SW8131210_Current Permit_20230705

ROY COOPER. '11i,,
Governor
cilia
ELIZABETH S.BISER ;44
&R
Secretary
DOUGLAS R.ANSEL NORTH CAROLINA
Interim Director Environmental Quality
July 5,2023
Novant Health New Hanover Regional Medical Center,LLC
Attn: Matthew H. Stiene, Senior VP of Construction&Facilities
2085 Frontis Plaza Blvd
Winston Salem,NC 27103
Subject: Permit Transfer/Notice of Inspection
Post-Construction Stormwater Management Permit No.SW8 131210
Scotts Hill Medical Center
New Hanover County
Dear Mr. Stiene:
The Division of Energy,Mineral and Land.Resources received a complete Permit Transfer Application on June
29,2023 requesting to transfer ownership of the subject permit under the provisions of 15A NCAC
02H.1045(1)(a). Staff has inspected the project,reviewed the available documentation,and determined that the
project is currently in compliance with the terms and conditions of the state stormwater permit.By signing the
Permit Transfer Application and the Operation and Maintenance Agreement,you have accepted the responsibility
for complying with the terms and conditions outlined in this permit. The Division is hereby notifying you that
permit SW8 131210 has been transferred,updated,and re-issued on July 5,2023,as attached.
This permit remains effective until February 26,2030 and does not supersede any other agency permit that may
be required. The project shall be subject to the conditions and limitations as specified therein.This permit does
not impose new or increased stormwater control requirements or design standards;it clarifies the rules and
requirements of this program to provide you with a better understanding of your obligations under this permit.
Failure to comply with these requirements will result in future compliance problems. Please note that this permit
is not transferable except after notice to and approval by the Division.
If any parts,requirements,or limitations contained in this permit are unacceptable,you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings(OAH). The
written petition must conform to Chapter 150B of the North Carolina General Statutes,and must be filed with the
OAH within thirty(30)days of receipt of this permit. You should contact the OAH with all questions regarding
the filing fee(if a filing fee is required)and/or the details of the filing process at 6714 Mail Service Center,
Raleigh,NC 27699-6714,or via telephone at 919-431-3000,or visit their website at www.NCOAH.com.Unless
such demands are made this permit shall be final and binding.
If you have any questions concerning this permit,please contact Garrett Zorda in the Wilmington Regional
Office,at(910)796-7215 or [e-mail].
Sincerely, �n
Douglas R.Ansel,Interim Director
Division of Energy,Mineral and Land Resources
Enclosures: Attachment A—Designer's Certification Form
Attachment C—Permitting History
copy of the Transfer Application documents including Transfer Application Form and Operation&Maintenance Agreement
copy of the latest compliance inspection report
DES/gdz: 111Stormwater\Permits&Projects120131131210 HD\2023 07 permit 131210
cc: Neil Luria,CEO,NHW Healthcare,Inc;previous permittee
Taylor Siniins/Ken Williamson,Novant Health New Hanover Regional Medical Center;P.O.Box 9000,Wilmington,NC
28402
T.Jason Clark,PE;Norris&Tunstall
Wilmington Regional Office Stormwater File
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
NORM CARQJNA�
Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington,North Carolina 28405
0°0"'"°d°ta1M100°""m owl 910.796.7215

Post-Construction Stormwater Management
Permit No. SW8 131210
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY. MINERAL AND LAND RESOURCES
POST-CONSTRUCTION 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
Novant Health New Hanover Regional Medical Center, LLC
Scotts Hill Medical Center
151 Scotts Hill Medical Drive, Wilmington, New Hanover County
FOR THE
construction, operation and maintenance of one (1) infiltration basin in compliance with the provisions of
Session Law 2008-211 and 15A NCAC 2H .1000 (hereafter the "stormwater rules') as outlined in the
application, approved stormwater management plans, supplement, calculations, operation and maintenance
agreement, recorded documents, specifications, and other supporting data (the "approved plans and
specifications") as attached and/or on file with and approved by the Division of Energy, Mineral and Land
Resources (the "Division" or"DEMLR"). The project shall be constructed, operated and maintained in
accordance with these approved plans and specifications. The approved plans and specifications are
incorporated by reference and are enforceable part of this permit.
This permit shall be effective from the date of issuance until February 26, 2030 and shall be subject to the
following specified conditions and limitations. The permit issued shall continue in force and effect until the
permittee files a request with the Division for a permit modification, transfer, renewal, or rescission; however,
these actions do not stay any condition. 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 for cause as
allowed by the laws, rules, and regulations contained in Title 15A NCAC 2H.1000 and NCGS 143-215.1 et.al.
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 1.7 of this permit. The stormwater control has been designed to handle the runoff from 378,000
square feet of impervious area.
3. The infiltration basin has been designed to handle the 10-year, 24-hour design storm without
discharging, therefore neither a LSNFS nor an offline bypass are required.
4. The tract will be limited to the amount of built-upon area indicated in Section 1.8 of this permit, and as
shown on the approved plans. The built-upon area for the future development has been allocated as
241,421 square feet.
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 5

