SW7961006_CURRENT PERMIT_20200930

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW_�glQl(J��D
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
i
YYYYMMDD

ROY COOPER
Gaeemor
MICHAEL S. REGAN
Secretm'v
BRIAN WRENN
Acliny -Director
Dr. Thomas J. Hagan
612-A McCarthy Blvd.
New Bern, NC 28562
NORTH CAROLINA
Environmental Quality
September 30, 2020
Subject: Stormwater Permit No! SW7961006 Renewal
Coastal Bone & Joint Medical Suites
High Density Project
Craven County
Dear Dr. Hagan:
The Washington Regional Office received a Stormwater Management Permit
Application for renewal of the subject permit on September 4, 2020. Staff review of the
applications have determined that the permit can be reissued. We are forwarding Permit
No. SV 7961006 dated September 30, 2020, for the continued operation of the subject
project.
This permit, upon its effective date, will replace all p
this project. This permit shall be effective from Jam
and shall be subject to the conditions and limitatior
supercede any other agency permit that may be req
the Operation and Maintenance requirements in
adequate system for operation and maintenance of
will result in future compliance problems.
If any parts, requirements, or limitations contained
have the right to request an adjudicatory hearing L
days following receipt of this permit. This request ml
conforming to Chapter 150B of the North Carolina
Office of Administrative Hearings, 6714 Mail Servil
Unless such demands are made this permit shall bE
If you have any questions, or need additional info
contact me at [phone].
Sincerely,
n;
Roger K. T
Environme
vious State Stormwater permits for
ry 25, 2021 until January 24, 2029
as specified therein, and does not
ed. Please pay special attention to
is permit. Failure to establish an
e stormwater management system
in this permit are unacceptable, you
pon written request within thirty (30)
ist be in the form of a written petition,
General Statutes, and filed with the
;e Center, Raleigh, NC 27699-6714.
Ifinal and binding.
n concerning this matter, please
Engineer
Lorin �:erolira 9rparrmenr r En n omen[ il c lit+ C ii r i Enrrgv .fine ul and Land Re_owrcee
Ya ninymn Regional 0`fice i 0, IIVVZIs4Inqzon .yuare Sla t Washinotnn North Carolina 17S8G
52.C-4,_o461

I
I
STATE OF NORTH CIAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
C"n N-11
HIGH DENSITY DEVELOPMENT
I
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
Thomas J. Hagan
Coastal Bone & Joint Medical Suites
I
Located at 612 McCarthy Blvd., New fern, NC, Craven County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (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 Energy, Mineral, and
Land Resources (Division) and considered a part oflthis permit.
This permit shall be effective from January 25, 20211 until January 24, 2029, 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 ifor the management of stormwater
runoff as described on page 2 of this permit, the Project Data Sheet.
3. A maximum of 0.66 acres of built upon area is allowed.
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 approved plans.
5. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.

DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
PROJECT DATA
Project Name:
Coastal Bone & Joint Medical Suites
Permit Number:
SW7961006
Location:
Craven County
Applicant:
Thomas J. Hagan
Mailing Address:
612-A McCarthy Boulevard
New Bern, NC 28562
Receiving Stream:
UT to Trent River
Classification of Water Body:
SC
Total Site Area:
1.13 ac
Drainage area:
1.13 ac
Total Impervious allowed:
0.66 sf
Wet Pond Depth:
4.0 ft
Required Storage Volume:
2,461 cf
Provided Storage Volume:
2,925 cf
Required Surface Area:
1,329 sf 1
Provided Surface Area:
1,500 sf
Controlling Orifice:
0.75 inch

