ENVH Refundmom
Account Number:
110-0000-345.18-00 - EH
Project Number:
Vendor Name:
Jose Del Carmen Rubio
Vendor Number:
Application # 15-5-36600
Remittance Address:
222 Knight Road
Date 8-24-15
Broadway, NC 27505
FT I Mail to payee
7 Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Reason for check request: Based on previous septic repair and field work and after a preliminary site visit, the
soil conditions on this property will not support another septic tank
for an additional home.
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee Date
Graham H. Byrd, R.E.H.S.'/�
T instrument has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
Description
Amount
ENVH Soil Evaluation Fee
$ 750.00
Application # 15-5-36600
Property Location: Barbeque Church Rd., Lt. 1
PIN# 9578-36-5575.000
Total Amount Due
$ 750.00
Reason for check request: Based on previous septic repair and field work and after a preliminary site visit, the
soil conditions on this property will not support another septic tank
for an additional home.
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee Date
Graham H. Byrd, R.E.H.S.'/�
T instrument has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director