SW8060405_HISTORICAL FILE_20060420

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
�O HISTORICAL FILE
C.
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
�lzh/,V.LA
YYYYMMDD

STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION TIME/DATE S '9 I IL I l l
NAME t
REPRESENTING
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K.-v,i,i,Y M. Tom
ATTcntaL-Y AT LAw
Pos•r Ovricu Box. 374
"WRIOUTSti1T.I9 BEACH. NC 2a480
TEi.: (Oio) U-150-2-400
FAX; (610) Q--BO-268e
VIA 'FAGS MILE FOR`LATER PERSONAL DELIVERY
April 18, 2006
Withers and Ravenel
7040 Wrightsville Avenue
Suite, 101
Wilmington, forth Carolina 29403
Re: Anchor Medical Center, LLC
TO whorn it may concern:
to" EAs•rwoon Ro,&U
SUITE 007
W7EHINQTON, t%TC Sf340,3
ApR �, � zaaa
d
I represent Anchor Medical Center, LLC which was organized pursuant to the laws of North
Carolina on September 30, 2005. Attached, for your ease of reference, are the Articles of
Organization currently on file with the Secretary of State_
This letter is to confirm that Steven Saiced is a Member Manager of Anchor Medical Center,
LLC.
Please fir) not hesitate to contact me should you require anything, further.
Very truly yours,
• 1
Ke lly M. Toms
Cc: Anchor Medical Center, LLC c/o Steven Saieed
T'd L'09r 5SZ OTE; WdEE:E 900a 01 idu

C200527300198
state omortlt C»r011ita
Departrrierit Of Hk a Secl�etfta-y Of SWe
Limited Liability Company
SOSID: friOM62
Date Filet. 9f30120N:i 2:20:001(yM
Elaine F. Marshaid
North Carolina Secretary of State
(71-o0527300298
Pursuant to §57C,- —2D of tha Gest,eral Statates of North Carolina, this rrrsdeniigtted does hereby submit
these Articlea of Organization fhr the purpose of forming a limited liability company.
1. 7Phe Brume of the limited liability company is: 1t<rrchbiv Medical Center, lLlLC
2. If the limitul liability company is to dissolve; by a specific Tate, the Iatest date on whiny the
lirnitrri liability company is to diasolve: (Irmo datefor dissolittion is speCfried, them sCwll he no
firnsit on the rfamtIon ofthe Unjit,ed liability company.) September 29, 2080
3. 'This name and address o f each person executing thesa articles of organization is as follows:
(Stare whether each person is ex,emithig these articles of organization in the capacity ofn
rrmwher, organixer° car bntle).
tyeoirge LA-ileteher, Organlzer
Firteheir, lt*y & Satterfield, if UP
1311WIne Drive, Suite 201
Wilmington, NC 28403
4. ilia street address and coiinty of the initial Yogistaxed o.fl'iice, of the, limited liability company is:
Nuwbe,r and Street 261 Racine Drive, Suite 9102
City, Stata, 'Lily Code Wilmington, NC 29403 Coisnty New Hanover
5, ` hr, mailing adilmss, (d fe.YerstfPwm Me street addJroxv, of ilia initial r+egistdred office is:
6. 'Tile nartua of the initial reigiatered agont is: Vnye Rr+ro&
7. rrincipal office inrorsrsation: (Select elther a aril.)
a. 0 Tlie limited liability company lies a principal of or.
The tstrebt address and county of tha Principal office of the limited Habilily comprAy is:
?dumbex and Strcct 265 Ytacluo risrive, Salto 0103
City, State, Zip Code ` ilsrsingtoa, NC 28403 Counter New Hanover
The rntsiling addreae, fdoemat from tl+c strez! address, of the principal office of the cosisoradon is:
K 011w limited liability company dons not have a principal office.
- - cl 2892 9sa 0T G SWOP. ' W A113A WdEE: C 9002 01 .sdW

