SW7081207_CURRENT PERMIT_20090213

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD
N

• '1
North Carolina
Beverly Eaves Perdue
Governor
Brian & Darlene Lannon
501 Japonica Drive
Camden, NC 27921
MC®ENR
Department of Environment and
Division of Water Quality
Dear Mr. & Mrs. Lannon:
Coleen H. Sullins
Director
February 13, 2009
Natural Resources
Dee Freeman
Subject: Stormwater Permit No. SW7081207
Lannon's Animal Hospital
High Density Project
Pasquotank County
The Washington Regional Office received a complete Stormwater Management
Permit Application for the Lannon's Animal Hospital on December 23, 2008.
Staff review of the plans and specifications has determined that the project, as
proposed, will comply with the Stormwater Regulations set forth in Title 15A
NCAC 2H.1000. We are forwarding Permit No. SW7081207 dated February 13,
2009, for the construction of the subject project. r y(3 a /2—)
This permit shall be effective from the date of issuance until February 13, 2019,
and shall be subject to the conditions and limitations as specified therein. Please
pay special attention to the Operation and Maintenance requirements in this
permit. Failure to establish an adequate system for operation and maintenance of
the stormwater management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are
unacceptable, you have the right to request an adjudicatory hearing upon written
request within thirty (30) days following receipt of this permit. This request must
be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings,
6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are
made this permit shall be final and binding.
North Carolina Division of Water Quality Internet: W%rw.ncwaterqualitv.org
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] Nortth Ca+rofina
- An Equal Opportunity/Affirmarrve Action Employer —50% Recycled110% Post Consumer Paper Natu ally

Page 2
February 13, 2009
If you have any questions, or need additional information concerning this matter,
please contact Roger Thorpe, or me at [phone].
(Sincere) ,
Al Hodge1
Regional Supervisor
Surface Water Protection Section
enclosure
cc: Hyman & Robey
Elizabeth City Building Inspections
Division of Coastal Management
/Washington Regional Office
Central Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes
of North Carolina as amended, and other applicable Laws, Rules, and
Regulations
PERMISSION IS HEREBY GRANTED TO
Brian R. & Darlene E. Lannon
Lannon's Animal Hospital
Pasquotank County
FOR THE
construction, operation and maintenance of an infiltration basin in compliance
with the provisions of 15A NCAC 2H .1000 (hereafter referred to as the
"stormwater rules') and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and
approved by the Division of Water Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until February 13, 2019,
and shall be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of
stormwater described in the application and other supporting data.
2. This stormwater system has been approved for the management of
stormwater runoff as described in Section 1.6 of this permit. The
stormwater control has been designed to handle the runoff from 29,409
square feet of impervious area. This basin must be operated with a
minimum 30 feet of vegetated filter.
3. The tract will be limited to the amount of built -upon area indicated on page
3 of this permit, and per approved plans. The built -upon area for the future
development is limited to 29,409 square feet.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the

project will be recorded showing all such required easements, in
accordance with the approved plans.
5. The runoff from all built -upon area within the permitted drainage area of
this project must be directed into the permitted stormwater control system.
6. The following design criteria have been provided in the infiltration basin
and
must be maintained at design condition:
a.
Drainage Area, acres:
37,986
Onsite, ft2:
37,465
Offsite, ft2:
521
b.
Total Impervious Surfaces, ft2:
29,409
C.
Design Storm, inches:
1.5
d.
Basin Depth, feet:
2.0
e.
Bottom Elevation, FMSL:
5.0
f.
Bottom Surface Area, ft2:
1,490
g.
Bypass Weir Elevation, FMSL:
7.0
h.
Permitted Storage Volume, ft3:
3,998
i.
Type of Soil:
Seabrook
j.
Expected Infiltration Rate, in/hr:
6.0
k.
Seasonal High Water Table, FMSL:
3.0
I.
Time to Draw Down, hours:
4.0
M.
Receiving Stream/River Basin:
Knobbs Creek /
Pasquotank River Basin
n.
Stream Index Number:
30-3-8
o.
Classification of Water Body:
"C-Swp"
II. SCHEDULE OF COMPLIANCE
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of
any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded
areas of the system will be repaired immediately.

