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PROGRAM
****Revised Acceptance: Change in CU and Basin****
Troy Beasley
Withers and Ravenel
7040 Wrightsville Avenue, Suite 101
Wilmington, NC 28405
July 17, 2006
Project: Anchor Medical Center County: Brunswick

The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NC EEP) is willing :u
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NC EEP will be approved.
This acceptance is valid for six months from the date of this letter. If we have not received a copy of the issued 404
Permit/401 Certification within this time frame, this acceptance will expire. It is the applicant's responsibility to send
copies of the 404/401/CAMA permits to NC EEP. Once NC EEP receives a copy of the 404 Permit and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
following table.
River Basin Wetlands Stream Buffer Buffer
Cataloging (Acres) (Linear Feet) Zone 1 Zone 2
Unit (Sq. Ft.) (Sq. Ft.)
Riparian Non-Riparian Coastal Marsh Cold Cool Warm
Cape Fear 0 0.08 0 0 0 0 0 0
03030005
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The type and amount of the compensatory
mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or CAMA Permit. The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C. Department of
Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact David Robinson at [phone].
Sincerely,
R'lli D. Gilmore, PE
Director
cc: Cyndi Karoly, Wetlands/401 Unit
Doug Huggett, Division of Coastal Management
Jennifer Frye, USACE - Wilmington
Noelle Lutheran, DWQ Regional Office - Wilmington
File
Prot", oar state, RUENR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net
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PROGRAM
INVOICE
July 21, 2006
Brock and Associates
265 Racine Drive, #201
Wilmington, NC 28403
Project:
County:
DWQ#:
USACE Action ID:
Anchor Medical Center
Brunswick
N/A 0 (o - 0'9 50
200633108010
You have elected to satisfy the compensatory mitigation requirements of the Section 401/404 permit issued for the above reference
project through payment of a fee to the North Carolina Ecosystem Enhancement Program (NCEEP). In accordance with 15A NCAC
2H.0500, the amount you owe is based upon the FY 2006-07 Fee Schedule and has been calculated as follows (Please note: payment
of wetlands is calculated in increments of 0.25 acres). If you have any questions concerning this payment, please call David Robinson
at 919-715-2228.
Riparian Wetlands 0 acres x $ 27,847.00 = S
Non-Riparian Wetlands 0.25 acres x S 13,924.00 = $ 3,481.00
Saltwater Wetland 0 acres x $139,235.00 = $
Stream 0 linear feet x $ 232.00 = $
Buffer -Zone 1 0 square feet x $ .96 = $
Buffer - Zone 2 0 square feet x $ .96 = $
TOTAL AMOUNT DUE S3,481.00
Please mail a check payable to NCEEP for the Total Amount Due to the address below, and enclose a copy of this invoice.
NCDENR Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Please note that a payment made to NCEEP is not reimbursable unless a request for reimbursement is received within 12 months of
the date of the receipt. Any such request must be accompanied by letters from the permitting agencies stating that the permit and/or
authorization have been rescinded. If the payment check's account name is not the same as the permit holder's name, please include a
signed statement that the check is being written on behalf of and with full knowledne of the permit holder.
YOU MUST BE IN POSSESSION OF THE PAYMENT RECEIPT FROM NCEEP PRIOR TO COMMENCING THE
ACTIVITIES AUTHORIZED BY THE DEPARTMENT OF ARMY 404 PERMIT AND/OR THE 401 WATER QUALITY
CERTIFICATION. ?
cc: Cyndi Karoly, Wetlands/401 Unit > %%
Jennifer Frye, USACE-Wilmington
Noelle Lutheran, DWQ-Wilmington ? \ `j? 1'
Troy Beasley, Withers & Ravenel-Wilmington (fax)
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NCDENR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net
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June 13, 2006
Faye and Danny Brock
Brock and Associates
265 Racine Drive, #201
Wilmington, NC 28403
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: General 401 Water Quality Certification #3402
Anchor Medical Center
DWQ Project #060850
New Hanover County
Dear Mr. and Mrs. Brock:
The Wilmington Regional Office received your application for a Nationwide 18 Permit from the US Army Corps
of Engineers (USACE) and a General 401 Water Quality Certification on May 19, 2006. The wetland impacts
proposed are for the purpose of constructing a medical office building and associated parking. You are authorized
to permanently impact 0.08 acres of Section 404 Wetlands under General Water Quality Certification (WQC)
#3402 (enclosed) and temporarily impact 0.13 acres of wetlands for a construction corridor. This Certification
can also be found on line at: littp://h2o.enr.state.nc.us/ncwetlands/certs.litm1. This Certification allows you to use
the Nationwide 18 Permit when the USACE issues it. Written concurrence from the Division of Water Quality
(DWQ) is not required provided that you can meet all of the conditions of the General 401 Water Quality
Certification.
If at anytime during construction of your project you determine that you cannot meet these conditions or if there
are any additional impacts to wetlands or water quality not described in your application, you must contact
this office immediately.
If you have any questions concerning this matter, please do not hesitate to call me at (910)-796-7215.
Sincerely,
Noelle Lutheran
Environmental Specialist III
Enclosure: WQC #3402
cc: Troy Beasley, Withers & Ravenel
Ian McMillan, 401 Oversight Unit
Jennifer Frye, USACE Wilmington
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JUN 2 0 2006
DENR -1NA1-cR QUALITY
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North Carolina Division of Waver QuaLty 127 Cardinal Drive Extension Phone [phone] Customer Service 1 -877-623-6748
Wilmington Regional Office Wilmington, NC 28405-3845 FAX [phone] Internet: Ntww.nc%?aterquality.org One
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper NorthCarolina
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WQC #3402
GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE
FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBERS 18 (MINOR DISCHARGES)
39 (RESIDENTIAL, COMMERCIAL AND INSTITUTIONAL DEVELOPMENTS)
41 (RESHAPING EXISTING DRAINAGE DITCHES), 42 (RECREATIONAL FACILITIES)
43 (STORMWATER MANAGEMENT FACILITIES) AND 44 (MINING ACTIVITIES)
AND RIPARIAN AREA PROTECTION RULES (BUFFER RULES)
This General Certification is issued in conformity with the requirements of Section 401,
Public Laws 92-500 and 95-217 of the United States and subject to the North Carolina Division of
Water Quality (DWQ) Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B.0200 for
the discharge of fill material to waters and adjacent wetland areas or to wetland areas that are not
a part of the surface tributary system to interstate waters or navigable waters of the United States
(i.e., isolated wetlands) as described in 33 CFR 330 Appendix A (B) (18, 39, 41, 42, 43 and 44) of
the Corps of Engineers regulations (i.e., Nationwide Permit No. 39) and for the Riparian Area
Protection Rules (Buffer Rules) in 15A NCAC 2B .0200. This Certification replaces Water Quality
Certification Numbers 3106 and 3108 issued on February 11, 1997, and Water Quality
Certification Number 3287 issued on June 1, 2000 and Water Quality Certification Number 3362
issued March 18, 2002. This WQC is rescinded when the Corps of Engineers re-authorizes
Nationwide Permits 18, 39, 41, 42, 43 or 44 or when deemed appropriate by the Director of DWQ.
The State of North Carolina certifies that the specified category of activity will not violate
applicable portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217
if conducted in accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Enumerating and Reporting of Impacts:
• Streams - Impacts to streams as determined by the Division of Water Quality shall be
measured as length of the centerline of the normal flow channel. Permanent and/or
temporary stream impacts shall be enumerated on the entire project for all impacts
regardless of which 404 Nationwide Permits are used. Stream relocations and
stream bed and/or bank hardening are considered to be permanent stream impacts.
Any activity that results in a loss of use of stream functions including but not limited to
filling, relocating, flooding, excavation, dredging and complete shading shall be
considered stream impacts. Enumeration of impacts to streams shall include streams
enclosed by bottomless culverts, bottomless arches or other spanning structures
when a 404 Permit is used anywhere in a project unless the entire structure
(including construction impacts) spans the entire bed and both banks of the stream,
is only used for a road, driveway or path crossing, and is not mitered to follow the
