SW7990308_HISTORICAL FILE_20210921

ROY COOPER
Governor
ELIZABETH S.B1SER .,
Secretary
BRIAN WRENN NORTH CAROLINA
Director Environmental Quality
September 21, 2021
3100 Wellons Boulevard Property Owners Association
3100 Wellons Boulevard
New Bern, NC 28562
Subject: Stormwater Permit Renewal
Stormwater Management Permit SW7990308
3100 Wellons Boulevard Property Owners Association
Craven County
Dear Sir:
A Division of Energy, Mineral, and Land Resources file review has determined that
Stormwater Permit SW7990308 for a stormwater treatment system consisting of a wet
detention pond serving the 3100 Wellons Boulevard Property Owners Association in
New Bern, NC expires on April 7, 2022. This is a reminder that permit renewal
applications are due 180 days prior to expiration. We do not have a record of receiving
a renewal application.
Please submit a completed permit renewal application along with a $505.00 fee for
permit renewal within the required time. Permit application forms for renewal can be
found on our website at: https://deq.nc.gov/about/divisions/energy-mineral-and-land-
resourcesi'stcrmtwater/stormwater-program/oost-consi;,poi on-2. North Carolina General
Statutes and the Coastal Stormwater rules require that this property be covered under a
stormwater permit. Failure to maintain a permit subjects the owner to assessment of
civil penalties.
If you have questions, please feel free to contact me at [phone]. 1 will be glad to
discuss this by phone or meet with you. If you would like, I can e-mail you a copy of the
application forms. You can request a copy by e-mailing me at
roger tnoroeax nc"�n i.t��•;.
Sincerely,
Roger K. Thorpe
Environmental Engineer
\orrn Caroms Deorr rt r`Lnrn'onmeutal Quality Division cf nergv,,%lineral and Land Resources
%aIa amn Regional OfEce -)A3 Washington 5)ua_Slall Ylaamgton No hCarotna 17839

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvarla, III, Secretary
February 5, 2014
David E. Byrd, MD, Member/Manager
3100 Wellons Boulevard Property Owners Association
3100 Wellons Blvd.
New Bern, NC 28562
Subject: Failure to Renew Stormwater Permit
Stormwater Management Permit SW7990308
3100 Wellons Boulevard Property Owners Association
Craven County
Dear Dr. Byrd:
A Division of Energy, Mineral, and Land Resources file review has determined that Stormwater Permit SW7990308
expired on October 18, 2013 and the Division has not received an application for renewal. The stormwater rules (15 A
NCAC 2H .1000) require that applications for permit renewals be submitted 180 days prior to the expiration of a permit.
Operation of a stormwater treatment facility without a valid permit is a violation of NC General Statute 143-215.1 and may
result in an appropriate enforcement action including assessment of civil penalties.
Please submit a completed renewal application and processing fee of$505.00 within 30 calendar days. A permit renewal
application can be found on our website at http://i)ortal.ncdenr.org/web/ir/state-stormwater-forms docs . If you have
questions, please feel free to contact me at(252) 948-3923.
Sincerely,
Roger K. Thorpe
Environmental Engineer
Washington Regional Office
Washington Regional Office
943 Washington Square Mall,Washington, North Carolina 27889 • Phone: [phone] /FAX: [phone]
Internet:http://www.portal.ncdenr,org/web/ir/land-quality
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

DEMLR USE ONLY
Date Received Fee Paid Permit Number
State of North Carolina
Department of Environment and Natural Resources
Division of Energy Mineral and Land Resources
(NCDENR DEMLR)
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This form may be photocopied for use as an original
This form is to be completed by the current permit holder pursuant to Title 15A NCAC 2H.1003(hl(2).This states
that stormwater management permits,issued for projects that require the construction of engineered stormwater
control measures(High Density Permits),shall be required to submit an application to renew the permit 180 days
prior to expiration of the permit.Renewed permits are valid for a period of 8 years per Session Law 2011-398(SB
781)Section 60. (c).
I. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the North Carolina Department of
Environment and Natural Resources(NCDENR)Division of Energy Mineral and Land Resources(DEMLR). A
complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DEMLR Regional Office. (The appropriate office may be found by clicking on the
interactive online map at http://portal.ncdenr.org/hveb/guest/regional-offices.Copies of the original permit can be
obtained from the Regional Office of the Division of Energy,Mineral and Land Resources.)
This Renewal is for STORMWATER PERMIT#:SW 7990308
Please check which of the following permit renewal scenarios apply. Initial in the spaces provided that you have
provided the required information.
® A.Renewal Only:
-$505 fee 11124
-Renewal Form-Sign and complete all sections (send original&1 copy)
-Recorded Documents Required By Permit:Deed restrictions,covenants, condominium/planned
community declaration&easements(if not already submitted to NCDENR DEMLR). Copies are
acceptable. //-W
-Designer's Certification(if required by permit and not already received by NCDENR DEMLR) (See the
last page of your permit for a copy of the certification form.) AIR
-I Have a Copy of the Current Operation and Maintenance Agreement(O&M): Please Keep this on File „ /)
with your permit.
-I Do Not Have a Copy of the Current O&M:Initial This Line to Request a copy. (If NCDENR DEMLR
does not have a copy on file, then you will be notified to submit a new O&M form.) WA
❑ B.Renewal and Modification:
-$505 Fee and Pages 1 &2 of this Renewal Form
-SWU-101 Application Form(http:llportal.ncdenr.o)-v/weblwglzoSlsalstatesw/forms does)
-Recorded Documents Required By Permit:Deed restrictions,covenants,condominium/planned
community declaration&easements (if not already submitted to NCDENR DEMLR). Copies are
acceptable.
-Under#II. 1.on SWU-101 Application Form—Check Box for Modification w/Renewal
-Designer's Certification(if required by permit and not already received by NCDENR DEMLR)(See the
last page of your permit for a copy of the certification form.)
-O&M Agreement(littp:Ilportal.iicdenr.org/web/wq/ws/su/bmp-manual)
Form SWU-102(Renewal Form) Rev. Oct.31,2013 Page 1 of 4

❑ C.Renewal and Either: 1.) Permit Transfer to a New Permittee,or 2.)Project Name Change:
Please submit all items in I.A,and:
Request a NCDENR DEMLR site inspection if transferring permit to new property owner.
Submit One of the Two Following Forms below(forms available at litt is �ortal.iicdeiir.or-ho'eb/Ir/state-
storinwater-forms does).
1. HOA Name/Ownership Change Form: For planned communities(per Chapter 47C or
Chapter 47F of the General Statutes)
2. Name/Ownership Change Form: For all other transfers
Please make sure all required information is submitted with the Name/Ownership Change form(as
stated in each of the available forms)and that all required signatures and initials are filled in properly.
Otherwise the name change or transfer can not be processed and the original owner will remain as the
permit holder.
❑ D.Renewal.Modification.and Transfer(or Name Change): Please submit pages 1 and 2 of this
Renewal form along with all items listed in 1.B. and C.above(check this box and initial items in B.
&C.that you are submitting to NCDENR DEMLR).
II. APPLICANT'S CERTIFICATION
Note:The legally responsible party is the current permittee and/or the legally responsible representative until such time that the permit is
officially transferred through a request to DEMLR by the permittee.
I,(print or type name of permittee or person legally responsible for the permit) David E. Byrd
certify that I have a copy of the DEMLR Approved Permit and O&M Agreement on-site(OR I have obtained a copy
from DEMLR and it will be kept on site),that I am responsible for the performance of the maintenance procedures
and the site has been,and will be,maintained according to the O&M Agreement. I agree to notify DEMLR of any
problems with the system and prior to any changes to the system or changes in ownership I will(or have through
this renewal application)notify NCDENR DEMLR and submit the proper forms to modify or transfer the permit.
All information provided on this permit renewal application is,to the best of my knowledge,correct and complete.
Permittee Title: Member Manager
Address: 3100 Wellons Boulevard,New Bern,NC 28562
Phone: [phone]
Signature: Date:
NOTARIZATION:
I S a ml J. e n Y1 e j a Notary Public for the State of �—
County of C,(nVCrN do hereby certify that AJ(d F- Qyrc(
personally appeared before me this day of FC�J. 2'�t 2 of`1 and acknowledge the due execution of the
forgoing stormwater BMP maintenance requirements.Witness my hand and official seal,
My commission exp es: DGLtmhv 1$t 2p1$
Notary Signature: � &&/YIMfAI' Date:
SEAL
Form SWU-102(Renewal Form) Rev. Oct.31,2013 Page 2 of 4

III. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW 7990308
2. Permit Holder's name(specify the name of the corporation,individual,etc.):
3100 Wellons Boulevard Property Owner's Association
3. Print Owner/Signing Official's name and title(person legally responsible for permit):
David E.Byrd,M.D.,Member Manager
4. Mailing Address for person listed in item 2 above:
3100 Wellons Boulevard
City: New Bern State: NC Zip: 28562
Phone: ( 252 ) 634-9000 Fax: ( 252 ) 634-9001
Email:
5. Project Name: 3100 Wellons Boulevard Property Owners Association
6. Location of Project(street address):
-3100 Wellons Boulevard
City: New Bern County: Craven Zip: 28562
7. Directions to project(from nearest major intersection):
From Route 70 east exit on to South Glenburnie Rd.,take left turn on to McCarthy Boulevard take left turn on to
Wellons Boulevard,proceed to 3100 Wellons Boulevard.
Form SWU-102(Renewal Form) Rev.Oct. 31,2013 Page 3 of 4

IV. PERMIT INFORMATION:
1. Specify the type of stormwater treatment ❑Constructed Wetland ❑Bioretention ®Wet Detention Pond
❑Dry Detention Basin❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter ❑Other:
2. If any changes were made to the original DEMLR approved project list them in the space below(attach additional
pages if needed and provide"As-Built" drawings with this application). If maior changes have been made to your
project please request a plan revision or modification of the permit and submit"As Built' drawings along with a
final or updated stormwater system engineer certification(if not already provided to NCDENR). DEMLR Engineer
and Designer Certification Forms are available from each NCDENR DEMLR Regional Office.
N/A
Form SWU-102(Renewal Form) Rev. Oct.31,2013 Page 4 of 4

