SW8061216_HISTORICAL FILE_20230421

STORMWATER DIVISION CODING SHEET
POST-CONSTRUCTION PERMITS
PERMIT NO. SW8 pro 12►�o
DOC TYPE ❑ CURRENT PERMIT
❑ APPROVED PLANS
❑X HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE 202'6 0 { 2�
YYYYMMDD

Freeman, Aisia L
From: Freeman, Aisia L
Sent: Wednesday, April 19, 2023 9:37 AM
To: [e-mail]
Subject: Request for Additional Information for SW8 061216
Attachments: 2023 04 addinfo 061216.pdf
All,
Attached is a pdf of the request for additional information for the subject project. There are just a few administrative
items that need to be addressed. Please let me know if you have any questions or concerns.
Thanks!
Aisia Freeman (she/her/hers)
Stormwater Permit Renewal Specialist
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Direct: [phone]
[e-mail]
NOfiii-I CAROLINAM Qz>`
UepaN ent of EnvironmeMal Quatiry
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
t

a.�srarF o-
h `}
ROY COOPER _ = �'
Governor
ELIZABETH S.BISER
secretary
DOUGLAS R.ANSEL NORTH CAROLINA
interim Director Environmental Quality
April 19, 2023
Via email only: boyd1512(a)pmai1.eom
CF Sports Medicine, LLC
Attn: Dale Boyd Jr.
6019 Oleander Dr.
Wilmington, NC 28403
Subject: Request for Additional Information
Stormwater Project No. SW8 061216
Medical Building
New Hanover County
Dear Mr. Boyd:
The Wilmington Regional Office received and accepted a State Stormwater Management Permit Renewal
Application for the subject project on April 17, 2023. A preliminary in-depth review of that information has
determined that the application is not complete and that additional information is needed. To continue the review,
please provide the following additional information in a single, hard copy submittal package:
Permit Renewal Process:
1. 15A NCAC 02H.1045(3)(a)(ii)or(iii): Please confirm the following:
a. Section III.].a of the application lists the applicant as CF Sports Medicine LLC. However, a
review of our database found Cape Fear Sports Medicine, P.A. The permit will need to be
renewed and transferred to CF Sports Medicine, LLC to reflect the change in ownership.
Please remember to confirm that any revised information is presented consistently throughout the application
documents. Please also remember to provide a hard copy of any updated documents per 15A NCAC
02H.1045(3).
The requested information should be received in this Office by May 19,2023 in accordance with 15A NCAC
02H.1045(4)(a)(i). Please note that only two letters requesting additional information is allowed in the State
Stormwater Program, this being the first. If the required information is not satisfactorily provided by this date, the
project will be returned in accordance with 15A NCAC 0214.1045(4)(a)(ii). If the project is returned and you
wish to re-submit later, you will need to resubmit all required items at that time, including the application fee.
Please reference the State assigned application number on all correspondence. If you have any questions
concerning this matter, please feel free to call me at(910) 796-7215 or email me at [e-mail].
Sincerely,
Aisia Freeman
Renewal Specialist
DES/af: \\\Stormwater\Permits& Projects\2006\061216 HD\2023 04 addinfo 061216
cc: Wilmington Regional Office Stormwater File
®� North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
Wilmington Regional office 1 127 Cardinal Drive Extension I Wilmington,North Carolina 28405
nncemiNn
ao.arne,.em..w o-.m 910.796.7215

Burd, Tina J
From: Burd, Tina J
Sent: Tuesday, April 18, 2023 3:08 PM
To: [e-mail]
Cc: Freeman, Aisia L
Subject: SW8 061216 - Cape Fear Sports Medicine
The Wilmington Regional Office of the Division of Energy, Mineral and Land Resources (Stormwater Section) accepted
the Stormwater Permit Renewal Application and $505.00 fee for the subject project on April 17, 2023. The project has
been assigned to Aisia Freeman and you will be notified if additional information is needed.
If you have any questions about the project or status of the review, please contact Aisia Freeman (cc'd).
Best Regards,
Tina Burd
Administrative Associate II
910-796-7215
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
- - - -
L
ccn&6 correspondence to and lrorn this adchoss is suhjecf to the
"o,In 'oorn, PuIb" t110V000ItIO (VCiosel,o.Y:.rl,t ,MS.
Website: http//deg nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Many employees are working remotely or are on staggered shifts. Please check with the appropriate staff before visiting our
offices, as they may be able to handle your rayuests by phone or entail.
1