stream pattern. Impacts for dam footprints and flooding will count toward the
threshold for stream impacts, but flooding upstream of the dam will not (as long as no
filling, excavation, relocation or other modification of the existing stream dimension,
pattern or profile occurs) count towards mitigation requirements. Any filling,
excavation, relocation or other modification of the existing stream (other than
flooding) must re-establish the same dimensions, patterns and profiles of the existing
channel (or those of a stable reference reach if the existing channel is unstable) to
the maximum extent practical.
• Wetlands - Impacts to wetlands as determined by the Division of Water Quality shall
be measured as area. Permanent and/or temporary wetland impacts shall be
enumerated on the entire project for all impacts regardless of which 404 Nationwide
Permits are used. Any activity that results in a loss of use of wetland functions
including but not limited to filling, excavating, draining, and flooding shall be
considered wetland impacts. Enumeration of impacts to wetlands shall include
activities that change the hydrology of a wetland when a 404 Permit is used
anywhere in a project.
WQC #3402
• Lakes and Ponds - Impacts to waters other than streams and wetlands as
determined by the Division of Water Quality shall be measured as area. Permanent
and/or temporary water impacts shall be enumerated on the entire project for all
impacts proposed regardless of which 404 Nationwide Permits are used. Any activity
that results in a loss of use of aquatic functions including but not limited to filling and
dredging shall be considered waters impacts.
Application Thresholds - Stream, wetland and water impacts that exceed any of the
thresholds below require a complete application and written concurrence to use this
Certification:
• Total stream impacts of greater or equal to 150 cumulative feet of stream length for
the entire project require written notification to and approval by the Division of Water
Quality, and/or
• Impacts to waters of equal to or greater than 1/3 of an acre require written notification
to and approval by the Division of Water Quality, and/or
• Wetland impacts of greater or equal to 1/3 of an acre east of 1-95 and 1/10 of an acre
west of 1-95 require written notification to and approval by the Division of Water
Quality except as specified below. Any impacts to wetlands adjacent to waters
designated as ORW, SA, WS-I, WS-11 or Trout or are designated as a North Carolina
or National Wild and Scenic River and wetlands classified as SWL and/or UWL as
well as wetlands described in 15A NCAC 2H .0506 (e) require a complete application
and written concurrence from the Division of Water Quality to use this Certification.
These thresholds apply for the entire project regardless of the number of Nationwide
Permits applicable to the Certification that are issued by the USACE for the project;
• Written notification to DWQ is required for all applications that propose to use
Nationwide Permit 18. This notification requirement will be satisfied by providing two
(2) copies of the PCN form to DWQ at the same time that the PCN form is sent to the
US Army Corps of Engineers. A formal application and fee is not required unless
DWQ decides that an Individual Certification will be required for the project. In this
case, the applicant will be notified in writing from DWQ within 30 days of the receipt
of the written notification.
• Proposed fill or substantial modification of any amount of wetlands classified in
accordance with 15A NCAC 213 .0101(e)(7) as Unique Wetlands (UWL) shall require
written concurrence from the Division of Water Quality;
Impacts to any stream length in the Neuse, Tar-Pamlico or Randleman River Basins (or
any other major river basins with Riparian Area Protection Rules [Buffer Rules] in effect at
the time of application) requires written concurrence for this Certification from DWQ in
accordance with 15A NCAC 2B.0200. Activities listed as "exempt" from these rules do not
need to apply for written concurrence under this Certification. New development activities
located in the protected 50-foot wide riparian areas (whether jurisdictional wetlands or not)
within the Neuse and Tar-Pamlico River Basins shall be limited to "uses" identified within
and constructed in accordance with 15A NCAC 213 .0200. All new development shall be
located, designed, constructed, and maintained to have minimal disturbance to protect
water quality to the maximum extent practicable through the use of best management
practices;
Irrespective of other application thresholds in this General Certification, all impacts to
perennial waters and their associated buffers require written approval from DWQ since
such impacts are allowable as provided in 15A NCAC 2B. 0212 (WS-1), 2B .0213 (WS-II),
213 .0214 (WS-III) and 213 .0215 (WS-IV). Only water dependent activities, public projects
and structures with diminimus increases in impervious surfaces will be allowed as outlined
in those rules. All other activities require a variance from the delegated local government
and/or the NC Environmental Management Commission before the 401 Water Quality
Certification can be processed. In addition, a 30 foot wide vegetative buffer for low
density development or a 100 foot wide vegetative buffer for high density development
WQC #3402
must be maintained adjacent to all perennial waters except for allowances as provided
under the Water Supply Watershed Protection Rules. For the purposes of this condition,
perennial waters are defined as those shown as perennial waters on the most recent
USGS 1:24,000 topographic map or as otherwise determined by local government
studies;
4. Additional site-specific stormwater management requirements may be added to this
Certification at DWQ's discretion on a case by case basis for projects that have or are
anticipated to have impervious cover of greater than 30 percent. Site-specific stormwater
management shall be designed to remove 85% TSS according to the latest version of
DWQ's Stormwater Best Management Practices manual at a minimum.
Additionally, in watersheds within one mile and draining to 303(d) listed waters, as well as
watersheds that are classified as nutrient sensitive waters (NSW), water supply waters
(WS), trout waters Jr), high quality waters (HQW), and outstanding resource waters
(ORW), the Division shall require that extended detention wetlands, bio-retention areas,
and ponds followed by forested filter strips (designed according to latest version of the NC
DENR Stormwater Best Management Practices Manual) be constructed as part of the
stormwater management plan when a site-specific stormwater management plan is
required.
For streams classified as Water Supply, High Quality Waters and Outstanding Resource
Waters, post-construction, on-site stormwater management shall be required as
appropriate and as outlined in 15A NCAC 26 .0104(m) and 2H .1000 to .1007,
respectively, in addition to that required in this General Certification.
Alternative designs may be requested by the applicant and will be reviewed on a case-by-
case basis by the Division of Water Quality.
Approval of stormwater management plans by the Division of Water Quality's other
existing state stormwater programs including appropriate local programs are sufficient to
satisfy this Condition as long as the stormwater management plans meet or exceed the
design requirements specified in this condition. This condition applies unless more
stringent requirements are in effect from other state water quality programs.
• Unless specified otherwise in the approval letter, the final, written stormwater
management plan shall be approved in writing by the Division of Water Quality's
Wetlands Unit before the impacts specified in this Certification occur.
• The facilities must be designed to treat the runoff from the entire project, unless
otherwise explicitly approved by the Division of Water Quality.
• Also, before any permanent building or other structure is occupied at the subject site,
the facilities (as approved by the Wetlands Unit) shall be constructed and operational,
and the stormwater management plan (as approved by the Wetlands Unit) shall be
implemented.
• The structural stormwater practices as approved by the Wetlands Unit as well as
drainage patterns must be maintained in perpetuity.
• No changes to the structural stormwater practices shall be made without written
authorization from the Division of Water Quality.
5. Compensatory stream mitigation shall be required at a 1:1 ratio for not only perennial but
also intermittent stream impacts that require application to DWQ in watersheds classified
as ORW, HQW, Tr, WS-I and WS-II unless the project is a linear, publicly-funded
transportation project, which has a 150-foot per-stream impact allowance;
6. In accordance with North Carolina General Statute Section 143-215.3D(e), any
application for a 401 Water Quality Certification must include the appropriate fee. If a
WQC #3402
project also requires a CAMA Permit, one payment to both agencies shall be submitted
and will be the higher of the two fees;
In accordance with 15A NCAC 2H .0506 (h) compensatory mitigation may be
required for impacts to 150 linear feet or more of streams and/or one acre or more of
wetlands for an entire project. For linear public transportation projects, impacts equal to
or exceeding 150 feet per stream may require mitigation. In addition, buffer mitigation
may be required for any project with Riparian Area Protection Rules (Buffer Rules) in
effect at the time of application for buffer impacts resulting from activities classified as
"allowable with mitigation" within the "Table of Uses" section of the Buffer Rules or require
a variance under the Buffer Rules. A determination of buffer, wetland and stream
mitigation requirements shall be made for any Certification for this Nationwide Permit.
The most current design and monitoring protocols from DWQ shall be followed and written
plans submitted for DWQ approval as required in those protocols. When compensatory
mitigation is required for a project, the mitigation plans must be approved by DWQ in
writing before the impacts approved by the Certification occur, unless otherwise specified
in the approval letter. The mitigation plan must be implemented and/or constructed before
any permanent building or structure on site is occupied. In the case of public road
projects, the mitigation plan must be implemented before the road is opened to the
travelling public. Please note that if a stream relocation is conducted as a stream
restoration as defined in The Internal Technical Guide for Stream Work in North Carolina ,
April 2001, the restored length can be used as compensatory mitigation for the impacts
resulting from the relocation;
8. For any project involving re-alignment of streams, a stream relocation plan must be
included with the 401 application for written DWQ approval. Relocated stream designs
should include the same dimensions, patterns and profiles as the existing channel (or a
stable reference reach if the existing channel is unstable), to the maximum extent
practical. The new channel should be constructed in the dry and water shall not be turned
into the new channel until the banks are stabilized. Vegetation used for bank stabilization
shall be limited to native woody species, and should include establishment of a 30 foot
wide wooded and an adjacent 20 foot wide vegetated buffer on both sides of the relocated
channel to the maximum extent practical. A transitional phase incorporating coir fiber and
seedling establishment is allowable. Also, rip-rap, A-Jacks, concrete, gabions or other
hard structures may be allowed if it is necessary to maintain the physical integrity of the
stream, but the applicant must provide written justification and any calculations used to
determine the extent of rip-rap coverage requested. If suitable stream mitigation is not
practical on-site, then stream impact will need to be mitigated elsewhere. Please note
that if a stream relocation is conducted as a stream restoration as defined in The Internal
Technical Guide for Stream Work in North Carolina , April 2001, the restored length can
be used as compensatory mitigation for the impacts resulting from the relocation;
Placement of culverts and other structures in waters, streams, and wetlands must be
placed below the elevation of the streambed to allow low flow passage of water and
aquatic life unless it can be shown to DWQ that providing passage would be impractical.
Design and placement of culverts including open bottom or bottomless arch culverts and
other structures including temporary erosion control measures shall not be conducted in a
manner that may result in aggradation, degradation or significant changes in hydrology of
wetlands or stream beds or banks, adjacent to or upstream and down stream of the above
structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested to do so in writing by DWQ. Additionally, when roadways,
causeways or other fill projects are constructed across FEMA-designated floodways or
wetlands, openings such as culverts or bridges must be provided to maintain the natural
hydrology of the system as well as prevent constriction of the floodway that may result in
aggradation, degradation or significant changes in hydrology of streams or wetlands;
WQC #3402
10. That appropriate sediment and erosion control practices which equal or exceed those
outlined in the most recent version of the "North Carolina Sediment and Erosion Control
Planning and Design Manual" or the "North Carolina Surface Mining Manual" whichever is
more appropriate (available from the Division of Land Resources (DLR) in the DENR
Regional or Central Offices) shall be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management
Practices in order to assure compliance with the appropriate turbidity water quality
standard;
11. All sediment and erosion control measures placed in wetlands and waters shall be
removed and the original grade restored within two months after the Division of Land
Resources has released the project;
12. That additional site-specific conditions may be added to projects proposed under this
Certification in order to ensure compliance with all applicable water quality and effluent
standards;
13. Measures shall be taken to prevent live or fresh concrete from coming into contact
with waters of the state until the concrete has hardened;
14. If an environmental document is required, this Certification is not valid until a Finding of
No Significant Impact (FONSI) or Record of Decision (ROD) is issued by the State
Clearinghouse;
15. If this Certification is used to access building sites, all lots owned by the applicant must be
buildable without additional fill beyond that explicitly allowed under other General
Certifications. The applicant is required to provide evidence that the lots are buildable
without requiring additional impacts to wetlands, waters or buffers if required to do so in
writing by DWQ. For road construction purposes, this Certification shall only be utilized
from natural high ground to natural high ground;
16. Deed notifications or similar mechanisms shall be placed on all lots with remaining
jurisdictional wetlands and waters or areas within 50 feet of all streams and ponds. These
mechanisms shall be put in place within 30 days of the date of issuance of the 401
Certification letter or the issuance of the 404 Permit (whichever is later). A sample deed
notification format can be downloaded from the 401/Wetlands Unit web site at
http://h2o.enr.state.nc.us/ncwetlands . DWQ shall be sent copies of all deed restrictions
applied to these lots;
17. When written concurrence is required, the applicant is required to use the most recent
version of the Certification of Completion form to notify DWQ when all work included in the
401 Certification has been completed;
18. Concurrence from DWQ that this Certification applies to an individual project shall expire
three years from the date of the cover letter from DWQ or on the same day as the
expiration date of the corresponding Nationwide Permit 18, 39, 41, 42, 43 or 44,
whichever is sooner.
WQC #3402
Non-compliance with or violation of the conditions herein set forth by a specific fill project
may result in revocation of this Certification for the project and may also result in criminal and/or
civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a
formal application for Individual Certification for any project in this category of activity that
requires written concurrence under this certification, if it is determined that the project is likely to
have a significant adverse effect upon water quality or degrade the waters so that existing uses of
the wetland or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a
Certification decision if deemed in the public's best interest by the Director of the North Carolina
Division of Water Quality.
Effective date: March 2003
DIVISION OF WATER QUALITY
By
Alan W. Klimek, P.E.
Director
WQC # 3402
J
&Itlpa1ib116 I Fsae I Amllatlone_I Evonte Inspections I Comments I History
Detallsl Detalis2 Pormlts and Corts
Project Number, 20060Wj0 Version I Status: Issued Last ActIon Desc: Project Issued
"Project Name: Anchor Medical Center •Proje ctType: lndustrialICommercial /Business
' °
Project Desc: I.medlcal oRlce building & parking
`Owner: 'Brock, Denny I Details...
'Received From: ?Appllcant a COE ID: '20060017A 'Primary County: Brunswick °
DOTTIP: °Admin Region: Wilmington
Received Dt 05/2212006 Reviewer: joannesteenhuls
Issued Dt: 06/13120013

Statutory Dt: 07121/2006
CAMA NEPAISEPAReceived DI:
i
DCM Omce: IDCM VYllmington Field Omce SW Plan Received Dt.
COE Omce: Ington Regulatory Field Omce 9W Plan Approved Dt: Public Notice Published Dt:
Last Updated By. 'bev.strickland BW Plan Location: I Public Notice Received Dt:
Last Updated On: 0513012006 Sewage Disposal: I P.N. Comment Period Ends Dt:

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Ecosystem
PROGRAM
May 12, 2006
Troy Beasley
Withers and Ravenel
7040 Wrightsville Avenue, Suite 101
Wilmington, NC 28405
Project: Anchor Medical Center County: Brunswick
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The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NC EEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NC EEP will be approved.
This acceptance is valid for six months from the date of this letter. If we have not received a copy of the issued 404
Pernut/401 Certification within this time frame, this acceptance will expire. It is the applicant's responsibility to send
copies of the 404/401/CAMA permits to NC EEP. Once NC EEP receives a copy of the 404 Permit and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
followinu table.
River Basin Wetlands Stream Buffer Buffer
Cataloging (Acres) (Linear Feet) Zone 1 Zone 2
Unit (Sq. Ft.) (Sq. Ft.)
Riparian Non-Riparian Coastal Marsh Cold Cool Warm
Lumber 0 0.08 0 0 0 0 0 0
03040206
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The type and amount of the compensatory
mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or CAMA Permit. The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C. Department of
Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Chris Mankoff at [phone].
incerely,
William D. Gilmore, PE
Director
cc: Cyndi Karoly, Wetlands/401 Unit
Doug, Hu?zgett. Division of Coastal Management
Jennifer Frye, USACE - Wilmington
Noelle Lutheran, DWQ Regional Office - Wilmington
File
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NCDENR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net
Jr _ 4r
APPENDIX 2 - Avoidance and Minimization
The small size of the project site limited the design options. The project has been
designed to avoid and minimize wetland impacts to the greatest extent possible, while
meeting the design criteria of Oak Island and maintaining an economically feasible
proj ect.
The project has been designed to utilize a retaining wall to stabilize lot-fill. The
alternative to a retaining wall would be using backslopes to transition lot fill to original
grade. The proposed project will require ±9.0 feet of fill adjacent to the onsite wetlands.
The maximum backslope allowed by the City of Oak Island is 3:1. Therefore, the use of
backslopes would have resulted in an additional 27 feet of encroachment into the onsite
wetlands. By utilizing a retaining wall, the project has avoided approximately 0.15 acres
of additional impacts.
The proposed project has also avoided and minimized wetland impacts through the
design of the stormwater management system. The current site plan proposes an
underground infiltration system designed under the parking lot. Due to the small size of
the project site, the use of a wet detention pond would have resulted in additional wetland
impacts. The use of infiltration to treat stormwater allows for a feasible project design,
while minimizing wetland impacts.
The proposed site plan has been revised to avoid wetland impacts to the greatest extent
possible, while still maintaining an economically feasible project. The small size of
project site limits design options. Therefore, the proposed project meets the avoidance
and minimization criteria. To provide assurance against future impacts to onsite
wetlands, a "Deed Restriction" will be recorded with Brunswick County to inform future
buyers of the property that there are wetlands on the property. A signed, but not
recorded, copy of the Deed Restriction language has been provided with this Appendix.
05/10/2006 08:26 9105094067 SAIEED CONST
P ? C4
Date: May 9, 2006
COMPLIANCE WITH WETLAND & BUFFER REGULATIONS
In accordance with Title 15 A NCAC 2H .0500, the following DEED
NOTIFICATION shall be recorded in the Brunswick County Registry prior to
the conveyance of lots. Said Deed Notification shall apply to name of
subdivision, lot numbers in Brunswick County, North Carolina as shown on
plans titled (insert subdivision name) prepared by
Withers and Ravenel (insert name of designer) dated date: 5/4/06.
"A portion of this lot has been determined to meet the requirements for
designation as a wetland, stream or protected stream buffer. Any subsequent fill
or alteration of this area shall conform to the requirements of the state rules
adopted by the State of North Carolina in force at the time of the proposed
alteration. The intent of this provision is to prevent additional wetland, stream or
buffer filling or draining, so the property owner should not assume that a future
application for filling or draining would be approved. The property owner shall
report the name of the subdivision in any application pertaining to said rules. This
covenant is intended to ensure continued compliance with all rules adopted by
the State of North Carolina and therefore the State of North Carolina may enforce
benefits. This covenant is to run with the land and shall be binding on all Parties
and all persons claiming under them".
Signature:
Owner's name: Brock arid Associates
Address: 265 Racing =Drive, Suite 102
City, State, Zip Code: Wilmington, NC 28403
Phone Number. 910-395-8266
PAGE 02
x,/10/2006 08:26 9105094067 SAIEED CONST PAGE 03
State of North Carolina,
N c F{ ar,c:.,.? r _ County
lFC?,rrc??-, mU,?c? ct?_ , a Notary Public of the State of North
Carolina, I??? ?-4?r ov-L'r County, hereby certify that owner personally
appeared before me this day and executed by above certification- apU
Witness my hand and notorial seal, this day of , I C) --
+, Mr,MwrwMwhti
? a
Notary c s,y-fto
My commission expires:
jr • 4
APPENDIX 3

