless such member is also a governmental entity or a nonprofit entity
exempt from taxation under Section 501(c)(3) of the Code. Northing contained in this Article, however,
shall prohibit the Corporation from reasonably compensating any member, director, officer, or private
person for services rendered the Corporation. It shall not he its purpose to engage in carrying on
propaganda or otherwise attempting to influence legislation. The Corporation shall not participate in, or
otherwise intervene in (including the publishing or distribution of statements) any political campaign on
behalf of (or in opposition to) any candidate for public office. Notwithstanding any other provisions of
these Articles, the Corporation shall not carry on any activities not permitted to be carried on (a) by a
corporation exempt from federal income tax under Section 501(c)(3) of the Code, or (b) by a corporation,
contributions to which are deductible under Section 170(c)(2) of the Code, or (c) by a nonprofit
corporation formed under Chapter 55A of the General Statutes of North Carolina (or any successor
provision thereto).
6. In the event of the dissolution or liquidation of the Corporation, after paying or adequately
providing for the debts and obligations of the Corporation, the Board of Trustees shall donate, transfer,
deliver and convey all of its moneys, properties and other assets: (a) to any successor organization
approved by the Sole Member, as hereinafter defined, provided that such successor organization is a
governmental entity or a nonprofit entity exempt from taxation under § 501(c)(3) of the Code; or (b) if
3
CHI Anwmkd aM Resoled Astieks of Ineorporatioa
4e 12-M73462607

there is no successor organization, then to the Sole Member to be used exclusively for the
accomplishment of the purposes for which this Corporation is formed.
7. Although the original Certificate of Incorporation, under the provisions of paragraph 7
thereof, permitted the Corporation to admit members, the Corporation has not, since its inception, had
members. Effective July 22, 2008, the sole member of the Corporation shall be the University of North
Carolina Health Care System (the "Sole Member").
8. The affairs of the Corporation shall be managed by the Hoard of Trustees, except such
powers as am expressly reserved to the Sole Member by law or by these Articles of Incorporation or by
the Bylaws of the Corporation. The Board of Trustees of the Corporation shall consist of fifteen (15)
members who shall be at least twenty-one (21) years of age.
The Tnwtccs shall be appointed by the Sole Member, which shall strive, insofar as is possible, to
appoint a diverse Board of Trustees which is generally representative of the citizenry of Chatham County.
The Sole Member shall nominate and appoint ten (10) members of the Board of Trustees, one of whom
shall be the Chief Executive Officer of the Corporation serving ex officio. The Sole Member shall appoint
the remaining five (5) members of the Board of Trustees from Among a slate of candidates nominated by
the Board of Trustees of the Corporation to the nominating committee of the Sole Member. The
nominating committee of the Sole Member shall in turn develop a slate of candidates for submission to
the Board of Directors of the Sole Member based on the candidates recommended by the Board of
Trustees of the Corporation. if no candidate is acceptable to the nominating committee or the Board of
Directors of the Sole Member, the nominating committee of the Sole Member shall seek additional
nominees from the Corporation until a candidate acceptable to the nominating committee and the Board
of Directors of the Sole Member is identified.
With the exception of terms for which expiration dates are set forth hereinafter, the appointments
shall be for a full term of three (3) years each, and Trustees shall serve until their successors are appointed
and qualified,
The Trustees (effective as of July 22, 2008), their seat numbers for future reference, and which
entity nominates their successors are as follows:
lunbec;
; ��c
Norrimafi�,B_,ntity �.::,
1
Charles Johnson
Sole Member
2
Harry Hayes
Sole Member
3
Tim Wiener, MD
Sole Member
4
OR Ameoded and Restated Articles orfacaporntion
4612-3373-9Q6.07

4
Mark Zeringue, MD
Sole Member
5
Mel Hurston
Sole Member.
6
Mary Beek
Sole Member
7
Al Daugird, MD
Sale Member
a
Todd Peterson
Sole Member
9
John Lewis
Sole Member
10
Carol Straight (Ex Officio)
Sole Member
11
Mark Gwynne, MD
Corporation
12
Gabriel Saltren
Corporation
13
Margaret Pollard
Corporation
14
Laura Clapp
Corporation
15
Barry Wilkie
Corporation
9. The period of existence of this Corporation is unlimited.
10. These Amended and Restated Articles of Incorporation may be amended or repealed and new
articles may be adopted by the Sole Member or by action of the Board of Trustees subject to approval by
the Sole Member; provided, that no amendment may be made which would prevent the Corporation frosty
qualifying as a tax-exempt corporation described in Section 501(c)(3) of the Code.
11. These Amended and Restated Articles of Incorporation are intended to restate end Nplace
any previously filed certificate or articles of incorporation and any amendments thereto.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
CHI Amended and Rn"ted Articlei of IrKmMrginn
4812-3573.M26p7

IN WITNESS WHEREOF, the Corporation has caused this document to be executed in its name
by its President and Secretary effective the 22"d day of July, 2008.
ATTEST:
BY:
Rachel Allred, Secretary, Board of Trustees
CIA M HOSPITAL, INCORPORATED
Y:
ra t0p, President, Board'ATrustees
CHI Amended mid Reslalul Anicics of Incmporalion
4312-3573-8626.07

rAxr
LIMITED LIABILITY COMPANY
ANNUAL REPORT
NAME OF LIMITED LIA131LITY C(]MI'ANY: Carolina Dialysis, LI_C
SECRETARY OF STATE, L.L..C. 1D NUMBER 063507-3
NATURV,' OF 13USINI;SS: Own and Operate Chronic Diahuis Facililies
1213CiNTERFI) AGFNI": Gilhert, Benjawin
1-606-5467159
S"CA'1'1:? OF INCOIZI'ORA'ITON: NC
REGIS"I'1-IZED OFFICI3 IvIAILINCi ADI)ILESS: U1'C Hospifals,
lfecliccrl School, IFi»g T, 411r floor
Chapel Hill, A'C 2751 J
REGIS"I'1 RED OFF[CI STRfiET A[]DRIiSS: UN'C llospilals.
.Ilechcal School, IPtng E, 41h floor
Chapel Hill, AIC 27514 Orange Counts
SIGNATURE OF Tl-IF, NEW REGISTERED AGE'NI':
PRINCIPAL 017FICE'fELE131.10NE NUMBER: (919) 966-30.11
PRINCIPAL OFFICE, MAILING ADDRESS -
PRINCIPAL OFFICI S"I'I E,F"T ADDRESS
MANAGI:IZS/MI MI313RS/OIZCiANI/.ERS:
A'anrc: II'illicma L. Ropera-LD.
77lle: �kfanager
Adekess:
403015onclxraw HeW, C13 97000
Chanel hill. NC 27599
s[GN YrUEtE. coNs'rrE'u I'Es CONSENT TO T[ IE iU'POINTNII;N['
UtirC Ho.spilals,
,Lleclicol School, II'ing E, 411r floor
Chapel llill, AIC 2751 d
U1VC Ilospilals,
jlleclical School, With g F_, 41h floor
Chapel Hill, AC 27.514
CER FIF1CATION OV ANNUAL REPORTMUST 13F, COMPL,E"IT,"D 13Y All LIMITED LIABILITY COMPANIES
FORM MUST BE SIGNED BY A MANA61LIZ811"'IMBER
DATE
['YPF. OR PRINT NANIE TYPE OR PRINT ITTLE
ANNUAL REPORT ITF.: S200 MAJL TO: Secrelary of Slue • Corporations Division • I'ost Office Box 29525 • Raleigh. NC 27626-0525