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvada, III, Secretary
February 5, 2014
David E. Byrd, MD, Member/Manager
3100 Wellons Boulevard Property Owners Association
3100 Wellons Blvd.
New Bern, NC 28562
Subject: Failure to Renew Stormwater Permit
Stormwater Management Permit SW7990308
3100 Wellons Boulevard Property Owners Association
Craven County
Dear Dr. Byrd:
A Division of Energy, Mineral, and Land Resources file review has determined that Stormwater Permit SW7990308
expired on October 18, 2013 and the Division has not received an application for renewal. The stormwater rules (15 A
NCAC 2H .1000) require that applications for permit renewals be submitted 180 days prior to the expiration of a permit.
Operation of a stormwater treatment facility without a valid permit is a violation of NC General Statute 143-215.1 and may
result in an appropriate enforcement action including assessment of civil penalties.
Please submit a completed renewal application and processing fee of$505.00 within 30 calendar days. A permit renewal
application can be found on our website at http://portal.ncdenr.org/web/Ir/state-stormwater-forms docs . If you have
questions, please feel free to contact me at(252) 948-3923.
Sincerely,
Roger K. Thorpe
Environmental Engineer
Washington Regional Office
Washington Regional Office
943 Washington Square Mall,Washington, North Carolina 27889 • Phone: [phone] /FAX: [phone]
Internet: http://www.portal.ncdenr.org/web/Ir/land-quality
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North Carolina Secretary of State Page 1 of 1
4 North Carolina
�a Elaine F. Marshall DEPARTMENT OF THE
Secretary SECRETARY OF STATE
ap PO Box 29622 Raleigh,NC 27626-0622 (919)807-2C00
Account Login Register
Date: 4/2/2014
Click here to:
View Document Filings i
PC, PLLC, LP and Non-Profit entities are not required to file annual reports.
Corporation Names
Name Name Type
NC 3100 WELLONS BOULEVARD LEGAL
PROPERTY OWNERS ASSOCIATION
Non-Profit Corporation Information
SOSID: 0874301
Status: Current-Active
Effective Date: 10/26/2006
Citizenship: DOMESTIC
State of Inc.: NC
Duration: PERPETUAL
Registered Agent
Agent Name: BYRD, DAVID E.
Office Address: 3100 WELLONS BOULEVARD
NEW BERN NC 28562
Mailing Address: 3100 WELLONS BOULEVARD
NEW BERN NC 28562
Principal Office
Office Address: 3100 WELLONS BOULEVARD
NEW BERN NC 28562
Mailing Address: 3100 WELLONS BOULEVARD
NEW BERN NC 28562
Officers/Company Officials
This website is provided to the public as a part of the Secretary of State Knowledge Base(SOSKB)system.Version:
2679
https://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=8085635 4/2/2014

vj0.�
AM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvarla, III, Secretary
February 5, 2014
David E. Byrd, MD, Member/Manager
3100 Wellons Boulevard Property Owners Association
3100 Wellons Blvd.
New Bern, INC 28562
Subject: Failure to Renew Stormwater Permit
Stormwater Management Permit SW7990308
3100 Wellons Boulevard Property Owners Association
Craven County
Dear Dr. Byrd:
A Division of Energy, Mineral, and Land Resources file review has determined that Stormwater Permit SW7990308
expired on October 18, 2013 and the Division has not received an application for renewal. The stormwater rules (15 A
NCAC 2H .1000) require that applications for permit renewals be submitted 180 days prior to the expiration of a permit.
Operation of a stormwater treatment facility without a valid permit is a violation of INC General Statute 143-215.1 and may
result in an appropriate enforcement action including assessment of civil penalties.
Please submit a completed renewal application and processing fee of$505.00 within 30 calendar days. A permit renewal
application can be found on our website at http://portal.ncdenr.org/web/Ir/state-stormwater-forms docs . If you have
questions, please feel free to contact me at(252) 948-3923.
Sincerely,
4�. /_ '�
Roger K. Thorpe d
Environmental Engineer
Washington Regional Office
Washington Regional Office
943 Washington Square Mall,Washington,North Carolina 27889 - Phone: [phone] /FAX: [phone]
Internet: http://www.portal.ncdenr.org/web/ir/land-quality
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- l�1aR0
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Governor NCDENR
Bill Holman, Secretary
ary
Kerr T. Stevens, Director NORTH CAROUNA DEPARTMENT Or
ENVIRONMENT ANO NATt1RA1 RESOURCES
DIVISION OF WATER QUALITY _
October 18, 1999
Triangle Medical Investments, LLC
Attn: Mr. Jack Cole
800 Moye Blvd.
Greenville, NC 27834
Subject : Stormwater Permit No. SW7990308
Carolina Physicians
High Density Stormwater Project
Craven County
Dear Mr. Cole :
The Washington Regional Office received the completed
Stormwater Application for the subject project on March 30, 1999 .
Staff review of the plans and specifications has determined that
the project, as proposed, will comply with the Stormwater
Regulations set forth in Title 15A NCAC 2H. 1000. We are forwarding
Permit No. SW7990308 dated October 18, 1999, to Triangle Medical
Investments, LLC.
This permit shall be effective from the date of issuance until
October 18, 2009 and shall be subject to the conditions and
limitations as specified therein. 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.
943 Washington Square Mall,U'ashington,Norlh Carolina 27889 Telephone [phone] FAX [phone]
An Equal Opportunity Affinnalive Action Employer

Triangle Medical Investments, LLC
October 18, 1999
Page Two
If you have any questions, or need additional information
concerning this matter, please contact Bill Moore at (252) 946-
6481, extension 264 . -
Sincerely,
�k— Jim Mulligan
Water Quality Regional Supervisor
Washington Regional Office
cc: Bob Chiles
Craven County Inspections
/Washington Regional Office
Central Files

State Stormwater Management Systems
Permit No. SW7990308
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY 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
Triangle Medical Investments, LLC
Craven County
FOR THE
construction, operation and maintenance of stormwater management
systems 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 for a wet
detention pond to serve Carolina Physicians located at New Bern,
NC.
This permit shall be effective from the date of issuance until
October 18 , 2009 and shall be subject to the following specified
conditions and limitations :
I . DESIGN STANDARDS
1 . This permit is effective only with respect to the nature and
volume of stormwater described in the application and other
supporting data .
2 . This stormwater system has been approved for the management of
stormwater runoff as described on page 4 of this permit, the
Project Data Sheet .
3 . Approved plans and specifications for this project are
incorporated by reference and are enforceable parts of the
permit .
3

DIVISION OF WATER QUALITY
PROJECT DATA
Project Name: Carolina Physicians
Permit Number: SW7990308
Location: Craven County
Applicant: Triangle Medical Investments
Mailing Address : 800 Moye Blvd.
Greenville, NC 27834
Application Date: 3/3/99; original
3/30/99; complete
Water Body Receiving Stormwater
Runoff: UT-Trent River
Classification of Water Body: SC
Total Site Area: 1 . 5 acres
Total Impervious 1 . 125 acres
Surfaces Allowed:
Pond/Basin Depth: 4 . 0 ft
Required Surface Area 3185 sq ft
(SA/DA) :
Provided Surface Area: 3756 sq ft
Required Storage Volume: 4357 cu ft
Provided Storage Volume : 7707 cu ft
Controlling Orifice: 0 . 75-inch dia.
4

4 . No homeowner/lot owner/developer shall be allowed to fill in,
alter, or pipe any vegetative practices (such as swales) shown
on the approved plans as part of the stormwater management
system without submitting a revision to the permit and
receiving approval from the Division.
5 . The following items will require a modification to the permit:
a . Any revision to the approved plans, regardless of size
b. Project name change C. Transfer of ownership
d. Redesign or addition to the approved amount of built-upon
area
e. Further subdivision of the project area.
In addition, the Director may determine that other revisions
to the project should require a modification to the permit .
6. The Director may notify the permittee when the permitted site
does not meet one or more of the minimum requirements of the
permit. Within the time frame specified in the notice, the
permittee shall submit a written time schedule to the Director
for modifying the site to meet minimum requirements . The
permittee shall provide copies of revised plans and
certification in writing to the Director that the changes have
been made.
II . SCHEDULE OF COMPLIANCE
1 . The permittee will comply with the following schedule for
construction and maintenance of the stormwater management
system.
a . The stormwater management system shall be constructed in
its entirety, vegetated and operational for its intended
use prior to the construction of any built-upon surfaces
except roads .
b . During construction, erosion shall be kept to a minimum
and any eroded areas of the system will be repaired
immediately.
2 . The facilities must be properly maintained and operated at all
times . The approved Operation and Maintenance Plan must be
followed in its entirety and maintenance must occur at the
scheduled intervals .
3 . The permittee shall at all times provide the operation and
maintenance necessary to assure the permitted stormwater
system functions at optimum efficiency including, but not
limited to:
5

a . Semi-annual scheduled inspections (every 6 months)
b. Sediment removal
C. Mowing and revegetation of side slopes
d. Immediate repair of eroded areas
e . Maintenance of side slopes in accordance with approved
plans and specifications
f. Debris removal and unclogging of outlet structure,
orifice device and catch basins and piping.
4 . Records of maintenance activities must be kept and made
available upon request to authorized personnel of DWQ. The
records will indicate the date, activity, name of person
performing the work and what actions were taken.
5. This permit shall become voidable unless the facilities are
constructed in accordance with the conditions of this permit,
the approved plans and specifications, and other supporting
data .
6. Upon completion of construction and prior to operation of this
permitted facility, a certification must be received from an
appropriate designer for the system installed certifying that
the permitted facility has been installed in accordance with
this permit, the approved plans and specifications, and other
supporting documentation. Mail the Certification to the
Washington Regional Office, 943 Washington Square Mall,
Washington, North Carolina, 27889, attention Division of Water
Quality.
7 . A copy of the approved plans and specifications shall be
maintained on file by the Permittee for a minimum of five
years from the date of the completion of construction.
III . GENERAL CONDITIONS
1 . This permit is not transferable. In the event there is a
desire for the facilities to change ownership, or there is a
name change of the Permittee, a formal permit request must be
submitted to the Division of Water Quality accompanied by an
application fee, documentation from the parties involved, and
other supporting materials as may be appropriate . The
approval of this request will be considered on its merits and
may or may not be approved.
2 . Failure to abide by the conditions and limitations contained
in this permit may subject the Permittee to enforcement action
by the Division of Water Quality, in accordance with North
Carolina General Statute 143-215 . 6 (a) to 143-215 . 6 (c) .
6

3 . The issuance of this permit does not preclude the Permittee
from complying with any and all statutes, rules, regulations,
or ordinances which may be imposed by other government
agencies (local, state, and federal) which have jurisdiction.
4 . In the event that the facilities fail to perform
satisfactorily, including the creation of nuisance conditions,
the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as
the construction of additional or replacement stormwater
management systems .
5 . The permit may be modified, revoked and reissued or terminated
for cause. The filing of a request for a permit modification,
revocation and reissuance or termination does not stay any
permit condition .
Permit issued this the 18 th day of October, 1999.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
— ((— -------- — --- ----
I�Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW7990308
7

Triangle Medical Investments, LLC
Carolina Physicians, Wellons Centre
New Bern, NC
Stormwater Permit No. SW7990308
Designer's Certification
I. 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,
(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 .
Signature
Registration Number
Date
8

F NI 4 TF
,Q _:,,,-/� Michael F.Easley,Governor
JUN - 6 2J William G.Ross Jr.,secretary
{ r- North Carolina Department of Environment and Natural Resources
Alan W.Klimek,P.E.Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
COASTAL STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
1 . Stormwater Management Permit Number: SW7990308
CAROLINA PHYSICIANS
2. Permit Holder's name: TRIANGLE MEDICAL INVESTMENTS, LLC
3. Signing official's name: JACK COLE Title: PRESIDENT
(person facially responsible for permit)
4. Mailing address: 800 MOYE BLVD. ) City: GREENVILLE
State: NC Zi Code: 27834 (252)
_ p Phone:_ 930- 121 FAX:
(Area Code and Number) (Area Code and Number)
II, NEW OWNER / PROJECT / ADDRESS INFORMATION
1 . This request is for: (please check all that apply)
X a. Change in ownership of the property/company (Please complete Items #2,
#3, and #4 below)
X b. Name change of project (Please complete Item #5 below)
X C. Mailing address change. (Please complete Item #4 below)
d. Other (please explain):
3100 WELLONS BOULEVARD
2. New owner's name to be put on permit: PROPERTY OWNERS ASSOCIATION
3. New owner's signing official's name and title: DAVID E. BYRD, MD
MEMBER / MANAGER
(Title)
4. New Mailing Address: 3100 WELLONS BLVD. City: NEW BERN
State: NC ZipCode: 28562 Phone: [phone] FAX: [phone]
(Area Code and Number) (Area Code and Number)
3100 WELLONS BOULEVARD
5. New Project Name to be placed on permit: PROPERTY OWNERS ASSOCIATION
Page 1 of 2
North Carolina Division of Water Quality Internet: •.���y�_4untciyyyilin.�,_'- One
943 Washington Square Mail Phone[phone] NQ�h{{Caro//l//ina
Washington,NC 27889 Fax [phone] �nb��laalG�

PERMIT NAME/OWNERSHIP 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. A signed Operation and Maintenance plan, 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:
.LACK COLE 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 not included, this application ackage will be
returned as incom �?
Signature:
New Applica Certification: (Must be completed for all transfers of ownership)
DAVID E. BYRD, MD , 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, SWP
943 Washinton Square Mall
Washington, NC 27889
Page 2 of 2

STORMWATER MAINTENANCE PLAN II. MAINTENANCE PLAN
2. Sediment Removal. Owner shall be responsible for the removal of excess
accumulated sediment in the pond when the storage capacity is reduced to 75% of
the design capacity due to properly designed and functioning stormwater retention
pond. Owner shall be responsible for all incurred costs of removal and proper
disposal of the sediment in accordance with all local,state,and federal regulations.
Sediment removal/clean out cycle for stormwater retention pond is recommended
on a ten to twenty year cycle. Owner shall semi-annually measure the depth of
sediment above design grade to determine rate of accumulation and to establish a
time line for sediment removal.
CERTIFICATION COMPLIANCE:
Upon completion of the construction of this Stormwater Management System,the design Engineer
shall submit to the Division of Water Quality a certification stating that the permitted facility has been installed
in accordance with the approved plans, specifications, and any additional supporting documentation.
MAINTENANCE COST:
Owner shall be responsible for all annual costs of routine maintenance and for anyand all non-routine
maintenance costs as they occur throughout the life of each of the stormwater retention ponds.
JUN - 5 2003
David E. Byrd, MD
Member/Manager
3100 Wellons Boulevard
Property Owners Association
G�0 AS - i
ri, • ems u ,y
Sworn to and subscribed before me . Q ..ON
this X2 _ day of MAN-( . 2008.
NOTARY PUBLIC
My commission expires: 0a'1f nbe( z(P' Zco�
3100 Wellons Boulevard Property Owner Assochtion 6 RMC No:98296SW

GF f:'4TE9 Michael F.Easley,Governor
William G.Ross Jr.,Secretary
UJ - North Carolina Department of Environment and Natural Resources
1
Alan W.Klimek,P.E. Director Division of Water Quality
SURFACE WATER PROTECTION SECTION
COASTAL STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
1 . Stormwater Management Permit Number: SW7990308
CAROLINA PHYSICIANS
2. Permit Holder's name: TRIANGLE MEDICAL INVESTMENTS, LLC
3. Signing official's name: JACK COLE Title: PRESIDENT
(person teoally responsible for permit)
4. Mailing address: 800 MOPE BLVD. City: GREENVILLE
((252)
State: NC ZipCode: 27834 Phone' B30-2121 FAX:
(Area Code and Number) (Area Code and Number)
11. NEW OWNER / PROJECT / ADDRESS INFORMATION
1. This request is for: (please check all that apply)
X a. Change in ownership of the property/company (Please complete Items #2,
#3, and #4 below)
X b. Name change of project (Please complete Item #5 below)
X C. Mailing address change. (Please complete Item #4 below)
d. Other (please explain):
3100 WELLONS BOULEVARD
2. New owner's name to be put on permit: PROPERTY OWNERS ASSOCIATION
3. New owner's signing official's name and title: DAVID E. BYRD, MD
MEMBER / MANAGER
(Title)
4. New Mailing Address: 3100 WELLONS BLVD. City: NEW BERN
State: NC ZipCode: 28562 Phone: [phone] FAX:_ 252-634-9001
(Area Code and Number) (Area Code and Number)
3100 WELLONS BOULEVARD
5. New Project Name to be placed on permit: PROPERTY OWNERS ASSOCIATION
Page 1 of 2
North Carolina Division of Water Qualiry Intemcl oile 1
943 Washington Square Mall Phone(2 946-6481 North Carolina
N"ashmeton.NC 27889 Fax (25_)946-9215 Al�{l//-al

x
ROBERT M. CHILES, P.E. APR 6 2008
ENGINEERS,CONSULTANTS
MARINE SURVEYORS
417-A BROAD ST. �<�IN ��252r'*7-,, 02
P.O. BOX 3496 - FAX: [phone]
NEW BERN,NORTH CAROLINA 28664-3496 w .robertmchilespe.com
April 14, 2008
To: Mr. Al Hodge
Regional Supervisor
Surface Water Protection Section
Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
Subject: PLAN OF ACTION
Reference: (a) NOTICE OF VIOLATION NOV-2008-PC-0122
(b) PERMIT NO. SW7990308
(c) Your letter dated March 10, 2008 to Jack Cole, Triangle Medical Investments LLC, Subject
Notice of Violation
(d) Stormwater Maintenance Plan for Carolina Physicians, RMC No. 98296
Dear Mr. Hodge:
On behalf of our client the 3100 Wellons Boulevard Property Owners Association, we are have prepared the
following comments and plan of action as relates to the Reference (a) NOV.
1- The current owner and operator of the storm water BMP at 3100 Wellons Boulevard is as follows:
3100 WELLONS BOULEVARD PROPERTY OWNERS ASSOCIATION
C/o David E. Byrd, M.D. at 3100 Wellons Boulevard, New Bern, North Carolina 28560.
The Storm Water Application package for a name change form will be prepared and submitted to
the Division of Water Quality, Washington Regional Office prior to June 2, 2008 along with the
application fee of$505.00.
2- The existing Storm Water Maintenance Plan for Carolina Physicians, RMC #98296, reference (d)
and approved by your office by reference (b) included and anticipated the future construction on
the site and the plan does address this increase in the impervious area as follows:
Page 2 Narrative in the last sentence states "The pond has been sized for the entire lot including
any future construction".
SWU-101 Page 2 III (1) states"Storm water from the building, parking, and all future construction
areas (up to 75% impervious is conveyed to the storm water pond..."
1

2- (continued)
Page 2 III (4) states"Project built upon area MAX 75% includes future
(38% now and maximum 37 % future)"
Page 2 III (6) states "Proposed Impervious area 1.125 acre (0.567 ac+0.558ac future)
SWU-102 Page 1 states that the"Impervious Area 1.125 acres'
Based upon the above it should be apparent that the existing on site storm water pond was
designed to provide sufficient in capacity for the storm water runoff resulting from the added
impervious areas resulting from the recent additional construction on the site since this
construction was anticipated when the plan was submitted to the DWQ for approval in 1999.
Therefore there does not appear reason to modify the existing approved storm water
management plan as approved in reference (b). We will provide a current site plan with areas
shown and include a copy of this plan with the change of ownership submittal.
3- The swale along the southwest side of the building does in fact exist and runs adjacent to the
property line vegetation. This swale is directed to the storm water pond and any water that may flow the
length of the swale will enter the pond at the fore bay end over the vegetated slope of the pond.
4- The owners have a yard maintenance contractor and he will be directed to remove excessive cattails
and trash from the pond.
I trust that the above information and detail will be sufficient to indicate our clients concern and interest in
resolving any questions concerning the storm water BMP and operation of the plan at the subject site. If you have
any questions related to this matter please contact our office.
Sincerely, �r�O (�N�ARp��•,,'�6
0, ti6i
4
Robert M. Chiles PE N
o •��ewe�•e � to
Cc: CCHC S. Knuckles �Fryverr�a�e�,aeR
2

C200509800025 SOSID:0458020
3fi7 ssnarmos�o:aa AM Date Filed:4/8/2005 1:34:00 PM
LIMITED LIABILITY COMPANY Elaine F.Marshall
ANNUAL REPORT(42) North Carolina Secretary of State
C200509800025
NAME OF LIMITED LIABILITY COMPANY: Triangle Medical Investment, LLC
STATE OF INCORPORATION: NC
SECRETARY OF STATE L.L.C.ID NUMBER: 0458020 FEDERAL EMPLOYER ID NUMBER: 56-2077027
NATURE OF BUSINESS: Rental Real Estate
REGISTERED AGENT: Jack Cole
REGISTERED OFFICE MAILING ADDRESS: 800 Hoye Blvd.
Greenville NC 27834
REGISTERED OFFICE STREET ADDRESS: 800 Moye Blvd.
Greenville NC 27034
Pitt
SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
PRINCIPAL OFFICE TELEPHONE NUMBER:
PRINCIPAL OFFICE MAILING ADDRESS: 800 Moye Boulevard
Greenville NC 27834
PRINCIPAL OFFICE STREET ADDRESS: 800 MOye Boulevard
Greenville NC 27834
MANAGERS/MEMBERS/ORGANIZERS:
Name: Stephano P. Marcuard
Address: 800 Moye Blvd.
Tide: Manager City: Greenville state: NC zip: 27834
Name:
Address:
Title: City: State: Zip:
Name:
Address:
Tide: City: State: Zip
CERTIFICATION OF ANNUAL REPORT MUST BE COMPLETED BY ALL LIMITED LIABILITY COMPANIES
3 i��05
FORM MUST S NED BY A MANAGER/MEMBER DATE
TYPE OR PRINT NAME TYPE OR PRINT TITLE
ANNUAL REPORT FEE:$200.00 MAIL TO:Secretary of Slate 0 Corpora0ons Divislon 0 Post Office Box 29526 0 Raleigh,NC 27626.0525

raut'to a.,at'mota ueparunent of ine oea'etar)of orate ' U r 3/ I �--
Corporations Division
PO Box 29622
Raleigh,NC 27626-0622
3100 WELLONS BOULEVARD PROPERTY
OWNERS ASSOCIATION
David E. Byrd
3100 Wellons Boulevard
New Bern, NC28562
NOTIFICATION OF REVENUE SUSPENSION
Please be advised that, at the direction of the North Carolina
Department of Revenue, the entity identified on the reverse is
hereby suspended upon the records of the Department of the
Secretary of State for failure to comply with the requirements of the
Department of Revenue pursuant to N.C.G.S. § 105-230(a).
Any act performed or attempted to be performed during the period
of suspension is invalid and of no effect, unless the Secretary of
State reinstates the corporation or limited liability company
pursuant to G.S. 105 232.
In order to be reinstated, you must contact the North Carolina
Department of Revenue at [phone]. Do not contact the
Department of the Secretary of State since this office has no
authority to clear the suspension or provide related information.
Once you have corrected the deficiency, the North Carolina
Department of Revenue will take action to remove the suspension
pursuant to N.C.G.S. § 105-232.
North Carolina Department of The Secretary of State
Corporations Division

v
3100 WELLOI
The undersignec
Incorporation for the pu
North Carolina Nonprofi
North Carolina:
1 01 hemp Thp nai

ARTICLE 5
Members
5.01. Members. The corporation will have members with such designations, rights, powers
and privileges as provided in the Bylaws.
ARTICLE 6
Directors
6.01. Directors. The corporation shall be governed by a Board of Directors. The number of
members of the Board of Directors, their term of office, and the method of their
appointment shall be provided for in the Bylaws of the Corporation.
ARTICLE 7
Personal Liability
7.01. Personal Liability. To the fullest extent permitted by the North Carolina Nonprofit
Corporation Act as it exists or may hereafter be amended, no person who is serving or
who has served as a director of the corporation shall be personally liable to the
corporation for monetary damages for breach of duty as a director. No amendment or
repeal of this article, nor the adoption of any provision to these Articles of Incorporation
inconsistent with this article, shall eliminate or reduce the protection granted herein with
respect to any matter that occurred prior to such amendment, repeal, or adoption.
ARTICLE 8
Distribution of Assets on Dissolution
8.01. Distribution of Assets on Dissolution. Upon the dissolution of the corporation, the
Board of Directors shall, after paying or making provision for the payment of all of the
liabilities of the corporation, dispose of all of the assets of the corporation exclusively for
the purposes of the corporation in such manner, or to such organization or organizations
organized and operated exclusively for religious, charitable, educational, scientific or
literary purposes as shall at the time qualify as an exempt organization or organizations
under Section 501(c)(3) of the Code as the Board of Directors shall determine, or to
federal, state, or local governments to be used exclusively for public purposes. Any such
assets not so disposed of shall be disposed of by the Superior Court of the County in
which the principal office of the corporation is then located, exclusively for such
purposes or to such organizations, as such court shall determine, which are organized and
operated exclusively for such purposes, or to such governments for such purposes.
Page 2 of 3