Jr I
APPENDIX 3 - Mitigation
The proposed project will result in 0.21 acres of total wetland impacts (0.08 ac permanent
impacts; 0.13 ac temporary impacts). The project proposed 0.08 acres of permanent
impacts to wetlands as a result of the placement of fill into jurisdictional wetlands for the
construction of the required parking area. The project also proposes 0.13 acres of
temporary wetland impacts. The temporary wetland impacts will result from the
construction corridor assessed along the retaining wall within onsite wetlands. This
corridor is necessary for equipment access during construction of the retaining wall.
The proposed mitigation plan consists of the following:
Temporary Impacts - The mitigation for 0.13 acres of temporary impacts within the
construction corridor will consist of grading the area, should any rutting occur, and the
application of 1.0 lbs of a specialty Wetland Seed Mix (rated at 0.5 lbs per 1,000 sq ft).
The vegetative composition of the wetland seed mix has been attached to this Appendix.
Permanent Impacts - Mitigation for the 0.08 acres of permanent wetland impacts will
consist of offsite mitigation. The offsite mitigation will consist of the purchase of 0.25
acres of wetlands from the Ecosystem Enhancement Program (EEP). The Letter of
Acceptance from EEP has been included with Appendix 3.
The proposed mitigation planned is believed to satisfactorily compensate for the
proposed impacts to onsite wetlands.
., 05-18-'06 07:09 FEW-DENS EEP 9197152001 T-818 P02 U-306
Y
r cosvstey m
"A A
PROGRAM
May 12, 2006
Troy Beasley
Withers and Ravenel
7040 Wrightsville Avenue, Suite 101
Wilmington, NC 28405
Project: Anchor Medical Center
County: Brunswick
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NC EEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NC EEP will be approved.
This acceptance is valid for six months from the date of this letter. If we have not received a copy of the issued 404
Permit/401 Certification within this time frame, this acceptance will expire. It is the applicant's responsibility to send
copies of the 404/401/CAMA permits to NC EEP. Once NC EEP receives a copy of the 404 Permit and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
following table.
River Basin Wetlands Stream Buffer Buffer
Cataloging (Acres) (Linear 17eet) Zone 1 Zone 2
Unit (Sq. Ft.) (Sq. Ft.)
Riparian Non-Riparian Coastal Marsh Cold Cool Warm
Lumber 0 0.08 0 0 0 0 0 0
03040206
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The, type and amount of the compensatory
mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or CAMA Permit. The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C. Department of
Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Chris Mankoff at [phone].
incerely,
William D. Gilmore, PE
Director
cc: Cyndi Karoly, Wetlands/401 Unit
Doug Huggett, Division of Coastal Management
Jennifer Frye, USACE - Wilmington
Noelle, Lutheran, DWQ Regional Office - Wilmington
Pile
-a,b t ... F ... Protectlij Our ka te,
ICDENR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 /www.nceep.net
5-l3-2006 07:51AM FROM-EMST CUISERVATIVI SEED
¢a
E'rnst Conservation Seeds LLP
gag9000 Mercer Pike
R Meadville PA 16335-9299
[phone] Phone
[phone] Toll Free
814-336-5191 T-617 P.001/002 F-645
VISIT US ON OUR WE13SITE
www.errlstseed.corn
Sales Associates -
Jeannette: [e-mail]
Nikki: nlcole@ernstseed,com
[phone] Fax
Customer Service: Phyllis: phyllis [e-mail]
Bill To:
Withers & Ravenel
-m -Floe Lz L/
Phone
Fax
;a ,:d?•st"o•mo"r?ip'I;;;;..::r•;!''' :Sala "oi?on!'IO`?„?: ?',;, `.9iil• •I'ri'""IMeth'ad'?'r
EM 042806 P L ERNST

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atrl.11flori.?r-.,I"r ? aI)?
Da
1 Each ERNMX-127 MODIFIED
0.25000 lb CARVUL01 Fox Sedge
0,25000 lb ELYVIR01 Virginia Wild Rye
0.06500 lb CARGYN01 Nodding Sedge (gynandra)
0.06500 lb RUMVER01 Swamp Dock
0.06000 lb ONOSEN01 Sensitive Fern
0.04000 lb ACERUB01 Red Maple
0.04000 lb CARLUR01 Lurid (Shallow) Sedge
0,04000 lb SCIP01-01 Many Leaved Bulrush
0,04000 It) SCIATROI Green Bulrush
0.03000 lb IRIVEROI Blue flag
0.02000 lb CARFOL01 Northern Long Sedge
0.02000 lb CARINT01 Bladder (Star) Sedge
0.02000 lb NYSSYL01 Black Gum
0.02000 lb SCIEXP01 Wood Bulrush
0.01000 lb ASTUMB01 Flat Topped White Aster
0.01000 lb CARBA101 Bailey's Sedge
0.01000 lb CAR1111301 Hop Sedge
0.01000 lb SPAAME01 Eastern Lesser Bur Reed
VL k-111) i
4luotri ',';.
Date`s; ` ,11/2008

42, /.&-&
PRICES QUOTED ARE FIRM FOR 30 DAYS AND ARE F.O.B. MEADVILLE.
ITEMS QUOTED ARE SUBJECT TO AVAILABILITY AT TIME OF DELIVERY.
RETURNS OF INDIVIDUAL ITEMS AND ERNST MIXES ARE SUBJECT TO 10% RESTOCKING FEE
AND MUST BE MADE WITHIN 30 DAYS OF INVOICE DATE. NO RETURNS ON CUSTOM MIXES.
THERE IS A 25% RESTOCKING FEE ON CANCELLED OR RETURNED ©IOENGINEERING ORDERS.

5/31/2006
IG:Rf?co''•:?t" .hicoiint'I? " Ezf::iPclr_o,•. ? r='•
$0.00 $0.00 $0.00
$16.00000 $0.00000 $4.00.
$4.00000 $0.00000 $1.00
$60.00000 $0.00000 $3.90
$60.00000 $0.00000 $3.90
$48.000CO $0.00000 $2,88
$35.00000 $0.00000 $1.40
$54.00000 $0.00000 $2.16
$88,00000 $0.00000 $3.52
$64,00000 $0.00000 $2.55
$120.00000 $0.00000 $3,60
3180.00000 $0.00000 $3.60
$160,00000 $0.00000 $3.60
546.00000 $0.00000 $0.96
$160.00000 $0.00000 $3.20
$220.00000 $0,00000 $2-20
$160.00000 $0,00000 331.60
$104.00000 $0.00000 $1.04
$96,00000 $0.00000 $0.96
$46.Ub
$0,00
lt`:. `+•;r;:'a,lr:: _$0.00
Ilan' RQ 'j il; $0.00
$0.00
US rs; $46.08

"' 1. . , ,
APPENDIX 4

1
DE\/EL0P'.jlE T O;' TA:
1. TOTAL TRACT AREA-
80,162 SF (1.84 AC±)
2. COVERAGE-
TOTAL BLDG AREA- 14,960 S. F. ±
TOTAL BLDG COVERAGE- 14,960
3. IMPERVIOUS SURFACES:
BUILDING - 14,960 S. F.
WALKS - 1,915 S. F.
PAVEMENT - 34,533 S. F.
TOTAL - 51,40B S. F. (64.6%
4. PARKING-
@ 1 SP/ 200 S. F. G. F.A. = 75 MIN REQ'D
TOTAL SPACES PROV'D= 87
STD. SPACES- 83
H/C SPACE- 4
G'EN ERAL NOTES:
1. BRUNSWICK COUNTY PARCEL NO.:
220MA016
220MA016
2. ZONING DISTRICT: CLD
3. LAND CLASSIFICATION: COMMERCIAL
4. THIS SITE IS LOCATED IN FLOOD ZONE "A" EL. 11 PER
FEMA MAP 3702950380E
N/'r l-0P'J ,!° \l i NOTES:
1. ALL DEVELOPMENT SHALL BE IN ACCORDANCE WITH OAK
ISLAND TOWNSHIP ZONING ORDINANCE & SUBDIVISION
REGULATIONS.

