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Home My WebLink AboutIMPV-06-2022-174608.TIF catawba county public health February 21, 2023 Gabriela Aguilar Lara 2935 11th Ave Dr NE Conover, NC 28613 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 2901 11th Ave Dr NE,Conover, NC PIN 372314427740 Catawba County Permits IMPV-06-2022-174608 and AUTH-07-2022-176625 To Whom It May Concern: 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.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 Cctcwbc 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 2/21/2023. 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. Res ectfully, C /1".........„..- --1),N,, n Evans, REHS Environmental Health Specialist Catawba County Public Health Catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 2/21/2023 Owner(s): Gabriela Aguilar Lara Mailing Address: ?93S 1 tth AvP nr NE Conover,NC 28613 Property location/site legal description: 2901 116 Ave Dr NE,Conover PIN: 372314427740 Improvement Permit(IP) IMPV-06-2022-174608 Date Issued 6/27/2022 Authorization to Construct(AC) AUTH-07-2022-176625 Date Issued 7/29/2022 ,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 150E-23 and all other applicable provisions of Chapter 150E for the above referenced permit(s)(which includes the IPs and ACs)in order for the authorized agent/local health department to issue the applicable permit(new IP and/or AC)for the site. I understand by completing this form that the permit(s)for a Illb—25%Reduction (System description) 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 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 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. I 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 I 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: NCDHHS/DPH/EHS/OSWP Revised May 2015 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. 4��5• CATAWBA COUNTY Case# IMPV-06-2022-174608 �. ik. Public Health Department Subdivision JAMES M MILLER ESTATE Environmental Health Division P1N# 372314427740 Air PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3 w Site Address: 2901 11TH AVE DR NE,CONOVER NC 28613 Name on Permit GABRIELA LARA Property Size: Acres 0.49 Directions: Highland Ave NE, left onto 16th St NE, straight onto 12th Ave NE,right onto 12th Ave Dr NE, right onto 28th St ' PL NE,left onto 11th Ave Dr Owner/Authorized Representative Acknowledgement of Permit Receipt {/ I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. r V As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service EHPR-02-2022-40208,by the following method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) .. -.. 1(i .V 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(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:06/27/2022 Owner/Authorized Representative Signature /,�c/ ' cz r 4 7 Date r 7- 6`)/—22 . Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature �? lIL9 Date/Time - n1-,Q A ' Method: Fax ✓ Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature ._ We wantt tto hear from yooPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerSenrice JC51)..De-,Va SCI U CL. An d, mQ-t1 . �c� J i2-P ehpcnuit 06/27/2022 09:34