SW8960507_HISTORICAL FILE_20090930

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 °I1xU501
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
LLN HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
Zooq 09 30
YYYYMMDD

NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 30, 2009
Mr. Alfred Thomas, CEO
New Hanover Community Health Center, Inc.
925 North 4th Street
Wilmington, NC 28401
Subject: Stormwater Permit No. SW8 960507 Renewal
New Hanover Community Health Center, Inc.
High Density Subdivision Project
New Hanover County
Dear Mr. Thomas:
Natural Resources
Dee Freeman
Secretary
The Wilmington Regional Office received a complete Stormwater Management Permit Renewal
Application for New Hanover Community Health Center, Inc. on September 3, 2009. The
Division is hereby notifying you that permit SW8 960507 has been renewed on September 28,
2009, and shall be effective until July 9, 2016. The plans previously approved on July 9, 1996, in
accordance with the regulations set forth in Title 15A NCAC 2H.1000 effective September 1,
1995, remain in full force and effect.
This site was inspected on March 13, 2009 and March 16, 2009. All deficiencies noted in the
inspection report have been addressed and the site is currently in compliance with the terms
and conditions of this renewed state stormwater permit.
Please pay special attention to the Operation and Maintenance requirements in this permit.
Failure to establish an adequate system for operation 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.
If you have any questions, or need additional information concerning this matter, please contact
Aisha Lau, or me at [phone].
Sincerely,
'SLZ4'�
Georgette Sco- tt
Stormwater Supervisor
Division of Water Quality
GDS/ahl:
S:\WQS\STORMWATER\PERMIT\960507ren.sep09
cc: Wilmington Regional Office
Central Files
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 North Carolina
Internet: wvnv.nrwaterquality.org Naturally
J►�ry L'/Nn ly
An Equal Opportunity t Affirmative Action Employer �/!d `Kl Lt"

September 29, 2009
New Hanover Community Health Center, Inc.
SW8960507
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL 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
Mr. Alfred Thomas and New Hanover Community Health Center, Inc.
New Hanover Community Health Center, Inc.
925 North 4" Street, Wilmington, New Hanover County
FOR THE
operation and maintenance of a 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 Water Quality and considered a part of
this permit.
The permit is hereby renewed subject to the following addendums, clarifications,
conditions and limitations:
The original permit conditions contained in the permit issued on July 9, 1996
remain in full force and effect, except as amended herein. (An additional copy
of this original permit can be obtained from the Division of Water Quality,
Wilmington Regional Office.)
This permit shall be effective from the date of issuance until July 9, 2016.
The permittee shall submit a permit renewal application request at least 180
days prior to the expiration date of this permit. The renewal request must
include the applicable documentation and the processing fee.
4. If the use of permeable pavement is desired, this permit must be modified to
add the permeable pavement conditions.
2

DWQ USE ONLY
Date Received
Fee Paid
Permit Number
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICA'PIV FORM
This form may be photocopied for use as an original
1. GENERAL INFORMATION1?009
1. Stormwater Management Permit Number: SW8 960507
2. Permit Holder's name (specify the name of the corporation, individual, etc.):
New Hanover Community Health Center, Inc
3. Print Owner/Signing Official's name and title (person legally responsible for permit):
Alf redThomas, CEO (Signing Official)
4. Mailing Address for person listed in item 2 above:
925 North 4" Street
City:Wilmington State:NC Zip:28401
Phone: (910 ) 343-0270 Fax: (910 ) 251-1540
Email:[e-mail]
5. Project Name: New Hanover Community Health Center, Inc.
6. Location of Project (street address):
City:Wilmington County:NewHanover Zip:28401
7. Directions to project (from nearest major intersection):
At 3" and Harnett Streets turn right and go one block. Turn right into the parking lot and turn right
immediatelyagain. To to the end of the parking lot and turn left. The pond is at the end of the parking lot.
II. PERMIT INFORMATION:
1. Specify the type of stormwater treatment: []Constructed Wetland ❑Bioretention ❑Wet Detention Basin
®Dry Detention Basin ❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter ❑Other:
2. List any changes from project that was originally approved (attach additional pages if needed):
form SWU-102 (Renewal Form) Version 02.16.09 Page I of 3

3. Do you have a copy of the original Operation and Maintenance Agreement? (check one)
®Yes (If yes, submit the attached (page 3) Operations and Maintenance verification sheet.)
❑No (If no, then submit a new Operations and Maintenance Agreement that can be located on the
Division of Water Quality Home Page under the BMP Manual link:
http://h2o.enr.state.nc.us/su/bmp—forms.htm)
III. 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. The complete application package should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at ham://h2o.enr.state.ne.us/su/msi maps.htm)
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
tral.stt
• Original & 1 copy of the Stormwater Management Permit Renewal Application Form d
• Application fee of $505.00 (made payable to NCDENR)
• Operation & Maintenance Verification or a new O&M Agreement �, r
• SWU-101 Application Form (if requesting a modification to the permit) A/
• 'rransfer of Ownership/Name Change Form (if requesting transfer of ownership) R'
VI. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in General Information, item 3) Alfred Thomas. CEO
certify that the information included on this permit renewal application is, to the best of my knowledge, correct
and complete. , A n
Date: / —/ 2 e�eq /
Form SWU-102 (Renewal Form) Version 02.16.09 Page 2 of