C1045273002919
S. Chia otte of the :fallowing;;
X (i) FlY 1 1il3tlYYJldt i"fILL .. all members by virtu, of their status as menihem dMli be
mnagers of this limited liability company.
(ii) Mannge)-nr4Wggid LLC. except as provided by N.C.C.S. Soction 57C-3-20(a), the
weA tubers of this limited liability cormpanyaliall no¢ be irnalliagers by virtud of their status as
rrictritlers.
9.. Any other provisions which the limit�i liahility.canipastyelrcta to include are attached.
10. These articles will ho cffective upon filing, runless it date and/or time is specified:
TW s is the 10ts day of Repternber, 200S.
ANC1101. MEDICAL +ClrN'lt"ER, LLC
Signature
Gearge L. Flr, &her, Organizer
2"vim or Fleint Arante afjd 7"itle
NOTES:
t. IMble &0 LH S12S. ' hU, d"kiwia t mubt ba tHA vina the Saeretmry of state-
CC13 PORA"fit7iNS DIVISION P.O. Rnx 29622 ILAURIGIT, NC 27626-0622
(Revfrzd Jaavirry 2002) (Fora 101)
C'd 2892 9Sa OiE SWOI*W h113A WdEE:C 9002 01 �d0

C'
WITHERS t RAVENELA
ENGINEERS I PLANNERS I SLIRVEYEIRS
7040 Wrightsville Avenue, Suite sos
WILMINGTON, NORTH CAROLINA, 28403
(91o) 256-9277
FAX [phone]
To: Paul Bartlett, PE
NC Division of Water Quality
x27 Cardinal Drive Ext.
Wilmington, NC 28405
LETTER OF 7RAKSWTTAL
0
DATE o /20/2006
JOSN°' 20 2o.oa
ATrcNnoN Paul Bartlett, PE
PHONE#
RE: Anchor Medical Center
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via
❑ Shop Drawings ❑ Prints ® Plans ❑ Samples
❑ Copy of Letter ❑ Change order ❑ Diskette ® Other
the following items:
❑ Specifications
COPIES
DESCRIPTION
2
Revised Anchor Medical Plans
1
Secretary of State document for Anchor Medical, LLC and letter showing Steve Saieed to be a Member Manager
1
Comment Response Letter
THESE ARE TRANSMITTED as checked below:
® For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ Foryour use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
For approval.
COPYTO: File SIGNED:
- Garry S. Pape, P.E.
if enclosures are not as noted, kindly notify its at once.

WITHERS & RAVENEL
ENGINEERS 1 PLANNERS I SURVEYORS
April 20. 2006
NCDENR ��""""
Division of Water Quality APR 2 0
127 Cardinal Drive Extension �� 1Q
Wilmington. North Carolina 28405 gY.
c/o Mr. Paul Bartlett, PE
Re: Anchor Medical Center of Oak Island
Stornlwater Application #SW8 060405-. RegLICSt for Additional Information
Mr. Bartlett:
We have received your comments, dated April 13, 2006. The following notes outline our
responses to your comments and address how the comments have been addressed. and
identify the changes to the plan:
I. Please proi,ide documentation to demonstrate that ),ou are a rnembe'r manager l)f
Anchor it fedical Center, LGC.
-__,Itesp se:. Copies of the Secretary of State Articles of Organization and a
letter stating Mr. Saieed is a Member Manager of the LLC are attached.
2. Please label the sc uare feat of it,eticmds that are disturbed by the proposed
profecl-on Sheet 3.
Response: The wetlands areas have been label on Sheet 3, as requested.
3. Since the nifdlration s'vstern tt'rll be subjected to vehicular loading' in lire parking
areas, please' cogfrrm that the proposed infrltralion syslem design it,rll it' thstand
11-20 loading and provide a label slating that on Sheel N.
R t /esponse: A note calling for ADS Pipe N-12 or equivalent has been added
l— to sheet 11. ADS N-12 Pipe is designed to support 1-1-25 loading with 12" of
cover.
1. Please illustrate and label the season high iiwler table elevalion in Section A -A of
i
the trench detail on Sheel 11.
Response: The seasonal high water table elevation has been shown on the
l-%
Section detail and in the table on Sheet 11, as requested.
7040 Wrightsville Avenue, Suite ioi Wilmington, North Carolina 28403 tel: gio-256-g277 fax: gio-256-2584
www.withersravenel.com

WITHERS &- RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
i trust the responses to the comments will adequately address your concerns. Please
contact me immediately at 910-256-9277 or gripe u,Withersravenel.corti if you have any
questions or require additional information.
Sincerely,
WITHER &RAVENEL, INC.
Garry S. Pa , . .
Project Manager
7040 Wrightsville Avenue, Suite ioi Wilmington, North Carolina 28403 tel: [phone] fax: [phone]q
www.wither5ravenel.com