The permittee shall at all times provide the operation and maintenance
necessary to assure the permitted stormwater system functions at
optimum efficiency. The approved Operation and Maintenance Plan must
be followed in its entirety and maintenance must occur at the scheduled
intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and
specifications.
f. Debris removal and unclogging of bypass structure, infiltration
media, flow spreader, catch basins, piping and vegetated filter.
g. A clear access path to the bypass structure must be available at all
times.
4. Records of maintenance activities must be kept and made available upon
request to authorized personnel of DWQ. The records will indicate the
date, activity, name of person performing the work and what actions were
taken.
5. The facilities shall be constructed as shown on the approved plans. This
permit shall become voidable unless the facilities are constructed in
accordance with the conditions of this permit, the approved plans and
specifications, and other supporting data.
6. Upon completion of construction, prior to issuance of a Certificate of
Occupancy, and prior to operation of this permitted facility, a certification
must be received from an appropriate designer for the system installed
certifying that the permitted facility has been installed in accordance with
this permit, the approved plans and specifications, and other supporting
documentation. Any deviations from the approved plans and
specifications must be noted on the Certification. A modification may be
required for those deviations.
7. If the stormwater system was used as an Erosion Control device, it must
be restored to design condition prior to operation as a stormwater
treatment device, and prior to occupancy of the facility.
8. Access to the stormwater facilities shall be maintained via appropriate
easements at all times.
9. The permittee shall submit to the Director and shall have received
approval for revised plans, specifications, and calculations prior to
construction, for any modification to the approved plans, including, but not
limited to, those listed below:
a. Any revision to any item shown on the approved plans, including
the stormwater management measures, built -upon area, details,
etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or
to the drainage area.

e. Further subdivision, acquisition, lease or sale of all or part of the
project area. The project area is defined as all property owned by
the permittee, for which Sedimentation and Erosion Control Plan
approval or a CAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on
the approved plan.
10. The permittee shall submit final site layout and grading plans for any
permitted future areas shown on the approved plans, prior to construction.
11. A copy of the approved plans and specifications shall be maintained on
file by the Permittee at all times.
12. The Director may notify the permittee when the permitted site does not
meet one or more of the minimum requirements of the permit. Within the
time frame specified in the notice, the permittee shall submit a written time
schedule to the Director for modifying the site to meet minimum
requirements. The permittee shall provide copies of revised plans and
certification in writing to the Director that the changes have been made.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the
Director. In the event of a change of ownership, or a name change, the
permittee must submit a formal permit transfer request to the Division of
Water Quality, accompanied by a completed name/ownership change
form, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be
considered on its merits and may or may not be approved. The permittee
is responsible for compliance with all permit conditions until such time as
the Division approves the transfer request.
Failure to abide by the conditions and limitations contained in this permit
may subject the Permittee to enforcement action by the Division of Water
Quality, in accordance with North Carolina General Statute 143-215.6A to
143-215.6C.
3. The issuance of this permit does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances,
which may be imposed by other government agencies (local, state, and
federal) having jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate
corrective action, including those as may be required by this Division, such
as the construction of additional or replacement stormwater management
systems.
5. The permittee grants DENR Staff permission to enter the property during
normal business hours for the purpose of inspecting all components of the
permitted stormwater management facility.

