HomeMy WebLinkAboutDavid Crosby 040017 Intent to Suspend 11 20 20NC DEPARTMENT OF
HEALTH AND
HUMAN SERVICES
DAVID CROSBY
73110TH ST DR NW
HIKCORY, INC 28601
Account:02018040017
Dear Madam/Sir:
ROY COOPER • Governor
MANDY COHEN, MD, MPH • Secretary
MARK T. BENTON • Assistant Secretary for Public Health,
Division of Public Health
November 20, 2020
CERTIFIED
NOV 3 0 2023
Enairnoi7enidl fieai"L)
In accordance with N. C. General Statute 13OA-248(d), on September 18, 2020 your facility was billed for the
annual $120.00 Food and Lodging fee. This fee was for the fiscal year which ends June 30, 2021. When
payment was not received within 45 days, a second invoice, which included a $25.00late payment fee notice
was mailed on November 4, 2020. The additional 15 days allowed by the law to pay the fee and the late fee
have now expired.
This is to notify you of intent to suspend the permit for this facility 30 days from date of receipt of this notice
for nonpayment of annual fee and the late fee was provided in N. C. General Statute 130A-248(d).
You have the right to a formal appeal of this decision by filing a petition for a contested case hearing with the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N. C. 27699-6714. The petition must be
received by the Office of Administrative Hearings within 30 days after the receipt of this notice. A petition
form will be provided to you upon request from the Office of Administrative Hearings at the above address.
If you file a petition for a hearing, you must send a copy of the petition to the Office of General Counsel, 1601
Mail Service Center, Raleigh, N. C. 27699-1601.
Pay online at http://ehs.ncpublichealth.com/faf/isf/ or submit a check made payable to "NCDHHS" in the
amount of $145.00 to:
INSPECTIONS, STATISTICS, AND FEES PROGRAM
N. C. Dept. of Health & Human Services
1632 Mail Service Center
Raleigh, N. C. 27699-1632
Sincerely,
Alisha Garrett, Business Officer II
Environmental Health Services Section
cc: Catawba County Health Department
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH
LOCATION: 5605 SIX FORKS RD, RALEIGH INC 27609
MAILING ADDRESS: 1632 MAIL SERVICE CENTER, RALEIGH NC 27699-1632
ehs.ncpublichealth.com • TEL: 919-707-5854/888-251-5543 • FAx:919-845-3972
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER