NCC224211_FRO Submitted_20221229

w—w WAKE COUNTY FINANCIAL RESPONsimuTyiow lERSHIP F70RM
SED MiENTATiOP,I POLLUTION CONTROL ACT
No persorr may Mate any land -ell a rhing activity on arse ar more arms as covered by the Wake
Co.wdy Unl&4 Devaloprrrem Cwdiance Wcue this faint Ana an accaraabe erasion and
COUNTY ■edrrnet4atlon conuul pl2n have beeh c mpkled and apptuved by Wake Co+.rrliy DepamnerA of
•�••� s+F �rr�+ Environmental Services- Wafer QuaDIvlsion. JPlease type ar pnnt and, if the question is not
applcable- palace WA in the blank. }
Part A.
Lot 30 Bella Vista
1. ProlerA Name
2. Localjon or Wod-dlstuftng mirwgy. jurlwiapon Wake (Wake Co. or Municipaldyi
Higi,,rray�seacat Winding View LaW"de 35.926 00 Lw9rhwe -78.679880
3. Approximate dale N wd-d1-wwrl)1ng ao-1lw ly wW coo menoe. 911202
4. Type of devebpmerrt #ezAermiw. cotrimrcial. wkiiarwiC hgdwbmal, ett±}. resklerfttal
S. Teel acrea,p dlskKbed or uncovered JIridar,g off-rrte udMM and bwrowrwmte
areas}. Q 5
S. Penw to O NnsotshoM erasion arrd uedimcni OorEtrol,stweg 41&a 4urrrrp -d%WrbwV adrmy
K�2.. Sam St. Clair E-rr " Addrewsic laircon tructiongroup @g mail. tsom
Telop#,or.� 919-559- 071 ewo 919-E59- 071 Fan g
T. L awkmiier(s) of Record lamacn acx`,amparuce page sD Im add wnaf owrrcrs)-
EmiI and Nisha Kheterpal 01-783-5498 ekheterpal grnail cam
Nwne(s) Telephone raK or E�mad address
%07 ULUBVALLRY WAY 9607 C LUBVALLEY WAY
C tuna Ma *rq Address Currerd Street Address
Raleigh NG 27617 Raleigh NG 27617
City Slprte Zip 01ty sula ZIP
a. Deed no(* No 01 B434 ftga No. 00680 Provide a cuR of the nit current deed.
ftn a.
t. Penw gi) or Ik1 tj who are llinancmov respOfor 9* Iand•draturbing acb6vlty (Prmde a
.cDmpWwldm fist of al responszle parties on an atWched sheet Include requested rek m ation).
St. Clair Construction Group LLC stclair-c-onstructlangroup@gmalk. com
I'tw"a E-mad Address
1-619 Obe-dirl road 16V9 Obedin Road
en1 tr1 a 6rkJ Address CL*em Street +14dre5s — - - —
Raleigh NO 27608 Raleigh NC 27608
car Stare Zip City S+.atC. ZIP
Tmbphorm �19-559-2071 Fax Numbar

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Nisha and ErnH Kheterpol
9607 C.iubvolley Way
Raleigh, NC 27617
Wake County awerrkment, EnvironmentaI Services/Water Quality
336 Fayetteville 5t„ P.O. Box 550
Raleigh, NC 27602
To Whorn It May Canrern-
This letter is to notify you that, we, Nish@ Kheterpal and Emil -Khet,erpai, grant Samuel Keith St, Clair of
St. Clair Constru€tiara Company, permission to submit anerosion and dimentation control plan and to
cQrlduck the anticipated larrd-disturbing activity on my property at 5404 Winding View Lane, aaJalgh, Mt-
27615.
Phase let: us know €f you shored have further questions.
Thanks,
sha Kqheterp,t and Ern II K3ieterpaI
919-2 4-8878
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J)ONNA M30LINNAN
NOTARY �u�LIC
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