6. The permit may be modified, revoked and reissued or terminated for
cause. The filing of a request for a permit modification, revocation and
reissuance or termination does not stay any permit condition.
7. Unless specified elsewhere, permanent seeding requirements for the
stormwater control must follow the guidelines established in the North
Carolina Erosion and Sediment Control Planning and Design Manual.
8. Approved plans and specifications for this project are incorporated by
reference and are enforceable parts of the permit.
9. The permittee shall notify the Division any name, ownership or mailing
address changes within 30 days.
10. This permit shall be effective from the date of issuance until February 13,
2019. Application for permit renewal shall be submitted 180 days prior to
the expiration date of this permit and must be accompanied by the
processing fee.
Permit issued this the 13 th day of February 2009.
kNRTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
ForColeen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. SW7081207

Lannon's Animal Hospital
Stormwater Permit No. SW7081207
Paspuotank County
Designer's Certification
as a duly registered
in the State of North Carolina, having been
authorized to observe (periodically/ weekly/ full time) the construction of the
project,
(Project)
for (Project Owner) hereby state that,
to the best of my abilities, due care and diligence was used in the observation of
the project construction such that the construction was observed to be built within
substantial compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
SEAL
Signature
Registration Number
Date

Certification Requirements:
1. The drainage area to the system contains approximately the
permitted acreage.
2. The drainage area to the system contains no more than the
permitted amount of built -upon area.
3. All the built -upon area associated with the project is graded such
that the runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the
system.
5. The bypass structure weir elevation is per the approved plan.
6. The bypass structure is located per the approved plans.
7. A Trash Rack is provided on the bypass structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause
short-circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. All required design depths are provided.
13. All required parts of the system are provided.
14. The required system dimensions are provided per the approved
plans.

ri c--,ry r_- P a n iC r-1
DWQ USE ONLY
Date Received
Pee Faid
Permit Number
nFr 9 '2008
State of North Carolina S- WACK la/aq /0'Z
VVA Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Applicants name (specify the name of the corporation, individual, etc. who owns the project):
Brian R. and Darlene E. Lannon
2. Print Owner/Signing Official's name and title (person legally responsible for facility and compliance):
Brian r. Lannon
3. Mailing Address for person listed in item 2 above:
501 Japonica Drive
City: Camden
Phone: ( 252 ) 335-7708
Email: [e-mail]
State: NC Zip: 27921
Fax: ( 252 ) 335-4130
4. Project Name (subdivision, facility, or establishment name -should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
5. Location of Project (street address):
between 853 and 855 - Halstead Blvd.
City: Elizabeth City County: Pasquotank Zip; 27909
6. Directions to project (from nearest major intersection):
From the intersection of NC 344 and US 17 Business, travel south on NC 344(Halstead Blvd.
approximately 0.3 miles. Project is on right behind existing homes.
7. Latitude: 35 ° 17 ' " N Longitude: 76 ° 15 ' " W of project
8. Contact person who can answer questions about the project:
Name: Kim Hamby Telephone Number: ( 252 ) 335-1888
Email: [e-mail]
It. PERMIT INFORMATION:
1. Specify whether project is (check one): ®New ❑Renewal []Modification
2. If this application is being submitted as the result of a renewal or modification to an existing permit, list the
existing permit number and its issue date (if known)
3. Specify the type of project (check one):
❑Low Density ®High Density ❑Redevelop []General Permit []Universal SMP ❑Other
4. Additional Project Requirements (check applicable blanks; information on required state permits can be
FormSWU-101 Version09.25.08 Page 1 of

obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major ®Sedimentation/Erosion Control ❑404/401 Permit ❑NPDES Industrial Stormwater
Ill. PROJECT INFORMATION
1. In the space provided below, summarize how stormwater will be treated. Also attach a detailed narrative
(one to two pages) describing stormwater management for the project.
Stormwater runoff from all impervious surfaces will be collected underground and
nfiltration basin designed to store the first 1.5" of runoff. A bypass
will route additional-7.runoff to wetlands of Knobbs Creek.
2. Stormwater runoff from this project drains to the Pasquotadaver basin.
3. Total Property Area: 2.82 acres 4. Total Coastal Wetlands Area: 0 acres
5. Total Property Area (3) — Total Coastal Wetlands Area (4) = Total Project Area**: 2.82 acres
6. (Total Impervious Area / Total Project Area) X 100 = Project Built Upon Area (BUA): 24
7. How many drainage areas does the project have? 2
8. Complete the following information for each drainage area. If there are more than two drainage areas in the
project, attach an additional sheet with the information for each area rovided in the same format as below.
For high density projects, complete the table with one drainage area for each engineered stormwater device.
Basin Information
Drainage Area I
Drainage Area
Receiving Stream Name
Knobbs Creek
Knobbs Creek
Stream Class & Index o.
C;Sw 30-3-8
C;Sw 30-3-8
Total Drainage Area s
37,986 SF
85,375 SF
On -site Drainage Area s
37,465 SF
85,375 SF
Off -site Drainage rea s
Existing Impervious Area (sf)
2412 SF
442 SF
Proposed Impervious Area (sf)
29,409 SF
0
%Impervious Area (total)
77%
0.5%
Impervious Surface Area
Uramage Area I
Uramage Area
On -'site Buildings s
4 SF
0
On -site Streets s
0
0
-site Parking s
19,713 SF
0
-site Sidewalks s
1294 SF
0
Other on -site s durpster
267 SF
QYive a 442 SF
-site s
521 SF
ota s
29,409 SF
442 SF
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
**Total project area shall be calculated to exclude Coastal Wetlands from use when calculating the built upon area
percentage calculation. This is the area used to calculate overall percent project built upon area (BUA).
9. How was the off -site impervious area listed above derived? by design
Projects in Union County: Contact the DWQ Central Office staff to check to see if you project is located
within a Threatened & Endangered Species watershed that may be subject to more stringent stormwater
requirements.
IV. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
Form SWU-101 Version 09.25.08 Page 2 of 4

One of the following property restrictions and protective covenants are required to be recorded for all
subdivisions, outparcels and future development prior to the sale of any lot. If lot sizes vary significantly, a table
listing each lot number, size and the allowable built -upon area for each lot must be provided as an attachment.
Forms can be downloaded from http://h2o.enr.state.nc.us/suibml2 forms.htm - deed restrictions.
Form DRPC-1
High Density Commercial Subdivisions
Form DRPC-2
High Density Developments with Outparcels
Form DRPC-3
High Density Residential Subdivisions
Form DRPC-4
Low Density Commercial Subdivisions
Form DRPC-5
Low Density Residential Subdivisions
Form DRPC-6
Low Density Residential Subdivisions with Curb Outlets
By your signature below, you certify that the recorded property restrictions and protective covenants for this
project shall include all the applicable items required in the above form, that the covenants will be binding
on all parties and persons claiming under them, that they will run with the land, that the required covenants
cannot be changed or deleted without concurrence from the NC DWQ, and that they will be recorded prior to
the sale of any lot.
V. SUPPLEMENT FORMS
The applicable state stormwater management permit supplement form(s) listed below must be submitted for each
BMP specified for this project. Contact the Stormwater Permitting Unit at [phone] for the status and
availability of these forms. Forms can be downloaded from http://h2o.enr.state.nc.us/su/bmp forms.htm.
Form SW401-Low Density
Low Density Supplement
Form SW401-Curb Outlet System
Curb Outlet System Supplement
Form SW401-Off-Site System
Off -Site System Supplement
Form SW401-Wet Detention Basin
Wet Detention Basin Supplement
Form SW401-Infiltration Basin
Infiltration Basin Supplement
Form SW401-Infiltration Trench
Underground Infiltration Trench Supplement
Form SW401-Bioretention Cell
Bioretention Cell Supplement
Form SW401-Level Spreader
Level Spreader/Filter Strip/Restored Riparian Buffer Supplement
Form SW401-Wetland
Constructed Wetland Supplement
Form SW401-Grassed Swale
Grassed Swale Supplement
Form SW401-Sand Filter
Sand Filter Supplement
Form SW401-Permeable Pavement
Permeable Pavement Supplement
Form SW401-Cistern
Cistern Supplement
Form SWU-101 Version 09.25.08 Page 3 of

VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. The complete application package should be
submitted to the appropriate DWQ Office. (Appropriate office may be found by locating project on the
interactive online map at httn://h2o.enr.state.nc.us/su/msi maos.hun)
1. Please indicate that you have provided the following required information by initialing in the space provided
next to each item.
Ini ' is
• Original and one copy of the Stormwater Management Permit Application Form
• Original and one cop�yy of the Deed Restrictions & Protective Covenants Form (if
required as per Part IV above)
• Original of the applicable Supplement Form(s) and O&M agreement(s) for each BMP JpjQCr
• Permit application processing fee of $505 (Express: $4,000 for HD, $2,000 for LD)
pa able to NCDENR 6AL_
• Calculations & detailed narrative description of stormwater treatment/management
• Copy of any applicable soils report
• Two copies of plans and specifications (sealed, signed & dated), including:
- Development/Project name
- Engineer and firm
-Legend
- North arrow
- Scale
- Revision number & date
- Mean high water line
-Dimensioned property/project boundary
- Location map with named streets or NCSR numbers
- Original contours, proposed contours, spot elevations, finished Floor elevations
- Details of roads, drainage features, collection systems, and stormwater control measures
- Wetlands delineated, or a note on plans that none exist
- Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations
- Drainage areas delineated
- Vegetated buffers (where required)
VII. AGENT AUTHORIZATION
If you wish to designate authority to another individual or firm so that they may provide information on your
behalf (such as additional information requests), please complete this section. (ex. designing engineer or firm)
Designated agent (individual or firm): Hyman & Robey, PC
Mailing Address: PO Box 339
City: Camden State: NC Zip:27921
Phone: ( 252 335-1888 Fax: ( 252 l 338-5552
Email: [e-mail]
Vill. APPLICANT'S CERTIFICATION
1, (print or type name of person listed in General Information, item 2) Brian R . Lannon
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants w'll be recorded, and that the proposed project complies with the requirements of 15A
NCAC 21-1.1000.
Signature: Date:
Form SWU-101 Version 09.25.08 Page 4 of

Permit
fro be provided by DWO)
o?�f W A iF,q
®UA STORMWATER MANAGEMENT PERMIT APPLICATION FORM p�
NCDENR 401 CERTIFICATION APPLICATION FORM
INFILTRATION BASIN SUPPLEMENT
This form must be rifled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project Name Lannons Animal Hospital
Contact Person Brian R. Lannon
Phone Number 252-335-7708
Date
Drainage Area Number
Drainage area
Impervious area
Percent impervious
Design rainfall depth
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre -development 1-yr, 24-hr discharge
Post -development 1-yr, 24-hr discharge
Pre/Post 1-yr, 24-hr peak flow control
Storage Volume: Non -SA Waters
Minimum design volume required
Design volume provided
Storage Volume: SA Waters
1.5' runoff volume
Pre -development 1-yr, 24-hr runoff volume
Post -development 1-yr, 24-hr runoff volume
Minimum required volume
Volume provided
Soils Report Summary
Soil type
Infiltration rate
SHWT elevation
Basin Design Parameters
Drawdown time
Basin side slopes
Basin bottom elevation
Storage elevation
Storage Surface Area
Top elevation
Basin Bottom Dimensions
Basin length
Basin width
Bottom Surface Area
37986 ft?
_79 —40-9—ft2
77 %
1.5 in
N/A in
n1hr
ft3/sec
ft3/sec
3773 ft3
3998 ft3
P7/n ft3
ft3
ft3
ft3
ft3
Seabrook
6 inmr
3 fmsl
0.17 days (4 hours)
3 :1
5
finsl
7
fmsl
2641
ft2
8.5
fmsl
68 ft
ZT_ it
1490 flz
Form SW401-Infiltration Basin-Re,,l Pans I. & II. Design Summary, Page 1 of 2

