NCC240562_ESC Approval Submitted_20240319

RO COOPER 4( iAkkt
ELIZABETH S.BISER
, i ,
Secretary '*`4QuAtin '
WILLIAM E.TOBY VINSON,JR NORTH CAROLINA
Interim Director Environmental Quality
October 06, 2023
LETTER OF APPROVAL
The Outer Banks Hospital, In.
Attn: Ronald Sloan, President
4800 S. Croatan Highway
Manteo, North Carolina 27959
RE: Project Name: Manteo Clinic- 604 Amanda Street
Project ID: Dare-2024-002
County: Dare Acres Approved: 1.38
City: Town of Manteo
Address: 604 Amanda Street
River Basin: Pasquotank
Date Received by LQS: September 14, 2023
Submitted By: Quible &Associates
Plan Type: New
Dear Madam,
This office has reviewed the subject erosion and sedimentation control plan. We find the
plan to be acceptable with modifications and hereby issue this letter of Approval with
Modifications.The Modifications Required for Approval are listed on the attached page.This
plan approval 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 (eN0I) form requesting a Certificate of Coverage (COC) under the
NCG010000 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 office. If the owner/operator of this project changes in
the future, the new responsible party must obtain a new COC.
DE --A,
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
,) Washington Regional Office 1943 Washington Square Mall I Washington,North Carolina 27889
NORM CAROLMA
Deparnnent of EsrlrarroadalQuMt 252.946.6481

Title 15A NCAC 4B .0118(a) and the NCGO1 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 Program 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.
Sincerely,
Samir Dumpor, PE
Regional Engineer
Land Quality Section
cc w/o enc: Ronald Sloan; The Outer Banks Hospital, Inc. (email)
Nadeen Dashti, E.I.; Quible&Associates (email)
WaRO Division of Water Resources (email)
NorthWashington Carolina DRegionalepartmentOffi of
1943 EnvironmeWashingtonntal QualitySquare I DivMallIisionWashington of Energy,,MineralNorthCarolina and Land Resources
�J/ ce 27889
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� +aEnLI � /." 252.946.6481

PROJECT INFORMATION SHEET
APPROVAL DATE: October 06, 2023
RESPONSIBLE PARTY: The Outer Banks Hospital, Inc.
PROJECT NAME: Manteo Clinic- 604 Amanda Street
COUNTY: Dare NO.: Dare-2024-002
OFF-SITE BORROW
AND/OR DISPOSAL SITE: NO.:
START-UP DATE:
CONTRACTOR:
ON-SITE CONTACT:
ON-SITE PHONE NO.:
OFFICE PHONE NO.:
COMPLETE &RETURN THIS FORM
PRIOR TO THE START OF CONSTRUCTION TO:
N.C.D.E.Q.
LAND QUALITY SECTION
ATTN: Bradley West
943 WASHINGTON SQUARE MALL
WASHINGTON, NORTH CAROLINA 27889
[e-mail]
DEC North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
Washington Regional Office 1943 Washington Square Mall I Washington,North Carolina 27889
NORTH CAROLINA
UeParbnent m en.imnmentai umr\ r 252.946.6481

sCERTIFICATE OF PLAN APPROVAL
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The posting of this certificate certifies that an erosion and sedimentation control plan has been
approved for this project by the North Carolina Department of Environmental Quality in
accordance with North Carolina General Statute 113A — 57 (4) and 113A — 54 (d) (4) and North
Carolina Administrative Code, Title 15A, Chapter 4B.0107 (c). This certificate must be posted
at the primary entrance of the job site before construction begins and until establishment of
permanent groundcover as required by North Carolina Administrative Code, Title 15A,
Chapter 4B.0127 (b). M..,w\e$ Ct.. — `a{ A ."....A., s 1 -
(s of A.....4 •. S+ 1r (IDA ike CO' Ts
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Project Name and Location
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Date of Plan Approval Regional Engineer--1-r.)E
Certificate of Coverage Number D ALE =aO3y -GG,