Post-Construction Stormwater Management
Permit No. SW8 131210
6. The project shall provide a 50' wide vegetated buffer adjacent surface waters, measured horizontally
from and perpendicular to the normal pool of impounded structures, the top of bank of both sides of
streams and rivers, and the mean high water line of tidal waters.
7. The following design criteria have been permitted for the infiltration basin and must be provided and
maintained at design condition:
a. Drainage Area, acres: 12.59
Onsite, ft2: 548,473
Offsite, ft2: 0
b. Total Impervious Surfaces, acres: 8.68
Onsite, ft2: 378,000
Offsite, ft2: 0
c. Design Storm, inches: 1.5" *
d. Basin Depth, feet: 3.8
e. Bottom Elevation, FMSL: 20.0
f. Bottom Surface Area, ft2: 13,668
g. Bypass Weir Elevation, FMSL: 23.8
h. Permitted Storage Volume, ft3: 101,945
Predevelopment 1 yr 24 hr peak flow, cfs: 0
j. Post-development 1 yr 24 hr peak flow, cfs: 27.67
k. Type of Soil: Kureb
Expected Infiltration Rate, in/hr: 13.05
m. Seasonal High Water Table, FMSL: 16.5
n. Time to Draw Down 10-yr storm, hours: 14
o. Receiving Stream/River Basin: UT Futch Creek/Cape Fear
p. Stream Index Number: 18-87-19
q. Classification of Water Body: "SA; HQW'**
" Also designed to infiltrate at least a 90-yr, 24-hr storm without discharging.
**Site is within %mile, but not discharging to SA waters due to isolated wetlands that intercept and store a
large volume of stormwater runoff. Due to the infiltration basin design and isolated wetlands in the vicinity,
this area only discharges to Futch Creek during a 500-year storm event.
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. If the stormwater system is 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.
3. The permittee shall follow the approved Operation and Maintenance Agreement in its entirety and shall
provide and perform the listed operation and maintenance procedures at the specified intervals to
assure the permitted stormwater system functions at design condition.
4. Records of maintenance activities must be kept for each permitted BMP. The reports will indicate the
date, activity, name of person performing the work and what actions were taken.
5. The facilities shall be constructed in accordance with the conditions of this permit, the approved plans
and specifications, and other supporting data.
6. All stormwater collection and treatment systems must be located in public rights-of-way, common areas
or easements. The final plats for the project will be recorded showing all such required rights-of-way,
common areas and easements, in accordance with the approved plans. Access to the stormwater
facilities shall be maintained via appropriate easements at all times.
Page 2 of 5

Post-Construction Stormwater Management
Permit No. SW8 131210
7. 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.
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.
9. No person or entity, including the permittee, shall alter any component shown in the approved plans
and specifications. Prior to the construction of any modification to the approved plans, the permittee
shall submit to the Director, and shall have received approval for modified plans, specifications, and
calculations including, but not limited to, those listed below. For changes to the project or SCM that
impact the certifications, a new or updated certification(s), as applicable, will be required and a copy
must be submitted to the appropriate DEQ regional office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including the
SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
c. Further development, subdivision, acquisition, lease or sale of any, all or part of the project
and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any component of
the approved SCM(s), the stormwater collection system and/or vegetative conveyance shown on
the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or landscaping
material to be considered a permeable surface that were not included in the approved plans and
specifications.
g. Other modifications as determined by the Director.
III. GENERAL CONDITIONS
1. CORRECTIVE ACTIONS REQUIRED. If the facilities fail to perform satisfactorily, the permittee shall
take immediate corrective actions. This includes actions required by this Division and the stormwater
rules such as the construction of additional or replacement on-site stormwater systems. These
additional or replacement measures shall receive a permit from the Division prior to construction.
2. PERMIT RENEWAL. A permit renewal request must be submitted at least 180 days prior to the
expiration date of this permit. The renewal request must include the appropriate application,
documentation and the processing fee as outlined in Title 15A NCAC 02H.1045(3).
3. CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION. The
permittee shall submit a completed Permit Information Update Application Form to the Division within
30 days to making any one of these changes.
Page 3 of 5

Post-Construction Stormwater Management
Permit No. SW8 131210
4 TRANSFER. This permit is not transferable to any person or entity except after notice to and approval
by the Director. Neither the sale of the project and/or property, in whole or in part, nor the conveyance
of common area to a third party constitutes an approved transfer of the permit.
a. TRANSFER REQUEST. The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H_1045(2). This request must
be submitted within 90 days of the permit holder meeting one or more of the following:
i. A natural person who is deceased;
ii. A partnership, limited liability corporation, corporation, or any other business association that
has been dissolved;
iii. A person or entity who has been lawfully and finally divested of title to the property on which
the permitted activity is occurring or will occur through foreclosure, bankruptcy, or other legal
proceeding.
iv. A person or entity who has sold the property, in whole or in part, on which the permitted
activity is occurring or will occur,
v. The assignment of declarant rights to another individual or entity;
vi. The sale or conveyance of the common areas to a Homeowner's or Property Owner's
Association, subject to the requirements of NCGS 143-214.7(c2);
b. TRANSFER INSPECTION. Prior to transfer of the permit, a file review and site inspection will be
conducted by Division personnel to ensure the permit conditions have been met and that the project
and the on-site stormwater system complies with the permit conditions. Records of maintenance
activities performed to date may be requested. Projects not in compliance with the permit will not be
transferred until all permit and/or general statute conditions are met.
5. COMPLIANCE. The permittee is responsible for compliance with the terms and conditions of this
permit until the Division approves the transfer request.
a. APPROVED PLANS AND SPECIFICATIONS. A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable recorded
documents, and specifications shall be maintained on file by the permittee at all times.
b. DIVISION ACCESS. The permittee grants Division Staff permission to enter the property during
normal business hours to inspect all components of the permitted project.
c. ENFORCEMENT. Any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the requirements of the stormwater rules is subject to
enforcement procedures as set forth in NCGS 143 Article 21.
d. ANNUAL CERTIFICATION. The permittee shall electronically submit to the Division an annual
certification completed by either the permittee or their designee confirming the projects
conformance with permit conditions
e. OBTAINING COMPLIANCE. 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
modified plans and certification in writing to the Director that the changes have been made.
Page 4 of 5