ealth
September 1, 2009
v
Aisha H. Lau, Environmental Engineer
North Carolina Department of Environmental and Natural Resources
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Re: New Hanover Community Health Center
Stormwater Permit No. SW8 960507
Dear Ms. Lau:
Further to my letter dated August 5, 2009, enclosed you will find:
3 2009
• A completed copy of form SWU-102 (Renewal Form) for New Hanover Community
Health Center.
• A copy of the original Engineer's Certification dated April 18, 1997 from Trip
Engineering.
• A copy of an agreement between New Hanover Community Health Center and Land
Management Group to perform maintenance on the above referenced project.
• New Hanover Community Health Center's application fee check in the amount of
$505.00. — r e -L d — S efl�-� Yn elm o °C / 3 I d
Should you have questions please feel free to contact me. Thank you for your patience..
Sincerely,
*AIrrdmas
Chief Executive Officer
925 North 4th Street • Wilmington, North Carolina 28401-3450 • [phone]

NAME: Alfred Thomas, CEO
DATE: August 17, 2009
New Hanover Community Health Center EMAIL: [e-mail]
925 North Fourth Street JOB #: 30-09- 170S
Wilmington, NC 28401 X-ref: 60-09- 01-09-
PHONE: [phone] ext 101 FAX: [phone] MOBILE:
LOCATION: New Hanover Community Health Center, 925 North 4°i Street
Wilmington, NC
TAX PARCEL:
OWNER OF PROPERTY: New Hanover Community Health Center
DESCRIPTIONISCOPE OF WORK:
TASK: Quarterly Stonmwater Pond Maintenance. LMG will perform maintenance of the
dry detention basin in compliance with Form SW401-Dry Detention O&M-Rev.3. LMG will not
be Installing any water level recording devices and LMG will not be cutting grass on this site.
LMG does not have dam safety experts on staff but we don't believe that will be required on
this site since the pond design has no embankment. LMG will use hand equipment to perform
routine maintenance. This contract does not Include the use of any heavy machinery or
wholesale basin replacement in the event of a catastrophic event. LMG will provide reports
that document our quarterly inspections and any mid quarter inspections in response to
rainfall events that exceed 1.5 Inches. The report shall be completed and submitted within 5
business days of the Inspection.
FEE: $600 per quarter
LETTER AGREEMENT
1. 1 (we) desire for Land Management Group, Inc., to perform the above noted services and services
described in any attachment at the quoted price or at our regular hourly rate of $60/hour for Staff Scientist,
$85/hour for Environmental Scientist, $100/hour for Senior SciendstlLicensed Scientist, $110/hour for
Managers, and $130/hour for Principals/Senior Managers. Expenses incurred by Land Management Group
(LMG) which are necessary for the completion of the scope of services including meals, hotels, and mileage
are billable to the client. Services obtained from third party vendors are reimbursable at the LMG cost plus a
15% administrative handling charge. The Client agrees to all the terms and conditions stated herein and
further agrees to notify LMG in writing in the event that the undersigned owner, officer or authorized agent
ceases to be associated with or speak for the Client during the scope of work arising under this agreement.
2. INVOICING: Invoices for LMG services shall be submitted at the option of LMG, either upon completion of
such services or on a monthly basis. Invoices shall be payable DUE UPON RECEIPT. If the invoice Is not
paid within 30 days, LMG may without waiving any claim or right against the Client, and without liability
whatsoever to the Client, terminate the performance of the service. Any past due amount will be subject to a
monthly service charge of 1.5% on the unpaid balance (18.0% true annual rate). In the event of a past due
account, the Client shall pay all costs of collection, including reasonable attorney's fees.
3. STANDARD OF CARE: Services provided by LMG under this Agreement will be performed in a manner
consistent with that degree of care and skill ordinarily exercised by members of the same profession currently
practicing under similar circumstances. LMG makes no warranty or guaranty, either express or implied, and
the parties agree to waive all such warranties.
Page I of tx S�p }�
�y 0,9200S -Q7

Tract: New Hanover Community Health Center
4. PERMITS AND REVIEW: To the extent that application for one or more regulatory permits is expressly
included in the scope of services to be provided under this Agreement, LMG will make every effort to submit
permit applications in a timely manner and otherwise pursue permit issuance consistent with our best
understanding of the permitting agencies' regulations and requirements. However, the client is expressly
advised that permitting agencies may place additional requirements or request additional information during
their review process. The client acknowledges and understands that LMG has no direct control over either the
speed or outcome of the permit review and approval process. Specifically, the client is expressly advised and
agrees that LMG does not guaranty any permit will be issued or other work approved by any agency because
such actions are beyond LMG's control.
5. OWNERSHIP OF DOCUMENTS AND AUTHORIZATION FOR USE: Drawings, specifications, reports,
programs, manuals, or other documents, including all documents ork.gfectronic media, prepared under this
Agreement are instruments of service and are, and shall remain, thee' property of LMG. LMG will retain all
common law, statutory, and other reserved rights, including the copyright thereto, LMG shall not be held liable
for reuse of documents or modifications thereof by the Client or its representatives for any purpose other than
the original intent of this Agreement, without written authorization of and appropriate compensation to LMG.
With the exception of documents generated specifically by LMG for submittal to governmental or lending
Institutions, all work product generated by LMG, including written documents such as evaluations and reports,
is intended for and limited to the Client for whom the work was performed, and it may not be otherwise used or
distributed without LMG's written permission. Specifically, the Client. agrees not to rely upon or otherwise
represent to others that LMG's preliminary evaluation(s) or proposals) equate with, imply or otherwise
guaranty permit issuance or other regulatory approval. Clients intending to distribute LMG work product should
specify, in the space provided above for scope of work, any intended or potential distribution of the resulting
work product. LMG will make every effort to comply with all reasonable requests for work product distribution,
but reserves the right to refuse any such request at Its discretion.
6. LIMITATION OF LIABILITY: The inclusion of a limitation of liability provision in this Agreement under the
terms set forth below is a material consideration for LMG's willingness to perform the services. To the
maximum extent permitted by applicable law and for additional consideration of. $10.00 from LMG, the client
hereby expressly agrees that the liability of LMG, including its parent and affiliated companies, officers,
directors, employees, agents, successors, assigns and subcontractors, for any cause of action based upon
breach of contract, strict liability, negligent professional acts, errors or omissions or negligent
misrepresentation arising out of or in connection with this Agreement and/or any services provided, or work
product developed, pursuant to this Agreement shall be limited to the aggregate sum, inclusive of amounts
paid to secondary clients to whom work product is provided under a secondary client agreement with LMG and
to any other third parties, together with reasonable attorneys' fees and all other defense costs, of $25,000 or
the total fees paid to LMG by the client under this Agreement, whichever is greater. All third party beneficiaries
to this Agreement, if any, are intended to be and hereby are bound by the terms of this limitation of liability and
the aggregate limitation of liability contained herein.
7. INDIRECT DAMAGES WAIVER: Neither party shall be responsible to the other or to any third party for any
economic, consequential or indirect damages (including, but not limited to, loss of use, income, profits,
financing or reputation) arising out of or relating to this Agreement or the performance of the services.
8. ATTORNEY FEES: Should there be any suit or action instituted to enforce any right granted in this contract,
the substantially prevailing party shall be entitled to recover its costs, disbursements and reasonable attorney
fees from the other party. The party who is awarded a net recovery against the other shall be deemed the
substantially prevailing party unless such other party has previously made a bona fide offer of payment in
settlement and the amount of recovery is the same or less than the amount offered in settlement. Reasonable
attorney fees may be recovered regardless of the forum in which the dispute is heard, including an appeal.
Page 2 of 3

Tract: New Hanover Community Health Center
9. TERMINATION: This agreement may be terminated by the Client or the Firm should the other fail to
perform its obligations hereunder. In the event of termination, the Client shall pay LMG for all services and
reimbursable expenses rendered to the date of termination. Termination under this provision by either party
shall be in writing and delivered by certified mail, registered mail or professional courier.
10. DISPUTE RESOLUTION: Any action for claims arising out of or relating to this Agreement and/or
respective services shall be governed by the laws of the State of North Carolina. Venue shall be in New
Hanover County Superior Court. Mediation is an express condition precedent to the filing of any legal action.
Unless the parties agree otherwise, the mediation shall be conducted pursuant to the Construction Mediation
Rules of the American Arbitration Association. However, where there is no dispute with regard to work
performed, LMG reserves the right to use all lawful means to collect any monies owed for work performed.
11. WHOLE AGREEMENT: This written agreement constitutes the entire agreement of the parties and any
amendment hereto shall be in writing and signed by both parties.
12. SEVERABILITY: In the event that any provision or portion thereof in this agreement is found to be void,
Invalid or otherwise inapplicable as a matter of law, all other provisions and portions of this agreement shall
survive and shall remain valid and enforceable between the parties.
N,51i
Prints Person or Entity Responsible for Payment
Signal re of Owner, Officat or Authorized Agent Date
PLEASE SIGN AND RETURN THE EXECUTED ORIGINAL LETTER AGREEMENT TO OUR OFFICE
WITHIN 30 DAYS OF THE LMG DATE.
John Williams/Gayle Dortch
LMG EMPLOYEE
Page 3 of 3
LAND MANAGEMENT GROUP, INC.
POST OFFICE BOX 2522
WILMINGTON, NC 28402
910.462-0001(Otfice)
910.462-0020(Fax)