ARTICLE 9
Compensation
9.01. Compensation. No part of the net earnings of the organization shall inure to the benefit
of or be distributable to, its members, directors, officers, or other persons except that the
organization shall be authorized and empowered to pay reasonable compensation for
services rendered and to make payments and distributions in furtherance of the exempt
purposes of the organization.
This the 18`h day of October, 2006.
Michael Scott Davis, Incorporator
Page 3 of 3

Central Files: APS_ SwP_
02/20/13
Permit Number SW7990308 Permit Tracking Slip
Program Category Status Project Type
State SW Active New Project
Permit Type Version Permit Classification
State Stormwater 1.00 Individual
Primary Reviewer Permit Contact Affiliation
bill.moore
Coastal SW Rule
Coastal Stormwater- 1995
Permitted Flow
Facility
Facility Name Major/Minor Region
Carolina Physicians -Wellons Ctr Minor Washington
Location Address County
Craven
Facility Contact Affiliation
Owner
Owner Name Owner Type
Unknown -Waro Nan-Government
Owner Affiliation
Unknown
Dates/Events Washington NC 27889
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
10/18/99 03/03/99 10/18/99 10/18/99 10/18/13
Regulated Activities Requested/Received Events
State Stormwater- HD-Detention Pond Additional information requested 03/22/99
Additional information received 03/30/99
Engineer/tech specialist certification received 10/07/99
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin
lle4: r,WtQ- Cc me wr1 caeK��
Ske ins �i
P � Krr's rq

ROBERT M. CHILES, P.E.
ENGINEERS,CONSULTANTS
P.O.1 BROAD STREET MARINE SURVEYORS BUSINESS: 252-6374702
P.O.BOX 3496 NIGHTS: 252-638-2348
NEW BERN,NORTH CAROLINA 28564-3496 FAX 252E373100
March 1, 1999 n
u D '
Mr.William Moore MAR - 3 1999
Division of Water Quality
NCDENR
943 Washington Square Mall WASHINGION REGIONAL OFFICE
Washington, N. C. 27889 pWp
PROJECT: Carolina Physicians—Parcel 2. A. 1 —Phase III Wellons Centre
Stormwater Management Permit Application
Dear Mr. Moore:
Enclosed please find the Stormwater Management Permit submittal package on the above project for review
and approval. The following items are:
1. Original and one (1) copy of the Stormwater Management Permit Application Form (SWU-101: 4
pages)
2. Original and one (1) copy of Attachment A — Supplemental Form: Wet Basin Detention Basin
Supplement Form (SWU-102: 3 pages)
3. Original and one (1) copy of the Pond Maintenance Requirements (2 pages)
4. Permit Application Processing Fee: New High Density Permit- RMC Check No. 21765 for$385.00
5. Two copies of the Stormwater Calculations
6. Two copies of the plans: Stormwater Plan for Carolina Physicians Office Building
The Stormwater Maintenance Plan has been signed. Should you need a copy of this manual please let us
know. Upon review of the above submitted Stormwater Management Permit package, if you have any
questions please do not hesitate to call.
Yours very truly,
ROBERT M. CHILES, P.E.
Barbara D. Francis
BDF/bdf
Enclosures: Permit Submittal Pkg
cc: Triangle Medical Investments, LLC
Farrlor&Sons, Inc.
File:98296
98296 Stormwater Permit Itrl.doe
MECHANICAL,CIVIL,AND MARINE ENGINEERING MARINE HYDROGRAPHIC AND LAND SURVEYS
COMMERCIAL,INDUSTRIAL,MARINE AND RAILROAD
FACILITIES DESIGN
FORENSIC ENGINEERING AND FAILURE ANALYSIS BOUNDARY SURVEYS AND MAPPING SERVICE

State of North Carolina �J(tP,
Department of Environment and �`� •
Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor NCDENR
Wayne McDevitt, Secretary NORTH CAROLINA DEPARTMENT OF
Y ENVIRONMENT AND NATURAL RESOURCES
Kerr T. Stevens, Director
DIVISION OF WATER QUALITY
March 22, 1999
Triangle Medical Investments, LLC
Attn: Mr. Jack Cole
800 Moye Blvd.
Greenville, NC 27834
Subject: Stormwater Permit SW7990308
Carolina Physicians
Wellons Centre, Phase 3
Craven County
Dear Mr. Cole:
This office received a copy of your stormwater application
and supporting information on March 3, 1999 . This application has
been assigned the number listed above .
A preliminary review of your project has been completed. The
following additional information is needed before a permit can be
issued:
- effective January 1, 1999 the stormwater application fee is
$ 420 . 00 for all state stormwater permits; therefore, an
additional fee of $ 35. 00 is required
The above information must be submitted within 30 days, or
your application will be returned as incomplete . If you have
questions, please feel free to contact me at (252) 946-6481,
extension 264 .
Sincerely,
William J. Moore
Environmental Engineer
Washington Regional Office
cc: Robert Chiles Engineers
C�raven County Inspections
, 4ashington Regional Office
943 Washington Square Mall,Washington, North Carolina 27889 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer

\o�oF W ATF9oG Michael F.Easley,Governor
rjj 9 William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
1
Coleen H.Sullins Director
Division of Water Quality
�
February 26, 2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED k
7007 0220 00031479 1797
Jack Cole
Triangle Medical Investments LLC dal
800 Moye Blvd.
Greenville NC 27834
Subject: NOTICE OF VIOLATION
NOV-2008-PC-0122
Permit No. SW7990308
Carolina Physicians
Craven County
Dear Mr. Cole:
On January 8 and February 21, 2008 staff of the Washington Regional Office performed a Compliance
Inspection of the subject project, located at 3100 Wellons Blvd.,New Bern,North Carolina. The
inspection was performed to determine the status of compliance with Stormwater Permit Number
SW7990308, issued to you on October 18, 1999.
The project has been found in violation of Stormwater Permit Number SW7990308, issued pursuant to
the requirements of 15A NCAC 2H.1000. The violations found are:
Violations of State Stormwater Permit No. SW7990308 (Section I (4), (5)a,b)which states:
4. No homeowner/lot owner/developer shall be allowed to fill in, alter, or pipe any vegetative
practices (such as swales) shown on the approved plans as part of the stormwater management
system without submitting a revision to the permit and receiving approval from the Division.
5. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
On the inspection date it was noted:
The approved plans for Carolina Physicians dated 12/22/98 are for permit SW7990308. The site plan
shows 4657 SQ. FT. of office space, 1977 SQ. FT. of sidewalks and 14,252 SQ. FT. of parking and
access pavement. On the date of the inspection it was obvious that there has been an expansion of the
building and parking lot, which has added impervious surface. This requires a modification of the permit
as stated in Section I 5(a).
943 Washington Square Mall Washington,NC 27889 252-946-6481 (Telephone) 252-946-9215(Fax)
An Equal Opportunity/Affirmative Action Employer-50%Recyded/10%Post Consumer Paper

February 26, 2008
Project Name: Carolina Physicians
Stormwater Permit No. SW7990308
The property name has been changed to Southern Gastroenterology Associates and the CCHC
Endoscopy Center. This also requires a permit modification as stated in Section I 5(b).
The grass swale located southwest of the building collects rooftop drainage and routes it offsite instead
of to the wet detention pond. The stormwater system was approved to capture all stormwater runoff
from the impervious areas on the site. This requires an engineer's evaluation and submittal of plans to
redirect this runoff to the pond.
The permit and the Operation and Maintenance Plan reference maintaining the vegetative slopes. The
slopes of the pond are lined with riprap. At the time of the inspection there were no signs of significant
erosion, however, if an erosion problem develops later it may be necessary to replace the riprap with
vegetation.
The slopes appear to be closer to 2:1 rather than 3:1.
The forebay has excessive cattails. The cattails and other indigenous wetland plants need to be removed
when they cover more than of the basin surface.
Trash in the pond needs to be removed.
To correct these violations you must:
1. Provide a written "Plan of Action" which outlines the actions you will take to correct the violations
and a time frame for completion of those actions, on or before April 1,2008.
2. Submit a Stormwater Application package for a permit modification including an application fee of
$505.00,revised plans and specifications and a name change form to the Division of Water Quality,
Washington Regional Office.
3. An engineer's evaluation of the rooftop runoff is needed and plans submitted to capture all of
this runoff and redirect it to the pond.
4. Remove excessive cattails from the Forebay.
5. Remove trash from the pond.
Failure to provide the "Plan of Action" by April 1,2008 or to correct the violations 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 and
criminal penalties,pursuant to NCGS 143-215.6A.
In addition to Section II of your permit that details maintenance and record keeping,please read your
signed Operation and Maintenance Agreement dated February 9, 1999. If you have any questions
concerning this matter,please call Kristin Jarman at(252) -3918.
ncerely,
Al Hodge
Regional Supervisor
Surface Water Protection Section
Attachments
cc: Shelton Sullivan—NPS Assistance & Compliance
WaRO files

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Compliance Inspection Report
Permit: SW7990308 Effective: 10/18/99 Expiration: 10/18/09 Owner:Unknown-Waro
SOC: Effective: Expiration: Facility:Carolina Physicians-Wellons Ctr
County:Craven
Region:Washington
Contact Person: Title: Phone:
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 01/08/2008 Entry Time: 10:55 AM Exit Time:11:40 AM
Primary Inspector: Kristin C Jarman le/ Phone:[phone]
Secondary Inspector(s): �/ Ext.315
William J Moore Phone: [phone] Ext.264
Reason for Inspection: Routine Inspection Type:Stormwater
Permit Inspection Type: State Stormwater
Facility Status: 0 Compliant N Not Compliant
Question Areas:
■Miscellaneous Questions ■Misc
(See attachment summary)
Page: 1

Permit:SW7990308 Owner-Facility: Unknown-Waro
Inspection Date: 01/08/2008 Inspection Type:Sto"water Reason for Visit: Routine
Inspection Summary:
Name of facility is now Southern Gastroenterology Associates and CCHC Endoscopy. No name change request is in
file.Built-upon is more than plan in file. New plan must be submitted with modification request. Part of rooftop is draining
offsite without treatment. Drainage must be redirected to pond. Cattails and trash need to be removed. Riprap is on all
slopes, no vegetation. No significant erosion was seen at the time of the inspection, however, if erosion occurrs in the
future, the slopes may have to be vegetated.
MISc Yes No NA NE
Is the facility compliant? O 0
Comment: See summary
Page:2

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OFFICE-,TJSEiONL•Y
Date Received Fee Paid ogc if gz 14 1Permit Number
3 ,o
/ State North Carolina
Sj,)A Department of Environment and Natural Resources
r.JtO 2136'.,�,+,'"'� Division of Water Quality
�� OD r STORMWATER MANAGEMENT PERMIT APPLICATION__F_ORM _--_.
330 This form may be photocopied for use as an original
I. GENERAL INFORMATION Lro'ect,:
AR - 3 1999
1. Applicants name (specify the name of the corporation, individual,etc. who o the
Triangle Medical Investments LLC WASHINGTON REGIONAL OFFICE
2. Print Owner/Signing Official's name and title (the person who is legally responsible for the facility and
its compliance):
IA04 Cote - 1i ?%i>6o47
3. Mailing Address for person listed in item 2 above:
800 Moye Blvd.
Greenville State: N.C. zip. 27834
Telephone Number. ( 7i JZ ) 9)'50 *Z1 Z 1
4. Project Name(subdivision,facility,or establishment name- should be consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
Carolina Physicians
Parcel 2.A.1 - Phase III Wellons Centre
5. Location of Facility (street address):
3100 Wellons Blvd.
city. New Bern Casay Craven
6. Directions to facility (from nearest major intersection): From the intersection of
Clarendon Blvd. & U.S. 70, go west on Clarendon trun right on McCarthy Blvd
then next right into Wellons Blvd. : go to intersection with Newman Rd. lot
on left at intersection.
7. etude; 035' 06, 27" Longitude: 077• 05' 40" of facility
8. Contact person who can answer questions about the facility:
Name Telephone Number. 2400
II. PERMIT INFORMATION:
1. Specify whether project is (check one): X New Renewal Modification
2. If this application is being submitted as the result of a renewal or modification to an existing permit, list
the existing permit number N/A and its issue date(if known)
Form SWLJ-101 April 1998 Page 1 of 4

.j. ..
i. b�J'..