i
6. No homeowner/lot owner/developer shall be allowed to fill in, alter, or pipe any
vegetative practices (such as swales) showni on the approved plans as part of the
stormwater management system without submitting a revision to the permit and
receiving approval from the Division.
7. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
C. Transfer of ownership
d. Redesign or addition to the approved amount of built -upon area
e. Further subdivision of the project area.
In addition, the Director may determine that lother revisions to the project should
require a modification to the permit.
8. 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.
II. SCHEDULE OF COMPLIANCE
The permittee will comply with the following schedule for construction and
maintenance of the stormwater management system.
a. 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 surfaces except roads.
b. During construction, erosion shall be
of the system will be repaired imme(
2'. The facilities must be properly maintained and
Operation and Maintenance Plan must be folli
must occur at the scheduled intervals.
3. The permittee shall at all times provide the c
assure the permitted stormwater system fu
but not limited to:
a. Semiannual scheduled inspections
b. Sediment removal
to a minimum and any eroded areas
ited at all times. The approved
in its entirety and maintenance
i and maintenance necessary to
at optimum efficiency including,
6 months)

r
C. Mowing and revegetation of side slopes
d. Immediate repair of eroded areas
e. Maintenance of side slopes in accordance with approved plans and
specifications
f. Debris removal and unclogging of outlet structure, orifice device and catch
basins and piping.
4. Records of maintenance activities must be kept and made available upon request to
authorized personnel of the Division. The records will indicate the date, activity,
name of person performing the work and what actions were taken.
5. 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.
6. Upon completion of construction 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. Mail
the Certification to the Washington Regional Office, 943 Washington Square Mall,
Washington, North Carolina, 27889, attention Division of Energy, Mineral, and Land
Resources.
7. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for a minimum of five years from the date of the completion of construction.
III. GENERAL CONDITIONS
1. This permit is not transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit request must
be submitted to the Division accompanied by an application fee, documentation from
the parties involved, and other supporting materials as may be appropriate. The
approval of this request will be considered on its merits and may or may not be
approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to enforcement action by the Division, in accordance with North
Carolina General Statute 143-215.6(a) to 143-215.6(c).
3. 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) which have jurisdiction.

I
4. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee 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.
5. The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and reissuance or termination
does not stay any permit condition.
6. This permit expires on January 24, 2029. The Permittee, at least six (6) months prior
to the expiration of this permit, shall submit in writing an application for renewal along
with appropriate application fee.
Permit issued this the 30th day of September 2020.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
For
Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW7961006

f1C4Q5UZC- 2 L07—
I
J
ROBERT M. CHILES, P.E. (00F,
ENGINEERS, CONSULTANTS
B
417-A BROAD STREET MARINE SURVEYORS BUSINESS: 252H774702
P.O. BOX 3496 NIGHTS: 252-0387W
NEW BERN, NORTH CAROLINA 2B5643490 FAX [phone]
6 ❑CJuFi ii Iss®
June 22,1998 NOV - 6 2006
Mr. William Moore ®WQ-WAR®
North Carolina Department of Environment & Natural Resources
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
PROJECT: New Bem Medical Developments, LLC - attn: Mr. Todd H. Rankin Manager
Lot No. 1, Dr. Brian J. Battersby, Jr. — Coastal Orthopaedic and Spine Surgery (616)
Dr. Tom Hagan, DMP (612)
612 & 616 McCarthy Blvd., New Bem, Craven County, NC
Stormwater Permit No. SW7961006
Dear Bill:
Designer's Certification
I, Robert M. Chiles , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe periodically the construction of the project, New Bem
Medical Developments, LLC - Lot No. 1 for Drs, Hagan & Battersby , 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.
Signature: t N CARp4
Registration Number. 2
Date: JUN` zz,lg08 -:-P
Rt M.
BDFlbdf
cc: Dr. Tom Hagan & Dr. Brian J. Battersby, Jr.
New Bem Medical Developments, LLC
Northeast Construction Co.
Ctty Inspections Dept.
File
96136SW StateCertLotl Itr.doc
MECHANICAL, CIVIL, AND MARINE ENGINEERING
COMMERCIAL. INDUSTRIAL. MARINE AND RAILROAD
FACILITIES DESIGN
MARINE HYDROGRAPHIC AND LAND SURVEYS
FORENSIC ENGINEERING AND FAILURE ANALYSIS
BOUNDARY SURVEYS AND MAPPING SERVICE

