The URL can be used to link to this page

Home My WebLink AboutWELL-01-2022-163851.TIF catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 7/8/2022 Owner(s): Lake Norman Vacation Rentals Mailing Address: 7029 Denison Rd Summerfield,NC 27358 Property location/site legal description: 7895 Vista View Dr, Sherrills Ford,NC PIN: 460604838567 Well Permit WELL-01-2022-163851 Date Issued: 1/12/2022 1, Kevin J Carter ,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 150E for the above referenced permit(s)in order for the authorized agent/local health department to issue the applicable permit(new Replacement Well permit)for the site. 1 understand by completing this form that the permit(s)for a New Well (well permit type) 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 Well Permit that the current Well Permit must be revoked. 1 understand that the local health department's revocation of the Well Permit 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. 1 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 1 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: July 13, 2022 NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health Ccicwbc County Government Censer 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. Niirr catawba county public health 7/8/2022 Lake Norman Vacation Rentals 7029 Denison Rd Summerfield, NC 27358 Subject: Notice of Intent to REVOKE the New Well Permit for 7895 Vista View Dr, Sherrills Ford, NC PIN 460604838567 Catawba County Permit:WELL-01-2022-163851 Dear Sir: The Environmental Health Division of Catawba County Public Health intends to revoke your New Well Permit 30 days from the date of this notice. If the permit is revoked,you must apply for a Well Permit and meet the requirements of the current laws and rules necessary to obtain a new Well Permit. 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 Specialist.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. 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 7/8/2022. Meeting the 30-day deadline is critical to your formal appeal. 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 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, 4147-- f1149.ct„ Robert Phelps, REHS Environmental Health Supervisor Catawba County Public Health