ENVH Refund for soil evaluationHarnett
COUNTY
NORTH CAROLINA
COUNTY OF HARNETT
CHECK REQUEST FORM
Account Number:
110-0000-345.18-00
Project Number:
Vendor Name:
Larry W. Swanson
Vendor Number:
Remittance Address:
1109 Old Bramble Lane
Date July 1, 28i2°-
Fuquay Varina, NC 27526
li
F_x Mail to payee
Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Description
Amount
ENVH Soil Evaluation Fee
$ 250.00
Land Use Application HTE# 11-5-26912
Larry W. Swanson, applicant/ homeowner
Location: Neill's Creek Farms Lt 8
Total Amount Due
$ 250.00
Reason for check request: Homeowner applied for soil evaluation to change home from 3 to 4 bedrooms due
to sale of home. Buyer's changed their mind and decided to leave home at the 3
bedroom permitted status. Bonus room to remain as is, no changes requested.
Application was placed on hold pending customer's decision. Since no field work was
ever done money may be refunded.
This check request has been examined by me and is hereby approved for payment.
Department Head or Au orized Designee Date
Graham H. Byrd, R.E.H.S.. 4 , 115;.
T ' ' trument has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Harnett County Finance Director