ROBERT M. CHILES, P.E.
ENGINEERS, CONSULTANTS
6
417.A BROAD STREET MARINE SURVEYORS
P,O. BOX UN
NEW BERN, NORTH CAROLINA 28563J496
June 22. 1998
Mr. Johnny Clark, Chief Building Inspector
Mr. Lenwood Toler, Inspector
City of New Bem Planning & Inspections Department
City of New Bem
P.O, Box 1129
New Bem, NC 28560
BUSINESS: 2524074702
NIGHTS: 252.638.2346
FAX: [phone]
PROJECT: New Bem Medical Developments, LLC - attn: Mr. Todd H. Rankin Manager
Lot No. 1, Dr. Brian J. Battersby, Jr. — Coastal Orthopaedic and Spine Surgery (616)
Dr. Tom Hagan, DMP (612)
612 & 616 McCarthy Blvd., New Bem, Craven County, NC
Stormwater Permit No. SV 7961006
Dear Johnny/Lenwood:
Designer's Certification
I, Robert M. Chiles , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe periodically the construction of the project, New Bem
Medical Developments. LLC - Lot No. 1 for Drs. Hagan & Battersbv , 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.
Signature:
Registration Number: * S E A L
5 3 ce �-
Date: adNe, ZZ 1948 :o F�GINEcF �G':
. .
.._r M. G...a
BDFfbdf
cc: Dr. Tom Hagan & Dr. Brian J. Baftersby, Jr.
New Bem Medical Developments, LLC
Northeast Construction Co.
File
961365W CityCertLot1 Itr.doc
MECHANICAL, CIVIL, AND MARINE ENGINEERING
COMMERCIAL, INDUSTRIAL. MARINE AND RAILROAD
FACILITIES DESIGN
MARINE HYDROGRAPHIC AND LAND SURVEYS
FORENSIC ENGINEERING AND FAILURE ANALYSIS
BOUNDARY SURVEYS AND MAPPING SERVICE

" 1)FMI K 1)Srh ONLY
Z Date Receiv d
Fee Paid
Permit Number
9 x
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: -S VV / -I to 100
2. Project name: COcts�od Medi'cpd C->u,l2.5
3. Project street address: (�? )' 9- li1—1 O 7 +�A4\ U �y .
( to/ n G c City: d "Be N � O County: C-OA ✓P n ZIP : v>28S1o�
4. What, if any, changes have been made to the project as permitted? O (--haa h �{ e 5
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at: https://deg.nc.gov/about/divisions/energv-
mineral-land-resources/energv-m i neral-land-rules/stormwater-grog ram/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https://deg.nc.gov/about/divisions/energv-mineral-land-
resources/energv-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization:
2.
3.
4.
Signing Official's Name:
Signing Official's Title: .
Mailing Address:
City:
5. Street Address:
City:
6. Phone:( )
Stormwater Permit Renewal Form
State: ZIP :
ZIP :
Email:
iila�l HUED SEP Q
CW D Stp � 1 al
Page 1 of 3 May 11, 2018

V
C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
V 1. A permit application processing fee of $505.00 payable to NCDEQ.
2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act,"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership — the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4. O&M Agreements, Please select one:
❑ 1 have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division, or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018

D. PERMITTE�E'S CERTIFICATION
1
I, Dec •- I h v in 5 it a 1 Q "'1 , the person legally responsible for the permit, certify that I have
a copy of the Permit and O&M Agreeme on site (or I will obtain a copy and it will be kept on site), that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs
or built -upon area and to submit the proper forms to modify or transfer the permit prior to any changes to the
project, SCMs, or ownership. All infor tion provided on this permit renewal application is, to the best of my
knowledge, cor nd compl
Sig
Date: � - �^1-- O
NOTARIZATION:
1, �-> rg , '3 , a Notary Public for the State of
V\s a e- \' C n c.,y... - , County of (�_' , do hereby certify
personally appeared before me
•` th T �' �� day of ��� W 2l} ,and acknowledge the due
�exTkuution oUge forg"ping instrument. Witness my hand and official seal,
MYc�m. ExP�
�Ot, `ate=
COY
Notary Signature:
My commission expires
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018