Permit No.
(to be provided by DWO)
Additional Information
Maximum runoff to each inlet to the basin?
1.3
ac-in
Length of vegetative filter for overflow
35
It
Distance to structure
50
ft
Distance from surface waters
60
ft
Distance from water supplywell(s)
200+
ft
Separation from impervious soil layer
N/A
ft
Naturally occuring soil above shwt
1.67
ft
Bottom covered with 4-in of clean sand?
Y
(Y or N)
Proposed drainage easement provided?
N
(Y or N)
Capures all runoff at ultimate build -out?
(Y or N)
Bypass provided for larger storms?
Y
(Y or N)
Pretreatment device provided
catch
basins and Swale
Form SW401-Infiltration Basin-Rev.4 Parts I. & II. Design Summary. Page 2 of 2

Permit Number:
(to be provided by DWQ)
Drainage Area Number: 1
Infiltration Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the
infiltration basin.
— Immediately after the infiltration basin is established, the vegetation will be
watered twice weekly if needed until the plants become established (commonly
six weeks).
— No portion of the infiltration basin will be fertilized after the initial fertilization
that is required to establish the vegetation.
— The vegetation in and around the basin will be maintained at a height of
approximately six inches.
After the infiltration basin is established, it will be inspected once a quarter and within
24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal
County). Records of operation and maintenance will be kept in a known set location
and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the
Areas of bare soil and/or
Regrade the soil if necessary to
infiltration basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one-time fertilizer application.
The inlet device: pipe or
The pipe is clogged (if
Unclog the pipe. Dispose of the
Swale
applicable).
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged (if
applicable).
Erosion is occurring in the
Regrade the Swale if necessary to
Swale (if applicable).
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion.
Form SW401-Infiltration Basin O&M-Rev.3 Page 1 of 3

BMP element:
Potentialproblem:
How I will remediate theproblem:
The forebay
Sediment has accumulated
Search for the source of the
and reduced the depth to 75%
sediment and remedy the problem if
of the original design depth.
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred or
Provide additional erosion
riprap is displaced.
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticides are used, wipe
them on the plants rather than
spraying.
The main treatment area
A visible layer of sediment
Search for the source of the
has accumulated.
sediment and remedy the problem if
possible. Remove the sediment and
dispose of it in a location where it
will not cause impacts to streams or
the BMP. Replace any media that
was removed in the process.
Revegetate disturbed areas
immediately.
Water is standing more than
Replace the top few inches of filter
5 days after a storm event.
media and see if this corrects the
standing water problem. If so,
revegetate immediately. If not,
consult an appropriate professional
for a more extensive repair.
Weeds and noxious plants are
Remove the plants by hand or by
growing in the main
wiping them with pesticide (do not
treatment area.
spray).
The embankment
Shrubs or trees have started
Remove shrubs or trees
to grow on the embankment.
immediately.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the NC Division of Water
damage have occurred at the
Quality 401 Oversight Unit at 919-
outlet.
733-1786.
Form SW40 I -Infiltration Basin O&M-Rev.3 Page 2 of 3

Permit Number:
(to be provided by DWQ)
acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Projectname: Lannon's Animal Hospital
BMP drainage area number: 1
Print
Title: Owner
Address: 501 Japonica Drive, Camden, NC 27921
252-335-7708
M
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president.
1, � �O,rw.v�r�.•c J LOc
rb�th l orb\C<�n ,County of
a Notary Public for the State of
do hereby certify that
P, . LOrn r\or� personally appeared before me this
day of L_ 1XcA rr b k< , pc,,F, and acknowledge the due execution of the
forgoing infiltration basin maintenance requirements. Witness my hand and official seal,
�As J.
lC
\O`` gyp. .......,• O ��
O
v
9 pU8 Ltr' U
OG' •.........
%i O ?-ANY, Y, G /\\\ `
SEAL
My commission expires (o - I g - l 3
Form SW40 I -Infiltration Basin O&M-Rev.3 Page 3 of 3