NOV-16-2007 FRI 05:51 PM NCDENR�ti'eIV : I I1�J/O1AX NO, 9103502004
P. 03
Michael F. Easley, Governor
William G. Robs Jr., Secretary
Nnrth Carolina Department of Environment and Natural Resources
Coleco H. Sullins. Director
i<� G Division of Water Qualitli,y
SURFACE WATER PROTECTION SECTION
COASTAL STORMWATER PERMIT RENEWAL APPLICATION FORM
I. CURRENT PERMIT INFORMATION: �1
1. Stormwater Management Permit Number: SW8 permit number
2. Permit Holder's name: U. bA nl 6'D Tro id
(company, partnership, corporation, LLC, or Individual)
3. Signing official's name: Title:
_ffln n
Z�y
4. Mailing address: 9m
City: OILMJrA67 ,7
State:AL/,Z1pCode:28y0/ Phone: 1 3-6Z FAX:alb)LS/ /5,X6
(Area Cotle and Numbe'l') (Area Code and Number)
5. Project Name: 41/H AAfOd�� /°D/�1 M aw -/'V /{,�A7Lj/�
6. Location of Project: (street address) 925 Al - STie�t/
(A)iLmW :rO4 Al, C, zeYol
7. Directions to Project (from nearest majorintorsection) $Old rrt r-40/n
,�✓��--1� ICE % % sril-EC7S
II. PERMIT INFORMATION
1. Specify the type of stormwater treatment (wat pond, infiltration, etc.):
2. List any changes (from project that was originally approved, attach additional pages If needed)
/J 6 Al
3. Do you have a copy of the original Operation and Maintenance Agreement? ❑Y �<N
Applicant's Certification:
I, (print) ftLr=Leb -Zh-prnkk , C6-0 certify that the information included on this
permit renewal arp—lice, is to he best o my knowledge, correct and complete.
Signature: / V � Date: ll- /9-ZD07
Submit this completed form along with an application fee of $505.00 and a copy of the
designer's certification to the address listed below. No���,,carAl}yn'na
�vnfur
North Caroline Division or Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405 Phone [phone] Customer service
Wilmington Regional Ornec Internet: w mcwaternuelilv.ore rux [phone] 1-877-623-6743
An Equal Opportunity/Affirmative Actlon Empbyor - 50% Racyclod110% Post Consumor Paper

NOV-�I,R-2007 FRI 05:51 PM NCDENR FAX NO. 9103502004 P, 04
Michael F. Easley, Governor
William 0. Rom Jr., Secretory
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Wuter Quality
WATER QUALITY SECTION
COASTAL STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
1. Stormwater Management Permit Number: S LJ S Jr-0
2, Permit Holder's name: 1) (l • b qU (; 0 rT� 0Z
3. Signing official's name: Title:
erso IEg lyres nsible,fo permit
4. Mailing address: Z51 N 5(�E City: Lk-MIA)61-10IJ
State:-G ZlpCode: Z�Phone:610 f'-?-WbFAX: (I49 /5`/O
(Area Code and Number) (Area Code and Number)
II. NEW OWNER I PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
-Y—a. Change in ownership of the property/company (Please complete Items #2,
#3, and #4 below)
b. Name change of project (Please complete Item #5 below)
C. Mailing address change. (Please complete Item #4 below)
d. Other (please explain):
2. New owner's name to be put on permit: _ A L L�2&�D -77h0 rn,4 b
3. New owner's signing official's name and title:
NlEil�' E�rrcuTy✓� �G�/cc'�
ZS (Tide)
4. New Mailing Address:AMi7( _ � � � Sr City: (.t)/1-n1✓N6 7-t).J
State: /�C0 ZipCode:29V'91 Phone: Jq10)3V-3-0z7D FAX: r4'I0J25/ 15y�
(Area Code and Number) (Arai Code and Number)
5. New Project Name to be placed on permit: A 610 /JAA100f,2 Ld#fl;f 017Y /><E�/f CCPl72r)b
Page 1 of 2
N�� Caro tna
�vnturolly
Noah Carolina Division of Water Quality 121 Cardinal lhive Extension Wilmington, NC 28405 Phane [phone] Customer Service
Wilmington Regional 01 im Internet: www.ncwlte1ANAIitv,ure Fax [phone] I.877-623-6748
An Equal OpportunllylA8lrmative Action Employer— 50% Recycled110% Post Consumer Paper

