HomeMy WebLinkAboutIMPV-05-2022-171173.TIF ‘44
catawba county
public health
1-22-2024
Nazanine Amiri
23142 LA Granja Dr
Valencia, CA 91354
Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to
Construct for 4215 Cascade St Terrell, NC 28682 PIN 461703116639
Catawba County Permits IMPV-05-2022-171173 and AUTH-06-2022-174768
Dear Nazanine Amiri:
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 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.eov . 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.
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�=rl CATAWBA COUNTY
tPublic Health DepartmentSubdivision THAD AND HAROLD GABRIEI
Environmental Health Division
PiNa 461703116639
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 19&ADJ
f:;r
Stte Address: 4215 CASCADE ST,TERRELL NC 28682
Name on Permit: NICK WATTS
Property She: Acres 0.63
Directions: Right onto Sherrills Ford Rd,right onto Hob Ln.Take a left at the end and Its the 4th lot on the right
Owner/Authorized Representative Acknowledgement of Permit Receipt
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I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
XwAs the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-I1-2021-39300,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
47 Electronic Image Transmittal/E-mail (Return receipt required)
+'
wAs the property owner or authorized representative I have reviewed and understand the specific conditions
of the permit issued, and further understand that all ap
plicable regulatory requirements specified under the
North Carolina Laws and Rules for Sewage 7'reatment and Disposal Systems(15A NCAC 18A.1900),
and/or Well Construction Standards(15A 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: 05/10/2022lLa
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Owner/Authorized Representative Signature fRO, wl
Date 7--
Documentation of Perm it(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person se ding permit)
Cy, f� c
Signature (/ Date/Time CC ) II✓) _
Method: Fax V Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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_IV)4 CATAWBA COUNTY Case II IMPV-05-2022-171173
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' t K ,Z Public Health DepartmentIfil Subdivision THAD AND HAROLD GABRIEI
d • Environmental Health Division PIN# 461703116639
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 19&ADJ
u,
Site Address: 4215 CASCADE ST, TERRELL NC 28682
Name on Permit: NICK WATTS
Property Size: Acres 0.63
Directions: Right onto Sherrills Ford Rd, right onto Hob Ln. Take a left at the end and its the 4th lot on the right
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Expansion Wastewater Flow 480 d
9P.
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: DRIP IRRIGATION
System Classification: VA-SAND FILTER PRETREATMENT
Pump Required ***** Operator Required
Permit Conditions: *Do not cut, drive,fill, or grade over septic or repair areas.
*This is an improvement permit only and is not intended for septic installation purposes.
*Partial repair space only for 2 bedroom expansion.
Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper
drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved,and may result in failure to
approve the initial system installation,or the suspension/revocation of existing permits.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant
/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit
is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not
affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and
Rules for Sewage Treatment and Disposal Systems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health
Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time.
Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
,
06/20/2022
Authorized State Agent Permit Issuance Date
6/20/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
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Parcel: 461703116639, 4215 CASCADE ST 1 in=40t
TERRELL, 28682
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Copyright 2021 Catawba County NC
05/10/2022
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