Orange County NC Website
OMB Number: 4040-0004 <br />Expiration Date: 11/30/2025 <br />* 1. Type of Submission:* 2. Type of Application: <br />* 3. Date Received: 4. Applicant Identifier: <br />5a. Federal Entity Identifier:5b. Federal Award Identifier: <br />6. Date Received by State:7.State Application Identifier: <br />* a. Legal Name: <br />* b. Employer/Taxpayer Identification Number (EIN/TIN):* c. UEI: <br />* Street1: <br />Street2: <br />* City: <br />County/Parish: <br />* State: <br />Province: <br />* Country: <br />*Zip / Postal Code: <br />Department Name:Division Name: <br />Prefix:* First Name: <br />Middle Name: <br />* Last Name: <br />Suffix: <br />Title: <br />Organizational Affiliation: <br />* Telephone Number:Fax Number: <br />* Email: <br />* If Revision, select appropriate letter(s): <br />* Other (Specify): <br />State Use Only: <br />8. APPLICANT INFORMATION: <br />d. Address: <br />e. Organizational Unit: <br />f. Name and contact information of person to be contacted on matters involving this application: <br />Application for Federal Assistance SF-424 <br />Preapplication <br />Application <br />Changed/Corrected Application <br />New <br />Continuation <br />Revision <br />05/21/2026 <br />NA <br />Orange County, North Carolina <br />091575191 GFFMCW9XDA53 <br />P.O. Box 8181 <br />Hillsborough <br />NC: North Carolina <br />USA: UNITED STATES <br />27278-2303 <br />Planning & Inspections Stormwater Management <br />Christopher <br />Sandt <br />County Engineer <br />Orange County, North Carolina <br />919-245-2583 <br />csandt@orangecountync.gov <br />Docusign Envelope ID: B71E2DA6-1521-8CE2-806A-C1D1D7DFD770