NOV-16-2007 FRI 05:51 PM NCDENR FAX NO. 9103502004 P. 05
PERMIT NAMEIOWNERSHIP CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER
QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED
WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed form.
2. Legal documentation of the transfer of ownership.
3. A copy of the recorded deed restrictions, if required by the permit.
4. The designer's certification, if required by the permit.
5. An Operation and Maintenance plan, signed by the new applicant, if a system that
requires maintenance will change ownership.
6. Maintenance records.
CERTIFICATION MUST BE COMPLETED AND SIGNED BY BOTH THE CURRENT PERMIT
HOLDER AND THE NEW APPLICANT IN THE CASE OF A CHANGE OF OWNERSHIP.
FOR NAME CHANGES, COMPLETE AND SIGN ONLY THE CURRENT PERMITTEE'S
CERTIFICATION.
Current Permittee's Certification:
I, NgMD -7Tb IAS, Cc-50 , attest that this application for a name/ownership
change has been reviewed and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be
returned as incomolete. d n
Signature:/'` `�d/ Dater
New Applicant's Certification: (Must be completed for all transfers of ownership)
I, , attest that this application for an ownership
change has been reviewed and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be
returned as Incomplete.
Signature: Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
North Carolina Department of Environment and Natural Resources
Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
ATTN: Rhonda Hall
Page 2 of 2

Michael 17. Easley, Governor
Will iam G. Ross Jr., Secretor}'
North Carolina Department or Environment and Natural Resources
Culcen H. Sullins Director
Division of Water Quality
August 6, 2007
New Hanover Community Health Center
925 N. 4In Street
Wilmington, NC 28401
Subject:: Stormwater Permit No. SW8960507
New Hanover Community Health Center
New Hanover County
Dear Sir or Madam
The Division of Water Quality issued a Coastal Stormwater Management Permit, Number SW8960507
to Dr. Daniel Gottovi, M. D. for a High Density pond to serve New Hanover Community Health Center on
7/9/1996. This permit expired on 7/9/2006. Section .1003(h) of 15 A NCAC 2H .1000 (the stormwater
rules) requires that applications for permit renewals shall be submitted 180 days prior to the expiration
of a permit and must be accompanied by a processing fee, which is currently set at $420.00. If this is
still an active project please complete and submit the enclosed renewal application in a timely manner.
If this project has not been constructed and a permit is no longer needed, please submit a request to
have the permit rescinded. If you have sold the project, or are no longer the permittee, pfease provide
the name, mailing address and phone number of the person or entity that is now responsible for this
permit. Enclosed is a form for change of ownership; which should be completed and submitted if the
property has changed hands.
Your permit requires that upon completion of construction and prior to operation of the permitted
treatment units a certification of completion be submitted to the Division from an appropriate designer
for the system installed. This is to certify that the permitted facility has been installed in accordance with
the permit, the approved plans, specifications and supporting documentation. Please include a. copy of
the certification with your permit renewal request and processing fee. Enclosed is a copy of a sample
certification. Also enclosed is a new Operation and Maintenance agreement that should be completed
and submitted along with your renewal application.
You should be aware that failure to provide the Designer's Certification and the operation of a
stormwater treatment facility without a valid permit, are violations of NC General Statute 143-215.1 and
may result in appropriate enforcement action including the assessment of civil penalties of up to
$10,000 per day.
If you have any questions, please feel free to contact staff in the stormwater group at 910-796-7215.
Sine y,
Ed Beck, Regional Supervisor
Surface Water Protection Section
Wilmington Regional Office
Enclosures
cc: Wilmington Regional Office
onv
NorlhCurolinu
IlValurally
North Carolina Division ur Wmer Quality 127 Cardinal Drive Extension Wilmington, NC 28,105. Phone [phone] Customer Service
Wilmington Regional 017ice Internet: evcw.nct%tcaurditv.ure Fax [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper

jg���rn�,es,CeO
fi r

e�� �r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
July 23, 2009
Mr. Alfred Thomas, CEO
New Hanover Community Health Center, Inc.
925 N. 4th Street
Wilmington, NC 28401
Subject: NOTICE OF NON-COMPLIANCE
New Hanover Community Health Center
Stormwater Permit No. SW8 960507
New Hanover County
Dear Mr. Thomas:
Dee Freeman
Secretary
On March 13 and March 16, 2009, Wilmington Regional Office personnel performed a
Compliance Inspection of the subject project, located at 925 N. 4th Street in Wilmington,
New Hanover County, North Carolina. The inspection was performed to determine the
status of compliance with Stormwater Permit Number SW8 960507, issued to you on
July 9, 1996.
The project has been found in Non -Compliance with Stormwater Permit Number SW8
960507, issued pursuant to the requirements of 15A NCAC 2H.1000. The non-
compliance issues found are:
1. Failure to resubmit the "Stormwater Management Permit Renewal
Application Form" as requested in a letter dated March 18, 2009. The
original renewal form submitted incorrectly listed the CEO as the owner
instead of the non-profit organization that owns the facility.
2. Failure to submit an "Engineer's Certification" for the constructed detention
pond, as was also requested in the letter dated March 18, 2009. Submittal
of an Engineer's Certification was required upon completion of the project,
however no certification is on file for your facility. If one was completed in
the past, and just not submitted to the state, then it will be fine to provide a
copy of the original certification to our office. However, if a certification
was never prepared for your stormwater system please complete and
return the enclosed form with your corrected renewal application.
Though the pond is currently functioning more as an infiltration basin than
the pond it was designed to work as, the Division will accept an Engineer's
Certification that the Best Management Practice (BMP) is working at least
as well, if not better, than originally designed.
To correct these non-compliance issues you must:
1. Provide a written "Plan of Action" which outlines the actions you will take
to correct the violation(s) and a time frame for completion of those actions,
on or before Friday, August 7, 2009.
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 26405 One 1,
Phone: [phone] FAX: [phone] Customer Service: 1-677-623-6746 Norte l C arolina
Internet: www.rimatercluality.org Naturally
J��ry ura l y
An Equal Opportunity l Affirmative Action Employer (/ I'{LF {!t(`