3. Specify the type of project(check one):
_Low Density X High Density _Redevelop _General Permit Other
4. Additional Project Requirements (check applicable blanks):
_CAMA Major X Sedimentation/Erosion Control 404 Permit
III. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages)describing stormwater management for the project.
Stormwater for the building, parking, and all future construction areas (up to 75% impervious
is conveyed by pipe to the stormwater pond, treated and discharged thru an 18" 0 pipe
(N12) to a drop inlet; overflow travels thru 5:1 grass lined swale.
2. Stormwater runoff from this project drains to the Neuse River basin.
Includes future
3. Total Project Area 1.50 acres 4. Prrnn'�ect Built Upon Area: max. 75% 0/.
(38% now and maximum 37% future)
5. How many drainage basins does the project have? 1
6. Complete the following information for each drainage basin. If there are more than two drainage basins in
the project, attach an additional sheet with the information for each basin provided in the same format as
below.
Balm,Infarmativn e . Drairia"e Basm "Dralna e Sasm 3.
.. .�
Receiving Stream Name Neuse River
Receiving Stream Class C-NSW
Drainage Basin Area t ac.
Existing Impervious*Area 0.01 Ac.
Proposed Im ervious'Area 1.125 Ac. (0.567 Ac. + 0.556 Ac. Future)
% Impervious*Area (total) 75% 36% + 37% future
Im`erRrous"-SurfaceDrainage Basin l'' _ '..014DtamaggBasut 2u ; ,`. ,
On-site Buildings 4.657 So. Et
On-site Streets 0
On-site Parking 14,252 S . Ft.
On-site Sidewalks 1,977 Sq. Ft.
Other on-site q. Ft. (Surface of Ilond + Max. future)
Off-site
Total: E= 49 005 so.ft. 1.125t Ac. E_
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking
areas, sidewalks, gravel areas, etc.
7. How was the off-site impervious area listed above derived? N/A
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
Deed restrictions and protective covenants are required to be recorded for all low density projects and all
subdivisions prior to the sale of any lot. Please see Attachment A for the specific items that must be recorded.
Form SWU-101 April 1998 Page 2 of 4

By your signature below,you certify that the recorded deed restrictions and protective covenants for this project
shall include all the items required by the permit, that the covenants will be binding on all parties and persons
claiming under them,that they will run with the land, that the required covenants cannot be changed or
deleted without concurrence from the State, and that they will be recorded prior to the sale of any lot.
V. AGENT AUTHORIZATION
If you wish to designate submittal authority to another individual or firm so that they may provide
information on your behalf, please complete this section:
Designated agent(individual or firm): FA iLiz 't.. d em w,+ t we . uAwS
MailingAddress: P.O . &sic 12.1
City: FAI�KU ILkz State: Zip: III&Z g
Phone: L ZriZ ) '143 ' Zoo7 Fac ( 267, ) 143' 7-7-0
VI. SUBMITTAL REQUIREMENTS
This application package will not be accepted by the Division of Water Quality unless all of the applicable
items are included with the submittal
1. Please indicate that you have provided the following required information by signing your initials in the
space provided next to each item.
Applican
• Original and one copy of the Stormwater Management Permit Application Form
• One copy of the applicable Supplement Form(s) for each BMP(see Attachment A)
• Permit application processing fee (see Attachment A)
• Two copies of plans and specifications including:
• Detailed narrative description of stormwater treatment/management
• Two copies of plans and specifications,including:
-Development/Project name
-Engineer and firm
-Legend
- North arrow
- Scale
-Revision number 8c date
- Mean high water line
-Dimensioned property/project boundary
-Location map with named streets or NCSR numbers
-Original contours,proposed contours,spot elevations, finished floor elevations
- Details of roads, parking,cul-de-sacs,sidewalks,and curb and gutter
-Wetlands delineated,or a note on plans that none exist
- Existing drainage (including off-site), drainage easements, pipe sizes, runoff calculations
- Drainage basins delineated
- Vegetated buffers (where required)
VII. APPLICANT'S CERTIFICATION
I,(print or type name of person listed in General Infonrmtion,item 2) _1 AC'4 eDoc&
certify that the information included on this permit application form is correct, that the project will be
constructed in conformance with the approved plans, that the deed restrictions in accordance with Attachment
A of this form will be recorded with all required permit conditions, and that to the best of my knowledge the
proposed project complies with the requirements of 15A NCAC 21-1 .1000. q q�
Signature: Date: Z r `• 1 1
Title:
Form SWU-101 April 1998 Page 3 of 4

ATTACHMENT A
1. Deed Restriction Language
The following statements must be recorded for all low density projects and for all projects that involve the
subdivision and selling of lots or outparcels:
1. No more than _ square feet of any lot, including that portion of the right-of-way between the
edge of pavement and the front lot line, shall be covered by impervious structures including
asphalt, gravel, concrete, brick, stone, slate or similar material but not including wood decking or
the surface of swimming pools. This covenant is intended to insure continued compliance with the
stormwater permit issued by the State of North Carolina. The covenant may not be changed or
deleted without the consent of the State.
2. No one may fill in, pipe, or alter any roadside swale except as necessary to provide a minimum
driveway crossing.
NOTE: If lot sizes vary significantly,the owner/developer must provide an attachment listing each lot
number,size and the allowable built-upon area for each lot.
For commercial projects that have outparcels or future development the following statements must also be
recorded:
3. The connection from the outparcel or future area into the stormwater system must be made into the
forebay such that short-circuiting of the system does not occur.
4. All built-upon area from the outparcel or future development must be directed into the permitted
stormwater control system.
5. Built-upon area in excess of the permitted amount will require a permit modification prior to
construction.
For curb outlet systems,the following statement in addition to items 1 and 2 above must be recorded:
6. No one may pipe,fill in or alter any designated 100 foot long grassed swale used to meet the
requirements of NCAC 2H .1008(g).
2. Supplement Forms
The applicable supplement form(s) listed below must be submitted for each BMP specified for this project:
Form SWU-102 Wet Detention Basin Supplement (Included in application)
Form SWU-103 Infiltration Basin Supplement
Form SWU-104 Low Density Supplement
Form SWU-105 Curb Outlet System Supplement
Form SWU-106 Off-Site System Supplement
Form SWU-107 Underground Infiltration Trench Supplement
Form SWU-108 Neuse River Basin Nutrient Management Strategy Supplement
3. Permit Application Fees (check made payable to NCDENR and submitted to the appropriate Regional
Office)
Type of Permit New, Modification, or Timely Renewal Without
Late Renewal Modification
Low Density $225 n/a
High Density $385(included in App.) $225
Other $225 n/a
Director's Certification $350 n/a
General Permit $50 n/a
Form SWU-101 April 1998 Page 4 of 4

ROBERT M. CHILES, P.E.
ENGINEERS.CONSULTANTS
S
MARINE SURVEYORS
P.O.B OX BROAD ST BUSINESS:252-637-4702
P.O.B FAX:[phone]
NEW BERN,N ORTN GAROLINA 2855a3498 rmcen"=nnW.nel
October 6, 1999
p I (� � 1Ul�,
Mr. Bill Moore J
NCDENR OCT - 7 1999
Division of Water Quality
943 Washington Square Mall
Washington, N. C.27889 WASHINGTON REGIONAL OFFICE
DWG
Subject: Carolina Physicians, New Bern, N. C.
Stormwater Management
Dear Mr. Moore:
The stormwater pond at the Carolina Physicians site has been built according to the plans
submitted for Stormwater Permit No. SW 7990308.
If you need additional information please advise.
Very truly yours,
ROBERT M. CHILES, P.E.
� e"�145z
Joe L. Riddick,Jr., P.E.
JLR,JR:jrf
cc: Mr. Ronald (pock
George Lott
MECHANICAL.CIVIL,AND MARINE ENGINEERING MARINE HYDROGRAPHIC AND LAND SURVEYS
COMMERCIAL,INDUSTRIAL,MARINE AND RAILROAD FACILITIES DESIGN
FORENSIC ENGINEERING AND FAILURE ANALYSIS BOUNDARY SURVEYS AND MAPPING SERVICE

ROBERT M. CHILES, P.E.
ENGINEERS,CONSULTANTS
8
417-A BROAD STREET MARINE SURVEYORS BUSINESS: 252-637-4702
P.O.BOX 3498 NIGHTS: 252-638-2346
46
NEW BERN,NORTH CAROLINA 26564-3486 FAX [phone]D3
March 29, 1999
Mr. William Moore
Division of Water Quality
NCDENR MAR 3 0 1999
943 Washington Square Mall
Washington, N. C. 27889
WASHINGTON REGIONAL OFFICE
DWO
PROJECT: Carolina Physicians—Parcel 2.A. 1 —Phase III Wellons Centre
Additional Stormwater Management Permit Application Fee
Stormwater Permit Number: SW7990308
Dear Mr. Moore:
Enclosed please find the requested additional Stormwater Management Permit Application fee on the above
project in accordance with your letter(copy enclosed). The following enclosed items are:
1. Additional Permit Application Processing Fee: High Density Permit - RMC Check No. 21979 for
$35.00
2. Your letter dated March 22, 1999 to Triangle Medical Investments, LLC.
We apologize for this inconvenience. Had we known that there was an increase in application fees we would
have sent the correct amount along with all the original documents. Please send/fax us a new fee schedule
for future use if possible
If you have any questions please do not hesitate to call.
Yours very truly,
ROBERT M. CHILES, P.E.
, rbara D. Francis
BDF/bdf
Enclosures: Additional Application Fee
cc: Triangle Medical Investments, LLC
Farrior&Sons,Inc.
File:98296
98296 Stormwater Permit Itl2.doc
MECHANICAL,CIVIL,AND MARINE ENGINEERING MARINE HYDROGRAPHIC AND LAND SURVEYS
COMMERCIAL,INDUSTRIAL,MARINE AND RAILROAD
FACILITIES DESIGN
FORENSIC ENGINEERING AND FAILURE ANALYSIS BOUNDARY SURVEYS AND MAPPING SERVICE

