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Home My WebLink AboutAUTH-07-2022-176616.TIF catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 03/27/2023 Owner(s): Shawn Patterson -. Mailing Address: PO 13ax336 Catawba,NC 28609 Property location/site legal description: __5462 River Bend Rd,Claremont, NC PIN: _376403116165 Improvement Permit(IP) IMPV-07-2022-176615 Date Issued 0_7/29/2022 Authorization to Construct(AC) AUTI1-07-2022-176616 Date Issued 07/29/2022 I, S ltr'" d ,-nt'- _ ,voluntarily relinquish my rights to pursue a formal appeal through the North (print full name) Carolina Office of Administrative 1 icarings pursuant to NC General Statute I 30A-24 and 15013-23 and all other applicable provisions of Chapter 150B 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!Orin that the permit(s)for a 111L_2,5%RE 'ION (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 he appealed to the North Carolina 011ice 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: 10/7- NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health Ccr':wh;: (oun!y Goscrnr.'eni (entef 25 GOvirnmenf DivO, I PO Box 389 I Newtor N( 78658 I ?/ 465 8210 14 . a , ; � catawba county public health 3/27/2023 Shawn Patterson PO Box 336 Catawba, NC 28609 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 5462 River Bend Rd, Claremont, NC PIN 376403116165 Catawba County Permits IMPV-07-2022-176615 and AUTH-07-2022-176616 Dear Mr. Patterson: 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 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.Qov . 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. eatawbacountync.gov Environmental Health Cctcwhc County Government Center 25 Government Drive PO Box 389 ( 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 3/27/2023. 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, / -1)." 5.4os an Evans, REHS Environmental Health Specialist Catawba County Public Health t % it CATAWBA COUNTY -�.Ili Public Health Department Subdivision NORA LYNN ISAAC SIGMON Environmental Health Division PIN 376403116165 ;y A PO Box 384,25 Government Drive,Newton,NC 28656 1011 17 Site Address: 5462 RIVER BEND RD, CLAREMONT NC 28609 Name on Permit: COBBLE CREEK CUSTOM HOMES LLC Property Size: Acres 1.57 Directions: Hwy 16 N Right onto River RD, lot on the right Owner/Authorized Representative Acknowledgement of Permit Receipt Icertify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. �R As the property owner or authorized representative, 1 have received the above referenced permit(s)as requested in the application for service RBPR-05-2022-41039,by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required) 9 As the property owner or authorized representative l 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 (I5A 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: 07/29/2022 �f Owner/Authorized Representative Signature _ / Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) (��) Signature Qie.tc, Date/Time Method: Fax 1/ 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 yoPPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/ENCusttomerService Cobb it& )v t scoy4ADa ecyn Ain. nti 07,20,2022 10.00 fir+• (ATAW13A COI:NTY Case it Al11'1 1-07-2022-1 766 1 6 .f. , Public Health Department Subdivision NORA LYNN ISAAC SIGMON H linviranmental Health Division PIN# 376403116165 PO Box 389,25 Government Drive,Newton,NC 28658 ]O'hlJ 17 ; . v Site Address: 5462 RIVER BEND RD, CLAREMONT NC 28609 Name on Permit: COBBLE CREEK CUSTOM HOMES LLC Property Size: Acres 1.57 Directions: Hwy 16 N Right onto River RD, lot on the right Authorization to Construct Permit Permit Category: New Septic Wastewater Flow: 600 g.p.d. Type of Facility: Multi-Family-MFD Basement? Yes Basement Plumbing? Yes Bedrooms: 5 Water Supply: Private Well Maximum Occupants: Soil LIAR: .3 g.p.dift2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 25% REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Septic Tank: New Tank: 1,500 gal Pump Tank _gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 1,500sq ft Total Trench Length: 500 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 in Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center Number of Drain Lines: 3 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Additional Specifications: *INSTALL AS DRAWN ON CONTOUR *15FT MIN SETBACK FROM CENTER OF POWERLINE *15FT MIN SETBACK FROM ANY FOUNDATION DRAINS *15FT MIN SETBACK FROM ANY DRAINAGE WAYS *FINAL GRADE SHALL SHOW POSITIVE DRAINAGE AROUND ALL PARTS OF SYSTEM *NOTE: PROPOSED WATER LINE LOCATION See also attached site plan. 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. >>>>> Do not install system under wet conditions ««< PROPOSED REPAIR Repair System Required? Required Soil LTAR: .275 9•p•d.lft2 Proposed System: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required h1, nn: OR 0%2022 14:54