Failure to provide the 'Plan of Action" on or before Friday, August 7, 2009, or to
correct the non-compliance issues by the date designated in the 'Plan of Action", are
considered violations of 15A NCAC 2H.1000, and may result in the initiation of
enforcement action which may include recommendations for the assessment of civil
penalties, pursuant to NCGS 143-215.6A.
If you have any questions concerning this matter, please call Aisha Lau at (910) 796-
7331
Sincerely, d
Aisha H. Lau
Environmental Engineer
GDS\ahl: S:\WQS\STORMWATER\NOTICE\960507.ju109
Enclosures
cc: Ms. Althea Johnson, Deputy Director
Wilmington Regional Office Files
Central Files
Page 2 of 4

Water
Mrnington. h'L 2840E
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;a.rn<I Gotio i M. D.
r Han ver Ce mr iun4 Health Cer.t:.r
l8 i\'orh '-!went" Street
n mo•o� NC 28401
05lj�*sPON-
� flTNGY 60W1':5
02 1A $ 00.580
0004337146 JUL 16 2007
MAILED FROM ZIP CODE 28405
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U Rox CIOSCd . p0 prtfar Rnhxnnl For Rnya,

��F Vv n t rq0 Michael F. Easley, Governor
�� (r William G. Ross Jr., Scerctan,
0) r North Carolina Department or Environment and Natural Resources
J
Colecn If. Sullins Director
Division or Water Quality
July 13, 2007
Dr. Daniel Gottovi, M. D.
New Hanover Community Health Center
408 North Eleventh Street
Wilmington, NC 28401
Subject:: Stormwater Permit No. SW8960507
New Hanover Community Health Center
New Hanover County
Dear Dr. Gottovi:
The Division of Water Quality issued a Coastal Stormwater Management Permit, Number
SW8960507 to Dr. Daniel Gottovi, M. D. for a High Density pond to serve New Hanover Community
Health Center on 7/9/1996. This permit expired on 7/9/2006. Section .1003(h) of 15 A NCAC 2H
.1000 (the stormwater rules) requires that applications for permit renewals shall be submitted
180 days prior to the expiration of a permit and must be accompanied by a processing fee,
which is currently set at $420.00. If this is still an active project please complete and submit the
enclosed renewal application in a timely manner. If this project has not been constructed and a
permit is no longer needed, please submit a request to have the permit rescinded. If you have
sold the project, or are no longer the permittee, please provide the name, mailing address and
phone number of the person or entity that is now responsible for this permit. Enclosed is a form
for change of ownership, which should be completed and submitted if the property has
changed hands.
Your permit requires that upon completion of construction and prior to operation of the permitted
treatment units a certification of completion be submitted to the Division from an appropriate designer
for the system installed. This is to certify that the permitted facility has been installed in accordance with
the permit, the approved plans, specifications and supporting documentation. Please include a copy of
the certification with your permit renewal request and processing fee. Enclosed is a copy of a sample
certification. Also enclosed is a new Operation and Maintenance agreement that should be completed
and submitted along with your renewal application.
You should be aware that failure to provide the Designer's Certification and the operation of a
stormwater treatment facility without a valid permit, are violations of NC General Statute 143-215.1 and
may result in appropriate enforcement action including the assessment of civil penalties of up to
$10,000 per day.
If you have any questions, please feel free to contact staff in the stormwater group at 910-796-7215.
Sin rely, Q
SG� i
Beck, Regional Supervisor
Surface Water Protection Section
Wilmington Regional Office
Enclosures
cc: Wilmington Regional Office
Norlh Cnndion Division or Winer Oun lily 127 Cardinal Diivc Blcnsion Wilmington, NC 28405 Phone [phone]
Wilmington Regional 0111ce Internet: sysvvv.ucwmcrgrlity ore Fax [phone]
o),t.
NurthC:u'ulina
;/V111111-11/llf
Customer Service
1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper

North Carolina Secretary of State
Page I of I
North Carolina
Elaine F Marshall DEPARTMENT or-,Hir_
Secretary SECRETARYci-STATE
CORPORATIONS
Corporations Home
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PO Box 29022 Raleigh, NC 27626-0622 1919"7-2000
Date: 8/6/2007
Click here to:
View Document Filings I
Corporation Names
Name Name Type
NC New Hanover
Community Health Center, Legal
Incorporated
Non -Profit Corporation Information
SOSID:
Status:
Date Formed:
Citizenship:
State of Inc.:
Duration:
Registered Agent
0306475
Current -Active
5/2211992
Domestic
NC
Perpetual
Agent Name: Wright, Thomas E
Registered Office Address: 317 S. 17th St
Wilmington NC 28401
Registered Mailing 317 S. 17th St
Address: Wilmington NC 28401
Principal Office Address: No Address
Principal Mailing Address: No Address
For questions or comments about the Secretary or State's web site, please send e-mail to Webmaster,
htq>://www.secretary.statc.nc.uS/corporations/Corp.aspx?Pitenlld=4687979 8/6/2007

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
March 18. 2009
Mr. Alfred Thomas, CEO
New Hanover Community
925 N. 4th Street
Wilmington, NC 28401
Division of Water Quality
Colleen H. Sullins
Director
Health Center. Inc.
Dee Freeman
Secretary
NOTICE OF INSPECTION and RENEWAL ADDITIONAL INFORMATION REQUEST
New Hanover Community Health Center
Stormwater Project No. SW8 960507
New Hanover County
Dear Mr. Thomas:
Please find attached a copy of the completed form entitled "Stormwater Compliance
Inspection Report". The report summarizes the findings of two compliance inspections
conducted March 13th and March 16th 2009 concerning Stormwater permit number SW8
960507 issued July 9, 1996.
Based on a file review and site visit, this office has determined that Stormwater Project
No. SW8 960507's stormwater management system is currently in compliance with
the permit.
However, the facility is currently operating under a stormwater permit that expired on
July 9, 2006. Some permit renewal materials were received on November 19, 2007, but
had some pieces missing. Please complete and submit the two enclosed forms
described below to my attention by April 15, 2009.
1) "Stormwater Management Permit Renewal Application Form" — The original
renewal form submitted incorrectly listed the CEO as the owner instead of the
non-profit organization that owns the facilities.
2) "Engineer's Certification" — Submittal of an Engineer's Certification was required
upon completion of your project, however no certification is on file for your facility.
If one was completed in the past, and just not submitted to the state, then it will
be fine to provide a copy of the original certification to our office. However, if a
certification was never prepared for your stormwater system please complete
and return the enclosed form with your renewal application.
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
Phone: [phone] FAX: [phone] Customer Service: 1.877.623.6748
Internet: www.ncvaterquallty.org
An Equal Opponunily 1 Affirmative Action Employer
None
rthCarolina
Naturally

Mr. Alfred Thomas, CEO
March 18, 2009
S W 8960507
If you need additional time to submit the information, please mail, email or fax your
request for a time extension to my attention 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.
You should be aware that failure to provide the requested information and the operation
of a stormwater treatment facility without a valid permit are violations of NC General
Statute 143-215-1 and may result in appropriate enforcement action including the
assessment of civil penalties. If you have any questions concerning this matter please
feel free to call me at [phone].
Sincerely,
d��/ �/
/-Xltl
Aisha H. Lau
Environmental Engineer
GDS/ahl: S:\WQS\STORMWAT\INSPECT\960507.mar09
cc: Ms. Althea Johnson, Deputy Director
Mil mingtonRegional=0ffice--3

Compliance Inspection Report
Permit: SW8960507 Effective: 07/09/96 Expiration: Owner: New Hanover Community Health Center Inc
Project: New Hanover Community Health Center
County: New Hanover 925 N 4th St
Region: Wilmington
Contact Person: Alfred Thomas Title
Directions to Project:
South from 3rd and Harnett Streets
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Smith Creek) (03-06-23) ( C;Sw)
On -Site Representative(s):
Related Permits:
Inspection Date: 0311612009 Entry Time: 10:20 AM
Primary Inspector: Aisha H Lau
Secondary Inspector(s):
Reason for Inspection: Follow-up
Permit Inspection Type: State Stormwater
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
® State Stormwater
(See attachment summary)
Wilmington NC 28401
Phone:[phone]
Exit Time: 10:30 AM
Phone:[phone]
Inspection Type: Compliance Evaluation
Page: 1

Permit: SW8960507 Owner - Project: New Hanover Community Health Center Inc
Inspection Date: 03/16/2009 Inspection Type: Compliance Evaluation Reason for Visit: Follow-up
Inspection Summary:
After heavy rain throughout the previous several hours the site was re -inspected to determine whether or not any water is
actually making its way to the basin. I observed water flowing through all of the drop inlet grates and into the forebay of
the wet detention basin. The forebay was filled to the level of almost overflowing into the rest of the basin, but didn't
appear to be quite there yet. Water is flowing into the basin without obstruction or short-circuiting.
Page: 2