State of North Carolina
Department of Environment and ® 0
Natural Resources COPYDivision of Water Quality
James B. Hunt, Jr., Governor CDENR
WayneMcDevitt, Secrets NORTH CAROLINA DEPARTMENT OF
Y Secretary ENVIRONMENT AND NATURAL RESOURCES
Kerr T. Stevens, Director
DIVISION OF WATER QUALITY
March 22, 1999
Triangle Medical Investments, LLC
Attn: Mr. Jack Cole
800 Moye Blvd.
Greenville, NC 27834
Subject : Stormwater Permit SW7990308
Carolina Physicians
Wellons Centre, Phase 3
Craven County
Dear Mr. Cole :
This office received a copy of your stormwater application
and supporting information on March 3, 1999. This application has
been assigned the number listed above.
A preliminary review of your project has been completed. The
following additional information is needed before a permit can be
issued:
- effective January 1, 1999 the stormwater application fee is
$ 420 . 00 for all state stormwater permits; therefore, an
additional fee of $ 35 . 00 is required
The above information must be submitted within 30 days, or
your application will be returned as incomplete . If you have
questions, please feel free to contact me at (252) 946-6481,
extension 264 .
Sincerely,
William J. Moore
Environmental Engineer
Washington Regional Office
cc: v4bert Chiles Engineers
Craven County Inspections
Washington Regional Office
943 Washington Square Mall,Washington, North Carolina 27889 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer

T "llool

OCT' 7-99 THU 414 PM ROBERT M CHILES P. E. PAX NO, 252 637 3100 P. I
ROBERT M. CHILES, P.E.
ENGINEPRS,CONSULTANTS
4i7- A
ABROAD STREST MARINE SURVEYORS BUSINESS.
RO, N
P.O.60X a4e9 NIGHTS 262-63&23E9
NEW SERN,NORTH CAROLINA 2968E.9E98 FAX; Z62.B3T9'10G
March 29, 1999 �—
2176s 3�is-q9
Mr-William Moore
Division of "' ' ^ualily 19 7 q
NCDENR
943 Washington Square Mall / n �20
Washington, N. C. 27089 7b 7 "
PROJECT: Carolina Physicians- Parcel 2.A. 1 -Phasa III Wellons Centre
Additional Stormwater Management Permit Application Fee
Stormwater Permit Number: $W7990308
Dear Mr. Moore:
Enclosed please find the requested additional Stormwater Management Permit Application fee on the above
project in accordance with your letter(copy enclosed). The following enclosed kerns are:
1. Additional Permit Application Processing Fes: High Density Permit - RMC Check No. 21979 for
$35.00
2. Your letter dated March 22, 1999 to Triangle Medical Investments, LI.C.
We apologize for this inconvenlence. Had we known that there was an Increase in application fees we would
have sent the correct amount along with all the original documents, Please sendtfax us a new fee schedule
forfuture use If possible
If you have any questions please do not hesitate to call.
Yours very :. .
ROBE T M. CHILES, P
Cam- e__
Barbara D. Francis
BDFlbdf
Enclosures: Additional Application Fee
CC' Triangle Medical Investments. LLD
Farrior&Sons,Inc.
Pile;99298 Post-it,`brand tax transmittal memo 7671 Furpagee
TOjJl u-- Mw Fr6 Go.9.m CCo ��S _
Dapt. Lst 31
61-
Fps — b�il,3DV
98296 Stormwater Permit Itl2.doo L
MECHANICAL,CIVIL,ANO MARINE ENGINEERING MARINE WDROGRAPMIC AND LAND SURVEYS
COMMERCIAL,NOUSTRIAL,MARINE AND RAILROAD
FAOILITIES DESIGN
FOREN810 ENGINEERING AND FAILURE ANALYSIS BaJNDARY SURVEYS AND MAPPING SERVICE

Permit No.
(to be provided y DW
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality F
STORMWATER MANAGEMENT PERMIT APPLICATIONWET DETENTION BASIN SUPPLEMENTM R - 3 1999Thisform may be photocopied for use as an original
WASH REGIONAL OFFICE
DWQ Stormwater Management Plan Review: UWa
A complete stormwater management plan submittal includes a wet detention basin supplement for each basin,
design calculations, plans and specifications showing all basin and outlet structure details, and a signed and
notarized operation and maintenance agreement.
I. PROJECT INFORMATION (please complete the following information):
Project Name : Carolina Physicians, Parcel 2.A.1-Phase III Wellons Centre
Contact Person: .1Ar Cote Phone Number: (1S2) $?jv • Z12
For projects with multiple basins, specify which basin this worksheet applies to: Single Basin
Basin Bottom Elevation 18.0 ft. (average elevation of the floor of the basin)
Permanent Pool Elevation 22.0 ft. (elevation of the orifice)
Temporary Pool Elevation 23.5 ft. (elevation of the discharge structure overflow)
Permanent Pool Surface Area 3,756 sq. ft. (water surface area at the orifice elevation)
Drainage Area 1.50 ac. (on-site and off-site drainage to the basin)
Impervious Area 1.125 ac. (on-site and off-site drainage to the basin)
Permanent Pool Volume 9,835 cu. ft. (combined volume of main basin and forebay)
Temporary Pool Volume 7,707 cu. ft. (volume detained above the permanent pool)
Forebay Volume 1467.85 cu. ft.
SA/DAI used 6.5 (Chart 4) (surface area to drainage area ratio)
Diameter of Orifice 0.75 in,
Design TSS Removal 85 % (85%TSS removal required, see item k below)
II. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the Stormwater Best Management Practices manual
(N.C. Department of Environment, Health and Natural Resources, November 1995) and Administrative Code
Section: 15 A NCAC 2H .1008.
Initial in the space provided to indicate the following design requirements have been met and supporting
documentation is attached. If the applicant has designated an agent in the Stormwater Management Permit
Application Form, the agent may initial below. If a requirement has not been met, attach justification.
Form SWU-102 Rev 1/August 1998 Page 1 of 3

LJ A.
..... . iU :AVID Ox 11JIJl�i v'.:J+ f
i

Applicants Initials
a. The temporary pool controls runoff from the 1 inch storm event.
b. The basin length to width ratio is greater than 3:1.
c. The basin side slopes above the permanent pool are no steeper than 3:1.
d. A submerged and vegetated perimeter shelf at less than 6:1 is provided (show detail).
e. Vegetation above the permanent pool elevation is specified.
f. An emergency drain is provided to empty the basin.
g. The permanent pool depth is between 3 and 6 feet (required minimum of 3 feet).
h. The temporary pool draws down in 2 to 5 days.
L A trash rack is provided for both the overflow and orifice.
j. The forebay volume is approximately equal to 20% of the total basin volume.
k. Sediment storage is provided in the permanent pool.
1. A 30-foot vegetative filter is provided at the outlet2 (include erosive flow calculations)
m. Recorded drainage easement for each basin including access to nearest right-of-way.
n. A site specific operation and maintenance (O&M)plan is provided.
o. A vegetation management/mowing schedule is provided in the O&M plan.
p. Semi-annual inspections are specified in the O&M plan.
q. A debris check to be performed after every storm event is specified in the O&M plan.
r. Specific clean-out benchmarks are specified in the 0&M plan(elevation or depth).
s. A legally responsible party is designated in the O&M plan3 (include name and title).
t. If the basin is used for sediment and erosion control during construction, clean out of the
basin is specified to be performed prior to use as a wet detention basin.
Footnotes:
l When using the Division SA/DA tables,the correct SA/DA ratio for permanent pool sizing should be computed based upon the
actual impervious%and permanent pool depth. Linear interpolation should be employed to determine the correct value for non-
standard table entries.
2 The requirement for a vegetative filter may be waived if the wet detention basin is designed to meet 90%TSS removal.
3 The legally responsible party should not be a homeowners association unless more than 50%of the lots have been sold and a
resident of the subdivision has been named the president.
III. WET DETENTION BASIN OPERATION AND MAINTENANCE AGREEMENT
The wet detention basin system is defined as the wet detention basin, forebay, non-integrated pretreatment
systems (pretreatment other than forebays), and the vegetated filter if one is provided.
This system (check one) ❑ does IR does not incorporate a vegetated filter.
This system (check one) ❑ does 0 does not incorporate non-integrated pretreatment.
Maintenance activities shall be performs as follows:
1. After every significant runoff producing rainfall event and at least monthly:
Form SWU-102 Rev 1/August 1998 Page 2 of 3

a. Inspect the wet detention basin system for sediment accumulation, erosion, trash accumulation, grass
cover, and general condition.
b. Check and clear the orifice of any obstructions such that drawdown of the temporary pool occurs within
2 to 5 days.
2. Repair eroded areas immediately, re-seed as necessary to maintain good vegetative cover, mow vegetative
cover to maintain a maximum height of six inches, and remove trash as needed.
3. Inspect and repair the collection system(i.e. catch basins,piping, swales, riprap, etc.) quarterly to maintain
proper functioning.
4. Remove accumulated sediment from the wet detention basin system semi-annually or when depth is
reduced to 75%of the original design depth. Removed sediment shall be disposed of in an appropriate .
manner and shall not be handled in a manner that will adversely impact water quality (i.e. stockpiling near a
wet detention basin or stream, etc.).
The original design depth is: 18.0'
The sediment removal benchm�depth is: 19.0'
5. Remove cattails and other indigenous wetland plants when they cover 75% of the basin surface. These
plants shall be encouraged to grow along the basin perimeter.
6. If the basin must be drained for an emergency or to perform maintenance,the flushing of sediment through
the emergency drain shall be minimized to the maximum extent practical.
7. All components of the wet detention basin system shall be maintained in good working order.
I acknowledge and agree by my signature below that I am responsible for the performance of the above
maintenance procedures. I agree to notify DWQ of any problems with the system or changes in the name of the
project, responsible party, or address.
Print name: .IAC V- Goo
Address:__ 000 (40&L6 &-Q . AFE*4 %U6 Ohl G *.1153+
Phone: 2/7Z • bjy - 2) Z
Title:
Signature:
Date:
I, /�r1pe (o- N. 66154-on a Notary Public for the State of 1U04ti (�s,r0l nay
County of l _rreelne do hereby certify that Ck (Dle
personally appeared before me this q"�h day of lit"lit"9ft 1991 and acknowledge the
due execution of the forgoing infiltration system maintenance requirements. Witness my hand and official seal,
rti �O"t� SEAL
My commi Sion expires_ ) a mil, 1999
Form SWU-102 Rev 1/August 1998 Page 3 of 3

MAN - 3 1999
POND MAINTENANCE REQUII2EIVIFNTS
Carolina Physicians WASHINGTON REGIONAL OFFICE
Parcel 2.A.1-Phase III WEllons Centre DWG
Project Name: Project No.
Permittee: Triangle Medical Investments, LLC Phone No.
Address: 800 Moye Blvd, Greenville, N. C. 27834
I. Monthly, or after every runoff producing rainfall event, whichever comes first:
A. Inspect the trash rack; remove accumulated debris, repair/replace if it is not functioning.
B. Inspect and clear the orifice of any obstructions. If a pump is used as the drawdown
mechanism, pump operation will be checked. A log of test runs of the pump will be kept
on site and made available to DEM personnel upon request.
C. Inspect the pond side slopes and grassed inlet swales; remove trash, and repair eroded
areas before the next rainfall event.
D. If the pond is operated with a vegetated filter, the filter will be checked for sediment
accumulation, trash accumulation, erosion and proper operation of the flow spreader
mechanism. Repairs/cleaning will be done as necessary.
U. Quarterly:
A. . Inspect the collection system (ie. catch basins, piping, grassed swales) for proper
functioning. Accumulated trash will be cleared from basin grates, basin bottoms, and
piping will be checked for obstructions and cleared as required.
B. Pond inlet pipes will be checked for undercutting. Riprap or other energy dissipation
structures will be replaced, and broken pipes will be repaired.
III. Semi-annually:
A. Accumulated sediment from the bottom of the outlet structure will be removed.
B. The forebay depth will be checked at various points. Sediment removal is required when
the depth is reduced to 75% of the original forebay design depth of 19.o
C. Grassed swales, including the vegetated filter if applicable, will be reseeded twice a year
as necessary.

