NCC205190_ESC Approval Submitted_20201118

RGY COOPER
Governoe
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Director
NORTH CAROLINA
Environmental Quality
July 23, 2020
LETTER OF APPROVAL WITH MODIFICATIONS
Benderson Development Company, LLC
Attention: James Boglioli, Director
570 Delaware Avenue
Buffalo, New York 14202
RE: Project Name: Union West Center Medical Facility (Express Review)
Acres Approved: 2.97
Project ID: UNION-2021-001
County: Union, City: Indian Trail
Address: W. Hwy 74
River Basin: Yadkin -Pee Dee
Stream Classification: Other
Submitted By: Daniel Renckens, PE, Bohler Engineering NC, PLLC
Date Received by LQS: July 8, 2020
Plan Type: New
Dear Mr. Boglioli:
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to be
acceptable with modifications and hereby issue this letter of Approval with Modifications. The
Modifications Required for Approval are listed on the attached page. This plan approval shall expire
three (3) years following the date of approval, if no land -disturbing activity has been undertaken, as is
required by Title 15A NCAC 4B .0129.
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 NCG010000
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 [e-mail]. 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 NCGOI permit. However, on or after May 1, 2019, a $100 fee
will be charged annually. This fee is to be sent to the DEMLR Stormwater Central Office staff in
Raleigh.
Title 15A NCAC 413.0118(a) and the NCGO1 permit require that the following documentation be kept
on file at the job site:
1. The approved E&SC plan as well as any approved deviation.
North Carolina Department of Environmental Quality i Division of Energy. Mineral and Land Resources
Mooresville Regional Office 1 610 East Center Avenue. Suite 301 i Mooresville, North Carolina 28115
oewrtmemetFnvvoomrt9nW aan+v 704.663.1699 .

Letter of Approval with Modification
July 23, 2020
Page 2 of 3
2. The NCGOI 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
insure 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-S 1 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,
1
Shannon Leonard
Assistant Regional Engineer
Land Quality Section
Enclosures: Certificate of Approval
Modifications Required for Approval
NCGO1 Fact Sheet
c: Inspection Department
ec: Daniel Renckens, PE

Letter of Approval with Modification
July 23, 2020
Page 3 of 3
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: Union West Center Medical Facility (Express Review)
Project ID: UNION-2021-001
County: Union
1. Stone outlets in the silt fence shall be installed with Class B stone and 12" washed stone
per attached construction detail.
2. The temporary and permanent seeding specifications attached shall be followed.
3. The location of the borrow source shall be provided to this office prior to transporting
material on site.
4. The fill slopes on the West/Northwest sides shall be seeded/mulched/matted
immediately upon placement of fill material.