North Carolina
shall
DEPARTMENT or,trig
Elaine FMar
Secretary SECRETARYC)i STATE
PO ea. 2%22 RA-j,, NC i7526-0527 19;9j8C7.2fM
CORPORATIONS
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Corporation Names
Name Name Type
NC Carolina Dialysis, LLC Legal
Limited Liability Company Information
SOSID:
0635073
Status:
Current -Active
Date Formed:
6/17/2002
Citizenship:
Domestic
State of Inc.:
NC
Duration:
Perpetual
Registered Agent
Agent Name:
Registered Office Address:
Registered Mailing Address
Principal Office Address:
Principal Mailing Address:
Gilbert, Benjamin
UNC Hospitals, Medical School, Wing E, 4th floor
Chapel Hill NC 27514
UNC Hospitals, Medical School, Wing E, 41h floor
Chapel Hill NC 27514
UNC Hospitals, Medical School, Wing E, 41h floor
Chapel Hill NC 27514
UNC Hospitals, Medical School, Wing E, 41h floor
Chapel Hill NC 27514

LETTER OF TRANSMITTAL
C-C
STEWART
TO
XI
`� :i • �'
FROM ••�
Robert Patterson
Adam Pike
NCDENR - DWQ
Project Engineer Intern
512 North Salisbury St
[phone]
Raleigh, NC 27601
DATE SENT VIA
12/22/09 Nand Delivery
PROJECT NUMBER PROJECT NAME
c9046 Siler City Dialysis Center
COPIES DATE DESCRIPTION
2
12/22/09
Revised Plan Set
2
12/22/09
Revised Stormwater SIA
1
12/22/09
Lease Letter, Soils Report, Revised Application, response to
comments
2
12/22/09
Revised Application
For approval
For review & comment
Returned for corrections
For your use
Approved as submitted
E
Returned after review
As requested
Approved as noted
Resubmit copies for approval
COMMENTS
Robert,
Please find included the necessary documents for state stormwater resubmittal for
Siler City Dialysis Center. I only included two copies of the one sheet that was
revised for the application. I hope this is ok. Let me know if not and I'll generate
the other sheets. Please feel free to contact me if you have any questions.
Thanks
Adam Pike
SIGNED COPIED TO
file
Adam Pike, E.I.
ENGINEERING. INNOVATION. SOLUTIONS.- 421 FAYETTEVILLE STREET RALEIGH, NC T 919.380,8750
SUITE 400 27601 F 919,380,8752

Siler City Dialysis Center
Siler City. NC
FEB 2 3 2010
. L
The following are the review comments and corrections for the above referenced
plan (comment received from Water Quality via email on December 15, 2009):
Note: The bio retention area's footprint has been revised since the first submittal
to DWQ per the architect's request. The architect desired a more bio morphic
appearance than what was shown in the initial submittal. The area and volume
of the bio retention area was ultimately increased as a result. Please note that all
associated values for the bio retention area have been revised to reflect the
change in size.
1. All items that must be signed by the applicant (Carolina Dialysis, LLC) must
be signed by member/manager of the LLC. Alternatively, a
member/manager of the LLC may submit an original signed letter giving
signature authority to Mr. Benjamin Gilbert.
Response: The requested signed letter has been generated by the
appropriate party and is included with this submittal.
2. A soils report must be submitted that provides information on the seasonal
high water table (SHWT). This needs to be provided based on soil boring
within the footprint of the proposed BMP.
Response: Please find attached a soils report from a NCDENR approved
environmental specialist that addresses comment 2.
The drainage area values are not consistent between SWU-101, the
supplement form, plans, and calculations. Please correct these so all items
show the same values.
�. Response: Noted values have been revised and should be consistent
throughout the forms, plans and calculations.
4. The impervious areas were all left blank in Section IV.10. of SWU-101.
Please complete the application fully.
Response: The noted section has been completed.
5. Please show any wetlands on the plans or add a note stating there are not
any.

Page 2
Response: A note has been added stating that no wetlands are present on
the dialysis center site. Please see plan sheet C400 for additional
information.
6. The future expansion needs to be shown on the plans, calculations, and in
the discharge area table on SWU-101.
Response: The future expansion was included in the calculations for the bio
retention sizing and associated calculations/supplements in the initial
submission but was not clearly represented on the plans. The impervious
area for the future expansion has also now been added to the application
(along with other impervious areas from comment 4) and sheet C200 is
now included in the submission which shows the location of the future
expansion.
7. Underdrain calculations need to be provided. These calculations must show
that the treatment volume discharge rate _< predevelopment 1-yr, 24-hr
storm discharge rate.
Response: Per your request, an additional bio retention sizing spreadsheet
specifying the underdrain sizing per the NCDENR Stormwater BMP Manual
guidelines has been included along with additional routing results from
Hydraflow for the 1 yr 24 hours pre conditions storm event. These two
items show that the treatment volume discharge rate of 0.068 cfs for the
underdrains is less then the 1-yr 24-hr storm discharge rate of 0.73 cfs.
These items will be included in the BMP Calculations section of the SIA.
8. Please provide velocity information for the Bioretention inlet swale feature
at the west corner of the parking lot. Inlet velocities into the Bioretention
cell should be < 1 fps.
Response: The requested calculations were done for the noted area. Peak
flow results from the 10 year storm for the area exceeded 1 fps. A riprap
dissipater pad was added to the plans to correct this issue. Calculations for
the parking lot swale have been added to the storm drainage network
calculations of the SIA and the riprap pad to sheet C500.
9. The Bioretention plan shows a single underdrain line on the east side of the
cell. It is highly recommended that some redundancy is provided in the
underdrains in case one of the lines becomes clogged.
Response: An additional 6" underdrain line has been added to the east side
of the cell. Please see plan sheet C500 for additional information.