Post-Construction Stormwater Management
Permit No. SW8 131210
f. OTHER PERMITS. The issuance of this permit does not preclude the permittee from complying
with and obtaining any other permits or approvals that are required for this development to take
place, as required by any statutes, rules, regulations, or ordinances, which may be imposed by
any other Local, State or Federal government agency having jurisdiction. Any activities
undertaken at this site that cause a water quality violation or undertaken prior to receipt of the
necessary permits or approvals to do so are considered violations of NCGS 143-215.1, and
subject to enforcement procedures pursuant to NCGS 143-215.6.
Permit transferred, updated and reissued this the 5th day of July 2023.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
cl„c, (4-/G.pi
Douglas R. Ansel, Interim Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5

Post-Construction Stormwater Management
Permit No. SW8 131210
Scotts Hill Medical Center
Stormwater Permit No. SW8 131210
New Hanover County
Attachment A
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 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:
SEAL
Signature
Registration Number
Date
Page 1 of 2

Post-Construction Stormwater Management
Permit No. SW8 131210
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 bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the 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. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDEQ-DEMLR Wilmington Regional Office
New Hanover County Building Inspections
Page 2 of 2

Post-Construction Stormwater Management
Permit No. SW8 131210
Attachment C-Permitting History
Scotts Hill Medical Center
Permit No.SW8 131210
Approval Permit RIMS Description of the Changes
Date Action Version
High Density Commercial infiltration Basin
Project-construction,operation and maintenance of
one(1)infiltration basin in compliance with the
provisions of Session Law 2008-211 and 15A
NCAC 2H.1000. The stormwater control has been
2/26/2014 Original 1 0 designed to handle the runoff from 378,000 square
Approval feet of impervious area.3.The infiltration basin
has been designed to handle the 10-year,24-hour
design storm without discharging,therefore neither
a LS/VFS nor an offline bypass are required.The
built-upon area for the future development has been
allocated as 243,896 square feet.
Plan Revision-The revisions include the
following:
1. The reallocation of 2,475 square feet(sf)from
10/14/2014 Minor 1 1 the"Future"to"Other On-Site"for a helipad
Modification (1,700 sf)and"On-Site Sidewalks"(775 sf).
2. The"Future"built-upon area has been reduced
to 241,421 square feet.
3.The drainage area chart has been revised. See
Item#10 on page 3 of the permit application.
3/28/2023 Renewal 2.0 This permit shall be effective until February 26,
2030
Transferred the permit from NHW Healthcare,Inc.
7/5/2023 Transfer 2.1 (formerly New Hanover Regional Medical Center)
to Novant Health New Hanover Regional Medical
Center,LLC
Page 1 of 1

OpPratinn & Maintenance Aaree 77ent
• Project Name: Scotts Hill Medical Center ,.S U,)' 13! a10
Project Location: 151 Scotts Hill Medical Center Drive Wilmington, NC
Cover Page
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location,
Any deficient SCM elements noted in the inspection will be corrected, repaired,or replaced immediately. These deficiencies an
affect the integrity of structures, safety of the public,and the pollutant removal efficiency of the SCM(s). h1—r o-o-}
o n thisprojecttItArS),
The SCM(s) include(check all that apply&corresponding O&M sheets will be added automatically):
Infiltration Basin Quantity: 1 Location(s): See plans
Infiltration Trench Quantity: Location(s):
Bioretention Cell Quantity: Location(s):
Wet Pond Quantity: Location(s):
Stormwater Wetland Quantity: Location(s):
Permeable Pavement Quantity: Location(s):
Sand Filter Quantity: Location(s):
Rainwater Harvesting Quantity: Location(s):
Green Roof Quantity: Location(s):
Level Spreader-Filter Strip Quantity: Location(s):
Proprietary System Quantity: Location(s):
Treatment Swale Quantity: Location(s):
Dry Pond Quantity: Location(s):
Disconnected Impervious Surface Present: No Location(s):
User Defined SCM Present: No Location(s):
Low Density Present, No Type:
I acknowledge and agree by my signature below that I am responsible fur the performance of the maintenance procedures listed for
Bach SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
:he system or responsible party.
Responsible Party: Matthew H.Stiene
Title&Organization: Senior VP Construction& Factilities/Novant Health New Hanover jy
Street address: r.`Q`yg0 600
City,state, zip: 11Vi l TA t N� 1111 _ 'nl ►)I.
Phone number(s): 704-316-4351 V...tAkfir
Email: [e-mail] LLt,,,
Signature: Date: 2-1 4- 23
Vomit 'AN. b.)1+` ,;1 , a Notary Public for the State of tJeorv, °ayeti 13A
:ounty of POWirn.) , do hereby certify that YY\ttragtiO C
)ersonally appeared before me this %.11.1 day of Ay Mai and
acknowledge the due execution of the Operations and Maintenance Agreement.
Nitness my hand and official seal,
Kathleen M.Wilson 0�C E 0 E
1 4
NOTARY PUBLIC MAR 2 9 2023
Rowan County I
North Carolina
My Commission Expires December 14,202E
BY:
Seal My commission expires bstremeraz 14, leak)
FORM-EZ
12/13/2422
;rsion 1.5 O&M Agreement Pan.1 „f 1