P. 1
FILE MODE
--------------
064 MEMORY TX
* * * COMMUNICATION RESULT REPORT ( APR.13.2006
OPTION
ADDRESS (CROUP)
- ---- 925625e4
4:25PM )
TTI NCDENR WIRO
RESULT PAGE
---------------------------
OK P. 3/3
J-M" A �-e c3119 -2-rr- <;2--T7
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4�11146
REASON FOR ERROR
E-1) HANG UP OR LINE FAIL
E-3) NO ANSWER
E-2) BUSY
E-4) NO FACSIMILE CONNECTION
State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley, Governor
Date: 4/13/06
To: Gary Pape
Company: W&R
FAX #: [phone]
William G. Ross, Jr., Secretary
FAX COVER SHEET
No. of Pages: 3 (Incl. Cover)
From: Paul Bartlett
Water Quality Section -
Stormwater
FAX #: [phone]
Phone #: [phone]
DWQ Stormwater Project Number: SW8 060405
Project Name: Anchor Medical Center
MESSAGE:
Garry,
A Request for Additional Information is attached for the subject project. The original will
be mailed to Mr. Saieed, and a copy will be mailed to you.

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley, Governor
Date: 4/13/06
To: Garry Pape
Company: W&R
FAX #: [phone]
William G. Ross, Jr., Secretary
FAX COVER SHEET
No. of Pages: 3 (Incl. Cover)
From: Paul Bartlett
Water Quality Section -
Stormwater
FAX #: [phone]
Phone #: [phone]
DWQ Stormwater Project Number: SW8 060405
Project Name: Anchor Medical Center
MESSAGE:
Garry,
A Request for Additional Information is attached for the subject project. The original will
be mailed to Mr. Saieed, and a copy will be mailed to you.
ENBlptb: S:1WQSISTORMWATERIADDINF0120061060405
127 Cardinal Drive Extension, Wilmington, NC 2a405-3845 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer

*o�oF w A rFRQG
c
April 13, 2006
Mr. Steve D. Saieed, Member Manager
Anchor Medical Center, LLC
1135 Military Cutoff road, Suite 201
Michael R Easley, Governor
William G, Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan NV. Klimek, P-E. Director
Division of Water Quality
Wilmington, NC 28405 3 /7(06 /�6
Subject: Request for Additional Information J ' '> 6d we f
Stormwater Project No. SW8 060405
Anchor Medical Center of Oak Island`'iA���+
Brunswick County f<< r+
Dear Mr. Saieed:
The Wilmington Regional Office received a Stormwater Managemehl ermit ppl at n or
Anchor Medical Center -on April 4, 2006. A preliminary review of that information hash
determined that the pplication is not complete. The following information is needed to
continue the stor ater review:
Please provide documentation to demonstrate that you are a member manager
of Anchor Medical Center, LLC.
�s 2 /Please label the square feet of wetlands that are disturbed b th propose j
�I, , project on Sheet 3. G�X � � & � X"/ P P
3. Since the infiltration system will be subjected to vehicular loading in the parking
area, please confirm that the proposed infiltration system design will withstand H-
-�j 20 loading and provide a label stating that on Sheet 11.
4/�of
lease illustrate and label the seasonal high water table elevation in Section A -A
the trench detail on Sheet 11.
Please note that this request for additional information is in response to a preliminary review.
The requested information should be received by this Office prior to April 21, 2006, or the
application will be returned as incomplete. The return of a project will necessitate resubmittal of
all required items, including the application fee.
If you need additional time to submit the information, please mail or fax your request for a time
extension to the Division at the address and fax number at the bottom of this letter. The
request must indicate the date by which you expect to submit the required information.
The construction of any impervious surfaces, other than a construction entrance under
an approved Sedimentation Erosion Control Plan, is a violation of NCGS 143-215.1 and
is subject to enforcement action pursuant to NCGS 143-215.6A.
10
z --A.j
NofthCarolina
Alaturn!!J
North Carolina Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405 Phone [phone] Customer Service
Wilmington Regional Office Internet: w•w"%rigwater ualihcorg Fax [phone]-623-674S
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper

'Mr. Steve D. Saieed
April 13, 2006
Stormwater Application No. SW8 060405
Please reference the State assigned project number on all correspondence. Any
original documents that need to be revised have been sent to the engineer or agent. All
original documents must be returned or new originals must be provided. Copies are not
acceptable. If you have any questions concerning this matter please feel free to call me
at [phone].
Sinc, ely,
Paul T. Bartlett, P.E.
Environmental Engineer
ENB/ptb: S:IWQSISTORMWATERIADDINFO\2006\060405.apr06
cc: Garry S. Pape, P.E., Withers & Ravenel
Paul Bartlett

