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Home My WebLink AboutAUTH-07-2022-175256.TIF (1" ) catawba county public health September 19, 2022 Deborah Harwell 3882 Mt Olive Church Rd Newton, NC 28658 Subject: Notice of Intent to REVOKE the Authorization to Construct for 3882 Mt Olive Church Rd PIN 366902753181 Catawba County Permit AUTH-07-2022-175256 Dear Ms. Harwell: 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 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 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 1508-23 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. 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 9/19/2022. 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, I .roo,Es D an Evans, REHS Environmental Health Specialist Catawba County Public Health catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 9/19/2022 Owner(s): Deborah Harwell Mailing Address: 3882 Mt Olive Church Rd Newton,NC 28658 Property location/site legal description: 3882 Mt Olive Church Rd PIN: 366902753181 Improvement Permit(IP) Date Issued Authorization to Construct(AC) AUTH-07-2022-175256 Date Issued 7/8/2022 ,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 Septic Tank Only (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. 3yA7 CA1AWDA COUNTY Casetr AUI'II-07.2022-1752$6 �C [,tile/ Public Health Department Subdivision < '�• H Environmental Health Division PING 366902753181 °it PO Jinx 389.23 Government Drive,Newton,NC 28658 LOIN Site Address: 3882 MT OLIVE CHURCH RO, NEWTON NC 28658 Name on Permit: DEBBY HARWELL Property Size: Acres 0.67 ' Directions: Mt Olive Church,on left just past Fox Dairy Rd • Owner/Authorized Representative Acknowledgement of Permit Receipt Xcertify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EIIPR-05-2022-40957, by the following method(s): -' _ Received in Person , Facsimile Transmittal(Return form with signature required) 7 Electronic Image Transmittal/E-mail (Return receipt required) In 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 (ISA NCAC ISA.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:07/08/2022 {/., Owner/Authorized Representative Signature (C!r (�. ' `/' �- Date 7[/17/aG 0 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other meats) Permit transmitted by n'' (name. of'person sending permit) Signature tl Date/Time ll{�(/J� r Method: Fax i Eniail US Mail Other • Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yet/Please ttake a few momentts tto complette our custtomer service survey ant http://www.surveymonkey.com/s/DiCusttomerService h 'iaue 1177e3 net . &tom .Lpumit e7i0M2e22 us:32 ., Catawba County Environmental Health 99.05 1bo8g a S•987 \ ' • /I a (97) ry e u • S T ry r • \-.1\;\ ao ;'� co i--F1 L 6 a N Gael 0 3 •3882 • 6 0� �` r t0 m (144) 0 =p0 er it 7 & CV r a p n h. O 1 I r Of W 189.87 N J 1p J fa J g 255.90 i Parcel: 366902753181, 3882 MT OLIVE 4fr JL t_p I-«. M% n+ n P k-'1 e lin=50ft CHURCH RD NEWTON, 28658 v o ., I\/ T a u T 0 - 7 - Z 7- - i/ r1-56 Thlsmap/report product was prepared from the Catawba County,NC Gooe anal Information Services, Catawba County has made substantial efforts to ensure the accuracy of location and labeling Information contained on this mop or data on this repot.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user,The County of Catawba,its employees,agents,and • personnel,disclaim,and shall not bo hold liable for any and all damages;loss or liability,whether direct,Indirect or consequential which arises of may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 07/08/2022 Scanned with CamScanner