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catawba county
public health
VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS
Date prepared: November 15.2022
Owner(s): Wynswept Development LLC
Mailing Address: yO Box 3965
Mooresville,NC 28117
Property location/site legal description: 3201 Timber Run Ln
PIN: 367804712948
Improvement Permit(IP) IMPV-I 1-2020-1 4 1 75 1 Date Issued 11/20/2020
I, Heather Poston ,voluntarily relinquish my rights to pursue a formal appeal through the North
(print full name)
Carolina Office of Administrative Hearings pursuant to NC General Statute I 30A-24 and 15013-23 and all other applicable
provisions of Chapter 150B for the above referenced permit(s)(which includes the IPs and ACs)in order for the authorized
agent/local health department to issue the applicable permit(new IP and/or AC)for the site. [understand by completing this form
that the permit(s)for a
25%reduction system(IIIg)
(System description)
will be revoked immediately by the authorized agent/local health department.
I understand that the local health department's revocation of a permit can be appealed to the North Carolina Office of Administrative
Hearings within 30 days of the revocation pursuant to the North Carolina Administrative Procedure Act. I understand that in order for
the local health department to issue another[P and AC that the current IP and AC must be revoked. I understand that the local health
department's revocation of an IP or CA is not effective until 30 days from the revocation or, if the revocation is appealed,at the time
that the Office of Administrative Hearings issues a final decision. I understand that by signing this form and relinquishing my right to
appeal the permit revocation at the Office of Administrative Hearings that the local health department's permit revocation will become
effective immediately. I understand and agree that the revocation of a permit that takes effect immediately is in my best interest. I
understand that by signing this form that[agree that I do not want to appeal the permit revocation.
I understand that[am not required to relinquish my appeal rights but that this is an option available to me so I do not have to wait 30
days for the revocation of the p it to take effect.
Signature of Property Owner: b.p pv\--,
Date Signed: 'l 1/18/2022
NCDHHS/DPH/EHS/OSWP Revised May 2015
catawbacountync.gov
Environmental Health
Cctcwhc County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.82/0
MAKING. LIVING. BETTER.
catawba county
public health
November 15, 2022
Wynswept Development LLC
PO Box 3965
Mooresville, NC 28117
Subject: Notice of Intent to REVOKE the Improvement Permit for 3201 Timber Run Ln
Sherrills Ford, NC PIN 367804712948;
Catawba County Permits IMPV-11-2020-141751.
Dear Sir:
The Environmental Health Division of Catawba County Public Health intends to revoke your
Improvement Permit 30 days from the date of this notice.
If the permits are revoked, you must apply, which you have already done, for a new
Improvement Permit (IP) and meet the requirements of the current laws and rules necessary to
obtain a new IP.
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 November 15, 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 I Newton NC 28658 1828.465.8270
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,
N._S-- )-(.A-,\ t-F-_ke__iz
Steven Price, REHS
Environmental Health Specialist
Catawba County Public Health