V ? 17:- 1 E S -: ; --? , ?P-% !! k", , -7 L
ENGINEERS I PLANNERS 1 SURVEYORS
May 18, 2006
20660 850
US Army Corps of Engineers NC-Division of Water Quality
Regulatory Field Office 401 Wetlands Unit D (? ??
Attn: Ms. Jennifer Frye Attn: Mr. Ian McMillan 15
69 Darlington Avenue 2321 Crabtree Blvd.
Wilmington, NC 28403 Raleigh, North Carolina 27604-2260 MAY 2 2 2006
DENR - WATER QUALITY
Re: Anchor Medical Center - 404/401 Compliance Request t'rcTWtDS ACID STQRMVr'ATER 6Rf,tICH
W&R Project #03040420.00
Dear Ms. Frye and Mr. McMillan,
On behalf of Brock and Associates, we are requesting authorization from the USACE to use
NWP 18 for the placement of fill into 0.08 acres of 404/401 wetlands for the construction of a
medical office building and associated parking. This PCN is being provided to DWQ as a
courtesy copy, as the proposed impacts are less than 1/3 acre. A copy of this PCN has also been
provided directly to Ms. Joanne Stcenhuis in the Wilmington Field Office.
The site is located at 4222 and 4226 Long Beach Road, approximately 1700 feet south of Fish
Factory Road in the Oak Island Township, in Brunswick County. The project is approximately
1.84 acres in size. The wetland delineation was reviewed and approved by Mr. Thomas Farrell
(AID #200600174). A copy of the signed JD Survey has been provided as an Appendix to the
enclosed PCN.
The current request is for 0.13 acres of impacts to "404/401 wetlands" (see the attached
maps and PCN for details).
Please feel free to call if you have questions or require additional information.
Since
Troy Beasley
Environmental Scientist
Attachments: NWP 18 PCN
Cc. Joanne Steenhuis - DWQ Wilmington Field Office
7040 Wrightsville Avenue, Suite ioi Wilmington, North Carolina 28403 tel: [phone] fax: [phone]
www.withersravenel.com

Office Use Only: Form Version March 05
2 0 0 60 8 5
USACE Action ID No. DWQ No. 0
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 18
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here:
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal MM f
Environmental Concern (see the top of page 2 for further details), V
II. Applicant Information MAY 2 2 2006
1. Owner/Applicant Information oENR . WATER QUALITI
WETV+NDS AND
Name: Brock and Associates
Mailing Address: 265 Racine Drive, #201
Wilmington, NC 28403
Telephone Number: 910-395-8266 Fax Number: 910-431-2503
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:_ Troy Beasley (see attached Agent Authorization Form)
Company Affiliation: Withers and Ravenel
Mailing Address: 7040 Wrightsville Avenue, Suite 101
Wilmington, NC 28403
Telephone Number: 910-256-09277 Fax Number: 910-256-2584
E-mail Address: tbeasley([e-mail]
Updated 11/12005
Page 1 of 9
0. 4
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Anchor Medical Center
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 220NIA016
4. Location
County: Brunswick County Nearest Town: Oak Island Township
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): See attached drivin>z
directions.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 33.9339 °N 78.0667 °W
6. Property size (acres): 1.84 acres
7. Name of nearest receiving body of water: Unnamed tributary to Dutchman Creek.
8. River Basin: Lumber River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: In the existing condition, the project site contains an existing
dwelling, as well as a picnic shelter and a framed garage. The proposed project is zoned
Commercial, and is concurrent with the surrounding commercial zoning.
Updated 11/1/2005
Page 2 of 9
10. Describe the overall project in detail, including the type of equipment to be used: The
proposed proiect will consist of a medical office building, which will provide various
medical services to the general public.
11. Explain the purpose of the proposed work: The purpose of the proposed work is to expand
the medical services available to the growing population in Brunswick County.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. The onsite wetlands were approved by Mr. Tom Farrell of the US
Army Corps of Engineers on February 21, 2006, see Appendix 1. The AID# is 200600174.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
There is no future development associated with the proposed project.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
Updated 11/1/2005
Page 3 of 9
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: The proposed impacts consist of both
permanent and temporary wetland impacts. The permanent impacts consist of the placement
of fill within 0.08 acres of onsite wetlands for the construction of the required parking and
retainin.Q wall. The project will also result in 0.13 acres of temporary wetland impacts as a
result of the construction corridor assessed along the retaining wall. The construction
corridor will allow for the temporary access of equipment needed to construct the retaining
wall. Upon completion of the retaining wall, the construction corridor will be graded to
remove any ruts, and seeded with a wetland seed mix as discussed in the proposed mitigation
plan.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact Type of Wetland Located within Distance to ' Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year Nearest Impact
(indicate on map) herbaceous, bog, etc.) Floodplain Stream (acres)
es/no linear feet)
Wetland -
Permanent Impacts Fill Herbaceous (mowed) Yes < 100 Feet 0.08 ac
Wetland - Temporary
Temporary Impacts Disturbance from Herbaceous (mowed) Yes < 100 Feet 0.13 ac
Construction Cooridor

Total Wetland Impact (acres) 0.21 ac
3. List the total acreage (estimated) of all existing wetlands on the property: 0.24 ac
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43.560.
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact Perennial or

Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres

NOT APPLICABLE

Total Stream Impact (by length and acreage)
Updated 11/12005
Page 4 of 9
g
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
indicate on map) Name of Waterbody
(if applicable)
Type of Impact
I Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
(acres)

NOT APPLICABLE

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project.
Stream Impact acres):
Wetland Impact (acres): 0.08 ac
Open Water Impact (acres):
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
Updated 11/1/2005
Page 5 of 9
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. See Appendix 2
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://hl)o.enr.state.nc.us/ncwetlands/strm,izide.htm1.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
See Appendix 3.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
Updated 11/1/2005
Page 6 of 9
-4.
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): 0.25 ac
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federaUstate) land? Yes ? No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Updated 11/1/2005
Page 7 of 9

