HomeMy WebLinkAboutIMPV-11-2022-183808.TIF1 catawba county
public health
April 24, 2023
Gavin Houchins
594 N Main St
Mooresville,NC 28115
Subject: Notice of Intent to REVOKE the Improvement and Authorization to Construct
Permits for a 3400 Mt Pleasant Rd, Sherrills Ford; PIN 460701289905; Catawba
County Permits IMPV-11-2022-183808 and AUTH-11-2022-183847.
Dear Mr. Houchins:
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, which you have already done, for a new
Improvement Permit (IP) and Authorization to Construct(AC)and meet the requirements of the
current laws and rules necessary to obtain a new IP/AC 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 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 150B-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 April 24, 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,
Steven Price, REHS
Environmental Health Specialist, OSWP Division
Catawba County Public Health
catawba county
public health
VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS
Date prepared: April 24. 2023
Owner(s): Gavin I louchins
Mailing Address: 594 N Main St
Mooresville,NC 28115
Property location/site legal description: 3400 Mt Pleasant Rd
PIN: 460701289905
Improvement Permit(IP) IMPV-11-2022-183808 Date Issued 11/8/2022
Authorization to Construct(AC) AUTH-I 1-2022-1 83 847 Date Issued 11/8/2022
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 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
25%reduction system Ong)
(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.
Signature of Property Owner:
Date Signed:
NCDHHS/DPH/EHS/OSWP Revised May 2015
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.
• CATAWBA COUNTY
Public Health Department Subdivision
Environmental health Division PINMI 460701289905
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
Ca
Site Address: 3400 MT.PLEASANT RD,SHERRILLS FORD NC 28673
Name on Permit: GAVIN HOUCHINS
Property Size: Acres 15.450
Directions: from Newton take Hwy 16 south to Hwy 150,take 150 and travel east until you come to little mountain rd.
take left onto little mountain rd drive to Mt pleasant rd and make a right onto Mt pleasant rd the accross to the
property is 100 ft past dockside lane
. Owner/Authorized Representative Acknowledgement of Permit Receipt
6Ai t certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
X6;1145s the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-03-2022-40525,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
l Electronic Image Transmittal/E-mail (Return receipt required)
641 ttAs 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: 11/09/2022 /�
Owner/Authorized Representative Signature� 4( 6" •�••-•-
Date /1'' R-"ate
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature4E; Date/Time 1l f 7lb
Method: Fax ,f 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 youPlease flake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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„,„Hymn 11/11/2022 08:21
CATAWBA COUNTY Case# IMPV-Il-2022 183808
• t II C( Public Health Department Subdivision
Environmental Health Division PIN#11-1 —,...... )
460701289905
PO Box 389,25 Government Drive,Newton,NC 28658 LOP/ 2
Site Address: 3400 MT. PLEASANT RD, SHERRILLS FORD NC 28673
Name on Permit: GAVIN HOUCHINS
Property Size: Acres 15.450
Directions: from Newton take Hwy 16 south to Hwy 150,take 150 and travel east until you come to little mountain rd.
take left onto little mountain rd drive to Mt pleasant rd and make a right onto Mt pleasant rd the accross to the
property is 100 ft past dockside lane
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 720 d
9•P•
Type of Facility: Prim Res/Acc Dwelling-4br and 2 br
Basement? Yes Basement Plumbing? Yes Bedrooms: 6
Water Supply: Private Well Maximum Occupants: 12
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: *Do not cut,drive,fill, or grade over septic or repair areas.
*This is an improvement permit only and is not intended for septic installation purposes.
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' (15A 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.
t:..5. —.5-----.„__ fe•-‘....
11/08/2022
Authorized State Agent Pcnnit Issuance Date
11/8/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
clipri nut 11/11/2022 08:23
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Parcel: 460701289905, 3400 MT PLEASANT RD 1 in=100ft
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,disalaim,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
11/08/2022
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DEPARTMENT OF I-IEALTH AND HUMAN SERVICES Sheet 1 of Z
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:
ON-SITE WATERTROTECTION BRANCH COUNTY:
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for ON-SI'l'E WASTEWATER SYSTEM
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PROPOSED FACILITY: Law_ii. 26,— PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE:
LOCATION OF SITE: S1p4 04.00te.4 JIQI _ -_ PROPERTY RECORDED:
WATER SUPPLY: D Private II Public' [!'Well [.1 Spring ❑Other
EVALUATION METHOD: ❑Au:er Boring [Oh f Cut TYPE OF WASTEWATER: [1 Sewage ❑Industrial Process ❑Mixed
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DEPARTMENTOF HEALTH AND HUMAN SERVICES PROPERTY ID#:
DIVISION OF PUBLIC IIEALTII DATE OF EVALUATION: `�,9�2L
ENVIRONMENTAL HEALTH SECTION COUNTY:
ON-SITE WATER PROTECTION,lv BRANCH
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Parcel: 460701289905, 3400 MT PLEASANT RD 1in=100ft
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 thereat by any person or entity.
Copyright 2021 Catawba County NC
11/08/2022
i