POND MAINTENANCE REQUIREMENTS
PAGE 2
---------------------------------------------------------
IV. Annually:
A. The pond depth will be checked at various points. Sediment removal is required when the
depth is reduced to 75% of the original design depth or Y, whichever is greater. Design
depth is 18.0 ', measured vertically from the orifice down to the pond's bottom.
Sediment must be removed to at least the original design depth.
V. General:
A. Mowing of the side slopes will be accomplished according to the season. Maximum grass
height will be 6".
B. Cattails are encouraged along the pond perimeter, however they will be removed when they
cover more than 1/2 the surface area of the pond. The best time to cut them is at the end
of the growing season, in November. Environmentally sensitive chemical for use in killing
cattails can also be used. Contact your nearest Agricultural Extension Agent.
C. The orifice/pump is designed to draw down the pond in 2-5 days. If drawdown is not
accomplished in that time, the orifice will be replaced with a larger or smaller orifice.
Slow drawdown may be attributed to a clogged system. The source of the clogging will
be found and eliminated.
D. All components of the detention pond system will be kept in good working order. Repair
or replacement components will meet the original design specifications as per the approved
stormwater plan. If previously approved components are determined to be ineffective, the
component must be redesigned and/or replaced.
VI. Special Requirements:
I, -I AGE Wit; , hereby acknowledge that I am the financially
(please print or type nine clearly)
responsible party for maintenance of this detention pond. I will be responsible for the performance of the
maintenance as outlined above, as part of the Stormwater Management Permit received for this project.
Signature: Date; Av
DA/arl: SW S\STORMWAT\FORMS\O&M-POND.FOR

STORMWATER MAINTENANCE PLAN III. CALCULATIONS
ROBERT M.CHILES,P.E.
Engineers& Consultants
PROTECT AREA 1.50 acres= 65,340 sq ft
Building 4,657 sq ft
Parking,Pavement, Curb&Gutter 14,252 sq ft
Sidewalks 1,977 sq ft
Other, Grass 44,544 sq ft
Offsite area entering pond 0 sq ft
VOLUIME: 1" Runoff from impervious area of 75% (Maximum%impervious used to facilitate future
expansion&accommodate stormwater requirements.)
1.50 acres x 75%= 1.125 acres or 49,005 sq ft Q
49,005/ 12=4,084 cu ft --
11
1" Runoff from pervious area @ 20% MAR - 3 1999
.20 x 16,355 sq ft/ 12=273 cu ft
WASHINGTON REGIONAL OFFICE
O
TOTAL 4,084 cu ft WO — —to 273 cu ft /
4,357 cu ft ✓
SA/SD RATIO FO 4.0' BASIN DEPTH @ 75% LVIPERVIOUS 6.5 (Chart 4) �utnut„{
SA= 49,005 sq ft x 6.5 / 100 3,185 SQ FT `� O� •
?� .....
FS/p
N,9
Permanent Pool Elevation 22.0 ¢� 9l • -
Design Storage 23.5 18" Rise Desi_an '
Top of Bank 25.0 Storm Depth
Emergency Spillway 24.5 % Oe••.
DropInlet T
Bottom Elevation 18.00
PERINIANENT POOL SURFACE AREA REQUIRED/PROVIDED y/
SA= Permanent Pool SA=0.0831 acres 3,185 sq ft "
Permanent Pool= 3,185 sq ft required V--'/ 3,756 sq ft provided
Pond Storage= 4,357 cu ft required V 7,707 cu ft provided ✓
ORIFICE SIZING
Orifice Flow=cfs Cd= 0.60 Q= Cd
A- 0.0031 1
3/4-dia. hole Q=0.0129267 cfs
A= (1) 3/4" dia. O0.0 1 Q=0.7755999 cfrn
g= 32.2 ft/sec Q=46.535995 cfh
h= 0.75 =average 0-18" Q= 1,116.8639 cf day
Outlet Time 3,756/ 1,116.8639 = 0.2629881 days
Carolina Physicians, Triangle Medical Investments, LLC 7 RMC No:99296SW

e
t
r

F WATE wzgn
i �D�O 9P(r Michael F.Easley,Governor
CO �y William G.Ross Jr.,Secretary
r North Carolina Department of Environment and Natural Resources
O t Y Coleen H.Sullins Director
` � Division of Water Quality
March 10, 2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7007 3020 0001 88610104
Jack Cole
Triangle Medical Investments LLC
2210 Hemby Lane
Greenville NC 27834
Subject: NOTICE OF VIOLATION
NOV-2008-PC-0122
Permit No. SW7990308
Carolina Physicians
Craven County
Dear Mr. Cole:
On January 8 and February 21, 2008 staff of the Washington Regional Office performed a Compliance
Inspection of the subject project, located at 3100 Wellons Blvd.,New Bern,North Carolina. The
inspection was performed to determine the status of compliance with Stormwater Permit Number
SW7990308, issued to you on October 18, 1999.
The project has been found in violation of Stormwater Permit Number SW7990308, issued pursuant to
the requirements of 15A NCAC 2H.1000. The violations found are:
Violations of State Stormwater Permit No. SW7990308 (Section I (4), (5)a,b)which states:
4. No homeowner/lot owner/developer shall be allowed to fill in, alter, or pipe any vegetative
practices(such as swales) shown on the approved plans as part of the stormwater management
system without submitting a revision to the permit and receiving approval from the Division.
5. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
On the inspection date it was noted:
The approved plans for Carolina Physicians dated 12/22/98 are for permit SW7990308. The site plan
shows 4657 SQ. FT, of office space, 1977 SQ. FT. of sidewalks and 14,252 SQ. FT. of parking and
access pavement. On the date of the inspection it was obvious that there has been an expansion of the
building and parking lot, which has added impervious surface. This requires a modification of the permit
as stated in Section I 5(a).
943 Washington Square Mall Washington,NC 27889 252-946-6481 (Telephone) 252-946-9215(Fax)
An Equal Opportunity/Affirmative Acton Employer—50%Recycled/10%Post Consumer Paper

February 26, 2008
Project Name: Carolina Physicians
Stormwater Permit No. SW7990308
The property name has been changed to Southern Gastroenterology Associates and the CCHC
Endoscopy Center. This also requires a permit modification as stated in Section I 5(b).
The grass swale located southwest of the building collects rooftop drainage and routes it offsite instead
of to the wet detention pond. The stormwater system was approved to capture all stormwater runoff
from the impervious areas on the site. This requires an engineer's evaluation and submittal of plans to
redirect this runoff to the pond.
The permit and the Operation and Maintenance Plan reference maintaining the vegetative slopes. The
slopes of the pond are lined with riprap. At the time of the inspection there were no signs of significant
erosion, however, if an erosion problem develops later it may be necessary to replace the riprap with
vegetation.
The slopes appear to be closer to 2:1 rather than 3:1.
The forebay has excessive cattails. The cattails and other indigenous wetland plants need to be removed
when they cover more than %2 of the basin surface.
Trash in the pond needs to be removed.
To correct these violations you must:
1. Provide a written "Plan of Action" which outlines the actions you will take to correct the violations
and a time frame for completion of those actions, on or before April 18,2008.
2. Submit a Stormwater Application package for a permit modification including an application fee of
$505.00, revised plans and specifications and a name change form to the Division of Water Quality,
Washington Regional Office.
3. An engineer's evaluation of the rooftop runoff is needed and plans submitted to capture all of
this runoff and redirect it to the pond.
4. Remove excessive cattails from the Forebay.
5. Remove trash from the pond.
Failure to provide the 'Plan of Action" by April 18, 2008 or to correct the violations 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 and
criminal penalties, pursuant to NCGS 143-215.6A.
In addition to Section II of your permit that details maintenance and record keeping, please read your
signed Operation and Maintenance Agreement dated February 9, 1999. If you have any questions
concerning this matter,please call Kristin Jarman at(252) 948-3918.
inc r ly, _---Q
od
Regional Supervisor
Surface Water Protection Section
Attachments
cc: Shelton Sullivan—NPS Assistance & Compliance
WaRO files

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Compliance Inspection Report
Permit: SW7990308 Effective: 10/18/99 Expiration:10/18/09 Owner:Unknown-Waro
SOC: Effective: Expiration: Facility:Carolina Physicians-Wellons Ctr
County:Craven
Region:Washington
Contact Person: Title: Phone:
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 01/08/2008 Entry Time: 10:55 AM Exit Time: 11:40 AM
Primary Inspector: Kristin C Jarman 19 Phone:[phone]
Secondary Inspector(s): Ext.315
William J Moore Phone: [phone] Ext.264
Reason for Inspection: Routine Inspection Type:Stormwater
Permit Inspection Type: State Stormwater
Facility Status: Q Compliant E Not Compliant
Question Areas:
■Miscellaneous Questions ■Misc
(See attachment summary)
Page: 1

Permit:SW7990308 Owner-Facility: Unknown-Wam
Inspection Date:0110812008 Inspection Type:Stormwater Reason for Visit: Routine
Inspection Summary:
Name of facility is now Southern Gastroenterology Associates and CCHC Endoscopy. No name change request is in
file.Built-upon is more than plan in file. New plan must be submitted with modification request. Part of rooftop is draining
offsite without treatment. Drainage must be redirected to pond. Cattails and trash need to be removed. Riprap is on all
slopes, no vegetation. No significant erosion was seen at the time of the inspection, however, if erosion occurrs in the
future, the slopes may have to be vegetated.
Misc Yes No NA NE
Is the facility compliant? ❑ ■ ❑ ❑
Comment: See summary
Page: 2

e_-a, _. 1. 5. 6, a�u} J. I,1I<r
ROBERT M. CHILES, PE 31708
ENGINEERS & CONSULTANTS rc /J pQ
P.C. 285 DATE D� Q✓ 2 Q�Z-J fib-19/53�[
NEW KERN,,NC NC 28564:1496
PAY NG �G/V/� $ 5O 5, Oo
TO THE
ORDER OF
FIVE OLLARS 8 4•- I
BankofAmerica
ACH R?056000198
5W rhopgF1'Cp'troN t@e vo(L
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2oa5 2'by 9'03 L ?08n■ 1:053000 L961: 0003 L LO L939 du'

