ENVH RefundHarnett
COUNTY
NORTH CAROLINA
Account Number:
Project Number:
Vendor Name:
Vendor Number:
Remittance Address:
Date 4-19-17
COUNTY OF HARNETT
CHECK REQUEST FORM
110-0000-345.18-00
Christopher & Elizabeth Wellington
52 Windview Court
Fuquay Varina, NC 27526
❑X Mail to payee
Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Reason for check request:
System area and soils will not accommodate a fourth bedroom per Soil
Scientist Oliver Tolksdorf.
This check request has been examined by me and is hereby approved for payment.
Department Head o A thorized Designee Date
Graham H. Byrd, R.E.H.S. ✓ _
Aisin4-rpfenAcs teen
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
Description
Amount
ENVH Existing Tank Fee
$ 100.00
Location: 52 Woodview Court
Woodview Lt 2
Total Amount Due
$ 100.00
Reason for check request:
System area and soils will not accommodate a fourth bedroom per Soil
Scientist Oliver Tolksdorf.
This check request has been examined by me and is hereby approved for payment.
Department Head o A thorized Designee Date
Graham H. Byrd, R.E.H.S. ✓ _
Aisin4-rpfenAcs teen
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director
HARNETT COUNTY CP/ENVIRON HEALTHTRACKING SHEET
ENVIRONMENTAL / HEALTH & SANITATION TRACKING SHEET
APPLICATION
APPLICANT NAME
TYPE
REC,EH
FEES
TRACK DATE REMARKS
17-5-41064
MOHLER HOMES INC
ET
3/31/2017
$100.00
3/30/2017
17-5-41058
RAFEAL SALAZAR
IEWANEL
3/31/2017
$1,000.00
3/30/2017 NEW WELL AND SEPTIC
17-5-41061
ROBERTTUTOR
ET
3/31/2017
$100.00
3/30/2017
17-5-41062
RISING SUN POOLS
ET
3/31/2017
$100.00
3/30/2017
17-5-41066
DWAYNE AND AMY GREGORY
IEWfWEL
3/31/2017
$750.00
3/30/2017
17-541065
THE WELLONGTON GROUP LLC
ET
3/31/2017
$100.00
3/30/2017
$2,150.00
BP821U01
Application number
Address . . . . .
Position to . . .
Harnett County
Application Fees Maintenance
17 50041065
52 WOODVIEW CT
Type options, press Enter.
1=Select
Amount
Opt To Apply Description
CP* MISCELLANEOUS
CREDIT/DEBIT PROC. FEE
ENVIRON HLTH REVISION FEE
EV* WELL FEE
EXIST. TANK TEST/INSP.
SOIL EVAL/NEW SEPTIC TANK
911 REFLECTIVE SIGNS
F3=Exit F9=Display all F12=Cancel
4/19/17
08:39:53
08
Starting characters
Previously
Applied
.00
.00
.00
.00
100.00
.00
.00
Paid Inactive
.00
.00
.00
.00
100.00
.00
.00
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