HomeMy WebLinkAboutIMPV-09-2020-138644.TIF catawba county
public health
VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVF APPEAL RIG IITS
Date prepared: October 7.2022
Owna(s): Slvvsn AdallthaY Ilelinskt
Mailing Address: 20119 Rock Springs Circle
Denver,NC 28037
Property location/site legal description: 1 160 N Saunders Dr.,Catawba NC 28609
PIN: 471003313566
Impruvetocti Permit(IP) JMPV-09-2020-I3g644 Dale Issued 9+172DZD _
Autharinaiorn to Construct(AC) AUT11-09--2020-I38615 Dale Issued 9/17/202D
t. S eVtA fly`" ,voluntarily relinquish my rights to pursue a formal appeal through the North
(print frill name)
Carolina Office of At ainistrative hearings pursuant to NC General Statute 13DA-24 and 15011-23 and all other applicable
provisions of Chapter 1508 for the above referenced permit(s)(which includes the IPs and ACs)in order for the authorized
ateai/)o al health deportment to issue the applicable permit(new IP and'or AC)for the site. I understand by completing this loam
that the pamit(s)far a
— 2.5%reduction system LI IG)__
(System description)
will be revoked imntrciiitrerly by the authorized agent/local health department.
I understand dui the local health department's revocation of a permit can be appealed to the North Carolina OfTice of Administntive
Hearin,within 30 days of the revocation ptostan;to the North Carolina Administrative Procedure Act_ J understand that in order for
the local beabb department b issue another)P and AC that the current IP and AC must be revoked_ I understand that the local health
deiartoasirsmacula of NO IP or CA is na efTcetivc until 30 days from the revocation or. if the erroca►ion is appealed.at the time
that the OWKo ofA atire Hearings issues a final decision. I understand that by signing this form and relinquishing my right to
appeal the permit rrevoaaion at the Office of Administrative Hearings that the local health department's permit revocation will become
effective iaanetirately. I amdaslaod rod agree that the revocation of a permit that takes effect immediately is in my best interest. I
atodostaod dial by signing' this farm that I agree that I do not want to appeal the permit revocation.
I vdaataald lily I as not rewind' relinquish my appeal rights but that this is an option available to me so I do not have to wail 30
days tar else revocaltitia of the permit to take effect_
Sipratrstr dhoperty Orraat:
Dose Si d tI0/7/L022.
NOMS/p►HJI GiOSWP Revised May 2015
cat awbacoun tyn c.g ov
Eaviraaatatal Health
Ccicubc (euaty 6retelnient (enter
75 6ntlan tat Omit ( f0 Boa 389 I Newton N( 1855f 823 465 821e
MAKING. LIVING. BETTER.
catawba county
public health
October 7, 2022
Steven & Lindsay Helinski
2089 Rock Springs Circle
Denver,NC 28037
Subject: Notice of Intent to REVOKE Improvement Permit and Authorization to
Construct; 1160 N Saunders Dr., Catawba; Catawba County Permits IMPV-09-2020-
138644,AUTH-09-2020-138645.
Dear Mr. &Mrs. Helinski:
The Environmental Health Division of Catawba County Public Health intends to revoke your
Improvement Permit and Authorization to Construct 30 days from the date of this notice.
You have a right to an informal review of this decision. You may request an informal review by
the environmental health supervisor at the local health department. You may also request an
informal review by the NC Department of Health and Human Services Regional Soil Scientist. A
request for informal review must be made in writing to the local health department.
You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must
file a petition for a contested case hearing with the Office of Administrative Hearings, 1711 New
Hope Rd, Raleigh, NC 27609. You may write the Office of Administrative Hearings, call the
office at(984) 236-1850 or get a copy of the petition form from the OAH web site at
http://www.oah.nc.gov . The petition for a contested case hearing must be filed in accordance
with the provision of North Carolina General Statutes 130A-24 and 150B-23 and all other
applicable provisions of Chapter 150B. North Carolina General Statute 130A-335 (g) provides
that your hearing would be held in the county where your property is located.
If you wish to pursue a formal appeal, you must file the petition form with the Office of
Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date
of this letter is October 7, 2022. Meeting the 30-day deadline is critical to your formal appeal.
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 Newton NC 28658 828.465.8270
MAKING. LIVING. BETTER.
If you file a petition for a contested case hearing with the Office of Administrative Hearings, you
are required by law (NC General Statute 150B-23) to serve a copy of your petition on the Office
of General Counsel, NC Department of Health and Human Services, 2001 Mail Service Center,
Raleigh, NC 27699-2001.
Respectfully,
IP- 0 4
r,
Megen cBride, REHS
Environmental Health Administrator
Catawba County Public Health
cc: Robbie Phelps, REHS, Environmental Health Supervisor