Orange County NC Website
Browse       Search
Jcb July 2019 0.7 2 <br />2 <br />Disconnect and abandon existing septic tank <br />per Orange County standards and attached <br />specifications <br /> Materials $_____________ <br />Labor $_______________ <br /> Total $________________ <br />* Grand Total = Item #1a + Item #2, or, Item #1b + Item #2 *Grand Total $__________ <br />PLUMBING FIRM NAME: ________________________________________________ <br />PLUMBING FIRM LICENSE #: ____________________________________________ <br />NCDEQ SEPTIC CONTRACTOR REGISTRATION # ___________________________ <br />PLUMBING FIRM ADDRESS: ____________________________________________ <br />_____________________________________________ <br />PLUMBING FIRM TELEPHONE: ____________________ <br />PLUMBING FIRM FAX: ___________________________ <br />BY: __________________________________________ (printed name and title) <br />SIGNATURE: __________________________________ DATE: ________________ <br />(Property-Specific Bid must be signed in writing by the Prime Plumbing Firm) <br />Will a sub-contractor be used for septic tank abandonment work? (check one) YES ___ NO ___ <br />If YES, then complete the information below: <br />SEPTIC SUB-CONTRACTOR FIRM NAME: _______________________________________ <br />NCDEQ SEPTIC SUB-CONTRACTOR REGISTRATION #: ___________________________ <br />SEPTIC SUB-CONTRACTOR FIRM ADDRESS: ____________________________________ <br />____________________________________ <br />SEPTIC SUB-CONTRACTOR FIRM TELEPHONE: ____________________ <br />SEPTIC SUB-CONTRACTOR FIRM FAX: ___________________________ <br />$1200 <br />$9095.00 <br />Wolverine Pump & Utility LLC <br />82027 <br />117 W. Union St Hillsborough NC 27278 <br />919-257-3430 <br />All American Septic <br />5508 Watkins Rd Wendell NC <br />919-398-1045 <br />DocuSign Envelope ID: A3CE6C07-13D8-4FB5-AC5E-288930FD9CA8