Page 1 of 1
North Carolina
Elaine F. Marshall EPARTENT OF THE
Secretary SECRETARY OF STATE
Corporations
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•Printable Page
P© Box 29622 Raleigh, INC 27626-0622 [phone]
Date: 4/13/2006
Click here to:
View Document Filings I
1-1 Print apre-populated Annual Report Form I Annual Report Count I Fil
an Annual Report
Corporation Names
Name Name Type
NC Anchor Medical Center, Legal
LLC
Limited Liability Company Information
SOSID:
0805462
Status:
Current -Active
Date Formed:
9/30/2005
Citizenship:
Domestic
State of Inc.:
NC
Duration:
09/29/2080
Registered Agent
Agent Name:
Registered Office Address
Registered Mailing
Address:
Principal Office Address
Principal Mailing Address:
Brock, Faye
265 Racine Drive, Suite 102
Wilmington NC 28403
265 Racine Drive, Suite 102
Wilmington NC 28403
265 Racine Drive, Suite 102
Wilmington NC 28403
265 Racine Drive, Suite 102
Wilmington NC 28403
For questions or comments about the North Carolina Secretary ofState`s web site, please send e-mail to Webmaster.
http://www.secretary.state.ne.us/Corporations/Corp.aspx?Pitemld=7832547 4/13/2006

C200527300298
State of North Carolina
Department of the Secretary of State
Limited Liability Company
ARTICLES OF ORGANIZATION
SOSID: 805462
Date Filed: 9/30/2005 2:20:00 PM
Elaine F. Marshall
North Carolina Secretary of State
C200527300298
Pursuant to §57C-2-20 of the General Statutes of North Carolina, the undersigned does hereby submit
these Articles of Organization for the purpose of forming a limited liability company.
1. The name of the limited liability company is:. Anchor Medical Center, LLC
2. If the limited liability company is to dissolve by a specific date, the latest date on which the
limited liability company is to dissolve: (If no date for dissolution is specified, there shall be no
limit on the duration of the limited liability company.) September 29, 2080
3. The name and address of each person executing these articles of organization is as follows:
(State whether each person is executing these articles of organization in the capacity of a
member, urganizer or both).
George L. Fletcher, Organizer
Fletcher, Ray & Satterfield, LLP
131 Racine Drive, Suite 201
Wilmington, NC 28403
4. The street address and county of the initial registered office of the limited liability company is:
Number and Street 265 Racine Drive, Suite 4102
City, State, Zip Code Wilmington, NC 28403 County New Hanover
5. The mailing address, if different from the street address, of the initial registered office is:
6. The name of the initial registered agent is: Faye Brock
7. Principal office information: (Select either a or b)
a. ® The limited liability company has a principal office.
The street address and county of the principal office of the limited liability company is:
Number and Street 265 Racine Drive, Suite #102
City, State, Zip Code Wilmington, NC 28403 County New Hanover
The mailing address, if different from the street address, of the principal office of the corporation is:
b. ❑ The limited liability company does not have a principal office.

C200527300298
8. Check one of the following:
X (i) Member -managed LLC: all members by virtue of their status as members shall be
managers of this limited liability company.
(ii) Manager -managed LLC: except as provided by N.C.G.S. Section 57C-3-20(a), the
members of this limited liability company shall not be managers by virtue of their status as
members.
9. Any other provisions which the limited liability company elects to include are attached.
10. These articles will be effective upon filing, unless a date and/or time is specified:
This is the 29"' day of September, 2005.
ANCHOR MEDICAL CENTER, LLC
.1 -
Signature
George L. Fletcher, Organizer
Type or Print Name and Title
NOTES:
1. Filing fee is $125. This document must be filed with the Secretary of State.
CORPORATIONS DIVISION P.O. Box 29622 RALEIGH, NC 27626-0622
(Revised January 2002) (Form L-01)