Page 3
10. The outlet invert shown on the Bioretention area detail appears to be
incorrect.
Response: The outlet invert has been updated to now be specified at the
bottom of the bio retention area. Please see sheet C500 for additional
information.

www.�tawnH-mp.com
( 11
STEWART
December 22, 2009
NCDENR - DWQ Permitting (Raleigh)
Robert Patterson
512 N. Salisbury St.
Raleigh, NC 27604
Re: Siler City Dialysis Center
Seasonal High Water Table Findings;
Dear Mr. Robert Patterson;
We are submitting this report of findings for the Seasonal High Water Table (SHWT)
at the proposed bio retention area for the Siler City Dialysis Center.
The soil investigation was conducted on December 22, 2009 by Jim Phillips, RLA
with Stewart Engineering, Inc using a hand auger at the location attached to
determine the soil conditions for the SHWT at the proposed bioretention area.
Existing conditions are grassed and was most likely farm pasture in the past.
Borings were made using a hand auger to identify the potential SHWT. No soil
saturation indicators/ mottling was identified to a depth of 5'. Auger refusal at 5'.
Soil was predominately clay with minor silt/sand components.
Boring
Approx. Existing
Ground Elevation
Depth to 1
SHWT
Approx. Elevation of
SWHT
Proposed
Normal Pool
1
578'
N/A
N/A
577.2
Sincerely,
r
hillips, RLA
vi onmental Manager
ENGINEERING. INNOVATION. SOLUTIONS.'~ 421 FAYETTEVILLE STREET RALEIGH, NC T 919.380.8750
SUITE 400 27601 F 919.380,8752

Application Completeness Review
W/First Submittal ❑ Re -submittal
Development/Project Name: SrLr
Receiving stream name 6Lo�ve
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-I1, WS-111, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E= Species (Goose Creek, Waxhaw Creek or Six
Latitude and Longitude: '3 5 "y 3' 3 3 Al
Project Address: '� (-v'
Engineer name and firm: r
Creek Water Sheds): IV/-A-
0 _
q ' -s/ "t-V Jurisdiction z
a
❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets lb'<igh Density ❑ Other
❑ 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or addinfo letter)
e�- BUA
Check for $505.00 included
Original signature (not photocopy) on application
wr" Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.state.ne.us/corporations/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided
which includes the name, title, mailing address and phone number of the person signing the letter.
❑ For subdivided projects, a signed and notarized deed restriction statement
u" Sealed, signed & dated calculations
4/Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
er Bloretention
ci Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road -
Two sets of sealed, signed & dated layout & finish grading plans with appropriate details
Narrative Description of stormwater management provided
oils report provided
Wetlands delineated or a note on the plans that'none exist on site and/or adjacent property
m' Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
a' -Dimensions & slopes provided
e' Drainage areas delineated Ukrervious and impervious reported for each ❑ Areas of high density
Y'_ Inspection and maintenance'agreements provided
❑ Application complete El"Application Incomplete Returned: (Date)
May 14, 2008 Revision

SL 2006-246 Section 9 Post Construction Requirements for Non -Coastal Counties
Low -density projects
❑ No more than two dwelling units per acre or 24% built -upon area;
❑ Vegetated conveyances to the maximum extent practicable;
❑ Built -upon areas at least 30 feet landward of perennial and intermittent surface waters;
❑ Deed restrictions, protective covenants, and/or other restrictive language/measures.
High density projects
Control and treat runoff from the first one -inch of rain.
„ 4-❑ Runoff volume drawdown time must be a minimum of 48 hours, but not more than 120 hours;
❑ Discharge the storage volume at a rate equal to or less than the predevelopment discharge rate for the
one-year, 24-hour storm.
Achieve 85% average annual removal of total suspended solids.
For BMPs that require a separation from the seasonal high-water table (SHWT), the separation shall include
at feast 12 inches of naturally occurring soil above the SHWT.
+d' Stormwater management measures must comply with the General Engineering Design Criteria For Ali
Projects requirements listed in 15A NCAC 2H .1008(c);
a All built -upon areas are at least 30 feet landward of perennial and intermittent surface waters;
Deed restrictions, protective covenants,. and/or other restrictive language/measures
u/ Provide a mechanism to require long-term operation and maintenance of Best Management Practices
Post -Construction Runoff Controls for T&E Species
Goose Creek, Six Mile Creek and Waxhaw Creek Watersheds
Buffers
❑ 200' undisturbed buffers on perennial streams
❑ 100' undisturbed buffers on intermittent streams
Low -density projects
❑ All built upon area shall be limited to 10 percent.
❑ Use of vegetated conveyances to the maximum extent practicable;
❑ Deed restrictions, protective covenants, and/or other restrictive languagelmeasures
High -density projects
❑ The stormwater control measures must control and treat the difference between the pre -development and
post -development conditions for -the 1 -year-24-hour- storm.-
❑ Runoff volume drawdown time must be a minimum of 48 hours, but not more than 120 hours;
❑ All structural stormwater treatment systems must be designed to achieve 85% average annual removal of
total suspended solids;
❑ Stormwater management measures must comply with the General Engineering Design. Criteria For All
Projects requirements listed in 15A NCAC 2H .1008(c)
❑ Deed restrictions, protective covenants, -and/or other restrictive language/measures.
o Provide a mechanism to require long-term operation and maintenance of Best Management Practices
High Density Projects that require.a 401/404 within an NSW
❑ 85% TSS
❑ 30% TN
❑ 30% TP
May 14, 2008 Revision

LETTER OF TRANSMITTAL
CCS 'I',,
STEWART
e z
x
ri
r�
0
co
TO
FROM
Robert Patterson
Adam Pike
NCDENR - DWQ
Project Engineer Intern
512 North Salisbury St
[phone]
Raleigh, NC 27601
DATE SENT VIA
12/09/09 Hand Delivery
PROJECT NUMBER PROJECT NAME
c9046 Siler City Dialysis Center
COPIES DATE DESCRIPTION
2
6/26/09
Plans Set
2
6/26/09
Stormwater SIA
1
6/26/09
Check
1
6/26/09
o&M Agreement, Deed Lease LLC Information
For approval
For review & comment
Returned for corrections
For your use
Approved as submitted
Returned after review
As requested
Approved as noted
Resubmit copies for approval
COMMENTS
Robert,
Please find included the necessary documents for state stormwater submittal for
Siler City Dialysis Center. Please feel free to contact me if you have any questions.
Thanks
Adam Pike
SIGNED COPIED TO
4e() file
Adam Pike, E.I.
ENGINEERING. INNOVATION. SOLUTIONS.T1 421 FAYETTEVILLE STREE'r RALEIGH, NC T 919.380,8750
SUITE 400 27601 F 919.380,8752

NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Roy Lorenzen, PE
Stewart Engineering, Inc.
421 Fayetteville St., Ste. 400
Raleigh, NC 27601
Dear Mr, Lorenzen:
Division of Water Quality
Coleen H. Sullins Dee Freeman
Director r i -z -,`; Secretary
December 14, 2009
,t
Subject: Request for Additional Information
Stormwater Project No. SW5090701 MOD
Chatham Hospital (Siler City Dialysis Center)
Chatham County
The Division of Water Quality Central Office received a Stormwater Management Permit Application for
the subject project on December- 10, 2009. A preliminary review of that information has determined that
the application is not complete. The following information is needed to continue the stormwater review:
1. All items that must be signed by the applicant (Carolina Dialysis, LLC), must be signed by a
melnber/manager of the LLC. Alternatively, a member/manager of the LLC may submit an
original signed letter giving signature authority to Mr. Benjamin Gilbert.
2. A soils report must be submitted that provides information on the seasonal high water table
(SH WT). This needs to be provided based on soil boring within the footprint of the proposed
BMP.
3. The drainage area values are not consistent between SWU-101, the supplement form, plans, and
calculations. Please correct these so all these items show the same values.
4. The impervious areas were all left blank in Section IV.10. ofSWU-101. Please complete the
application fully.
S. Please show any wetlands on the plans or add a note stating there are not any.
6. The future expansion nerds to be shown on the plans, calculations, and in thi
table on SWU-101.
7. Underdrain calculations need to be provided. These calculations must show
volume discharge rate < pre -development I -yr, 24-hr storm discharge rate.
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carafina 27699.1617 NUt �iI CarOa ! Il�t
Location: 512 N. Saiisbury St. Raleigh, North Carolina 27604 AahmallY
Phone:[phone]tiFAX:919.807-64941CustomerService:1-877-623-6748Interpol: www,ncwa(erquaio.org
An Equal Opportunih/'t Affirmative Action Employor

Mr. Roy Lorenzen, PE •
SW5090701 MOD — Chatham Hospital
December 14, 2009
S. Please provide velocity information for the bioretention inlet swale feature at the west corner of
the parking lot. Inlet velocities into the bioretention cell should be < 1 fps.
9. The bioretention plan shows a single underdrain line on the cast side of the cell. It is highly
recommended that some redundancy is provided in the underdrains in case one of the lines
becomes clogged.
10. The outlet invert shown on the.bioretention area detail appears to be incorrect.
Please note that this request for additional information is in response to a preliminary review. The
requested information should be received by this Office prior to January 15, 2010, or the application will
be returned as incomplete. The return of a project will necessitate resubmittal of all required items,
including the application fee.
If you need additional time to submit the information, please mail or fax your request for a time extension
to the Division at the address and fax number at the bottom of this letter. The request must indicate the date
by which you expect to submit the required information. The Division is allowed 90 days from the
receipt of a completed application to issue the permit.
The construction of any impervious surfaces, other than a construction entrance under an approved
Sedimentation Erosion Control Plan, is a violation of NCGS 143-215.1 and is subject to enforcement
action pursuant to NCGS 143-215.6A.
Please reference the State assigned project number SW5090701 on all correspondence. All original
documents must be returned or new originals must be provided. Copies are not acceptable. If you LaVe
any questions concerning this matter please feel free to call me at [phone].
Sincerely,
obert D. Patterson, P.E.
Environmental Engineer
Stormwater Permitting Unit
c-: Mr. Benjamin Gilbert, Carolina Dialysis, LLC, UNC Hospitals, Medical School Wing E, 4"' Fluor,
Chapel Hill, NC 27514
Ms. Carol Straight, -Chatham Hospital, Inc., PO Box 649, Slier City, NC 27517
Raleigh Regional Office
- •'DWQ Central Files
Stormwatei• Permitting Unit Files
Page 2of2

\I i , I I
AUGNC®ENI�A2 7 ,!
North Carolina Department of Environment and Natural Resources ,
Division of Water Quality ' I)LN;
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
GovernorDirector Secretary
August 21, 2009.
Ms. Carol Straight, President(~
Chatham Hospital, Inc.
PO Box 649 AUG 2 5 2009
Siler City, NC 27517
)-AN� � ���, }
Subject: Stormwater Permit No. SW5090701
Chatham M.O.B.
High Density Commercial Wet Pond Project
Chatham County
Dear Ms. Straight:
The Stormwater Permitting Unit received a complete Stormwater Management Permit
Application for Chatham M.O.B: on July 1, 2009, with additional information received on August
5, 2009 and August 20, 2009. Staff review of the plans and specifications has determined that
the project, as'proposed, will comply with the'StormWater Regulations.set forth in.Title 15A
NCAC 2H.1000 and Session Law 2006-246. We are forwarding Permit No. SW5090701, dated
August 21, 2009, for the construction, operation and maintenance of the subject project and the
stormwater BMPs.
This permit shall be effective from the date of issuance until August 21, 2019, and shall be
subject to the conditions and limitations as specified therein. Please pay special attention to the
Operation and Maintenance requirements in this.permit. Failure -to establish an adequate system
for inspection and maintenance of the stormwater management system -will result in future
compliance problems.
If any parts, requirements, or limitations contained in'this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following
receipt of this permit. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447, Unless such demands are made this
permit shall be final and binding.
This project will be kept on file at the Raleigh Regional Office. If you have any questions, or
need additional information concerning this matter, please contact Robert Patterson at (919)
807-6375; or [e-mail].
Sincerely,
for Coleen H. Sullins
Wetlands and Stormwater Branch Qtlt
1617 Mail Service Center, Raleigh, North Carolina M99-1617 N One
it Clll O �.1 n a
Location•. 512 N, Salisbury St, Raleigh, North Cardin 27604 t VAatulvlly
Phone: 91 M07-63001 FAX: [phone] Customer Service: 1-877-623-6748 Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