impact Required
Zone" C -N Multiplier 1k4;, „*;,,,,
1 3 (2 for Catawba)
2 1.5
Total
"Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. In the existing condition, the project contains
0.11 acres (6%) impervious surface as a result of the existing building and associated structures.
In the post development condition, the proposed project will have 64.6% impervious surface as a
result of the building and associated parking. The impervious calculations are provided as
Appendix 4. The proposed project has been designed to treat stormwater runoff through and
underground infiltration system. There will be no direct discharge of stormwater to_onsite or
office wetlands or streams.
XH. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sanitary Sewer
XIH. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes El No
XIV. Cumulative Impacts (required by DWQ)
Updated 11/12005
Page 8 of 9
a
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.tis/ncwetlands. If no, please provide a short narrative description: The
proposed project is concurrent with the surrounding zoning and land use. Therefore due the
small size of the project and it's location within an existing commercial district, no future
development will result from the proposed project
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Applic t/Agent's ignature Date
(Agent's sign ture is valid only if an authorizati letter from the applicant is provided.)
Updated 11/1/2005
Page 9 of 9
AGENT AUTHORIZATION FORM
AUTHORITY FOR APPOINTMENT OF AGENT
The undersigned owner(s), Brock and Associates, do(es) hereby appoint Troy Beasley /
Withers & Ravenel, Inc. _ as his, her, or it's exclusive agent for the purpose of petitioning the
appropriate local, state and federal environmental regulatory agencies (US Army Corps of
Engineers, NC Division of Water Quality, NC Division of Coastal Management, etc.) for: a) review
and approval of the jurisdictional boundaries of onsite jurisdictional areas (wetlands, surface
waters, etc.) and/or; b) preparation and submittal of appropriate environmental permit
applications/requests.
The owner does hereby authorize that said agent has the authority to do the following acts on
behalf of the owner:
(1) To submit appropriate requests/applications and the required
supplemental materials;
(2) To attend meetings to give representation on behalf of the Client.
(3) To authorize access to subject property for the purpose of environmental
review by appropriate regulatory agencies.
This agreement shall continue in effect until completion of the contracted task or termination by
the property owner.
Date:
Agent's Name, Address & Telephone:
Troy Beasley /Withers & Ravenel, Inc.
7040 Wrightsville Avenue, Suite 101
Wilmington NC 28403
Tel [phone]
Signat re of Owner s): r??
J 14, C',
(Mme - Priot) rr (Tjtle) l'
)?? ??'/11?;>? lin,^° `?(
(Signature)
[J W NAnD /e,_ County, North Carolina
a Notary Public of the County and State aforesaid, certify that
?On% BR--4?/F,E? 141-personally appeared before me this day and acknowledged the execution
of the foregoing instrument. Witness my hand and official seal, this day of
200??r
(Official seal or stamp)
Notary Public
My commission expires 20
Hy
r
?,???p?
AERIALS
4)
Q
O
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DRIVING DIRECTIONS
Driving Directions from 69 Darlington Ave, Wilmington, NC to Long Beach Rd Se & Airport R