= ' _ LIMITED LIABCLITY COMPANY
:.
ANNUAL REPORT
NAME OF LIMITED LIABILITY COMPANY: RnchorHedical Center, LLC
STATE OF INCORPORATION: NC
SECRETARY OF STATE L.L.C. ID NUMBER: 0805462
NATURE OF BUSINESS: Medical Office Leasing
REGISTERED AGENT: Brock, Fave
REGISTERED OFFICE MAILING ADDRESS: 265 Racine Drive, Suite 102
If'ilniington, NC 28403
SOSID: 0805462
Date Filed: 4/4/2006 6:18 PM
Elaine F. Marshall
North Carolina Secretary of State
FEDERAI, EMPLOYER ID NUMBER: 20-3678866
REGISTERED OFFICE STREET ADDRESS: 265 Racine Drive, Suite 102
Wilinington, NC 28403 County: New Hanover
PRINCIPAL OFFICE TELEPHONE NUMBER: 910-395-8266
PRINCIPAL OFFICE MAILING ADDRESS: 265 Racine Drive, Suite 102
Wilmington, jNIC 28403
PRINCIPAL OFFICE STREET ADDRESS: 265 Racine Drive, Suite 102
fFiliningion, 1VC 28403
MANAGERS/MEMBERS/ORGANIZERS :
Dawiv R Brock
Title: President
265 R.4CINE DRIVE STE 102
lI'ibnington, NC 28403
Fm,e S Brock
Title: Secretary
265 R4CINE DRIVE STE 102
Wilmington, NC 28403
CERTIFICATION OF ANNUAL REPORT MUST BE COMPLETED BY ALL LIMITED LIABILITY COMPANIES
DANNY R BROCK
FORM MUST BE' SIGNED BY A MANAGER/MEMBER
DANNY R BROCK
4/4/2006
DATE
Manager/Member
TYPE OR PRINT Nt"IE TYPE OR PRINT TITLE
ANNUAL REPORT FEE: E-Paid Secretary of State • Corporations Division • Post Office Box 29525 • Raleigh, NC 27626-0525

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ob-
Action ID 200600174
U.S. ARMY CORPS OF ENGINEE.R:S
WILMINGTON DISTRICT
P.O. Box 1890
Wilmington, NC 28412
County: Brunswick U.S.G.S. Quad: Southport
NOTIFICATION OF JURISDICTIONAL DETLRMINATION
Property Owner/Agent: Brock and Associates
c/o Danny Brock
Address: 265 Racine Drive, STL 102 O
Wilmington, NC 28403 7,S-
Property (description, location, Lat/Long): The 2-acre site is at 4222 and 4226 Lone Beach Road, approximately 1700 feet
souili of Fish Factory Road, Brunswick County, North Carolina. Lutitude: 33.93°N; Lonl:litude: 78.07' W.
Indicate Which of the 1?ollowingy Apply:
A. Preliminary Determination
Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process (Reference 33 C1{R Part 331),
11. Approved Determination
fluere are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the haw or
our published regulations, this determination may be relied upon for a period not to exceed five years from the (late of this
notification.
X 'There are wetlands on the above described property subject to the permit requirements of Section 404 of the Clean Water
Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this determination may be
relied upon for a period not to exceed five years From the date of this notification.
We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
_ The wetland on your property have been delineated and the delineation has been verified by the Corps. WE: strongly
suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps.
Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property
which, provided there is no change in the law or our published regulations, may be relied upon for a period not to exceed
five years.
X The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps Regulatory
Official identified below on 2/21/2006. Unless there is a change in the law or our published regulations, this determination
may be relied upon for a period not to exceed five years from the (late of this notification.
There are no waters of the U.S., to include wetlands, present on the above described property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC I344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years rrom the (late of this
notification.
Page 1 of 2