Page 2 of 2

• S Stormwater Permit
® 0 it No.SW5090701
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Chatham Hospital, Inc.
Chatham Medical Office Building (M.O.B.)
475 Progress Blvd., Siler City, Chatham County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with
the provisions of 15A NCAC 2H .1000 and S.L. 20067246 (hereafter referred to as the
"stormwater rules') and the approved stormwater management plans and specifications
and other supporting data as attached and on file with and approved by the Division of
Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until August 21, 2019, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.6 on page 3 of this permit. The stormwater
control. has been designed to handle the runoff from 176,866 square feet of
impervious area.
3. The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
Page 1 of 6

y� stormwater Permit
mit No.SW5090701
6. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a. Drainage Area, ayes: 3.88
Onsite, ft 169,013
Offsite, ft2:. 0
b. Total Impervioys Surfaces, ft2:
Buildings ft :
Roads/Parking, ft2:
Other, ft2
Offsite, ft
c. Average Pond Depth, feet:
d. JSS removal efficiency:
e. Design Storm (in.):
f. Permanent Pool Elevation, FMS�:
g. Permitted Surface Area @PP -ft :
h. Permitted Storage Volume, ft:
i. Storage Elevation, FMSL- .
j. Controlling Orifice:
k. Permanent Pool Volume, ft3:
I. Forebay Volume, ft3.
m. Receiving Stream/River Basin:
n. Stream'Index-Number:-' -- - --- - . -
o. Classification of Water Body:
93,218
15,158
77,390
670 (sidewalks)
4.72
90%
1.0
569.0
4,814
7,817 at temporary pool
570.3
1.5° O pipe
13,295
2,558
Rocky River 1 Cape Fear
17=43=(8) -- - ---._
licto .
II. SCHEDULE OF COMPLIANCE
1. ' The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of.any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee�.shall'at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at optimum
efficiency. The approved Operation and Maintenance Plan must be followed in
its entirety and maintenance must occur at the scheduled intervals including, but
not limited to:
a. Semiannual scheduled inspections -(every 6 months).
b. Sediment removal.
c. Mowing and revegetation of slopes and the vegetated filter.
-d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.and
specifications. '
f. Debris removal and unclogging of outlet structure, orifice device, flow
spreader, catch basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
5. The facilities shall be constructed as shown on the approved plans. This permit
shall become voidable unless the facilities are constructed in accordance with
the conditions of this -permit, the approved plans and specifications, and other
supporting data. i .
Page 2 of 6

S Stormwater Permit
it No.SW5090701
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a.certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
7. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
8. Access -to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b.- - Project -name change:-.- -- - - -
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval or a CAMA
Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for.a minimum of ten years from the date of the completion of
construction.
12. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the -permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form, to the Division of Water
Quality, signed by both parties, and accompanied by supporting documentation
as listed on page 2 of the form. The project must be in good standing with the
Division. The approval of this request will be considered. on its merits and may or
may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request.
Page 3 of 6

• 0e Stormwater Permit
0. . rmit No.SW5090701
3. Failure to abide by the .conditions and limitations contained in this permit may.
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permitted shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The' permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7., The permit issued shall continue in force and effect until revoked or terminated.
The permit maybe modified, revoked and reissued or terminated for cause. The
filing of a request.for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding -requirements for -the Stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules. and regulations contained in Session Law 2006-
246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11.The permittee shall notify the Division of any name, ownership or mailing
address changes at least 30 days prior to making such changes.
12.The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration. date of this permit.
Permit issued this the 21St day of August, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for uoieen H. 5uiiins, uirector
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

0 0 0
Wit,
ormwater Permit
No.SW5090701
Chatham M.O.B.
Stormwater Permit No. SW5090701
Chatham County
Designer's Certification
as a duly registered
in the State of North Carolina, having been authorized to observe (periodically/ weekly/
full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observationof the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5of6

eStormwater Permit
mit No.SW5090701
Certification Requirements: .
1. The drainage area to the.system contains approximately the permitted
acreage. .
2. The drainage area to the system contains no.more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system. .
4. All. roof drains are located.such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure'is.-located per the approved plans.
7. Trash rack is provided on the outlet/bypass structure.
8. All slopes are grassed with permanent vegetation.
- 9. Vegetated slopes are no steeper than 3.1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All.required design depths are provided.
r
14. All"required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to:- Raleigh Regional Office
Surface Water Protection
3800 Barrett Drive
Raleigh, NC 27609
and:
DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Page 6 of 6

LETTER OF TRANSMITTAL
C.
STEWART
0AP
TO
FROM
Robert Patterson
Adam Pike
401 Stormwater Review
Project Engineer Intern
2321 Crabtree Blvd.
[phone]
Raleigh, NC 27604
DATE Il:�l4- 000F111V
AUG 0 5 2009
PROJECT NUMBER PROJECT NAME I I +
c9006 I Chatham M.O.B.
COPIES DATE DESCRIPTION
2
8 04 09
Plans Set
2
8 04 09
Stormwater SIA
2
8 04 09
Response to Comments
For approval
❑
For review & comment
Returned for corrections
For your use
❑
Approved as submitted
F
Returned after review
As requested
❑
Approved as noted
Z
Resubmit copies for approval
COMMENTS
Robert,
Please find included the necessary documents for state Stormwater resubmittal for
Chatham M.O.B. SW5090701 Please feel free to contact me if you have any
questions.
Thanks
Adam Pike
SIGNED
Jo.
Adam Pike, E.I,
COPIED TO
file
ENGINEERING. INNOVATION. SOLUTIONS.` 421 FAYETTEVILLE STREET RALEIGH, NC T 919.380.8750
SUITE 400 27601 F 919.380.8752