Y16 0�'O7
NC DWQ Stormwater Compliance Inspection Checklist: Routine
Wet Pond No7
Comp co A N/CO ents
Inspection Item r t Cffeckibne
Intet device ,
1 No erosion in the inlet swale (if applicable). 3 Z' b /
❑
❑
❑
❑
2 Pipe is not clogged. �r a 5^ / r
❑
❑
❑
❑
3 Pipe is not cracked/damaged. J
❑
❑
❑
❑
Pmtmatmont-
1 Forebay is in place
❑
❑
❑
❑
2 Inlets are located per the approved plans.
❑
❑
❑
❑
3 No clogging, damage, or erosion
❑
❑
❑
❑
4 No excessive sediment
❑
❑
❑
❑
5 Sediment has been removed as permit requires.
❑
❑
❑
❑
1 Banks are stable without erosion present
I�
❑
J
U
2 No beaver or muskrat activity.
❑
❑1
❑
❑
3 Woody vegetation is not present on the slopes or berm.
❑
❑
❑
❑
1 No excessive sediment ❑ ❑ ❑ ❑
2 Vegetated side slopes no steeper than 3:1 ❑ ❑ ❑ ❑
1 Plants are healthy and are being maintained. ❑ U �J U
2 Vegetated shelf is 6:1 or 10:1 (as permitted). ❑ ❑ ❑ ❑
1 Algal growth < 50% of the area
❑
❑
❑
❑
2 Cattails/invasive plants cover < 50% of the basin surface
❑
❑
❑
❑
3 Grass is mowed (not scalped) as required
❑
❑
❑
❑
4 No weeds
❑
❑
❑
❑
Outlet Device'
1 Drawdown device is correctly sized.
❑
❑
❑
❑
Friday, January 30, 2009
Page 1 of 2

NC DWQ Stormwater Compliance Inspection
Checklist:
Routine
Wet Pond
comp
Not
Comp
N/A
N/E Comments
Inspection Item
Check
One
2 No clogging, damage, or erasion
❑
❑
3 No clogging, damage, or erasion
❑
❑
❑
4 Orifice size matches approved plans.
❑
❑
El
5 Pipe is not clogged.
❑
❑
❑
❑
6 Pipe is not cracked/damaged.
❑
❑
7 Relative elevations match approved plans.
❑
❑
❑
8 Swale or emergency outlet bypass is in the correct place.
❑
El
7
❑
9 Trash rack is provided
❑
❑
❑
10 Vegetated filter is in place (if applicable).
❑
❑
❑
11 Vegetated filter is in place (if applicable).
71
❑
❑
1-1
Friday, January 30, 2009 Page 2 of 2

State Stormwater Inspection Report
General
Project Name: eW of e ee r, �p t h & .
Permit No: SW $'�6 p 6 p 7
Expiration Date: 7 � 0b
/60
/] /
Contact Person: rrA a C A e /4K �1 YEw S t r /7 /j re0� / h o e
Phone Number: s c f !� q
Inspection Type: �en e wli
Inspection Date: of 1 ?j 0-_7 l �h E 4 S o h
Time 3 N 3- o aL 7 D
Time Out: `D : SD
Location
�� tfi V. r.
Facility Address: 2 S
5
City: h% I h, .� f 0 ti
Zip: 2 vlq 1
County: iV tt/
!/ A oYe
Lat:
"N
Long: - o W
Permit Information
• Density (circle one):
Low
• BMPs (insert number of each):
1Wet Ponds Infil. Basins
Infil. Trenches
LD Swales SW Wetlands
_Dry Ponds _Level Spr/Filter St.
Bioretention
Sand filters (circle one) Open Closed
_Permeable Pave. _Cisterns _Other
(specify):
• Rule Subject to (circle one):
1988 Coastal Rule 995 Coastal Rule 008 Coastal Rule
Phase II Universal
• Current Weather: 0 Y 9 Y C a
5_1L
Recent Rain: - in
site vicn
Yes/ No N/A N/E
1. BMP(s) are located per the approved plans
2. BMP(s) appear to have dimensions matching the approved plans
3. Drainage area is consistent with permit (no unpermitted drainage to the BMP)
4. Drainage area is stabilized (to reduce risk of sediment loading)
5. Built upon area (BUA) appears to be consistent with the permit requirements
6. Access points to the site are clear and well maintained
7. Trash has been removed as needed
8. Excessive landscape debris (grass clippings, leaves, etc) are controlled:
9. All BUA (as permitted if high density) is graded such that the runoff drains to the system
10. Maintenance records are available for inspection (high density only, 1995 to present only)
State Stormwater Inspection Report, Version 1.0 Page I of 2

State Stormwater Inspection Report
1. Signed Engineer's Certification on file:
2. Signed Operation and Maintenance agreement on file:
3. Recorded Deed Restrictions on file:
on Pictures
Compliance Status
❑ Compliant
❑ Non -Compliant
NOV Sent (circle one): Yes or No
Inspector Name and Signatu
Date NOV Sent: NOV Number:
Date:
Yes
State Stormwater Inspection Report, Version 1.0 Page 2 of 2
N/E