Action ID:
1 The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA)_ You should contact the Division of Coastal Management in Wilmington, NC, at [phone] to determine
their requirements.
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Thomas Ferrell at 910.25.1.4466.
C. 13asis For Determination
The wetland oil site is a mowed lloodplain to an unnamed tributary to Dutchman Creek. The wetland vegetation at the
upland -wetland boundar are berbaeeous species dominated by Ludwi tiai paulustris and Pelantra virtrinica. The site is
hydrologically connected to the Cape Fear River,a tlesit;nated water of the lJ_S_ T
D. Remarks
Verified in the field by TAF on Dec. 28, 2005. The survey is dated Jan. 17, 2000 and was si fined Clifford A. Wainer L-
4241, NVitliers & Rayeuel, 7040 Wrightsville Ave., STE 101, Wilurint=.ton, NC 28403.
E, Appeals In orniation (This information applies Only to approved jurisdictional detes•uzinatious as indicated in
section 1t above)
This correspondence constitutes an approved jurisdictional determination for the above -described site. If you object to this
determination, you may request an administrative appeal under Corns regulations at 33 CFR part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and a request for appeal (RFA) forin. In order for an RFA to be accepted by
the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal under 33 CFR part 331.5, and that it
has been received by the Division Office within 60 days after the date of the NAP. Make sure the RFA form will be sent in
time to be received at the below address no later than 60 days after the date of the Notification of Appeal. If you request to
appeal this determination you must submit a completed RFA form to the South Atlantic Division, Division Off ice at the
Following; address:
Mr. Michael F. Bell, Administrative Appeal Review Officer
CESAD-ET-CO-R
U.S. Army Corps of Engineers, South Atlantic Division
60 Forsyth Street, Room 9M 15
Atlanta, Georgia 30303-8801
"It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence." /
,d
Corps Regulatory Official: _Thomas Farrell / ,
Date 2/21/2006 Expiration Date 2/21/2011
Copy furnished:
Troy Beasley, Withers & Ravenel, 7040 Wrightsville Ave., Wilmington, NC 28403
Page 2 of 2

NOTITICAITON OF ADNI INIS I RAT 1VT APPEAL,OI'TIONS AND PItOCLSS AND
RE OUFS1'Y, I
A m licant: Brock and Associates c/o Dann Brock File Number 20060017�4
Date: Feb. 21, 2006
Attached is:
See Section below
INITIAL PROFFERED PERIv11T (Standard Permit or Letter ofpermission)
A
PROFFERED PERMIT Standard Permit or Letter of permission)
B
PERMIT DEMAL
C
_
APPROVED JURISDIC`I'IONALDETERMINATION
D
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I -The following identities your rights and options regarding an administrative appeal of the above decision_ Additional
information may be found at I�ttpa/www.usace.anny.mil/inet/fimctions/cw/cecwo/reg or
Coij�s regulations at 33 CFR Part 331.
A: INITIAL PROI FENZE13 PERMIT: You may accept or object to the permit_
• ACCEPT: I f you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. if you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
perulit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly: You must complete Section 11 of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the perunit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section 13 below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you receive(] a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section 11 of this forin
and sending the form to the division engineer. This form must be received by the division engineer within 60 clays of the date of
this notice_
C: E'ERN11T DENTAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to tite division engineer. This form must be received by the division engineer
within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of lie date or
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: if yott disagree with the approved JD, you ivay appeal the approved JD tutder the Coils of Engineers Acministrative
Appeal Process by completing Section 11 of this form and sending tite form to the division engineer. This f01111 must be received by
the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERNIINATION: You do not need to respond to the Corps regarding tite preliminary JD.
The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed), by contacting the Corps
district for further instruction. Also you may provide new information for farther consideration by the Corps to reevaluate the JD.
SECTION 11 - IZE VEST FOR APPI A L or 013JECTIONS TO AN INITIAL PROFFERED P117RMI`l'

TEASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record_)
ADDITIONAL INFORMATION. The appeal is limited to a review of the administrative record, the Corps memorandum for the record
of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to clarify the
administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may
provide additional information to clarify the location of inFormation that is already in the administrative record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may also
appeal process you may contact:
contact:
Thomas Farrell
Mr. Michael Bell, Administrative Appeal Review Officer
USAGE , Wilmington District
CESAD-ET-CO-R
P.O. Box 1890
U.S. Army Corps of Engineers, South Atlantic Division
Wilmington, NC 28402
60 Forsyth Street, Room 9M15
Atlanta, Georgia 30303-8801
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government consultants,
to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site
investigation, and will have the opportunity to participate in all site investigations.
Date:
Telephone number:
Signature of appellant or agent.
DIVISION ENGINEER:
Commander
U.S. Army Engineer Division, South Atlantic
60 Forsyth Street, Room 9MI5
Atlanta, Georgia 30303-3490