ItQ cl

IDD
Chatham M.O.B. AUG 0 5 2009
Siler City, NC I ... R
The following are the review comments and corrections for the above referenced
plan (comment received from Water Quality via email on July 13, 2009):
1. The plans must show the entire property area and BUA (new and existing).
The permit will be written for the entire property area, not just a portion of it
as proposed. The existing BUA does not need to be treated, only the new
BUA. This information will be reflect in part III of SWU-101. Any future
changes anywhere on the property will require a permit modification and/or
revision regardless of how much land is disturbed.
Response: Understood. An additional sheet showing the entire BUA has
been added. The new sheet number is C510 and shows all available
information for existing and new site items.
2. A soils report must be submitted that provides information on the seasonal
high water table (SHWT). This needs to be provided based on soil boring
within the footprint of the proposed BMP.
Response: Per a phone conversation with Robert Patterson, it was
discussed that since the project is located on a high point and that the
proposed wet pond was to receive a clay liner, a determination from a soil
scientist would not be need for the SHWT. He was also informed by
Stewart that a geotechnical engineer from Stewart's office had been on site
and did not encounter the water table while conducting the 10.5 deep
boring. Robert was in agreement with the noted items and was ok with not
requiring a SHWT determination.
3. The incorrect SAMA ratio was used for the wet pond design. The average
depth (as calculated by one of two option in the Manual) must be used, not
the maximum depth as shown in the calculations.
Response: The average depth was calculated using the two options
specified in DWQ BMP Manual on page 10-13. The results are the
calculations are represented in the submitted SIA in Hydraulic Calculations
I appendix. The table in that appendix labeled Wet Detention Pond Sizing
specifies the Max. Perm. Pool Depth as 4.5 ft which is incorrect.
Description for that value should actually be average permanent pool
depth. The table has been revised in this resubmittal to specify both the
max. permanent pool elevation and average pool elevation. Please see
Volume Calculations - Pond A in the same appendix for the results of the
calculated depths for the pond. Please see that the average depth is 4.72
For conservative measures, a depth of 4.5' was used which resulted in the

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It Page 2
SAIDA ratio used in the initial submittal. This was as described above
calculated correctly and simply mislabeled.
4. The impervious area is not consistent between SWU-101, the supplement
form, and the calculations. Please correct these so that the same impervious
area is shown on all documents.
Response: All documents now are consistent with the specified impervious
area.
5. The table in the calculations showing contour areas and volumes should be
continued up through the 1" treatment volume storage elevation.
Response: Requested information has been added. Calculation sheet
labeled Stage -Storage Analysis - Pond A now has the contours and
volumes through 571. 5 which are 1.2' above the 1 " treatment volume
elevation of 570.30, The same is true for the calculation sheet labeled
Volume Calculations - Pond A.
6. The head used in the orifice drawdown calculations must use H/3 as per the
BMP Manual.
Response: Noted calculation has been updated to use H/3.
7. The pond cross-section on C600 shows the bottom at elevation 261, the
text above it says it is at 260. The calculations and forms all show it at
259.5. Please make consistent.
Response: The sheet has been revised so that all values are consistent.
The sheet should now read that the bottom of the pond as 259.5 and the
sediment removal elevation as 260.5.
8. The planting plan shows trees on the embankment, one tree in the middle
of the emergency spillway, and at least one tree on the vegetated shelf. Al
trees should be outside of the pond proper. Please revise. It may be
helpful to show the major pond contours (berm, shelf, etc.) on the planting
plan.
Response: Requested revisions the Planting Plan has been done.

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Carol Straight, President
Chatham Hospital, Inc.
PO Box 649
Slier City, NC 27517
Dear Ms. Straight:
Division of Water Quality
Colleen H. Sullins
Director
July 13, 2009
Subject: Request for Additional Information
Stormwater Project No. SW5090701
Chatham M.O.B.
Chatham County
Dee Freeman
Secretary
The Division of Water Quality Central Office received a Stormwater Management Permit Application for
the subject project on July 1, 2009, A preliminary review of that information has determined that the
application is not complete: The following information is needed to continue the stormwater review:
The plans must show the entire property area and BUA (new and existing). The permit will be
written for the entire property area, not just a portion of it as proposed. The existing BUA does
not need to be treated, only the new BUA. This information will be reflected in part III of
SWU-I01. Any future changes anywhere on the property will require a permit modification
and/or plan revision regardless of how much land is disturbed.
2. A soils report must -be submitted that provides information on the seasonal high water table
(SHWT). This needs to be provided based on soil boring within the footprint of the proposed
BMP.
3. The incorrect.SA/DA ratio was used for the wet pond design. The average depth (as calculated
by one of two options in the Manual) must be used, not the maximum depth as shown in the
calculations.
4. The impervious area is not consistent between SWU-101, the supplement form, and the
calculations. Please correct these so that the same impervious area is shown on all documents.
5. The table in the calculations showing contour areas and volumes should be continued up
. through the 1" treatment volume storage elevation.
6. The head used in the orifice drawdown calculations must use H/3 as per the BMP Manual.
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Northai Ol_llla
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 �atura `//�/
Intemet www,ncwaterquality,org V ,/
An Equal Opportunity 1 Affirmative Action Employer

Ms. C,-irol Straight, President
SW5090701 —Chatham M.O.B.
July 13, 2009
7. The pond cross-section on C600 shows the, bottom at elevation 261, the text above it says it is at
260. The calculations and forms all show it at,259.5. Please make consistent.
$. The planting plan shows trees on the embankment, one tree in the middle of the emergency
spillway, and at least one tree on the vegetated shelf. No trees should be planted on the pond
embankment, spillway, or vegetated shelf. All trees should be outside of the pond proper.
Please revise. It may be helpful to show the major pond contours (berm, shelf, etc) on the
planting plan.
Please note that this request for additional information is in response to a preliminary review. The
requested information should be received by this Office prior to August 14, 2009, or the application will be
returned as incomplete. The return of a project will necessitate resubmittal of all required items, including
the application fee.
If you need additional time to submit the information, please mail or fax your request.for a time extension
to the Division at the address and fax number at the bottom of this letter. The request must indicate the date
by which you expect to submit the required information. The Division is allowed 90 days from the
receipt of a completed application to issue the permit:
The construction of any impervious surfaces, other than a construction entrance under an -approved
Sedimentation Erosion Control Plan, is a violation of NCGS 143-215.1 and is subject to enforcement
action pursuant to NCGS 143-215.6A.
Please reference the State assigned project number SW5090701'on all correspondence. - All original
documents must be returned or new originals must be provided.' Copies are not acceptable, If you have
any questions concerning this matter please feel free to call me at [phone].
Sincerely,
_e�C/, J Z�
Robert D. Patterson, P.E.,
Environmental Engineer
Stormwater Permitting Unit
cc: Raleigh Regional Office .
DWQ Central Files
Stormwater Permitting Unit Files
Page 2 of 2' --

