NCC204387_ESC Approval Submitted_20201002

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Acting Director
NORTH CAROLINA
fnyironntental Quality
September 15, 2020
LETTER OF APPROVAL
HSM Dialysis Centers, LLC
ATTN: Marshia S. Coe, Chief Operating Officer
P.O. Box 7710
Tifton, GA 31793
RE: Project Name: HSM Dialysis Centers, LLC
Acres Approved: 2AS
Project ID: DAVID-2021-007
County: Davidson
City: Winston-Salem
Address: Millers Creek Dr.
River Basin: Yadkin-PeeDee
Stream Classification: C
Submitted By: Stimmei Associates, P.A.
Date Received by LQS: August 18, 2020
Plan Type: New
Dear Ms. Coe:
This office has reviewed the subject erosion and sedimentation control plan. We find
the plan to be acceptable and hereby issue this Letter of Approval. The enclosed
Certificate of Approval must be posted at the job site. This plan shall expire three (3)
years following the date of approval, if no land -disturbing activity has been
undertaken, as is required by Title 15A NCAC 4B .0129.
As of April 1, 2019, all new construction activities are required to complete and
submit an electronic Notice of Intent (NOI) form requesting a Certificate of Coverage
(COC) under the NCGO10000 Construction Stormwater General Permit.
This form MUST be submitted prior to the commencement of any land disturbing
activity on the above named project. The NOI form may be accessed at
deq.nc.gov/NCGO1. Please direct questions about the NOI form to Annette Lucas at
[e-mail] or Paul Clark at Paul.clark@ncdenr gov. After you submit
a complete and correct NOI Form, a COC will be emailed to you within three business
days. Initially, DEMLR will not charge a fee for coverage under the NCGO1 permit.
However, a $100 fee will soon be charged annually. This fee is to be sent to the DEMLR
Stormwater Central Office staff in Raleigh.
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North Carolina Department of Environmental Quality I Division ofEnergy, Mineral and Land Resources
Winston-Salem Regional Office 1 450 West Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105
M6.776.9800

Letter of Approval
HSM Dialysis Centers, LLC
September 15, 2020
Page 2 of 2
Title 15A NCAC 4B .0118(a) and the NCG01 permit require that the following
documentation be kept on file at the job site:
1. The approved E&SC plan as well as any approved deviation.
2. The NCG01 permit and the COC, once it is received.
3. Records of inspections made during the previous 30 days.
Also, this letter gives the notice required by G.S.113A-61.1(a) of our right of periodic
inspection to ensure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Act is performance -oriented,
requiring protection of existing natural resources and adjoining properties. If,
following the commencement of this project, the erosion and sedimentation control
plan is inadequate to meet the requirements of the Sedimentation Pollution Control
Act of 1973 (North Carolina General Statute 113A-51 through 66), this office may
require revisions to the plan and implementation of the revisions to insure
compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with
Federal and State water quality laws, regulations, and rules. In addition, local city or
county ordinances or rules may also apply to this land -disturbing activity. This
approval does not supersede any other permit or approval.
Please note that this approval is based in part on the accuracy of the information
provided in the Financial Responsibility Form, which you provided. You are
requested to file an amended form if there is any change in the information included
on the form. In addition, it would be helpful if you notify this office of the proposed
starting date for this project. Please notify us if you plan to have a preconstruction
conference. Your cooperation is appreciated.
Sincerely
Jack Dalton
Assistant Regional Engineer
Land Quality Section
Enclosures: Certificate of Approval
NCG01 Fact Sheet
cc: Stimmel Associates, P.A. WSRO
ATTN: Kenneth A. Binkley
601 N Trade Street, Suite 200
Winston-Salem, NC 27101