Infiltration Basin Maintenance Requirements
Important operation and maintenance procedures:
- The drainage area will be carefully managed to reduce the sediment load to the infiltration basin.
No portion of the infiltration basin will be fertilized after the initial fertilization that is required to establish
- the vegetation. Lime may be allowed if vegetation is planted on the surface of the infiltration basin and a
soil test shows that it is needed.
- The vegetation in and around the basin will be maintained at a height of four to six inches.
After the infiltration basin is established, it will be inspected quarterly and within 24 hours after every storm event
greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance shall be kept in a
known set location and shall be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element: Potential problem: How to remedlate the problem:
The entire infiltration Trash/debris is present. Remove the trash/debris.
basin
Areas of bare soil and/or Regrade the soil if necessary to remove the gully, plant ground
erosive gullies have cover and water until it is established. Provide lime and a one-
The grass filter strip or formed. time fertilizer application.
other pretreatment area Sediment has accumulated Search for the source of the sediment and remedy the problem if
to a depth of greater than possible. Remove the sediment and dispose of it in a location
three inches. where it will not cause impacts to streams or the SCM.
The structure is clogged. Unclog the conveyance and dispose of any sediment in a location
The flow diversion where it will not cause impacts to streams or the SCM.
;tructure(if applicable)
The structure is damaged. Make any necessary repairs or replace if damage is too much for
repair.
The inlet pipe is clogged (if Unclog the pipe and dispose of any sediment in a location where
applicable). it will not cause impacts to streams or the SCM.
The inlet pipe is cracked or
otherwise damaged (if Repair or replace the pipe.
applicable).
the inlet device Regrade the swale if necessary and provide erosion control
Erosion is occurring in the devices such as reinforced turf matting or riprap to avoid future
swale(if applicable). erosion problems.
Stone verge is clogged or Remove sediment and clogged stone and replace with clean
covered in sediment(if
applicable). stone.
More than four inches of Search for the source of the sediment and remedy the problem if
sediment has accumulated. possible. Remove the sediment and dispose of it in a location
where it will not cause impacts to streams or the SCM.
'he basin Erosion of the basin Provide additional erosion protection such as reinforced turf
surface has occurred or matting or riprap if needed to prevent future erosion problems.
riprap is displaced.
Water is standing more Replace the top few inches of soil to see if this corrects the
than three days after a standing water problem. If not, con ,.�
storm event. professional for a more extensive .":
ri MAR 292023
BY:

Infiltration Basin Maintenance Requirements(continued)
SCM element: Potential problem: How to remediate the problem:
Shrubs or trees are
growing on the Remove shrubs and trees immediately.
embankment.
The embankment An annual inspection by an
appropriate professional Make needed repairs immediately.
shows that the
embankment needs repair.
Clogging has occurred. Clean out the outlet device and dispose of sediment in a location
The outlet device where it will not cause impacts to streams or the SCM.
The outlet device is
damaged Repair or replace the outlet device.
Erosion or other signs of
damage have occurred at Repair the damage and improve the flow dissipation structure.
the outlet.
The receiving water Discharges from the
infiltration basin are
causing erosion or Contact the local NCDEQ Regional Office.
sedimentation in the
receiving water.
FCEVE
. MAR 2 9 2023
BY:

1 UEMLK USE ONLY
Date Re NO' Fee PaidPermit Number
3 aila3 (03 ( 5.05� .. i..017 I3I O
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER: �j
PERMIT TRANSFER APPLICATION FORM '`� ���
i0 (13)
Pursuant to 15A NCAC 02H.1045 and other applicable statues as reference within
Only complete applications packages will be accepted and reviewed. This form and the required items(with
original signatures) must be sent to the appropriate DEMLR Regional Office, which can be determined by locating
the project on the interactive online map at: http://deq.nc.gov/contact/regional-ofces.
After this application is accepted, DEMLR will conduct a compliance inspection and report any deficiencies to the
current permittee and/or the proposed permittee. Per the state stormwater rules and the state stormwater permit
conditions, the permit shall not be transferred until:
1. the current permittee resolves all non-compliance issues identified in the inspection report
2. the current permittee negotiates a resolution with the proposed permittee (in writing and signed by both
entities. The negotiated resolution must identify the necessary actions, the responsible party(ies), and the
timelines to correct the deficiencies. The site must either be found in compliance or a copy of the
negotiated resolution must be submitted prior to the transfer of the permit.);or
3. in the case where a transfer falls under G.S. 143-214.7(c2) (see also SL 2011-256), the proposed
permittee resolves all non-compliance issues upon acquiring the permit.
Signature requirements for the named signing official(for current and proposed permittee)must meet the following:
• Corporation-a principal executive officer of at least the level of vice-president;
• Limited Liability Company(LLC)-the designated manager; (Documentation from the NC Secretary of
State or other official documentation must be provided that states the titles and positions held by the
person who signed the application (pursuant to 02H.1040) that shows they have legal authority to sign for
the LLC)
• Municipality-a ranking official or duly authorized employee;
• Partnership or limited partnership-the general partner;
• Sole proprietor;
• The signature of the consultant or other agent shall be accepted on this permit transfer application only if
accompanied by a letter of authorization signed by one of the signatories noted in a-e above, as
applicable.
A. GENERAL INFORMATION
1. State Stormwater Permit Number: SW8 131210
2. Project name: Scotts Hill Medical Center
Is this an updated project name from the current permit? ®Yes ❑ No
3. Reason for the permit transfer request:
Novant Health Purchased New Hanover Regional Medical Center fCE1VEfl
MAR 2 9 2023
BY:
Stormwater Permit Transfer Application Form Page 1 of 7 April 27, 2018

B. PERSON(S)WHO HAVE SIGNED THIS FORM (select only one response below)
® 1. Both the current and proposed permittees
El 2. Only the current permittee of a condominium or planned community (skip Part F& G).
in accordance with G.S. 143-214.7(c2) (see also SL 2011-256), this type of transfer is allowed only
when all of the following items can be truthfully checked:
❑ Any common areas related to the operation and maintenance of the stormwater management
system have been conveyed to the unit owners' association or owners' association in
accordance with the declaration;
❑ The declarant has conveyed at least fifty percent(50%) of the units or lots to owners other than
a declarant(provide documentation per submittal requirements below);
❑ The stormwater management system is in compliance with the stormwater permit.
NOTE: If subdivision was built prior to 1999, the Declarant's Attorney can make a determination that
the elements of the Planned Community Act(see§47F) have been met by the Declarant for the
subdivision. If the Declarant chooses to use this type of transfer, the determination must be in
writing, signed by the attorney, and submitted to DEMLR with this form.
O 3. Only the proposed permittee (skip Part D below).
In accordance with G.S. 143-214.7(c5) (see also SL 2013-121), this type of transfer is allowed only
when all of the following items can be truthfully checked:
El a. The proposed permittee is either(select one of the following):
❑ The successor-owner who holds title to the property on which the permitted activity is
occurring or will occur;
El The successor-owner who is the sole claimant of the right to engage in the permitted
activity.
❑ b. The current permittee is (select at least one of the following, but all that apply):
❑ A natural person who is deceased.
O A partnership, Limited Liability Corporation, corporation, or any other business
association that has been dissolved
❑ A person who has been lawfully and finally divested of title to the property on which the
permitted activity is occurring or will occur.
El A person who has sold the property on which the permitted activity is occurring or will
occur.
El Other(please explain):
El c. The proposed permittee agrees to the following requirements(all must be selected):
El There will be no substantial change in the permitted activity.
❑ The permit holder shall comply with all terms and conditions of the permit until such
time as the permit is transferred.
❑ The successor-owner shall comply with all terms and conditions of the permit once the
permit has been transferred.
11` E.GENE
- MAR 2 9 2023
BY.
Stormwater Permit Transfer Application Form Page 2 of 7 April 27,2018

C. SUBMITTAL REQUIREMENT'
Please mark"Y"to confirm the items are included with this form. Please mark"X"if previously provided. If not
applicable or not available, please mark N/A.:
Y 1. A processing fee of five hundred and five dollars($505.00) per G.S. 143-215.3D(e)(.
Y 2. Two hard copies(with original signatures) and one electronic copy of this completed form and the
required items.
Y 3. For proposed permittees that are corporations or LLC's, documentation from the NC Secretary of
State demonstrating that the proposed permittee is a legal and viable entity able to conduct
business in North Carolina.
Y 4. If Part B, items 1 or 3 of this form is selected, the signed and notarized
applicable O&M agreement(s)from the proposed permittee, as required by the permit.
Y 5. Legal documentation that the property has transferred to the proposed permittee (such as a
recorded deed for the property, uncompleted development and/or common areas)or legal
documentation demonstrating that the proposed permittee is the sole claimant of the right to
engage in the permitted activity.
Y 6. If required by the permit and if the project has been built, a signed, sealed and dated certification
document from a licensed professional stating that the stormwater management system has been
inspected and that it has been built and maintained in accordance with the approved plans.
N/A 7. A copy of the recorded covenants and deed restrictions, if required by the permit. If the project has
been built, documentation that the maximum allowed per lot built-upon area or the maximum
allowed total built-upon area has not been exceeded. If the project has not been built, the new
owner shall provide a signed agreement to submit final recorded deed restrictions and protective
covenants.
N/A 8. If transferring under G.S. 143-214.7(c2) (i.e., Part B, Item 2 of this form is selected),
documentation verifying that 50% or more of the lots have been conveyed to individuals (not
builders). Copies of the deeds of conveyance or a chart listing the lot number, lot address,
owner's name, conveyance date and deed book and page number are acceptable.
N/A 9. If transferring under G.S. 143-214.7(c5) (Le., Part B, Item 3 of this form is selected), provide legal
documentation supporting the dissolution of the corporation or documentation supporting the
current permittee was lawfully and finally divested of title of the property.
N/A 10. A copy of the lease agreement if the proposed permittee is the lessee.
N/A 11. A copy of the pending sales agreement if the proposed permittee is the purchaser.
N/A 12. A copy of the development agreement if the proposed permittee is the developer.
rtCEIVE
MAR 2 9 2023
BY:
Stormwater Permit Transfer Application Form Page 3 of 7 April 27,2018

