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HomeMy WebLinkAboutAUTH-12-2021-162689.TIF 111.CLNIPI NW catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 2/9/2024 Owner(s); Denise 4dav1n1 Mailing Address: 15524 Troubadour Ln Huntersv Ile,NC 28078 Property location/site legal description 6932 Navajo Trail,Sherrills Ford PIN: 369720707589 Improvement Permit(IF) _ Date Issued Authorization to Construct(AC) AUTH12-2021-162689 Date Issued 12/16/2021 I" trt trig Q�"f i av 0 I ,voluntarily relinquish my rights to pursue a formal appeal through the North (print ful name) Carolina Office of Admin strative Hearin s pursuant to NC General Statute 130A-24 and 1508-23 and all other applicable provisions of Chapter 1508 for the above referencec permit(s)(whi h includes the IPs and ACs)in order for the authorized agent/local health department to issue the applicable permit(new IP and/or AC)fo the site. I understand by completing this form that the permits)for a i l I l b—25%reduction I (System description) will be revoked immedia ely by the auth razed 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 th North Carolina Administrative Procedure Act. I understand that in order for the local health department to issue another IP and AC that the current P 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 frcm the revocati n or,if the revocation is appealed,at the time that the Office of Administrative Hearings issues a final decision. I understand that by signing th s form and relinquishing my right to appeal the permit revocation at the Office of Administrative Hearings that the local health depa rtment'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 inerest. 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 require• o re inquish�r 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 o take. t. Signature of Property Owner; a„jilt'.VC ,/a lrl. Date Signed: /7e9/V NCDHHS/DPH/EHS/OSWF Revised May 2015 catawbacountync.gov Environmental Health Coicwhc County Government Center 25 Govern tent Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. t 'T1Fi . 1 catawba county public health February 9, 2023 Denise Podavini 15524 Troubadour Ln Huntersville, NC 28078 Subject: Notice of Intent to REVOKE the Authorization to Construct for 6932 Navajo Tr,Sherrills Ford PIN 369720707589 Catawba County Permit AUTH-12-2021-162689 Dear Ms. Podavini: The Environmental Health Division of Catawba County Public Health intends to revoke your Authorization to Construct 30 days from the date of this notice. If the permit is revoked,you must apply for a new Authorization to Construct(AC) and meet the requirements of the current laws and rules necessary to obtain a new 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 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.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 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 2/9/2023. 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 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, ` on Boyd, REHS Environmental Health Specialist Catawba County Public Health