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Orange County Environmental Health
Septic and Well Application Instructions
Please read before starting an application. Refunds cannot be issued once service is initiated.
Application: Complete with as much information as possible.
Site Plan Drawn to Scale. The following items must be included:
Example Site Plan
Floor Plan (Construction Authorizations and Changes in Floor Plan) - not required for Well Permits or residential Improvement Permits; other conditions apply for commercial projects.
Incomplete applications cannot be processed.
Fiscal Year 2022-2023 Fee Schedule
Preparing for the Soil/Site Evaluation or Site Visit
Failure to prepare the site may cause long delays in permitting, may result in a Notice of Incomplete Application, and/or result in a $50 re-inspection fee.
Use the following question to decide which signature page that is needed to proceed.
An upload of the completed, signed form (located at the link above) is required at the end of this application. Other acceptable documents include, without limitation: Power of Attorney documents, etc.
Please select the category that best matches your project. FY22-23 Fee Schedule
If you have and you would like to provide a copy of their report, please attach a copy on the final page of this application.
The LSS Evaluation attached to this application is to be used to produce design and construction features for permitting in accordance with SL 2018-114 Section 11.(c).
Check all that apply.
Please describe your project.
example: IP20-0500, IP21-0692, etc.
Check all that apply. FY22-23 Fee Schedule
How many permits are you applying for?
Check all that apply. There are no fees with Septic Repair Permits. Installing a new system or tank where there is no known failure of the system is not a Repair. Please go back to New Improvement Permit and Construction Authorization.
Check all that apply.
Please check all that apply. FY22-23 Fee Schedule
Example: IP21-0789, CA21-0543, W21-0497
Please check all that apply.
If a liner is deemed necessary, a well camera report and additional fee ($100) are required.
Please verify each site preparation is complete by checking the box below. Signature below certifies that the site is prepared.
Meeting on site is not a substitution for having the site properly prepared.
A Zoning Report is required of all NEW applications for Improvement Permits and Construction Authorizations; all Existing System Authorizations where the change of use includes building outside of the footprint; and MOST applications for expansions of existing systems.
Zoning Reports are honored for up to 12 months without new approval.
Parcels in the Towns of Chapel Hill, Carrboro, and Hillsborough must complete the linked document with their Planning offices.
This is required for all permit applications except those for: wells (new or repair), Improvement Permits, and well and/or septic system abandonment.
This application has been signed by the current OWNER of the property or the OWNER'S LEGAL REPRESENTATIVE (documentation required) who has entered into a contract or lease with the owner and who may legally represent the property OWNER in the transactions regarding the property. I, the undersigned, am the property OWNER or the OWNER'S LEGAL REPRESENTATIVE. By signing this application, I grant the Orange County Health Department, Environmental Health Division, right of entry to the property to perform the service(s) requested.
This field is not part of the form submission.
* indicates a required field