NOn-Transfer Applica 'on Com q�fI'ete+, syeEklist
Project Name: I Date Delivered to WIRO:
Project County/Locati n: BIMS Received/Accepted Date: .00
Date Given to Admin:
Permit Action: New New Permit#r: BIMS Acknowledged Date': u/
Not located in the ETJ of the following delegated
and functioning programs:
NHC:Carolina Beach/Kure Beach/Wilmington/Wrightsville Beach
Bruns: Leland/Navassa (?)/Oak Island
Cart: Emerald Isle Ons ville Pend: Surf City
Major Mo / Minor Mo / Renewal XE.isting Permit#:�
plicant&Permittee are the same?axpiration Date°:
Permit Type: HD D/LID Overall/HD&LD Combo
General Permit/Offsite/Exempt + Redevelopment F1Offsite to SWB:
Development Type: mmerc Residential/Other �Is Offsite Lot approved in Master Permit?5
Subdivided?: Subdivisio r Single Lot
Rule(s): Q2017 Coastal 02008 Coastal '®`!S Coastal
Phase II Universal 111988 Coastal
�Permitte Type&Documents Needed:
operty Owner(s) Purchaser Lessee =I10A =Developer
2=Vi ble? Viable? Viable? =Viable? =Viable?
` eed =Purchase Agmt =Lease =Election Minutes
Pap s
OF'ees
liation I /
06(within 6mo) Check#(s): E]No Fee
Supplement (l newform orfor olderforms:l original per SCM) /
FJO&MRV/
Soils Report(Infil or PPJ
Calculations(signed/s
Deed Restrictions,if subdivibdivi
ded
Project Narrative
QUSGS Map(or onfile?) Subject to SA?: Y / N Subject to ORW?: Y / N
Plans(2 Sets)
NOTES:
'Enter BIMS Acknowledged Date on this Sheet
2For New Projects-Enter New Permit#on Supplements&Deed Restriction Templates.
a If permittee is different,STOP.Needs to be transferred first.
°If w/in 6 months and they are requesting a mod,STOP. Needs a renewal first.
slf Lot not approved in master permit,STOP. Master permit needs mod.
EMAILED ENGINEER DATE: Comments:
Q
REVIEWER NAME: v Q�
GA\\Reference Libra ry\Procedu res\Checklists\Completeness Review Checklist_202109 08

North Carolina Department of The Secretary of State
Invoice Number: 19097334
1 Billin¢Information Invoice Number: 91 097334
C F Sports Medicine, LLC Customer Id Number: 200082997
} 6019 Oleander Drive, Suite 200 Invoice Date: 10/18/2022
{l Wilmington,NC 28403-4813
Account Type: Payment upon Delivery
Contact: C F Sports Medicine, LLC Ship Via:Online
Invoiced Items
Certificate Customer Item Sub Amount
Description Number Reference Qty Pages Cost Total Due
Online Annual Report LLC C F Sports Medicine,LLC
1210 0511 435900061 114445531 1 $200.00 $200.00 Paid
Electronic Transaction Fee
2120 0502 437993 114445532 . 1 $2.00 $2.00 Paid
Payment Details
ACH E-Payment for$202.00, Acc[XXXXXXXXXXXXXX9152
1 $202.00 $202.00 Payment
$0.00
Make check payable to: Include Invoice Number on all remitance and send to:
NC Secretary of State Secretary of State
Online Payment: p PO Box 29622
https://www.sosnc.gov/payinvoi'ce Raleigh,NC 27626
Scan to pay online.
For information regarding your filing contact:
Customer Service at(919) 814-5400 or toll free at(888)246-7636
Notice: To avoid an additional assessment of a one-time 10% late penalty and interest of 5%per annum, as
mandated by G.S. 147-86.23,the invoice must be paid in full.
There will be a$35.00 processing fee for all returned checks and ACH returns.
ECEIVE
APR 17 2023
BY:

01 * LIMITED LIABILITY COMPANY ANNUAL REPORT
iaWv
NAVE OF LIMITED LIABILITY COMPANY: C F Sports Medicine, LLC
SECRETARY OF STATE ID NUMBER: 0717035 STATE OF FORMATION: NC F4iN Office xPreview
REPORT FOR THE CALENDAR YEAR: 2022 0717035
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: Boyd, Dale Woods Jr.M.D.
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS 8 COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
6019 OLEANDER DRIVE,SUITE 200 6019 OLEANDER DRIVE,SUITE 200
Wilmington, NC 28403-4813 New Hanover County Wilmington, NC 28403-4813
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Rental Real Estate
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
6019 Oleander Drive,Suite 200 6019 Oleander Drive,Suite 200
Wilmington, NC 28403-4813 Wilmington, NC 28403-4813
6.Select one of the following If applicable. (Optional see Instructions)
❑ The company is a veteran-owned small business E C E 0 n E
❑ The company is a service-disabled veteran-owned small business APR 17 2023
SECTION C: COMPANY OFFICIALS(Enter additional company officials in Section E.) BY:�_
NA Dale Woods Boyd Jr.M.D. NAME: NAME:
TITLE: Manager TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
6019 OLEANDER DRIVE,SUITE 200
Wilmington, NC 28403-4813
SECTION D:CERTIFICATION OF ANNUAL REPORT, Section D must be completed in its entirety by a person/business entity.
Dale Woods Boyd Jr.M.D. 10/18/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Dale Woods Boyd Jr.M.D. Manager
Print or Type Name of Company Official Print or Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF$200.00
MAIL TO:Secretary of State, Business Reg'sbation Division,Post Office Box 29525,Raleigh,NC 27626-0625

• Upload a PDF Filing • Order a Document Online •Add Entity to My Email Notification List • View Filings
Professional Corporation
Legal Name
Cape Fear Sports Medicine, P.A.
Information
Sosld: 0607828
Status: Current-Active O
Date Formed: 10/22/2001
Citizenship: Domestic
Annual Report Due Date:
Registered Agent: Boyd, Dale W., Jr
Addresses
Reg Office
1512 Radian Rd
Wilmington, NC 28405
Professions
Medical Services
p i u�nn�
q 10. 5og 6031

• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
C F Sports Medicine, LLC
Information
Sosld: 0717035
Status: Current-Active O
Date Formed: 3/18/2004
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentgnnuaL Report Status:
Registered Agent: Boyd, Dale Woods, Jr.M.D.
Addresses
Mailing Principal Office
6019 Oleander Drive, Suite 200 6019 Oleander Drive, Suite 200
Wilmington, NC 28403-4813 Wilmington, NC 28403-4813
Reg Office Reg Mailing
6019 OLEANDER DRIVE, SUITE 200 6019 OLEANDER DRIVE, SUITE 200
Wilmington, NC 28403-4813 Wilmington, NC 28403-4813
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Dale Woods Boyd , Jr.M.D.
6019 OLEANDER DRIVE, SUITE 200
Wilmington NC 28403-4813

Smith, Ashley M
From: Smith, Ashley M
Sent: Tuesday, March 14, 2023 11:59 AM
To: 'Miller, Brandon'
Cc: Marks, Steve
Subject: RE: [External] RE: Stormwater SW8061216
Attachments: Renewal Application Form.pdf, Transfer Application Form.pdf, 2007 06 permit
061216.pdf
Hi Brandon,
Thank you for the follow up! Yesterday afternoon got a bit hectic.
Attached is the renewal and transfer applications. The current permit holder, Cape Fear Sports Medicine, PA is
responsible for renewing the permit per 15 NCAC 02H.1045. Conditions 111.1 and 111.9 state the Division should have been
notified when the property ownership had been exchanged. Cape Fear Sports Medicine, PA is still listed at current-active
on the NC Secretary of State documentation. The signature on the applications should be signed by someone who holds
the level of at least the vice-president per 15A NCAC 02H.1040(1)(a).
The transfer application should be signed by both the current permit holder (Cape Fear Sports Medicine, PA) and the
new property owners (the proposed permittee).The New Hanover county GIS webpage lists CIF Sports Medicine LLC as
the new property owner. They would sign the transfer application as the "proposed permittee."
The checklist that our office can require currently by the permit is the last two pages of the attached "2007 06 permit
061216." However, you can find the as built checklist certifications here: Post-Construction Forms I NC DEQ. You would
then complete the pertinent form.
Thanks again for the follow up! I hope this answered all your questions so far. Please let me know if I can answer any
additional questions, or if there are any comments, or concerns.
Ashley Smith
Stormwater Permitting Assistant
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
127 Cardinal Drive Ext,
Wilmington, NC 28405
Office: [phone] 1 Direct: [phone]
ashleym.smith @ ncdenr.gov
NORTH CAROLINAMEQ
-
Department of Envlromma�rta�Quaq
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
t

