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Home My WebLink AboutIMPV-11-2021-160411.TIF Ntiffir Catawba County public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: May 10 2023 — Owner(s): ?Qrtelc&_Qayarsc.Lacklcar — --` Mailing Address 2603..CherryPlum Dr Fayetteville,NC 28306 • __--- Property location/site legal description: _9244 Legrand DrPIN: 462_ 701213Q61_.._-, Date Issued 11/4/2021 __ Improvement Permit(IP) _ IMPV-11.2021-1�0411 Date Issued Authorization to Construct(AC) eal through the North I./Q(f ct to (2r ,voluntarily relinquish my rights to pursue a formal app ( rint full name) Carolina Office of Administrative Hearings pursuant to NC General Statute -130A-24 he and 1508-orizedage analll of eralph Idepalrtment to I sof e the 150 for the above referenced permit(s)(which includes the IPs and ACs)in order for applicable permit(new IP and/or AC)for the site. I understand by completing this form that the permit(s)for a IVa-SQ (System description) will be revoked immediately by the authorized agent/local health department. ermit can be to he orth Carolina Office of Administrative Hearings within I understand sof h revtcation local health pursuant to the North Carolina Administrative epartment's revocation of a Procedure Act. I understand rstand that in order for he local health department to 30 days of the revocation P issue another IP and AC that the current IP and AC must be revoked. I at the time that thel Office of Admthealth n straty a Hearings issues a fint's revocation of an IP orns A is not effective until 30 days from the revocation or,if the revocation is appealed, tha decision. I al health d thatr by signing ermitsrform and relinquishing my evocation will become effective immediately.ht to appeal the permit revocation at the Office II understand and agree that thefrev cation of a permit Hearings that take the th departments permit 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. 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 1 - Revised May 2015 NcoHHs/OPH/EH5/aSWP catawbacountyllc.gov Environmental Health (ctcwhc County Govern,uenl I enter 25 Govcunnent Dove I PO Box 389 NevHon N( 28558 ( 828 455 8/I, MAKING. LIVING. BEU R. ti catawba county public health May 10, 2023 Torrey& Davance Locklear 2603 Cherry Plum Dr Fayetteville, NC 28306 Subject: Notice of Intent to REVOKE the Improvement Permit for 9244 Legrand Dr,Terrell PIN 462701273061 Catawba County Permit IMPV-11-2021-160411 To Whom It May Concern: 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 permit is 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 for a contested case hearing with the Office of Administrative Hearings 1711 New Hope Church 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.Rov . 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 Cctewhc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.4165.8270 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 5/10/2023. 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 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, ames R. Ross, REHS Environmental Health Specialist Catawba County Public Health . • .awl' =4,, CATAq RA COUNTY CLIC It I M P V•11.2021.160-111 isr •Met Public Ik u LA alth Department SuNhv ,on CRESCENT ND AND TIMBI V.,-: . l! nalllalthDimon PINA 462701273061 PO Dm 3119,25 Government Drive,Newton,NC 28655 t a7a 253 Silts Address: 4244 LEGRAND DR.TERRELL NC 28682 Name on Permit BRIAN THOMPSON Property Eton: Acres 1 Directions: Corner of Grodon and Legrand Streets Owner/Authorized Representative Acknowledgement of Permit Receipt V I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the pro y described above. �L As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service EHPR-08-2021-38661,by the following method(s): _ Received in Person —y, Facsimile Transmittal(Return form with signature required) 4 Electronic Image Transmittal/E-mail (Return receipt required) (As the property owner or authorized representative I have reviewed and understand the specific conditions of the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900), and/or Well Construction Standards(I5A NCAC 2C.0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 11/04/2021 Own er/Au on Representative Signature / Qf' Date / 6 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signaturei(YE -Date/Time Ij'1 c/,j Method: Fax 'Email _US Mail Other Owner's request to send by the above indicated method of transmittal In lieu of signature We wantt no hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymorikey.com/s/EHCusttomerServIce Gin 061D3&Obis Ern P---P .IpamN 11./2021 11.26 Scanned with CamScanner DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION Sheet of ON-SITE WATER PROTECTION BRANCH PROPERTY ID#: SOIL/SITE EVALUATION COUNTY: Catawba for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) DER: 8 ckAA 71 pkI W) DATEO _ APPLICATION DRESS: PROPOSED FACILITY:17----- -il--1_,..4{,_, PROPOSEDDESIGN F OW .19 DATE EVALUATED:��< LOCATION OF SITE: ( ) PROPERTY SIZE: Z2/ PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public C Spring E.Other EVALUATION METHOD: ❑Auger Boring c Ir ❑Cut TYPE OF WASTEWATER: VSeTvage ❑Industrial Process E Mixed P • s 0 R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH - # SLOPE% (IN.) 1942 PROFILE .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ i7 --I /1.-,5 fr 5-' _ .--d 1D� CI C '" iv (26)--Ly-t- c-cov LF7--1-/f*VIVO fr-- .5"1- , 0 -3 I- r &- J/ 3 lX -1-7 LIZ-. 0 17 f 3 2 te-L5ergaido/ ,s - 1 ,s.# � s- 3 Jj- (CZ keilk `5 , 3 1-0.5q 1 S;LJ/J cz ;575 9_6 L ti, LSD (...51/ , , r 4 Lb 6'1(40/d-140 fr c5. -. / " DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) P5 �5 SITE CLASSIFICATION(.1948): t System Type(s) -Ft-5/r ✓c-A _fr!f� / EVALUATED BY: ,ey Y" V � �THER(S)PRESENT: Site LTAR l 3 J Z COMMENTS: Updated February 2014 Keshia Parris From: Katherine Smith Sent: Wednesday, May 28, 2025 4:09 PM To: Keshia Parris; Pat Queen Cc: christy@spiveyinc.com Subject: Address Change Request/9244 Legrand Dr Follow Up Flag: Follow up Flag Status: Flagged Hi All, The homeowners of PIN # 4627-01-27-3061 currently addressed as 9244 Legrand Dr, Terrell have requested an address change. Their final driveway placement is off of Gordon St. They have requested a new 911 address off of Gordon St. The new address for the parcel will be: 3596 Gordon St, Terrell NC, 28682. The home has recently received a Building Final. If you can please update the permits to reflect the new address to ensure that everything is properly linked. Please let me know if you have any additional questions. Thank you, Katherine Smith E-911 ADDRESSING COORDINATOR Catawba County Government Center 25 Government Drive, Newton, NC 28658 Office 828.465.8147 tb county NovMAIM. LIVING. 6hTTEB,. CONFIDENTIALITY STATEMENT: This electronic communication is from CATAWBA COUNTY and is confidential,privileged and intended only for the use of the recipient named above.If you are not the intended recipient or the employee or agent responsible for delivering this information to the intended recipient,unauthorized disclosure,copying,distribution or use of the contents of this transmission is strictly prohibited.If you have received this message in error,please notify the sender immediately at the following email ksmith@catawbacountync.gov 1