NCC230749_FRO Submitted_20230321

WAKE COUNTY FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
WAKENo person may initiate any land -disturbing activity on one or more acres as covered by the Wake
County Unified Development Ordinance before this form and an acceptable erosion and
COUNTY sedimentation control plan have been completed and approved by Wake County Department of
NORTH C;AROLINA Environmental Services, Water Quality Division. (Please type or print and, if the question is not
applicable, place N/A in the blank.)
Part A.
1. Project Name
NC1-68 Thangavel
2. Location of land -disturbing activity: Jurisdiction Morrisville (Wake Co. or Municipality)
Highway/Street 123 Stella Court Latitude 35.8326 Longitude-78.8226
3. Approximate date land -disturbing activity will commence
3-15-23
4. Type of development (residential, commercial, industrial, institutional, etc.)
Residential
5. Total acreage disturbed or uncovered (including off -site utilities and borrow/waste
areas): 0.48
6. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Chris Miranda
Telephone
240-610-9949 Cell #
E-mail Address cmirandap_carusohomes.com
Fax #
7. Landowner(s) of Record (attach accompanied page to list additional owners):
Subramani Thangavel, Hemalatha Murugesan
Name(s)
1037 Benay Rd.
Current Mailing Address
Morrisville NC 27560
551-998-1087
Telephone
same
Current Street Address
[e-mail]
Fax or E-mail address
City State Zip City State Zip
8. Deed Book No. 19247 Page No. 1589-1590 Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet. Include requested information):
Subramani Thangavel [e-mail]
Name E-mail Address
1037 Benay Rd. same
Current Mailing Address Current Street Address
Morrisville NC 27560
City State Zip
Telephone [phone]
City
Fax Number
State
Zip

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