7-6 a P- () At AT- _P A- —y-EX .s a,/
Application Completeness Review
First Submittal ❑ Re -submittal Dale Received: �iT4 � Date Reviewed: Z/t09 ByX, lC .P � a uc'el
Development/Project Name: Gh�+�^ !' ea% C_n( G�fi &�µ%/��Np
Receiving stream name koe-kY if �e.� g=F&� , g4sry
� F, .7-tep Av.,
sification: c , sw66�si,�1 D�-O6-iz
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-1, WS-II, WS-III, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake -Water Supply Watershed Nutrient
Management Strateav,
High Density Projects that require a 401 /404 within an NSW require 85% TSS, 30% TN and 30%fl TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds):
Latitude and Longitude: 35° `f-3 '.9-4"W 79 ` ao �/ _ Jurisdiction S,le,e nLhCouN7'y
Project Address: 4Lj5--PRoagess Svial. 3t14,c n-ry h/G 776-17 �^ -WIFfIl—A.
Engineer name and firm :.R0VLWAV7Fy � ��f ��••����./¢ 9/? -9l
rleRtiv��.J � �.�nJ,e,a--t-.�y•`�Goin. `..
D Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets El"High Density ❑ Other
❑ 401 /404 impacts to surface waters; wetlands, and buffers (add language to cover letter and/or addinfo letter)
Gd` B U A - , 4- j�
®' Check for $506.00 included
d Original signature (not photocopy) on application
d Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, 1-LC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.state.ne.us/corporations/thepage.aspx
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of,the person signing the letter.
❑ For subdivided projects, a signed and notarized deed restriction statement
Sealed, signed & dated calculations
Correct supplement and O&M provided for each BMP on site.(check all that were provided & number of each)
❑ Bioretention
❑ Dry Detention Basin
O Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
❑ Sand Filter
0 Storrnwater Wetland
Q'0-et Detention Basin
-❑ Low Density
❑ Curb Outlet
❑ Off -Site'
❑ NCDOT Linear Road
Ugr Two sets of sealed, signed & dated layout & finish grading plans with appropriate details.,
d Narrative Description of stormwater management provided
Ga' Soils report provided
W_ Wetlands delineated or note n the plans that none exist.on site and/or adjacent property Cto 0
at," Details for the roads, parking area, cul-de-sac radii, sidewalk widths,: curb and gutter; f C9 G¢ �� (6(°�
a,' -Dimensions & slopes provided
rf' Drainage areas • delineated® 121 P ervious and impervious reported for each,6; ❑ Areas of high density
W" Inspection and maintenance agreements provided V,#CAO-, r w'�
[*� Application complete- ldb,8- ❑ Application Incomplete Returned: (Date)
Comments C-440 / - 'AX-4fe4 c%r.' W 's, 5r eL r_Fp --
5T04M0A-rgf_ A2iF 4/kc,-F rhxtilr rA-t-cu,L_^=-/0&1X AAA-G-F 0� ;_,h�OLA- h -Aa_ WEIO;Jj
v
February 9, 2009 Revision

S!_ 2006-246 Section 9 Post Construction Requirements for Non -Coastal Counties
I_bw-density protects
❑ No more than two dwelling units per acre or 2411% built --upon area; =' '
❑' Vegetated conveyances to the maximum extent practicable;
❑ Built -upon areas at least 30 feet landward of perennial and intermittent surface waters;
❑ Deed restrictions, protective covenants, and/or other restrictive language/measures.
High density projects
❑ Control and treat runoff from the first one -inch of rain.
❑ Runoff volume drawdown time must be a minimum of 48 hours, but not more than 120 hours;
❑ Discharge the storage volume at a rate equal to or less than the predevelopment discharge rate for the
one-year, 24-hour storm.
b ' ' Achieve 85%.average annual removal of total, suspended solids.,,
❑ For BMPs that require a separation from the; seasonal high-water table (SHWT), the•separation shall include
at least 12 inches of naturally occurring soil above the SHWT...
❑ Stormwater management measures must comply with the General Engineering Design Criteria For All
Projects requirements listed in 15A NCAC 2H .1008(c);
❑ All built -upon areas are at least 30 feet landward of perennial and intermittent surface waters;
❑ Deed restrictions, protective covenants, and/or other restrictive language/measures
❑ Provide a mechanism to require long-term operation and maintenance of Best Management Practices
Goose Creek, Six.Mile Creek and Waxhaw Creek Watersheds
Buffer Requirements
❑ Undisturbed riparian buffers within 200 feet of water bodies within the 100-Year Floodplain and within 100 feet
of water bodies that are notwithin the 100-Year Floodplain. Exceptions to the undisturbed buffer
requirements are set forth in 15A NCAC 02B .0607.
Storm water. Controls as required by 15A NCAC 02B .0602
❑ . Control and treat the difference between the pre -development and post -development conditions for the one-
year, 24-hour storm. with structural controls.
❑ Development and redevelopment shall implement stormwater management measures that promote infiltration
of flows and ground water recharge for the purpose of maintaining stream base flow.
❑ 85% average annual removal of total suspended solids.
C1. Draw down the treatment volume no faster than 48 hours, but no slower than 120 hours, for detention ponds.
❑ Discharge the storage volume at a rate equal or less than the pre -development discharge rate for the one-
year, 24-hour storm.
❑ Meet design or stormwater management measures setforth in 15A NCAC 2H .10.08. .
' High Density Projects that require a 4011404 within an NSW .
❑ 85% TSS
❑ 30% TN ;
❑ 30% Tp
1
February 9,.2009 Revision

LETTER OF TRANSMITTAL
f
STEWART TO
raaC-hda10
FROM
ette Luc s
Adam Pike
401 Sto water Review
Project Engineer Intern
2321 Crabtre Ivd.
[phone]
Raleigh, NC 27604
DATE SENT VIA
6/26/09 UPS Ground
PROJECT NUMBER PROJECT NAME
c9006 Chatham M.O.B.
COPIES DATE DESCRIPTION
2
6/26/09
Plans Set
2
6126/09
Stormwater SIA
1
6/26/09
Check
1
6/26/09
o&M Agreement
For approval
For review & comment
Returned for corrections
For your use
Approved as submitted
Returned after review
As requested
13Approved
as noted
LResubmit
copies for approval
COMMENTS
Annette
Please find included the necessary documents for state stormwater submittal for
Chatham M.O.B. Please feel free to contact me if you have any questions.
Thanks
Adam Pike
SIGNED
Adam Pike, E.I.
COPIED TO
filo
ENGINEERING. INNCVATION. SOLUTIONS'- 421 FAYETTEVILLE STREET RALEIGH, NC T 919.380.8750
SUITE 400 27601 F 919.380.8752

