Loading...
HomeMy WebLinkAboutIMPV-08-2022-176706.tif catawba county public health MARCH 3RD 2025 ROBERT&LINDA HAMILTON 500 37TH ST SW, HICKORY, NC 28602 Subject: Notice of Intent to REVOKE the Improvement Permit for 955 24TH AVE DR NW; PIN: 370414339049 Catawba County Permit IMPV-08-2022-176706 Dear ROBERT&LINDA HAMILTON, The Environmental Health Division of Catawba County Public Health intends to revoke your Improvement Permit 30 days from the date of this notice. You must apply for a new Improvement Permit and meet the requirements of the current laws and rules necessary to obtain a new Improvement 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 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 General Statutes 130A-24 and 150E-23 and all other applicable provisions of Chapter 150B.General Statute 130A-335(g)provides that your hearing will 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 03/03/2025. 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 General Statute 150E-23 to serve a copy of your petition on the Registered Agent for the Department of Health and Human Services:Julie Cronin, Office of General Counsel, Department of Health and Human Services,2001 Mail Service Center, Raleigh,N.C.27699-2001. 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. Do not serve the petition on your local health department.Sending a copy of your petition to the local health department will not satisfy the legal requirement in General Statute 150B-23 that you send a copy to the Office of General Counsel,2001 Mail Service Center, Department of Health and Human Services. Respectful! Dean Evans , REHS Environmental Health Specialist Catawba County Public Health Al•All.r Nier Catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 03/03/2025 Owner(s): ROBERT & LINDA HAMILTON Mailing Address: 500 37TH ST SW,. HICKORY, NC 28602 Property location/site legal description: 955 24TH AVE DR NW, HICKORY NC 28601 MIN: 370414339049 Improvement Permit(IP) IM.IPV-08-2022-176706 Date Issued: 08/01/2022 I, Q J 3 Q . kAC IM r,vb?unily 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 150B for the above referenced permit in order for the authorized agent/local health department to issue the applicable permit(new IP)for the site. I understand by completing this form that the permit for a IIIE 50% RED (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 that the current IP must be revoked. I understand that the local health department's revocation of an IP 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 rmit revocation. I understand that I am not required . rel. q - h rr .,peal right. .ut that this is an option available to me so I do not have to wait 30 days for the revocation of the pe- i xt. a - e Signature of Property Owne . �� t % Date Signed: 1/ 05©/-� NCDHHS/DPH/EH /OSW Revised May 2015 I catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 ( 828.465.8270 MAKING. LIVING. BETTER. • `lok CA1AwBACouNTv Case 1MPv-08-2022-176706 / ra Public Iieatth Department Subdivision R H MCCOMB Environmental health Division PINt 370414339049 � PO Box 389,25(invemment Drive,Newton,NC 28658 LOTS l$ 12&PT 13 itr Site Addnsa: 955 24TH AVE DR NW.HICKORY NC 28601 Name on Permit CLIFTON STILES Property Size' Acres 0.95 Directions: 127 N,left 25th Avieft 24th Av Dr,to cube-sac on right Owner/Authorized Representative Acknowledgement of Permit Receipt )6",e21 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. XfAs the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service EHPR-01-2021-36530, by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) (:::i`As the property owner or authorized representative 1 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 IBA.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:08/01/2022 Owner/Authorized Representative Signature-:.y[►,� . .. _« _ Date V/e/2 Documentation of Permit(s)"Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person senthng permit) Signature Date/Time 91 --- Method: Fax J 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 yoarPiease flake a few mornentts tto cornplette our custtomer service survey att http://www.surveymonkey.corn/s/DICusttonierService 5 �lee $)3q CC1iarkr.mt i'•p,�n is OS/022022 nx:u1 a CATAWBA COUNTY Case# IMPV-08-2022-176706 Public Health Department Subdivision R H MCCOMB I I Environmental Health Division PIN# 370414339049 ri PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 12&PT 13 /844/s. Site Address: 955 24TH AVE DR NW, HICKORY NC 28601 Name on Permit: CLIFTON STILES Property Size: Acres 0.95 Directions: 127 N, left 25th Av,left 24th Av Dr, to cul-de-sac on right Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INS'IALLA'I'ION Permit Category: New Septic Wastewater Flow 480 g.p.d Type of Facility: Primary Residence-sfd Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Public Water 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: 50%REDUCTION HORIZONTAL System Classification: VA-SAND FILTER PRETREATMENT Pump Required ***** Operator Required Permit Conditions: DO NOT CUT OR FILL OVER SYSTEM AREA *SEPTIC AREA AS BEEN LOCATED BY A SURVEY AND IS ATTACHED 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' (I5A NCAC 18A.1900). Neither Catawba County nor the Environmental I lealth 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 I lealth authorization or permit modification.Please notify Environmental Health of this change prior to system installation. ECeris 08/01/2022 Authorized State Agent Permit Issuance Date 8/1/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department. 08/02n022 08:07 Catawba County Environmental Health 1 pv- o 2 - „?0 76170_41 kg 50.00 11 3511 •961 �� 4. I • ` rofasui kM - v •955 �' IS 73r o . `.0 12.) CO lust SeP�r` f A�� n;},�l eP�;� Zs�l LL `Spy Rol s �e�,,r �er y l t . . . 11.74 r —� / 10.45 -- 12 /� ct,0 . \ C•C Q.1' S' 25:00 63.00 ram- f ,' ri , ,k 3, r�•` 42.60 ',F.77r.r .1k., ' .«' .`i;j: i fi '° a6. Parcel: 370414339049, 955 24TH AVE DR NW 1in=401t HICKORY, 28601 This map/report product was prepared from the Catawba County,NG Geospatial htformation Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling Information contained on this map or data on this report 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 be held liable for any and all damages,loss or liability,whether direct,Indirect or consequential which anses or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 08/01/2022 CarScanncr I '� �$ S '� • tt I ! $ f a pp {S I}Tj r O y _ _6 $$ p�FqF�Fa �¢��3'k€ 1YBYT6�22� 3 � €j R 9 a I. 1(3I110€ 333133 €� : 4h 3h a Vii �Q �� IIf' IA 4 io{Ep ¢i 11 r $ 8 It•-'l 171 ksk @II) ,h , ik ,r' 4 't ,kR , e,b ; ] `4 s 1 ` , s .4 iip a 0 1t€ h t a FQ o • i 1azh t . i /~.�\ 9�9 ,A-., 'i r ,.-- 0.:°: PO v. k. I I / P jtl E 6i 11 q I ?I/ ii h T ail r ig il 1pt p 0 � r111 Rt ge u64 =a sp :0A11111 50!�F F-w bcc]9vd♦C06 J1000®a of caugg1Lo y 4 1f 1 F€ U'tF N.L ON CI334 ^1^Ft qe;Pit I x0 ylFD Iiiil