D.CURRENT PERMITTEE INFORMATION AND CERTIFICATION Please be sure to provide Emd
1. Current Permit Hoidens Company Name/Organization: NHW Healthcare.Inc.(formerly killZW11 as New
j<lanover Regional N(,edic Clam)
2. Signing Official's Name' hrol 11.rr fig.
3. Signing Official's Title: CEO
4. Mailing Address: P.G. Box 9000
City: )IYlminaton State: NC ZIP: 2840Z
5. Street Address: 2131 S.17th St.
City: Wilmington State: ttc ZIP l• 28401 �
6. Phone: rt 3 ti' Email: US 01 it i;a. i f,k1 , G�1
IVQ i� Luo?-‘ fl�.� ,the current permittee,am subnittirr$this application for a
transfer of ownership for the above listed stormwater permit under the General Statute and Session Law Identified
on Page 1 of this application.I hereby notify DEMLR of the sale or other legal transfer of the property/project
and/or the stormwater system associated with this permit. I have provided a copy of the following documents to
the ._-. permittee named in this application form:(select all that apply)
Vthe most recente designees certification for each SCM;
yeny recorded deed restrictions,covenants,common areRs.,drainage easements or plats;
e approved plans and/or approved as-built plans;
e approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee(where required);
f a copy of the most recent inspection report;
!further attest that this application and request for a permit transfer is accurate and complete to the best of my
knowledge.I attest that I have provided all of the required items per the law to transfer this permit I understand
that if all required parts of this request are not completed or if ail required supporting information and attachments
listed above are not included,this request package will be returned as incomplete I assign all rights and
obligations as permrttee to the pro permittee named below.I understand that this request to transfer the
permit may not be approved EMLR unless and until the facility is In compliance with the permit.
Signature: Date: /��O /1'2 7
I, = l"h.t+'i11e 'PO I I 0 ,a Notary Public for the State of
G.edvg "a ,County of C I lMNI ria. ,do hereby certify
that t 4l 1. tAkiirk personally appeared before me
this the 3 D 4 day of chilihiA.ecry ,20 2,3 and acknowledge the due
tit nition iof the forgoing instrument Witness my hand and official seal,
IECEIVE
`. may'%i np � Z--t-A49(AiMAR 2 9 2023
-G4x2A�ff expires Ili
�elq Cput �� BY:
Stormwaler Permit Transfer Application Form Page 4 of 7 April 27,2018

E. PROPOSED PERMITTEE INFORMATION t,ke $ ,161
1. The proposed permittee is the: �!b
►o Property owner(Also comprete Part F4
0 None Owners ation(H4OA),Property Owners Aonosiation(1204 Cr Unit(Meer Asecelegoe
(UOAA)(Also COMPieta Part P:}
0 Lessee-Attach a copy of the lease agreement Roth the Asesee ana the property owner will appear on
the permit as oo rrri+ttees, if the leans is fitiMillat3ilf, responsibirity for the permit reverts to the pr rparty
owner. (Also complete Parts P&C
0 Purchaser er-Attach a copy of the pending saw agreement The perm will require s ibmisian of acOpy
of the recorded deed after the purchase has tin places. If the penthase agreement is canceled the
permit reverts to the property owner (Also complete Parts F&G.)
0 Developer-Mach a copy of the development ent agreement: eoth the developer and the property owner
will appear on the permit a.co-pennitteas. if tire development agreement is terminated.responsib lity for
the permit reverts to the property owner. (Also compieie Parts F&G.)
2. Proposed tnittae name(check one ofthe following and provide the name):
raj Corporation,LLC.Partiershtp,Municipality name: Novato Hesith Nevi Hanover Ramona!MetiptCenter.
LIC
HOA I RCA t UOA name
0 brie PrQprietOT
3. Proms per:ni a contact rntormatlon:
Meuse be sure re PIOVde Errlaif.
a, Signing Official's Name: Matthew H. Sty
b. Signing Molars Title: Senior Vice Pre.~dent tsf Co >rtu:titm& Facilities
c. ili ig Addis: MI5 Frontis P Boulevard .�
City: Wins n-Sz'em State; NC ZIP: 27103
d. Street Address: Same as Above
State: .. ZIP:
•. Phone. (Z)31 f 35 i tn 9 tieac irfnc�vant ealth.ttr�v
d, it there is Management Entity that manages the property fo an HOA,POA or ODA,please provide:
Please be sure to provide Email.
a Management Company or Business name: 44vait TI ti lit-New Harioveril,eg,ional Mcclical Centel
b. Contact Name: Taylor Simms&Ken tiyltili tti^tson Tie: Timor-Manager r Oetgn&Conatruction
.Ken -Senior DesaQfl nstru ion an €er
C. Mailing Address: O.Box 9000
d. City: Wilmineton - State: NC ZiP: ZIC
e. Phone:tii1Q)667-3063 Taylor Eme i.. Taylor Sinrnmstueriavantheatrb,org
Phone:t9101667-5412Ken Email: Kettnegth. 3liasnsonr ar ravactheaitt,.Q
rErEoVE
JUN 2 9 2023
Strrrrn water Permit rArrafir A pineticel Four Page 5 of 7 Anri127,2018