From: Miller, Brandon <[e-mail]>
Sent:Tuesday, March 14, 2023 11:26 AM
To: Smith,Ashley M <[e-mail]>
Cc: Marks, Steve<[e-mail]>
Subject: [External] RE: Stormwater SW8061216
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
ReportSoam:
Ashley,
Just following up. You had said you would provide:
• Renewal application
• Inspection and as-built checklists
I had a couple other questions that I missed taking notes on:
• Do you know the two entities that would be included in the transfer
• What if the original owner is not reachable, how does the transfer or renewal move forward?
Brandon Miller, PE
40 WithersRavenel
Our People.Yow SwEess.
115 MacKenan Drive I Cary, NC 27511
Office:919.469.3340 1 Direct: 919.238.0355
bm i I lerCawithersravenel.com
® © ©UN
CONFIDENTIALITY AND NONDISCLOSURE
From:Smith, Ashley M <[e-mail]>
Sent: Monday, March 13, 2023 1:13 PM
To: Miller, Brandon <[e-mail]>
Subject: Stormwater SW8061216
Ashley Smith
Stormwater Permitting Assistant
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
127 Cardinal Drive Ext.
Wilmington, NC 28405
Office: [phone] 1 Direct: [phone]
ashleym.smith @ ncdenr:gov
2

M 5rATEy
ti t cc
ROY COOPER - S
Governor
ELIZABETRS.BISER
secretary
DOUGLAS R.ANSEL NORTH CAROLINA
interim Director Environmental Quality
February 13'", 2023
Cape Fear Sports Medicine, P.A.
Attn: Dale Boyd, Jr., Registered Agent
1512 Radian Rd.
Wilmington,NC 28405
Subject: Stormwater Permit Renewal Request and Transfer Request
Post-Construction Stormwater Management Permit No. SW8061216
Cape Fear Sports Medicine
New Hanover County
Dear Mr. Boyd:
Post-Construction Stormwater Management Permit SW8061216 for the subject project expired on June 8`s, 2021.
This is a reminder that permit renewal applications are due 180 days prior to their expiration per 15A NCAC
2H.1045(3).North Carolina General Statutes and the Coastal Stormwater rules require that this property be
covered under a stotmwater permit. Failure to maintain a permit subjects the owner to assessment of civil
penalties. More information about the Post-Construction State Stormwater Program can be found on the
following website: deq.nc.aov/S W
Please submit a complete permit renewal form along with a$505.00 fee and other submittal requirements within
30 days. The permit renewal form can be found under the Post-Construction section of this website or at:
littps`Hdeq nc gov/about/divisions/energy-mineral-and-land-resources/stommwater/stonnwater-proarvn/uost-
construetion-2. Also, it was noted in the file review that a designer's certification that the project was
constructed in accordance with the approved plans as required by the permit has not been submitted. Please
include this with your application.
Permits are not automatically transferred when the property ownership changes. If this property has had an
ownership change, a permit transfer application form along with the submittal requirements will also need to be
submitted. This form can also be found on the website provided above.
is available on the website provided above under the "New Permits & Permit Modifications"section.
If you have any questions regarding this matter, please contact Ashley Smith or Aisia Freeman in the Wilmington
Regional Office either via email ([e-mail] or aisia.freentantt�r ncdenr.00v)or phone at(910)
796-7215.
Sincerely, n r (fin
U� /7rXl
57,Douglas R. Ansel,Interim Director
Division of Energy, Mineral and Land Resources
DES/af: \\\Stormwater\Permits&ProiectsNNW061216 HD\2023 02 req_ren 061216
cc: CF Sports Medicine LLC;New Property Owner;6019 Oleander Dr; Wilmington NC 28403
Wilmington Regional Office Stormwater File
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington,North Carolina 28405
910.796.7215