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Home My WebLink AboutIMPV-12-2020-142660.tif catawba county public health August 1, 2022 Clifton Stiles 146 Sweetbriar Ln Hickory, NC 28602 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 955 24T"Ave Dr NW PIN 370414339049 Catawba County Permits IMPV-12-2020-142660 Dear Mr. Stiles: 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 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 fora 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 150E-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. catawbacountync.gov Environmental Health Ccicwhc County Government Censer 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. 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 August 1, 2022. Meeting the 30-day deadline is critical to your formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings,you are required by law (NC General Statute 150E-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, Dean Evans, REHS Environmental Health Specialist Catawba County Public Health Catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 8/01/2022 Owner(s): Clifton Stiles Mailing Address: 1446 Sweetbriar I.n Hickory,NC 28602 Property location/site legal description: 955 24TH Ave Dr NW PIN: 370414339049 Improvement Permit(IP) IMPV-12-2020-142660 Date Issued 12/14/2020 Authorization to Construct(AC) Date Issued I, ,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 130A-24 and 150B-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. I understand by completing this form that the permit(s)for a 25%REDUCTION (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 IP 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 I agree that I do not want to appeal the permit revocation. I understand that I 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 permit to take effect. Signature of Property Owner: Date Signed: NCDHHS/DPH/EHS/OSWP Revised May 2015 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. U.S. Postal Service' CERTIFIED MAIL° RECEIPT 03 Domestic Mail Only ra r� For delivery information,visit our website at www.usps.com®. t7 Certified MaiI AAles DE U1 $ f U Extra Services&Fees(check bar,add fee as appropriate) ['Return Receipt(hardcoeY) $ r-R ❑Return Receipt(electronic) $ t - Postmark • 0 ['Certified Mall Restricted Delivery $ _`- Here tm ['Adult Signature Required $ _ D ❑Adult Signature Restricted Delivery$ � Postage 3.999� lf1 $ O— Total Postage and Fees o $ IMPV-12-2020-142660 ra Sent To Clifton Stiles ostreetandApl.45 rtn r- city state,zr o►r;NC-2$6O2 „ roi Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mali label). for an electronic return receipt,see a retail •A unique identifier for your maliplece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(Including the recipient's retail associate. signature)that is retained by the Postal Service'" -Restricted delivery service,which provides for a specified period, delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: service,which requires the •You may purchase Certlfic pit �ti i E L\ vE �ast 21 years of age(not First-Class Mail•,First-CI or Priority Mail®service. -Adult signature restricted delivery service,which •Certified Mall service is not available for requires the signee to be at least 21 years of age International mall. and pro ides delivery to the addressee specified •Insurance coverage is notavallable oc gy4h34 1 pa,or to the addressee's authorized agent with Certified Mall service.Howevetiggi pUrchake .'• able at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. LISPS postmark.If you would like a postmark on •For an additional fee,and with a proper ��tt��yy((� eceipt,please present your EQ, l endorsement on the maiipie nentAi�d ' at a Post Office'"for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the maiipiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-90.47 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3. A. Sig .rint youc name and address on the reverse X ds A Agent j $ 0 that we',>an return the card to you. 0 Addressee • Attac`�'tthi"card to the back of the mailpiece, B Received b (Printed Name) C. Date ,f Delivery or on the front if space permits. f,, '/ LI,y,S ' / 1. Article Addressed to: r. Is delivery address different from item 1? • Yes If YES,enter delivery address below: 0 No ;Clifton Stiles _116 Sweetbriar Ln • ckory, NC 28602 3. Service Type 0 Priority Mail Express® 'i ll n"111111111 II II I III I'I III I I II I I 0 Adult Signature 0 Registered MailTM dult Signature Restricted Delivery 0 Registered Mail Restricted Certified Mail® Delivery 9590 ,,,i,i i)2 7152 1251 8032 72 ertified Mail Restricted Delivery 0 Signature Confirmation". ❑Collect on Delivery 0 Signature Confirmation o ertlrla Number(Transfer from sarviro!anon ❑Collect on Delivery Restricted Delivery Restricted Delivery ❑Insured Mail ' 70 21 0 9..7❑ 0001 2504 0118 0 Insured Mail Restricted Delivery (over$500) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKING# First-Class Mail Postage&Fees Paid r I .1,1041111 I1 Oil' IMI USPS 5 Permit No.G-10 9590 9402 7152 1251 8032 72 United States •Sender: Please print your name,address, and ZIP+4®in this box• Postal Service RECEIVED,MPV 12-2020 142660 Dean Evans, REHS AUG 2 /I 2022 Catawba County Environmental Health PO Box 389 Newton, NC 28658 Environmental Health .. ._.._.....:...:....-. .;,:.:.:.;i.:..,i.i:,.:.i:.ii.ii;.:.,:,::.ii..,�.ii.i;.:....i:..i • • `• • ">, ' ""IIIII'•ttlitt'II"'tI'tit'ttl'Ilt"'11'ti:."tt I I It