HomeMy WebLinkAboutIMPV-09-2022-181176.TIF Catawba county
public health
OCTOBER 27TH 2025
KIMBERLEY WITHERS
7205 WESTEDT ROAD
CHEYENNE, WY 82009
Subject: Notice of Intent to REVOKE the Improvement Permit for 3273 SPRING GARDEN RD,CLAREMONT NC 28610;
PIN: 376303248810 Catawba County Permit IMPV-09-2022-181176
Dear KIMBERLEY WITHERS,
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 10/27/2025. 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 150E-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
CATAWBA Col 1.NT1' (au 4 IMPV-09.2022-I81176
l Public Health tkpartment
t ubdw is).m
, Environmental Health Division
C PIN/I 376303242267
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` PO R )R9 :!5 Government trite.Newton,NC' '2Kmg
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Site Address: 3273 SPRING GARDEN RD,CLAREMONT NC 28610
Name on Permit: GARY SEIFERT
Property Size. Acres 4.4971
Directions: Oxford School Rd,left onto Rodc Barn Rd,left on Spring Garden Rd,property at the end of Spring Garden on
the right
Owner/Authorized Representative Acknowledgement of Permit Receipt
xI if) that I am the owner or authorized agent two.ncr's authurit-ilion required)representing the owner of
property described above.
4
Xthe property owner or authorized representative, I have received the above referenced
't(s)as requested in the application for service EIIPR-08-202241813,by the following method(s):
C/
Received in Person
_ Facsimile Transmittal(Return form with signature required)
Ni Electronic Image"transmittal!E-mail (Return receipt required)
F
��s the property,owner or authorized representative I have reviewed and understand the specific conditions
Nile 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 IRA.1900),
and/or Well Construction Standards(I5A 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: 09/27/2022 -, ) r
Owner/Authorized Representative Signature
Date c1/ z�/2 2- _..
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature 4 C Dale/Time 4 3OJ„
Method: Fax Y Email US Mail Other
Osiner's request 14/send by the above indicated method of transmittal in lieu of signature
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