NCC222219_ESC Approval Submitted_20220615

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BR1AN WRENN
Director
NORTH CAROLINA
Environmental Quality
June 8, 2022
LETTER OF APPROVAL
MH Mission Hospital McDowell, LLLP
ATTN: Ms. Tonia W. Hale
One Park Plaza
Nashville, TN 37203
RE: Project Name: Mission Hospital McDowell - Inpatient Bed Expansion
Acres Approved: 1.85
Project ID: MCDOW-2022-009
County: McDowell
City: Marion
Address: 430 Rankin Drive
River Basin: Catawba
Stream Classification: C
Submitted By: Jack J. Parker, P.E.
Date Received by LQS: May 10, 2022
Plan Type: Commercial/Hospital
Dear Ms. Hale,
This office has reviewed the subject erosion and sedimentation control plan. We find
the plan to be acceptable and hereby issue this Letter of Approval. The enclosed
Certificate of Approval must be posted at the job site. This plan shall expire three (3)
years following the date of approval, if no land disturbing activity has been
undertaken, as is required by Title 15A NCAC 4B .0129.
As of April 1, 2019, all new construction activities are required to complete and
submit an electronic Notice of Intent (eNOI) form requesting a Certificate of Coverage
(COC) under the NCGO10000 Construction General Permit. After the form is reviewed
and found to be complete, you will receive a link with payment instructions for the
$100 annual permit fee. After the fee is processed, you will receive the COC via email.
As the Financially Responsible Party shown on the FRO form submitted for this
project, you MUST obtain the COC prior to commencement of any land disturbing
activity. The eNOI form may be accessed at deq.nc.gov/NCG01. Please direct
questions about the eN01 form to the Stormwater Program staff in the Raleigh central
D North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
t:�,EQ Asheville Regional Office 12090 U.S. Highway 70 I Swannanoa, North Carolina 28778
NORTH C.AOU 1W
Npubneneoier.imnme,UlCuaily 1.. /`� 828,296.4500

Letter of Approval
MH Mission Hospital McDowell, LLLP
ATTN: Ms. Tonia W. Hale
June 8, 2022
Page 2 of 3
office. If the owner/operator of this project changes in the future, the new
responsible party must obtain a new COC.
Title 15A NCAC 4B .0118(a) and the NCG01 permit require that the following
documentation be kept on file at the job site:
1. The approved E&SC plan as well as any approved deviation.
2. The NCGO1 permit and the COC, once it is received.
3. Records of inspections made during the previous 12 months.
Also, this letter gives the notice required by G.S. 113A-61.1 (a) of our right of periodic
inspection to insure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Act is performance -oriented,
requiring protection of existing natural resources and adjoining properties. If,
following the commencement of this project, it is determined that the erosion and
sedimentation control plan is inadequate to meet the requirements of the
Sedimentation Pollution Control Act of 1973 (North Carolina General Statute 113A-
51 through 66), this office may require revisions to the plan and implementation of
the revisions to ensure compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with
Federal and State water quality laws, regulations, and rules. In addition, local city or
county ordinances or rules may also apply to this land -disturbing activity. This
approval does not supersede any other permit or approval.
Please note that this approval is based in part on the accuracy of the information
provided in the Financial Responsibility Form, which you provided. You are
requested to file an amended form if there is any change in the information included
on the form. In addition, it would be helpful if you notify this office of the proposed
starting date for this project.
Your cooperation is appreciated.
S' ncer
Mi ael SI
Assis nt Regional Engineer
Land Quality Section

Letter of Approval
MH Mission Hospital McDowell, LLLP
ATTN: Ms. Tonia W. Hale
June 8, 2022
Page 3 of 3
Enclosures: Certificate of Approval
NPDES NCG01 Fact Sheet
ec: Mr. Jack J. Parker, P.E. [e-mail]
Mr. Sam Jones, E.I. [e-mail]
cc: Regional Office file