•
F. PROPOSED PERMITTEE CERTIFICATION
(,Matthew H.Stiene , hereby notify the DEMLR that I have acquired through sale, lease,
development agreement, or other legal transfer,the project/property covered by the stormwater management
permit and/or the responsibility for constructing and/or operating and maintaining the permitted stormwater
management system. I acknowledge and attest that I have received a copy of: (select all that apply):
Le most recent permit;
the designer's certification for each SCM;
pithy recorded deed restrictions, covenants, common areas, drainage easements or plats;
a approved plans and/or approved as-built plans;
the approved operation and maintenance agreement;
❑ past maintenance records from the previous permittee(where required);
❑ a copy of the most recent inspection report;
Check here if the proposed permittee agrees to be the entity responsible for addressing any compliance
issues outlined in the Compliance Inspection Report. If checked, the proposed permittee must provide a
written document statement, with a "plan of action and schedule"addressed to this office stating that they will
bring the project into compliance upon receipt of the transferred permit This written "plan of action and
schedule"must be received by the Division before the Division will transfer the permit
I have reviewed the permit, approved plans and other documents listed above, and I acknowledge that I will
comply with the terms and conditions of the permit. I will construct the project's built-upon area as shown on the
approved plans; and I will{construct}, operate and maintain the approved stormwater management system
pursuant to the requirements listed in the permit and in the operation and maintenance agreement.
Signature: Date: I - 21*; " 23
i, ktiormiciKks fin, Ii , a Notary Public for the State of Doom
Countyof VOW �s.�
, do hereby certify that 'n 1 fit i
personally appeared before me this the a5-04 day of ,*1•41.11A4Lti , 2011 , and
acknowledge the d ent. Witness my hand and official seal,
Kathleen M.Wilson
NOTARY PUBLIC
(Notary Seal) Rowan County
North Carolina
My Commission Expires December 14,2026
Notary Signature Yyla i0, • t .`'m3
My commission expires brct.orrtQfelL I4,be
C E IVE
MAR 2 9 2023
BY.
Storrnwater Permit Transfer Application Form Page 6 of 7 April 27,2018

G. PROPERTY OWNER INFORMATION AND CERTIFICATION hi A-
Fill out this section only if the property owner is different from the proposed permittee. The permit will revert to
the property owner if the purchase agreement, development agreement or lease expires or is terminated.
Company Name/Organization:
Signing Official's Printed Name:
Signing Official's Title:
Mailing Address:
City: State: ZIP :
Phone: (_) Email:
, hereby certify that I currently own the property identified in
this permit transfer document and acknowledge that the Proposed Permittee listed in Part F will be purchasing the
property, developing the property on my behalf, and/or leasing the property from me. A copy of the purchase
agreement, development agreement or the lease agreement, which names the party responsible for the
construction and/or operation and maintenance of the stormwater system, has been provided with the permit
transfer request.
I agree to notify DEMLR within 30 days if there are any changes to the purchase, developer or lease agreements
and will submit the applicable completed and signed Permit Information Update Form, or Permit Transfer
Application Form to address these changes. As the legal property owner, I acknowledge, understand, and agree
by my signature below, that the permit will revert to me and I will be responsible for complying with the DEMLR
Stormwater permit if the property purchase, lease or developer agreement/contract is cancelled or defaults. I
understand that any individual or entity found to be in noncompliance with the provisions of the stormwater
management permit or the stormwater rules, is subject to enforcement action as set forth in NC General Statute
(NCGS) 143,Article 21.
Signature of the property owner Date:
I, , a Notary Public for the State of
, County of , do hereby certify that
personally appeared before me this the day of
, 20 , and acknowledge the due execution of the forgoing instrument. Witness
my hand and official seal,
(Notary Seal)
Notary Signature
My commission expires
jECEvE
MAR 29 2023
BY;
Stormwater Permit Transfer Application Form Page 7 of 7 April 27, 2018