I—
Legend
©FO Existing Iron ripe
0 Weticnd Flag Number
Elp
N/F
JAMES MINETT
OP 583 5�•�6 E EP
325-07'
Ik
i
TOTAL PARCEL
' AREA : 80.162 SQ- FT
ACRES : 1.84
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C
2
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UP 224.68'
N /F
SROCK, DANNY & FAYE
C
GRAPHIC SCALE
60 0 30 60 120
� I I
7 Inch - 60 ft.
WITHERS & RAXIENEL.
ENGINEERS I PLANNERS I SURVEYORS
704-0 WrightwAlle Ave, Suite 101
Mmington, Borth Carolina 28403
Tel. [phone] Fax [phone]
www.withersrovenel.com
Jab Nn, 204420
Drawn Eli. it L
Che&ed By: CAW
Scale: 1" = 60'
Dare: Jcnuary 17. 7OC6
Sheeroft
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A7 !
N46.04'547E
25.01' --\37
WETLAND AREA
AREA :10,545 SQ. FT
ACRES :0,24
N83.44'49"V!
13••• _1•••• 76• ••
a
0
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TOWN & COUNTRY a
DEVELOPERS H a
0 WiLMINGTON a -
\p. Southport
fo-
��\OF Vicinity Map
JA6
(Not to Sccle)
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by6��1
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POfNT ASSOCIATES LLC
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'This certifies that this copy of this plat accurately
depicts the boundary of the ,Jurisdiction of Section 404
of the Ctean Water Act as determined by the undersigned
on this date. Unless there Is a change in the law or our
published regulations, this determination of Section 404
Jurisdlctlon moy be relied upon for a period not to
exceed five years from this date. This determination was
made utilizing the 1%7 Corps of Engineers Wetlands
Delineation Manual,'
Regulatory OFFICIal
Title f
Date r 2 1
DSACE Acticn IA 1 - �• i i 7 If
Owner.
Anchor Medical Center of Oak Island
Brock Associates Oak Island Township / Brunswick County / North Carolina
265 Racine Drive # 102
Wilmington, %JD 28403
Wetland Delineation Plat
ti

WITHERS & RAVENEL_
ENGINEERS I PLANNERS I SURVEYORS
7040 Wrightsville Avenue, Suite lox
WILMINGTON, NORTH CAROLINA, 28403
[phone]
FAX [phone]
To: Cameron Weaver
NC Division of Water Quali
-.27 Cardinal Drive Ext.
Wilmington, NC 2840�
LETTER OF 7° ° NSMYTQL
DATE o /o /2006 1 JOB NO.
20 20.00
ATTENTION
Cameron Weaver
PHONE#
6-7 0
RE: Anchor Medical Center
�.
Z006
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop Drawings ❑ Prints ® Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change order ❑ Diskette ® Other lur, I &A AA i �J_
COPIES
DESCRIPTION
2
Sets of pians for stormwater permit
2
Copies of stormwater narrative and infiltration basin c u do
2
Stormwater Management Permit Application Form (one on i , o ca )
2
Underground Infiltration Trench 5u lement Form SWU-io one or '
rt 1, o co } `
I
Copy of U.S. Army Corps of Engineers Wetlands jurisdictional D to i J ion
L"x te» Qe.�cw �4 G GO i
THESE ARE TRANSMITTED as checked below:
® For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO U5
REMARKS:
For a
roval.
COPYTO: File SIGNED:
- Garry S. Page. F.E.
r
i
If enclosures are not as noted, kindly notify its at once.

INFILTRATION SITE VISIT REQUEST
Name of the Project : Brock Center �1
Location (attach a clear vicinity map): 4222 Long Beach Road, SE
Street address, SR number, community, etc.
Directions from the nearest major intersection: Site is on Long Beach Road on opposite side
of road from Brunswick County Airport
Owner/Applicant Name: Brock & Associates
Consultant Name: Withers & Ravenel, Inc. — Mark Hargrove
Consultant Contact Information- (Ph 256-9277) (Fax [phone])
mhargrove(cDwithersravenel.com Phone, fax, email, etc.
Existing ground elev. @basinitrench=
SHWT elev.=
SHWT plus 2' (max. bottom elev.)=
DatelTime of Soils Investigation
Summary/Comments:
#1 #2 #3 #4 #5 #6 #7 #8
6 IF r; I'd
—A
All proposed infiltration areas and existing, active utility lines located within the proposed basin/trench
must be marked and flagged. If these areas are not flagged, the Soils Scientist reserves the right to
decline to do the investigation. If the proposed infiltration system will be located in an area of existing
pavement and there is no open area nearby, equipment capable of breaking through the impervious
layer must be provided. The soils investigation does not take the place of a soils report prepared by
an appropriate professional. The Soils Scientist will only verify the soil conditions that are reported in
the Soils Report, and make a determination as to the suitability of the site to meet the infiltration
design requirements under NCAC 21-1.1000, and assumes no liability should the system fail.
Y

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