HomeMy WebLinkAboutIMPV-12-2020-142798.tif (;° )
catawba county
public health
VOLUNTARY RELINQUISHMENT Of ADMINISTRATIVE APPEAL RIGHTS
Date prepared. 1 1 7 2023
Owner]s). i4dinri Br S�abat xui:sa r
tIalong Address: T-_.,. ..W1641 farmtnniuntl tls fl;
Conover,hC 28633
Prpperty letation;site iegat description _ 3387 OId Catawba Rd._Claremont
Pity 376107613:197
improvement Permit IIP) _ IMDy-12-2021114?798 Date Issued ]2r 1E42320
thorrtation to Construct lA(] _-. ALIT-.1k 1Q.-I;!!Z719 (pate Issued 12/:E/2020
+, ,voluntarily relinquish my rights to pursue a formal appeal throLgh the North
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Carolina Olf ice el Administrative Clearings pursuant to t?C General Statute I30ar,24 and ISOB-13 and all other applicable provisions of Chapter 1SD
he above referi need permits){which includes the tPs and ACs)in order for the authorized agent/local health r epartrnent.to issue the
applicable permit[new rP andlor AQ)for the site. I understand by cornple1ing this form that the permit[s]for a
[Syitens description)
will be revoked immediately by the authorized agent/local hearth department.
i understand that the local health department's revocation of a permit can be appealed to the North Carolina Office of Adnrnritratnee klearings within
30 days of the revocation pursuant to the North Carolina Administrative Procedure Act t 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 revotatii0n or,if the revocation is appeared,at the time that the Office of Administratore Hearings issues a final
decision. I understand that try signing thus form and relrngiyishing my nth sir appeal the permit revocation at the Office of Administrative Hearings
that the, local health department's permit revocation will become effective irnmedialety. I understand and agrtte that the revocation of a permit that
takes effect immediately is n my best Interest. I under stand that by signing this form that I agree that I do not want to appeal the permit tevocatron.
I understand that I am not required to retarsrtuish my aapeat rights but that this is an option available to me so/do not have to wait 30 days for the
revocation of the permit to tale et� t.
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NCLIHHS/DPH/EHS/OSwP Revosed May 2015
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Environmental Health
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catawba county
public health
January 17, 2023
Adina &Csaba Kulcsar
1641 Farmington Hills Dr
Conover, NC 28613
Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to
Construct for 3387 Old Catawba Rd, Claremont PIN 376107682197
Catawba County Permits IMPV-12-2020-142798 and AUTH-12-2020-142799
Dear Mr. and Mrs. Kulcsar:
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.
If the permits are revoked,you must apply for a new Improvement Permit and Authorization to
Construct (IP/AC) and meet the requirements of the current laws and rules necessary to obtain a new
IP/AC.
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 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
Catawba County Government Center
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 1/17/2023. 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 15013-23) 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,
Steven Price, REHS
Environmental Health Specialist
Catawba County Public Health