Start: 69 Darlington Ave
Wilmington, NC 28403-1343, US
End: Long Beach Rd Se & Airport
Rd Se
Oak Island, NC 28461, US
Notes:
I(I
Directions
Total Est. Time: 48 minutes Total Est. Distance: 32.19 miles
1: Start out going NORTH on DARLINGTON AVE toward US-74 / MARKET
ST / US-17.
2: Turn LEFT onto US-74 / MARKET ST / US-17. Continue to follow MARKET
~ ST / US-17.
-H wesi 3: Turn LEFT onto US-74 W / S 16TH ST / US-17 S.
Page 1 of 2
Distance
0.1 miles
1.5 miles
0.7 miles
4: Turn RIGHT onto US-74 W / US-76 W / US-17 S / WOOSTER ST. 3.7 miles
Continue to follow US-74 W / US-76 W / US-17 S.
aar+r 5. Take the NC 133 S ramp toward SOUTHPORT / OAK ISLAND. 0.3 miles
O 6 Turn LEFT onto NC 133 / VILLAGE RD NE Continue to follow NC-133. 22.6 miles
7 Turn RIGHT onto NC 133 / DOSHER CUTOFF SE Continue to follow NC- 1.3 miles
133.
8: Turn LEFT to stay on NC-133.
1.7 miles
9: End at Long Beach Rd Se & Airport Rd Se
f T77-
Oak Island, NC 28461, US
Total Est. Time: 48 minutes Total Est. Distance: 32.19 miles
,p Printer-friends page sponsored by HP
http://www.mapquest.com/directionslmain.adp?do=prt&mo=ma&2si=navt&un=m&go=1 & 1 a=69... 5/4/2006
I
Driving Directions from 69 Darlington Ave, Wilmington, NC to Long Beach Rd Se & Airport R... Page 2 of 2
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All rights reserved. Use Subject to License/Copyright
These directions are informational only. No representation is made or warranty given as to their content, road
conditions or route usability or expeditiousness. User assumes all risk of use. MapQuest and its suppliers assume no
responsibility for any loss or delay resulting from such use.
http://www.mapquest.coiiVdirectionslmain.adp?do=prt&mo=ma&2si=navt&un=m&go=1 & 1 a=69... 5/4/2006
APPENDIX 1
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APPENDIX 2
I I I! t ! / f
II I I~ ! ~ / I I /
I I ! ~ I I~; / / / I ~ ! I ~ I ~ E , I << / d _
~ I I I ~ / ~ / :x ~~;~n, r// /
i I I~ 1 ~ / ~ I i And..,., I ~ / /
I I I I I I :ne. / ! I ® , i I I I~ / /
, I ~ I i I r , ~ / l
i I ~ ! , /
~,fr ~ r I I ~ I / / _ _
I I l I. . ~ I I I I I ~ ~
I ~ { I ~ I I
I I I I ! I I ,
, = I ~ I I . , ~r I I I I ' i ~ ~ ! /
I I I I I I ~ I ~ , -
~ i I ~ - - ~ I ~ ~ ~ _ _ PROPOSED - - r, PROPf)Sf PROPOSED PROPOSED ~ * ~ PROPOSED ~ ~
I I ~ " _ RETAINING WALL RETAININ RET,~VNING WALLRETAININ6 WA ~ - RETAINING WALL t__ _ ~
I I PROPOSED _ _ - G - TW=19.11 F-- _ ~ _ TW-20.00 TW=19.10 =18.42 TW=1~0 ~ ~ ~
~ - ~ _ RETAINING WALL 20 CAK i I I~ID GR NCB } TYP _ _ - - _ _ _ _ . BW=15.75 U1~1'S OF CLEARING BW=15.7 BW=15.75 ~ BW=14.50 BIN=~13 ~ 1 1NG ~ ~C`
~ 1 I 1 TW-19.40 - - - - AND GRADING (TYP).._ I I I I BW=38C0 I _ - - - - - - YP - ~
I i I Y 1 I M w .r - ~ ~F ~ i y r. ~s r ~ ~ aec ~i ~ a~ ae. ewe ~e
flOGWOOD I 6 TREE ~ m ~ OAK T~'-~ „ n, 4'~ e
~N_._... ~ - u I t - - _ - _ I . 1 ~ _ i ; 1s ~ ~ ~ LT - ~ ~
I : , r i SILT-~ - ~ _ _tt_ I ¢ _ e. _ - 15 SIDE YARD ~$ETBA I I I j I - ~ ~ _x-- - ~
4~ _ _ _ R-- _ N TYP 4s' c~ ' TECndN _ - ~ tfON - - \
I I ~I ~ ~
I I I Q ~ ~ ~ / ~ ~ ~8~ 1 { ~ UYITS OF CLEARINGS
I Ei~TRANC~ I 14 ~ ~ I , ~~u: - . ~ ~ ~ . ~ AND GRADING TYPr 1 ~ ~ ) ~
I I k . c I ~ i ~ ~1~ 12 18 18 ~ 12H
I 1 15 HDPE,. 5 HDPE, 0.30% f~IN. TYP 1'
~ I TYP ,~t~ ~ ~ l I ~ 0,30X Y~L, ( ) I 4 ~ ~ 0.30X -YIN. ~ ) 7
I CLEANING 1 , ; ~ . _ t ~ ~ ~ ~ I N.IfrIITS ~F ~ - ~ ~ . . ~ » 1 .t ' . s'
( ) ~ I _ _ _
I I r I ' 1 ^~fttitvT~~Jsr'~r S9? t t !"tsC%. ~irr, 4?fo~j'k~i~r~.n.;Y;"rrF^. , ~I I I 1 ~ - ~ - ~ o , I R ~ 1 I ~ t ~ y~ 6..,.~~°~~' `i ~ t,C;,y~jr~~ ,;3 ~a 4 . ~ 3 ~ ~ ~,6 18 18 ; / . - ~ UNt~f~GROU ~ .
r If I I ~ i { 3 A V 1 i
~ I ~ ~ ~ _ . 1 ~ ; LT~llli TDr1 ~ ~ 8- l PROPOSED
1~ _ _ -0- _I_ - ~ _ , y I I 1 ~ ~ o c:1~c~ •o o ;o oo ono, o'o', ~ (T~) ~ RETAINI WALL
A~.. . . ~ DROP INLET
1 / ~ A. ~ B 18.00 / _t . _ _
II i I rl i ~ 2 ~ r I ~ , r r
I i Is ~ ~ ~ _ I I I I __.w
I I I ~ I I f I , ---1-- 0.30% rY11N., (TYP) - 18 ~ ~ 19 ( /
I~`~~ _ I 1 a i s I _
II I I ~ I _ y IW I. I _ I . PROPOSED / 18 i
~ I , ---1--~I ~ I , - ~ i I ~ _ , , RETAINING WA + / i
EX. 501E DRIVE ~ ; 13 I I s TW=18.90 _ _ , , BW=9.50 ~
E- ` 0.20 - - - -I I i - . ,
~ ~ I I ; . , , I I << I ! ~ / - ~ - - ___v
~r I QI - 1 I ~I ~ ` ~ , ~ ~ . ~,i I I n i _ STIN ~ WETLANDS ~ / E>d /
ONE STORY BLDG. - ~ I I I ~ 10,545 0.24 AC) ~ 9 18 ~ _
~ I I I y~ ~ , t 12 HoP~, 14 W ,960 S.F. I I . I
k I Y I I+r I i~ o.30X trl~., TYP ~ • ~ ; _:r I i . W =r-. 170 x 88 ,
E( I I _ i a 18 _ _ _ ~ ~ / 19 SILT ~ 18 ~ ~
o.l ~ I ~ _ ~ FENCE TYP : /
I I I I ~ I I ' ~ z . .o I I I I _ ~ ~ o o
1 I I W I~ , 'F-----L a 1 F,~ _ TECTION, PROPOSED
I I I v I ~ I~ _ to RETAINiNfG~'`~IIALL
I~ I ~ I ~ I I ~ a I ~ i ~ I I ~ TW=18.70 x / . _ _ ~ ew=s. o
• . I I Ix ~I' ' • i x ~ I ~ I I o _ ~ ~ ri I a ~ ~ !7 UYITS OF CLEARING /
of I~ II ~ , ~ ; I I la I I 2 8 ANO c;itAOlwc (TAP) .
d a I - ~ ~ 18 PROPOSED 10 ~
QI i II ~ ~ , II I 19~ RETAINING WALL
i I I T 4 ~ I I ~ i ~ TW=18.90
I I II ~ s~ I ~ ~ -t5' SID YARD ~TBAC1( 61~9.G5_ / ~ / 18
'I I . I I I , I I I! I I I - --------------------------------i---------------------------- ~ I ~ STORM STRUCTURE KEY ~
II I [ I.r - ~
s i f ; I ~ - -
- I II I I 11 0
~ I PROPOSED UIriITS ~ PROPOSE[ I II I I it / PROPOSED PROPOSED - CURB INLET
II I ~ RETAINING WALL AND GRADING TYP RETAINING _ ~ ) I I I I - - - / / BW=10.75 RETAINING WALL BW=10.75 RETAINING WALL
~ - ( I , / / / BW-15.50 I i I I I MARL / / TW=18.70
a4 I II I 1 vE / / BW=10.25
I I i ~ / i ~ / / / DI NCDOT X DROP INLET
- I C I I I I / / -11 ~
I I I / EX. MARL DRIVE I' I I ~ I / ~ - - ~ - ~ , ` :SAME DWELLING /
~I ~ I ~ >s
-1 ~ I ~ ~ MANHOLE z
I I. I ~ I ~ _I ~
I I I I I. tl
I I ~ I I I I I ~ I~ ~ I
I I i
~ I I I I I I.
~ ~ II I I ~ r
I I ~ I ~ ii I , ! , ~I ~ , ~ ;
r, { 4~
STORM SEWER COMPUTATIONS
W a y vt,Alr. W,~f
a STRUCTURE STRUCTURE LENGTii DIAIrfEiER SLOPE INV ELEVUP INV ELEVDOWN ll~(~tr ~ ''kk,,rr ~^M~M1'
FL TYPE OF PIPE FT. FT. FROWI TO Q
0 a YJ~
N Oi
T O - NO LAND DISTURBING ACTIVITIES CAN COMMENCE ~ - ~ . ~
f WITHIN THE WETLANDS AREA UNTIL PERMITS ARE = ~ ~ -
' - EXISTING WETLANDS - 10,537 SF = 0.24 AC. 3 a L24 AC. ~
Z PERMANENT WETLAND IMPACTS - 3,294 SF = O.i 5 - OBTAINED FROM ALL REGULATORY AGENCIES ~ z~. ~4 SF - 0.08 AC. ~
TEMPORARY WETLAND IMPACTS - 5,4 = 78 SF = 0.13 AC.
W 1~
Z
0 a GRAPHIC SCALE
~o o ~o zo +o eo
U
W W
2 (IN FEET )
U 1 inch = 20 i't„
3 v
6 0
0 L
U 0 m
m rn
No. Revision Date B Designer Scale Grading Erosion GSP PREPARED FOR: Sheet No.
°o Drawn By Date osion & Sediment Brock & Associates WITHERS RAVENEL
Anchor Medical Center of Oak Island GSP 04 04 2006 256 Racine Drive, Suite 102
N Checked By Job No. Control P itrol Plan Wilmington, North Carolina 28403 ENGINEERS I PLANNERS I SURVEYORS 5.0
Oak Island Township Brunswick County North Carolina o GSP 204420.00 910-395-8266 7040 Wrightsville Ave, Suite 101. Wilmington, North Carolina 28403 tel: [phone] fax. [phone] www.withersravenel.com
3