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HomeMy WebLinkAboutR 2018-277 Planning - DEQ authorization for Efland Water Sewer extensionORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY Department Party /Vendor Name: NCDEQ Party/Vendor Contact Person: Christopher J. Sandt, P.E., Staff Engineer Contact Phone: 919- 245 -2583 Party/Vendor Address: 3800 Barrett Drive City Raleigh State: NC Zip: 27609 Department: Planning Amount: $520 (associated NCDEQ application fee) Purpose: NEED COUNTY MANAGER SIGNATURE ON FINANCIAL RESPONSIBILITY /OWNERSHIP FORM FOR NCDEQ EROSION AND SEDIMENT CONTROL PERMITTING OF THE HILLSBOROUCM AREA EDD WATER AND SEWER EXTENSION PROJECT Budget Code(s): 61370035- 850000 -30048 or #N /A (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check oAl>ew ❑ Renewal ❑ Amendment Effective Date July 9, 2018 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technic rm an tent: 67 Department Director's Sign at Date: �� Information Technologies (Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Risk Management Date: This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of Risk Management Date: This instrument has been pre- audited i Act: Office of the Chief Financial Officer Legal Services This agreement is approved as to legal form and sufficiency: ment Budget and Fiscal Control Date: 7/J,, b Office of the County Attorney Date: Clerk to the Board Received for record retention: Office of the Clerk to the Board Revised 10/17 Date: I h I (_