Permit No.SW ( 3 12.( CJ
(to be provided by DWG?)
of W ATE9
" 'A STORMWATER MANAGEMENT PERMIT APPLICATION FORM
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT N4-1—
MItASThis form must be filled out,printed and submitted.
The Required items Checklist(Part Ill)must be printed,filled out and submitted along with all of the required information,
I. PROJECT WFORMATION
Project Name Freestanding Emeigenly Depadment-NH!*;:'C
Contact Person John S.Tunstatl,P.E.
Phone Number 910-343-9853
Date 02 28-14(Revised)
Drainage Area Number 1
III. DESIGN INFORMATION -
Site Characteristics
Drainage area 548,473.00 ft2
Impervious area 378,000.00 If
Percent impervious 68.92 %
Design rainfall depth 1.50 in
Peak Flow Calculations
1-yr,24-hr rainfall depth 3.80 in
1-yr,24-hr intensity 0..16 inlhr
Pre-development 1-yr,24-hr discharge 0.00 If/sec
Post-development 1-yr,24-hr discharge 27.67 ft isec
PrelPost 1-yr,24-hr peak flow control 27.67 ff9)sec
Storage Volume:Non-SA Waters
Minimum design volume required 9 ,8900 ft, � ���
Design volume provided 96,615.00 ff (TV OK for non-SA waters j @ 1�
Storage Volume: SA Waters
1.5"runoff volume WA if
hr
Pre-developmento -detomenl1-yr. rrunoffv ume N/A fe
ft' L 1�� u/`, ntii � .1
Post-development 1-yr,24-hr runoff volume � vV}��^Y, 11�� � J
Minimum required volume 4.1 #VALUE! ft3
Volume provided NIA ff #VALUE!
Soils Raped Summary
Soil type !Carob •
Infiltration rate 13.05 in/hr nV Or I- L+ I' 3
SHWT elevation 18.50 fmsl
Basin Design Parameters o t
Drawdown time 1.04 days OK v'�'r. b
Basin side slopes 10.00 :1 OK
Basin bottom elevation 20.00 fmsl OK
Storage elevation 23.80 fmsl
Storage Surface Area 39 987.00 fe
Top elevation 25.00 fmsl
Basin Bottom Dimensions
Basin length 220.00 ft EC I V E
0
Basin width 180.00 ft
Bottom Surface Area 13,668.00 ftz
Form SW401-Infibation Basin-Rev.& 11Apr2011 Parts I.&II.Design Summary,Page 1 of 2

Permit No. Swg' 13►Z(a
(to be provided by DWQ)
Additional Information
Maximum runoff to each inlet to the basin? 2.00 ac-in OK
Length of vegetative filter for overflow N/A ft OK
Distance to structure 20+ ft OK
Distance from surface waters N/A ft OK
Distance from water supply well(s) N/A ft OK
Separation from impervious soil layer 3.50 ft OK
Naturally occuring soil above shwt 8.00 ft OK
Bottom covered with 4-in of clean sand? Y (Y or N) OK
Proposed drainage easement provided? N/A (Y or N) OK 4f.I k, `Y‘ t ',�,\m TVS'}-Capures all runoff at ultimate build-out? Y (Y or N) OKV � „
Bypass provided for larger storms? Y (Y or N) OK
Pretreatment device provided Sheet Flow& Sump in Boxes
liECEI E
DEC 13 2013
BY:_
Form SW401-Infiltration Basin-Rev.5 11Apr2011 Parts I.&II.Design Summary,Page 2 of 2

State Stormwater management systems
• / Permit No. SW8 131210
North Corridor Emergency Department
V
Stormwater Permit No. SW8 131210 N&T#13063
New Hanover County I
4
Designer's Certification
.1, John S. Tunstall, P.E. , as a duly registered Professional'.Engineer in the
State of North Carolina, having been authorized to observe(periodically!weekly!full
time) the construction of the project,
North Corridor Emergency Department
(Project)
for New Hanover Regional Medical Center (Project Qwner)..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: ..
iiiii ,I
Signature '
Registration mber 1 �,/
19851 �
Date . i�✓ ,Oy•.FiVGiE��'�Q,rr1.•
llllllllllllllllllllllllllll
•
•
E EIVE •
FEB 2 5 2015
BY:
Page 7 of 8
JST/asn 13063 02-25-15-s-sw-cart.

0L ILFi°LI MIIlWcILCI WWI WW1 ItilPt QytiLiviii35
Permit_No. SW8 131210
Certification Requirements:
4, 1. The drainage area to the system contains approximately the permitted
acreage.
1
2. The drainage area to the system contains no more than the permitted
4/
amount of built-upon area.
al V 3. All the built-upon area associated with the project is graded such that the
runoff drains to the system.
!44 4. All roof drains are located such that the runoff is directed into the system.
47 5. The bypass structure weir elevation is per the approved plan.
' ' 6. The bypass structure is located per the approved plans.
ar-' 7. A Trash Rack is provided on the bypass structure.
.40
8. All slopes are grassed with permanent vegetation.
19. Vegetated slopes are no steeper than 3:1.
4,10. ' The inlets are located per the approved plans and do not cause short-
circuiting of the system.
44' 11. The permitted amounts of surface area and/or volume have been
provided.
12. All required design depths are provided. •
• 13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved plans.
cc: NCDENR-DEMLR Wilmington Regional Office
New Hanover County Building Inspections
Calvin Z►cnts/ NHRMC
Christina Maroulis/ NHRMC
i
Page 8 of 8