NCC221139_FRO Submitted_20220325

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EMPEUM
Single -Family Dwelling
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Wyot A, Swat MW=PW Burr"
Sucre 328
100 E.FkV SWW
V*v0w 8 M*M NC 27101
rr ww.d.ra� �Y+.ief Herd Ra Box 2511
Erosion Control Permit Application Q!!aen wrwkrr-s� NC 271022611
Please use this h)rr1't when the Developer and Builder are not the sarne
financially responsible party/person and will be Tess than one (1) acre of
land disturbance on any one (1) lot.
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S4e Adit
Subd om
Anticipated DOS of ConWuctor► ACV0V.
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Ptmm: 311 or [phone]
Fax: [phone]M
*�* the LW WORT 7101 TABS forsub Idin be rMrelopa enarreftattl taplrepritterlraiaerlrpetrn, t�pa
deno�Atuh a eorreapo 6* 010ftf+glMd IWIly for a xh WOO app8calios, pwe r solt yaarf
applie�llan may not be aeespad for raw+e+r.'""
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Flner,cially nM
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Mobile Phone: — 514
fy hereto xOAK I am t o are mores ol* now " ' Y'° �oaop Can" ora�r>Qe
as w4ned in GrsW, Section 8.4 of the Ll,tilfied Development Ordmnoes OJDM of to CkY of WineM SAar,MFe,rsytr Cup* or
Ands N of the UDO of the Village of Clemmom, Town of Le Awft, or Town of Wd(edM. I her W atlh+aMedae Iaat tb Beat
Management Practices annotated on the attached sketch plan must be properly iee AW and maintained lu retain sal wiNn the
cmtslructed M.
t understand that if the toted disWrW area for anti reason becomes greater #W ane acre on any one (1) kat, a prafesslonatly o bt i
and sealed Erosion CorWd Plan wA be requked b be s„ iDnldled approved before the start of the land activilY
d," acknowWp %at Cey Inswebon's staff may ruse tQ a buff m �f� Iramer i
umm
Notices of Violation. Stop Work Orders artdror Cavil Pm* for idtn ID
mtt
Nerve of F r ROW&VbW Person Sigrtat,re of F'rrenci*
TO BE COMPLETED BY CITY STAFF ONLY:
Dale of Application Submittal:
to
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