HomeMy WebLinkAboutAUTH-10-2022-183254.TIF #AN
catawba county
public health
VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS
Date prepared: 6/2/2023
Owner(s): Lake Norman Vacation RentalsjLC
Mailing Address: _ 7079 f1Pnicon Rd.
Summerfield NC 27358
Property location/site legal description: 7877 Vista View Dr,Sherrills Ford
PIN: 460604836505
Improvement Permit(IP) _ IMPV-10-2022-183243 Date Issued 10/31/2022
Authorization to Construct(AC) AUTH_.10-2022-183254 Date Issued 10/31/2022
I, Kevin J Carter ,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 1508-23 and all other applicable provisions of Chapter 1508
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
IVa—50°!,_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 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 effect.ff r (/
Signature of Property Owner: `"^—
Date Signed: June 2, 2023
NCDHHS/DPH/EHS/OSWP Revised May 2015
catawbacountync.gov
Environmental Health
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catawba county
public health
June 2, 2023
Lake Norman Vacation Rentals LLC
7029 Denison Rd
Summerfield, NC 27358
Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to
Construct for 7877 Vista View Dr, Sherrills Ford PIN 460604836505
Catawba County Permits IMPV-10-2022-183243 and AUTH-10-2022-183254
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(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 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 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
Ccicwbc County Government Center
25 Government Drive PO Box 389 Newton NC 28658 828.165.8270
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 5/23/2023. 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 1508-23) 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,
. ames R. Ross, REHS
Environmental Health Specialist
Catawba County Public Health
4413 • CATAWBA COUNTY Case# AUTH-10-2022-183254
I~ .f. Public Health Department Subdivision
1111 "1 Environmental Health Division P]N# 460604836505
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
8 s,
Site Address: 7877 VISTA VIEW DR, SHERRILLS FORD NC 28673
Name on Permit: LAKE NORMAN RENTALS LLC
Property Size: Acres 1.02
Directions: Sherrills Ford Rd, Slanting Bridge Rd,Vista View Dr on Right
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-08-2021-38620, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I 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 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: 10/31/2022
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 Date/Time DfiL?Method:
Fax •t 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 yoi.Please ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
Kctv,n bpi I d e3eap 61,1 tiCat
;:Igic niit ]]/0R/2022 10:21
4113 CATAWBACou'cr Case# Alrll1-10-2022-183254
• .• Public Health Department Subdivision
Environmental Health Division PIN# 460604836505
PO Box 389.25 Government Drive.Newton.NC 28658 184 LOTH
2 w
Site Address: 7877 VISTA VIEW DR, SHERRILLS FORD NC 28673
Name on Permit: LAKE NORMAN RENTALS LLC
Property Size: Acres 1.02
Directions: Sherrills Ford Rd, Slanting Bridge Rd,Vista View Dr on Right
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 600 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 5
Water Supply: Private Well Maximum Occupants: 10
Soil LIAR: 0.275 g.p.d.lft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50%REDUCTION VERTICAL/Alternating Dual Field Nitrification System
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Septic Tank: New Tank: 1.500 gal Second Septic Tank: 1,000 gal
Pump Tank 1.500 gal Grease Trap_gal
Dosing Volume 226 gal Pump Specs: 39.17 GPM @ 8.5 TDH
Pressure Head 2 ft Draw Down 8.25 in
Drainfield: Total Area: 828 sq ft Total Trench Length: 558 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 in
Minimum Soil Cover: 6 in Minimum Trench Separation: _8 ft on center
Number of Drain Lines: 11 Trench Width: 2 ft
Distribution: LPP
Pre Treatment: NONE
Pump Required ***** Operator Required
Additional Specifications:
*This permit requires an Alternating Dual Field Nitrification system. Two separate nitrification fields are to be
installed with a diversion valve to allow alternation between the two fields.
*The diversion valve shall be constructed to resist 500 pounds crushing strength, structurally sound, and shall
be resistant to corrosion. Valves placed below ground level shall be provided with a valve box and suitable valve
stem so that they may be operated from the ground surface.
*A contract with a certified operator shall be required prior to issuance of Operation Permit for system.The
system should be switched between drain fields no more than once a year during the course of inspections.
Remove two panels per line from previous installed drainfield.
*Install 63 more panels. 34'=8 blocks, 53'=12 blocks, and 30'-7 blocks
*Turn pump tank to 2 o'clock position to allow for drive.
*Please meet Catawba County EH on the job site before starting the installation. 828-320-3067.
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? Install with Initial System Soil LIAR: 0.275g.p.d.lft2
c�y,r:n:n DI'06.2D23 15.4-1
• CATAWBA COUNTY Case# Al I'II-10-2022-183254
Public Health Department Subdivision
4 , Environmental Health Division PIN# 460604836505
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
/842 w
Site Address: 7877 VISTA VIEW DR, SHERRILLS FORD NC 28673
Name on Permit: LAKE NORMAN RENTALS LLC
Property Size: Acres 1.02
Directions: Sherrills Ford Rd, Slanting Bridge Rd,Vista View Dr on Right
Proposed System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
The issuance of this permit by the I lealth 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 are 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' (15A 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.
10/31/2022
Authorized State.agent Permit Issuance Date
10/31/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 01/06/2023 15:44
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SHERRILLS FORD, 28673
This map/report product was prepared from the Catawba County,NC Geospatial 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 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 arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2021 Catawba County NC
11/07/2022
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