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ROBERT M. CHILES, PE 31708
ENGINEERS & CONSULTANTS
P.O. BOX 3496 O I a Q 66-19/530 NC
DATE '5
NEW BERN,NC 28564-3496 C% 3100
� s o Z
TO THE
PAY G �G N/L F
ORDER $ 5OJ, 0o
' ORDER OF //�� � I �✓ J CC//
FIVE // uNDRE� F�V� i3-Na OY1OD OLLARS
BankofAmerica��„
w.. ACH R(f 053000196II
SW fno'D11FIt�F?loN r2c Vo(L
FOR P>-?MIT }.le. SO 199 OSdS �/ -- — -- ' —4
- Zoos 2'dY a■031708n' ':05 L R 3iLOL9392u'
JUN - J 2008

r
ROBERT M. CHILES, P.E.
ENGINEERS,CONSULTANTS
417-A BROAD STREET &
P.O.BOX 3496 MARINE SURVEYORS BUSINESS: 252-6374702
NEW BERN,NORTH CAROLINA 28564-3496 FAX: [phone]
roberimchilespe.com
June 5, 2008 CERTIFIED MAIL ELECTRONIC R/R NO.: 7006 2760 0003 3520 3635
Mr. AI Hodge, Regional Supervisor
Surface Water Protection Section n of
NC DENR Washington Regional Office
943 Washington Square Mall
Washington NC 27889-3532 JUN - 6 2008
PROJECT: STORMWATER PERMIT NO. SW7990308
CAROLINA PHYSICIANS (FORMERLY) d 11Y vAl AIR 0
CRAVEN COUNTY, LOCATED IN THE CITY OF NEW BERN
SUBJECT: COASTAL STORMWATER PERMIT NAME/OWNERSHIP CHANGE
MODIFICATION TO SW PERMIT(MAINTENANCE PLAN) WITH ATTACHED FEE
REFERENCE: NC DENR DWG "NOTICE OF VIOLATION LETTER NOV-2008-PC-0122"
DATED MARCH 10, 2008 TO TRIANGLE MEDICAL INVESTMENTS, LLC
Dear Mr. Hodge:
Enclosed please find the following items on the above referenced project. These enclosures are in response
to your notice of violation letter dated March 10, 2008, to Triangle Medical Investments, LLC. A copy of this
letter is attached for reference.
1. Copy of Robert M. Chiles, P. E. letter dated April 14, 2008 to NC DENR DWQ stating the plan of action
and commenting on the contents of the violation letter.
2. "Coastal Stormwater Permit Name/Ownership Change Form'; completed and signed. Name/Ownership
changed from Carolina Physicians, Triangle Medical Investments, LLC to 3100 Wellons Boulevard
Property Owners Association.
3. Revised, Signed and Notarized page 6 of the Stormwater Maintenance Plan, Section II to reflect new
Owner
4. Modification Fee: RMC Check No. 31708 for$505.00, envelope w/check attached to this letter w/copy.
If you need any additional information, please do not hesitate to call at your earliest convenience.
Very truly yours
ROBE�T M. CAS, P.E.
e-x
Barbara D. Francis
BDF/bdf
Enclosures: As Noted Above
cc: 3100 Weilons Blvd.POA,w/enclosures
File: 2005 284
2005 284 AH SW Itr.doc
MECHANICAL,CIVIL,AND MARINE ENGINEERING MARINE HYDROGRAPHIC AND LAND SURVEYS
COMMERCIAL,INDUSTRIAL,MARINE AND RAILROAD
FACILITIES DESIGN
FORENSIC ENGINEERING AND FAILURE ANALYSIS BOUNDARY SURVEYS AND MAPPING SERVICE

MAR. 27, 200P 3: 35PW46a'NCCHC ADMIN OFFICE Kim aierrercx.v —NO. 7489—P. 2
pF WA 9 o17 r.3/9 ue
`�$ QG MAW W F.Brtlry,oomner
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owe"MDva�ter[ modN* i'w.�a�
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Match 10,2008 C01)y
Jack Cole
Triangle Medical Uovas MMU LLC
2210 Hemby Lana
C*reeovslle NC 27934
Subject NOTICE OF VIOLA77014
NOV-"WPC-6122
PernitNo.SW7990308
Carolina Physicians
Craven Cow*
Dew*. Cola
Inspectttioouu�of the 21,2008 staff the Wa,hiegeon iZeBionei Ofl9ce performed a Compliance
t on vas 7�project'located at 3100 Welloas Blvd,New Ben,North Carolina.'Mi
S W7990308,i�redPted to detstmine the atang of comPliance with Stotm�watet'Permit Number
you on Octoba 18, 1999,
The 1MJM has been Arad i a violation Of Stormwarer Permit Number SW7990308,issued puuauant to
the rNuirenc=of 15A NCAC 2H,1000. VW vioUrtIona found are:
""'*dam of ft"e Stoeswttter Permit No.SW7991M(Soedon 1 (41 (S*b)wlr a amr6er.
4. No homeowncr/lot owoWdevelopw shall be allowed to fill in,alter, of pipe any vegetative
(Mh as WAS)shown on the epp�ved pleas m part of the stormwater eat
B a revision to the rermit and rearviAg nova]from theDnisim
5. The followfag items will t equrre a modificatica to the petmir,
b. p naw aPl �'ed plena,rega�rdlesa of size
ect On the urspoetion dote it was noted;
The approved 'am far Celina Pltyaiciaas dated 12/22/98 are for Pmnit S W7990308, The site lan
shows 4657 S( .I'1. f office apeca, 1977 SQ. FT.of 410waW and 14,232 SQ.FT.of
access pavemem. On the date afthe' on it was obvious that tbere has been au a
building wW Perk lot,which has ad expansion o of the
as stated in Section 5(a). lmpetvio�s sm#ace This requires a utodlf radon of the permit
94J M'ahinaeon,4,"Ma ft"Mma.lrc 278iY 28ieob BI( NWA ter) ti•"16 W"
AnERu'IUPPI*bA WFeiaaNAWmruioam-W%RSFOW OaPoROaauee p6W

PFCPU Nmw CaroQna Ph
StomtwaW Parma No.
TW 1rOPUtY nfte has beta changed to Sour)M CiasnnOUMIOV Awodates and the CCHC
PY Center.Tads W"mltama a pmdt=WMI ation as abated in SOCtion I S(bj
The grass Swale located sOathweat of the building collaW�P age and rounds it efL�te instead
from the wet deft ton Pond.The tdotmvA t Ostern was approved to Cq tre aU Stotmwater nmoff rmpesviOus areas an t>>e Site.This s+tqu;tca mginem's mhmdan and sablmitW of plate to
terllt+txt this t+mteff'to the pond.
The permit and the Operation and bleintm m pkm tefesmce
slopes of the pond tee lined with tiipntp.At the time Of the mai=i6 the vegetative slopes•The
ops laser it may oa may to m no signs of sig wic
erosion,however,if an Omim Problem dewd aot
vegetation to rdplaee the ripntp with
The fo to be closerto 2.1 ratherSN 3 1.
Y etceeatdve c%o of t.Thu�s sad Other indigenous t►edand ptm need to be removed
'01h0a�Y over trees tltan'h f rite basin autlirce,
Trash in the Pond needs to be removed,
I and a t a vvatbea"l'➢an of Action"which aodinoa the aop000a you wiiN take t o MOM the violations
and a time iirarae for Completim of those adtoms�on aQ buticae Aprll 1>3,26pg,
2. Submit a wised ater Appli tied p��for a permit modifi�on includutg an a lication fee of
q�t�ahi Offici.spea!$catioae ad a came change form to the Division of Water Quality,
a, this nmofraad r�edt'tm it w the pond.mftop runoff is needed and Plans attbmitted to capture all of
4. Remove excessive aalftib ftnm the P'm*.
S.Itsamove trash ftt m the pon&
Failure to ju ibe"P as ofonaJWofACtiaa",�„,A�r�lllg,2018 a to castect the violatloru by the date
the tmmam of enforeemem jj p' wM�"""'vl*b ions of l5A NCAC M 1000,and may teaalt lu
�Pe ddcs,Pursuant to NCOS 143-2 6'mA V ro0pj00tl0°`�im for the asae�meat of civil and
Isivied additione am IT„of�O►>r'Pumit that details t> a�am�egand record please read your
wncutdox an ftT,Plated can d Fes)94tt-3919599.If you Piave any question
A
S W rouchoo Section
Shdoon Sullivan—I,lpg Astds��
WaRO Mw

��F W ATFRO Michael F.Easley,Governoro^' '^ William G.Ross Jr.,Secretary
> r North Carolina Department of Environment and Natural Resources
Coleen H.Sullins Director
Division of Water Quality
March 18,2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7007 3020 000188616694
Dr. David Byrd
3100 Wellons Blvd.
New Bern NC 28562
Subject: NOTICE OF VIOLATION
NOV-2008-PC-0122
Permit No. SW7990308
Southern Gastroenterology
Permitted as Carolina Physicians
Craven County
Dear Mr. Byrd:
On January 8 and February 21, 2008 staff of the Washington Regional Office performed a Compliance
Inspection of the subject project, located at 3100 Wellons Blvd.,New Bern,North Carolina. The
inspection was performed to determine the status of compliance with Stormwater Permit Number
SW7990308, issued on October 18, 1999.
The project has been found in violation of Stormwater Permit Number SW7990308, issued pursuant to
the requirements of 15A NCAC 2H.1000. The violations found are:
Violations of State Stormwater Permit No. SW7990308 (Section I (4), (5)a,b,c) which states:
4. No homeowner/lot owner/developer shall be allowed to fill in, alter, or pipe any vegetative
practices (such as swales) shown on the approved plans as part of the stormwater management
system without submitting a revision to the permit and receiving approval from the Division.
5. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size
b. Project name change
c. Transfer of ownership
On the inspection date it was noted:
The grass Swale located southwest of the building collects rooftop drainage and routes it offsite instead
of to the wet detention pond. The stormwater system was approved to capture all stormwater runoff
from the impervious areas on the site. This requires an engineer's evaluation and submittal of plans to
redirect this runoff to the pond (Section I (4)).
943 Washington Square Mall Washington,NC 27889 252-946-6481 (Telephone) 252-946-9215(Fax)
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

March 18, 2008
Project Name: Carolina Physicians
Stormwater Permit No. SW7990308
The approved plans for Carolina Physicians dated 12/22/98 are for permit SW7990308. The site plan
shows 4657 SQ. FT. of office space, 1977 SQ. FT. of sidewalks and 14,252 SQ. FT. of parking and
access pavement. On the date of the inspection it was obvious that there has been an expansion of the
building and parking lot, which has added impervious surface. This requires a modification of the permit
as stated in Section I 5(a).
The property name has been changed from Carolina Physicians to Southern Gastroenterology Associates
and the CCHC Endoscopy Center. The property is now owned by Dr. David Byrd instead of Jack Cole.
These also require a permit modification as stated in Section I 5(b,c).
The permit and the Operation and Maintenance Plan reference maintaining the vegetative slopes. The
slopes of the pond are lined with riprap. At the time of the inspection there were no signs of significant
erosion, however,if an erosion problem develops later it may be necessary to replace the riprap with
vegetation.
The slopes appear to be closer to 2:1 rather than 3:1.
The forebay has excessive cattails. The cattails and other indigenous wetland plants need to be removed
when they cover more than ''/z of the basin surface.
Trash in the pond needs to be removed.
To correct these violations you must:
1. Provide a written "Plan of Action" which outlines the actions you will take to correct the violations
and a time frame for completion of those actions, on or before April 25,2008.
2. Submit a Stormwater Application package for a permit modification including an application fee of
$505.00, revised plans and specifications and a name change form to the Division of Water Quality,
Washington Regional Office.
3. An engineer's evaluation of the rooftop runoff is needed and plans submitted to capture all of
this runoff and redirect it to the pond.
4. Remove excessive cattails from the Forebay.
5. Remove trash from the pond.
Failure to provide the "Plan of Action" by Apri125,2008 or to correct the violations 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 and
criminal penalties, pursuant to NCGS 143-215.6A.
In addition to Section II of your permit that details maintenance and record keeping, please read your
signed Operation and Maintenance Agreement dated February 9, 1999. If you have any questions
concerning this matter, please call Kristin Jarman at [phone].
nceerel ,
Al Hodge —
Regional Supervisor
Surface Water Protection Section
Attachments
cc: S elton Sullivan—NPS Assistance & Compliance
,^aRO files

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