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Home My WebLink AboutAUTH-09-2022-181526.TIF A°11,,,)''''\11 catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 5/31/2023 Owner(s): Jamie and Amy Laity _. Mailing Address: 4_199 Fishermans I.n Maiden,NC 28650 Property location/site legal description: 4145 Fishermans Ln,_Maiden PIN: 3677.03417267 Improvement Permit(IP) IMPV-09-2022-1 8 1 524 Date Issued: 9/30/2022 Authorization to Construct(AC) AUFI I-09-2022-181526 Date Issued: 9L3_0L2022 ___ 1, , 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 150I3-23 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 form that the permit(s)for a 111I3-25%reduction (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 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 11'and AC that the current 11'and AC must he 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. 1 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, take effect. ' ^"/. Signature of Property Owner: _,:7 VLC -2/ (Date Signed: 60/2_ NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health (c:: :whr County Government Centel 75 Government Iltive I NO Box 389 1 Newton NC 28658 1828.465.82/0 MAKING. LIVING. BETTER. °I" , fir catawba county public health 5/31/2023 Jamie and Amy Laity 4199 Fishermans Ln, Maiden, NC 28650 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 4145 Fishermans Ln, Maiden PIN 367703417267 Catawba County Permits IMPV-09-2022-181524 and AUTH-09-2022-181526 To Whom It May Concern: 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 (AC) and meet the requirements of the current laws and rules necessary to obtain a new 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 1508. 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 Cctcwbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 �� Ng r w 1 n 4..11 V M �Y 1� n, n ,i r _ 0" 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 5/31/23. 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, CU Cheyanne Morgan, REHS Environmental Health Specialist Catawba County Public Health (:ATAWI3A COUNTY Case# AUTT 1-09-2022-181526 H t , , Public Health Department Subdivision f{nvironmenial Health Division I'INdi 367703417267 (..., "C I'O 13ox 389,25 Government Drive,Newton,NC 28658 LOT{! 3 • . w Site Address: 4145 FISHERMANS LN, MAIDEN NC 28650 Name on Permit: JAMIE&AMY LAITY Property Size: Acres 3.36 Directions: 16 S, R on Buffalo Shoals, L Olivers Cross Rd, L on Burton, R on Fishermans property on Right Authorization to Construct Permit Permit Category: New Septic Wastewater Flow: 240 g.p.d. Type of Facility: Primary Residence- Barn Dominium Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 Soil LTAR: 0.275 g.p.d.ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: New Tank: 1,000 gal Pump Tank 1,000 gal Grease Trap_gal Dosing Volume 108 gal Pump Specs: 23.2 GPM @ 16.79 TDH Pressure Head 2.2 ft Draw Down 5 in Drainfield: Total Area: 660 sq ft Total Trench Length: 220 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 30 in Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center Number of Drain Lines: 2 Trench Width: 3 ft Distribution: Pressure Manifold Pre Treatment: NONE Pump Required Additional Specifications: *Install new 1000 gal septic and pump tanks, and 220 feet of 25%reduction product according to manufacturer specifications. *Do not drive,grade, cut or fill over any part of the initial or repair septic areas. *Septic tanks must remain 15 feet from building structure(due to foundation drains). *Pressure manifold will require 2.2 feet of pressure head to obtain scour velocity. *Use two schedule 80 3/4"taps in the pressure manifold. 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: 0.275 g•p•d./ft2 Proposed System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required �hp.nnn 10ad-2022 10:33 , e CATAWBA COUNTY Case# AUTH-09-2022-181526 ... 4,, Public Health Department Subdivision d "11 Environmental Health Division PIN# 367703417267 PO Box 389,25 Government Drive,Newton,NC 28658 1,0"]'# 3 • . w Site Address: 4145 FISHERMANS LN, MAIDEN NC 28650 Name on Permit: JAMIE&AMY LAITY Property Size: Acres 3.36 Directions: 16 S, R on Buffalo Shoals, L Olivers Cross Rd, L on Burton, R on Fishermans property on Right 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 Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions arc altered. The Authorization to Construct 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 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. °VirW4t 1')1 09/30/2022 Authorized State Agent Permit Issuance Date 9/30/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ,Lpr rant 09/30/2022 13:43 Catawba County Environmental Health RBPa-o$-ivZt-u s5) Lev-09- Zo11- 11515z�( /ate - D�(- Z on12f SZ'. •` '• Well-Of- 20 1.- j$I5Z7 o 4 do .41 • a ) % \�o r \o I. 03 n, O le Ill . - c _ 15' I 10 "..i co VoQ d ,tie //U�';e' ❑ El 428.50 �1 la�yip L{0 �ti 7 21.85 1°r •4159 N. 42.29 v ti h cV Parcel: 367703417267, 4145 FISHERMANS LN 1in=80ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,NC Oeospattel Information 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 ver flcaUon of any data containod 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 arises or may arise from this map/report product or the use thereof by any person or entily. Copyright 2021 Catawba County NC 09/28/2022 • 9 I 4 5--- Fiph.ar h toli_ L o Line# Color Elevation Length Hole Size Flow/Tap mg Trench Area Cony LTAR 25%LTAR 50%LTAR 1 110 SCH 80 3/4 10.E 50.50 330 0.15 0.11 0.08 2 110 SCH 80 3/4 10.d 50.50 330 0.15 0.11 0.08 total feet = 220 gallmin= 2/,Z 101.00 660.00 0.15 0.11 0.08 Des.Flow 240 Pump Run= 5.00 soli LTAR 0.275 2 . 2 -f 04 hiAel ff..Q 1Jvfi