FILED
CHATHAM COUNTY
REBA G. THOMAS
REGISTER OF DEEDS
FILED Oct 23, 2006
AT 04:06:40 pm
`BOOK 01292
START PAGE 1094
END PAGE 1097
SdOX 12
9 2 PAGE'.INSTRUMENT # 14127
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $0.00 Parcel Identifer No.: 0084342
Mail after recording to: Wyrick Robbins Yates & Ponton LISP (EAV),.4101 Lake Boone Trail, Ste.
300, Raleigh, NC 27607
This instrument was prepared by: Wyrick Robbins Yates &Ponton LLP (EAV), 4101 Lake Boone
Trail, Ste. 300, Raleigh, NC 27607
Brief Description.for the Index: Lot 7, Chatham County Central Carolina Business Campus
THIS DEED made this
day of September, 2006, by and between:'
GRANTOR
GRANTEE
CHATHAM'000NTY,.a North Carolina CHATHAM HOSPITAL, INCORPORATED,
political subdivision a North Carolina non-profit corporation
One East'Street PO Box 649
Pittsboro, NC 27312 Siler City,:NC 27344
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as
required by.context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee; the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey
unto the. Grantee in fee simple, all -that certain lot or parcel of land situated -in the City of Siler
City, .,Matthews Township, Chatham County, North Carolina and more particularly described as
follows:
Those certain lands as are more particularly described in Exhibit A which is attached .
hereto and made a part'hcrcof by reference.
15299.21-45901 I vt

-I
The property hereinabove described is part of the property acquired by Grantor by instrument
recorded'in Book 821, Page 639, Chatham County Registry.
The .above -described property is part of the property shown on a map recorded in Map Bbok
.2000, Page 104, Chatham County Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel. of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee that Grantor is seized of the premises in fee simple, .
has the right to convey the same in fee.simple,-that title is marketable and free and clear of all
encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
.persons whomsoever except for the exceptions hereinafter stated. Title to the property
hereinabove described is subject to the following exceptions:
See attached Exhibit B.
IN WITNESS WHEREOF, the Grantor has hereunto caused this instrument to be.signed
in. -its corporate name by its duly authorized officers and its seal to be hereunto affixed.:by
authority of its Board of Directors, the day and year first above written.
CHATHAM COUNTY, a North Carolina political
subdivision
By:
Name: Bunke an
Title: Cha'
Commissioners
STATE OF NORTH CAROLINA
COUNTY OFcHATHAM
I certify that the following person personally appeared before me this day,
acknowledging to me that he voluntarily signed the foregoing document for the purpose stated
therein and in the capacity indicated: Bunkey Morgan, Chairman of theCommissioners
of Chatham County, a North Carolina political subdivision.
V60 TA
IN AO
Comm
lJ�
E. I
1-21_jolo
Notary Public
y ,4 V
*.YN COIN
Adrienne A. Hood
Notary Printed Name
•fVty commission Expires:
r3- - off- O to
15299.21-459011 v1

BOOK 12 9 2 PAGE 10.9 6
Exhibit A
Legal Description
Lying and being in Matthews Township, Chatham County, North,Carolina,east-pf,,US Hwy. 421
and north of SR. 2110 and bounded on all sides by lands of Chatham County Industrial Park and
being more.particularly described as follows:
BEGINNING `at a point located N 77°07' 16" E -62.99 'feef from. an existing°,Iiron•'pipe;' the
northeast corner of the lands of Chatham Land and Timber Management, LLC property and,runs
thence as the east right-of-way (60' R/V) of anew. road through the Chatham•.-lndustri'al Park
property N %;07°41'S3" W 1 l35'.76 feet to a point -at the beginning of a curve to another road in
said industrial park; thence as said curve running clockwise to the east,'having xradius of.50.00
feet, an are length ,of 78.54 feet and a chord bearing and distance of 37°18'07" E 70.71 feet to
the end of said curve at a new road; thence as the south right-of-way (60' R/W) of the',second
new road N 82°18'07" E 292.96 feet to -a point in said right-of-way at the beginning of a curve;
thence as a' curve ` running clockwise to the southeast, having a radius of , 850:00 feet, an arc
length of 642.85 feet and a chord bearing and distance of S 76°01'54" E 627.64 feet to a point in
said right-of-way; .thence S 54°21'55" E 254.10 feet to a point in said right-of-way; thence as
another curve running counterclockwise to the southeast, having a radius of 910.00 feet, an are
length of 363.80 feet and a chord bearing and distance of S 65°49'05" E 361.38.feet to a,point.in
said right-of-way; thence_ leaving the new road _right -of _way .S 04° 17'047 E � 46104 feet,,to.,a
point; thence :S 77°05'59" W. 1.396.14 feet to ,.the BEGINNING, containing 30...38 acres and
being a portion of the lands conveyed to Chatham County by deed recorded in, Deed Book 821
Page 639, Chatham County Registry. Bearings herein are to NC Grid Nad83 North Meridian,
being the same property described in the survey prepared by Hobbs, Upchurch & Associates,
P.A., entitled "Subdivision of Central Carolina Business Campus, Lot 7, dated September, 2006,
as shown in Plat Slide 2006, Page 398, Chatham County Registry.
TOGETHER WITH the rights and obligations set out in a Temporary Access Easement .dated
September 20; 2006, and recorded in Book ,Page D� Chatham County
Registry.
TOGETHER WITH the right, of first refusal set out in the Declaration of Protective Covenants
and Restrictions for Central Carolina Business Campus dated September.20, 2006, and recorded
in Book 2_r, .Page ,Chatham County Registry.
15299.21-459011 v1

1
Exhibit B GOOK 12.9 2 PAGE 10 9
1. Easements, setback lines and any other matters shown on plat recorded in Plat
Cabinet 2000, Slide 104 of the Chatham County Registry.
2. Easement in favor of Carolina Power and Light Company as recorded in Book 403,
Page 725, of the Chatham County Registry.
3. Ordinance to Extend the Corporate Limits of the Town of Siler City recorded in Book
1194, Page 56, Chatham County Registry.
4. Town of Siler City Conditional Use Permit recorded in Book 1253, Page 1060,
Chatham County Registry.
5. The following matters as shown on the survey prepared by Hobbs, Upchurch &
Associates, P.A., entitled "Subdivision of Central Carolina Business Campus, Lot 7,
dated September, 2006, as shown in Plat Slide 2006, Page 398, Chatham County
Registry:
a. wetlands buffers.
6. Declaration of Protective Covenants and Restrictions for. Central Carolina Business
Cam us dated September 20, 2006, and recorded in Book ZCj Page
1 , Chatham County Registry.
15299.21 A 59011 v1