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Home My WebLink AboutIMPV-09-2022-181076.TIF (1-. ) catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 6/7/2023 Owner(s): _ Richard Prevost Mailing Address: 102 Meadowridge Dr, Maiden,NC 28650 Property location/site legal description: 2743 Water Plant Rd, Maiden NC 28650 PIN: 365704830903 Improvement Permit(IP) IMPV-09-2022-1 8 1 076 Date Issued: 9/26/2022 Authorization to Construct(AC) AUTH-09-2022-181080 Date Issued: 9/26/2022 I, , 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 150B-23 and all other applicable provisions of Chapter 150B for the above referenced permit(s)(which includes the!Ps 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 IIIG-Low Profile Chamber (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 eff ----_ n Signature of Property Owner: 1 - Date Signed: \o .. ° Z.. NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 ( Newton NC 28658 ( 828.465.8270 MAKING. LIVING. BETTER. (4 catawba county public health 6/7/2023 Richard Prevost 102 Meadowridge Dr, Maiden NC 28650 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 2743 Water Plant Rd, Maiden NC 28650 PIN 365704830903 Catawba County Permits IMPV-09-2022-181076 and AUTH-09-2022-181080. Dear Mr Prevost: 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.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 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 6/7/2023. 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 150B-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, (}i1(\ i'QA-1 Old)-- Cheyanne Morgan REHS Environmental Health Specialist Catawba County Public Health ,44$I, e CATAWBA COUNTY Case# IMPV-09-2022-181076 F. t x Public Health Department Subdivision Q '4 Environmental Flealth Division PIN# 365704830903 PO Box 384,25 Government Drive,Newton,NC 28658 LO"1'# sM Site Address: 2743 WATER PLANT RD, MAIDEN NC 28650 Name on Permit: RICHARD PREVOST Property Size: Acres 25.18 Directions: St James Ch Rd, Left on Fred Beard , R on Providence Mill, L on Water Plant, Property on Right Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 100 g.p.d Type of Facility: Accessory Structure-Barn with bathroom Basement? No Basement Plumbing? No Bedrooms: Water Supply: Public Water Maximum Occupants: INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: LOW PROFILE CHAMBER System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Pump *May Be* Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: LOW PROFILE CHAMBER System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Pump *May Be* Required Permit Conditions: -See AC 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 I 8A.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. 37f4t- 11174 09/26/2022 Authorized State Agent Permit Issuance Date 9/26/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department. cl ipe nn i t 09/26/2022 16:26 Catawba County Environmental Health ZTmt,,.04- ?1. 181076 •3980 t" -~ IPPPdlIllIllrC:) k a: • Nst N l `� l oa ki 'l° :C4-' 3�9 Q(op 'jv4�y(^i' e-) �3 `,p Ras,Q t �p r O I , a� A,•( tr° - -11° ,e,r‘i U [ 5°' `fir 'o 22.12 t (,Q 90.89 ��•Sg in 70.47 g 25.0 /23;31117ss..) • Parcel: 365704830903, 2743 WATER PLANT RD 1 in=80ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,NC Geospallal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contalnod on this map or data on this report.Catawba County promotes end recommends the independent verification of any data contained on this maplroport 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 parson or utility. Copyright 2021 Catawba County NC 08/29/2022 DEPARTM>� ..(7) iFA17iiAND:1ftJMAN SERVICES -Shell_. af 1 DIVISION OP PUBLIC HPAI,.HAktiVIRONMENTAL HEALTH SECTION, PROPERTY;ID P 11,% 9$ ON1+WAT6R-PRO *TION- RANCH OOUNTY: `"Gf ih SORJSITE EVALUATION for ON-SITE WASTEWATERSYSTEM. ICpmplc 4Il I4104.In Aill) OWNER: ttilIq d Pr -0' T APPLICATION'DATE fZtZI ADDRESS 30 /�aif IOW.. ri e y t Jtvc fl5ft DATE EVALUATED Aft/7/22. PROPOSED FACILITY:. b" r ' PROPOSEDDESI- FLOW 1949 PROPERTY SIZE: ZS ffracr L O OCATION F SITE:?ZU/r :4, Q,1 A.s Mai /C. ZetO o DED PROPERTY RECOR : ' WATER SUPPLY p:Priyate . . . :ublk 0 W 11 6 Spring OOlher EVALUATION�METhOD: 0"Auger'Bering:., t ,0.Cut' TYPE OP WASTEWATER:: •["Sewage 0Induslriel s O Process •4SOI L MORPHOI.O.GY: OTHER :. F • 0941) PROFILE FACTORS 1 I9,�10 L LANDSCAPE .HORIZON • - B • .PROFIL•,E. POSITION! PEPTII� H SLOPE% (IN:). SOIL .1!'ll ;1l41. -SOIL ,' .L� .1936'.: • .a9i/ 'CUSS ' STRUCTURE/ • `CONSISTENC.E!". WETNESS! 'SOIL SAPRO' RESTR &LTAR: :TEXTURE MINERALOGY COLOR DEPTH, CLASS. HORIZ ,.' ' .r Lc : ':� ..., :f...?„.;..,.,-...,... . . , -'$.� CC SBX 6- 3S Sg_D Zg ' C SO( 6s," ( 8 - I Z$-y8 t.Bcwhy'; as p �l I ea. :D ,3 d_ 1.tSs0ZD . ...6 $Sk , Q .5y . - _. ..t C . K S 'f al V .n- SZ - •:. to..% . , ,. - 1....5s. •, 6-zy C 5X . ,r�_s s :sue: z.5Y. X _._. _ Z�1 . $� QK fir;'S� 31 -3, ,;. • -;3 - 2448 7$ qui -.. .. . . . •:. ..-:. ••. • • • .. 'coke z ' C S AC , is,sp,s z sY - 5 Zz-yg c wte 6rs S 1 •'V. sus" S 4 : •41. .. • ,. . Iz ': z DESCRIPTION INVJ1AL SYST1.4 REPAIR SYSTP,M. ; OT) E ,FACTORS(.1946) D� �.:, ,SITB"CLASSIFI.CATION(.194S): . . • ` 1 S Av.a010cSI I I94$) rs r. . . r ; EVALUATED BY• C1ALt AMC AoG5C,^ s,tcm'I, e'v ,. ? . LPt D-rI• OTHER(S)PRESENT •• ' " seeLTAR 0. Z?S. Oi , COMMENTS: . Miegod Yehry.ry:2014 I , . :rr • I', : . . :, • ..." . . • ‘,',. . • 41:i! 5 1, " • , . . . • • .. .. . . ., • Catawba County Environmental Health - , „.,..,.....r.÷..„,..•:, .; ...,. .. . ................ - i4 , , .. . . . , •. • : ...• - •• • . .. . .. . . •,•• ,. 0 7.:-.'il,' • • . • s3aeo /1.4. , ..,... .. . . . • . . . ... . 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