HomeMy WebLinkAboutAUTH-11-2022-184619.TIF NSW
catawba county
public health
VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS
Date prepared: April 27,2023
Owner(s): Nest 1 tomes.1•)
Mailing Address: PO13ox 465_
Cornelius,NC 28031
Property location/site legal description: 3165 Timber Run l,n
PIN: 367804627661
Authorization
'to/Construct(AC) _AUTIT-11-2022-184619 Date Issued 11/16/202 _
I, ! is M• 14.2.90D ,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 15013-23 and all other applicable
provisions of Chapter 15013 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%a reduction systcm(111g)______
(System description)
will be revoked immediately by the authorized agenUlocal health department.
I understand that the local health department's revocation ofa 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 1P 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 I learings that the local health department's permit revocation will become
effective immediately. I understand and agree that the revocation ofa 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:___ /��3
NCDHHS/DPH/EHS/05WP Revised May 2015
catawbacountync.gov
Environmental Health
Ccicwhc (ounty Government Center
25 Government Drive PO Box 389 Newton NC 28658 1828.465.8220
i I.te. 01.fPt �:.
catawba county
public health
April 27, 2023
Nest Homes, LLC
Attn: Eric Woods
PO Box 3965
Cornelius,NC 28117
Subject: Notice of Intent to REVOKE the Authorization to Construct Permit for
3165 Timber Run Ln, Maiden; PIN 367804627661;
Catawba County Permit AUTH-11-2022-184619
Dear Mr. Woods:
The Environmental Health Division of Catawba County Public Health intends to revoke your
Authorization to Construct Permit 30 days from the date of this notice.
If the permit is revoked, you must apply, which you have already done, for a new 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 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
Cctcwbo 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 27,2023. 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,
S�lZ/V'C1"1 �'uC�e
Steven Price, REHS
Environmental Health Specialist, OSWP Division
Catawba County Public Health
`%sa. •4 CATAWBA COUNTY i
(t. Public Health Department Subdivision WYNSWEPT PH 5.1
......
� Environmental Health Division I'tN# 367804627661
:
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 70
Site Address: 3165 TIMBER RUN LN,MAIDEN NC 28650
Name on Permit: 'NEST HOMES LLC
Property Size: Acres 0.78
Directions: Intersection of Buffalo Shoals Rd&NC 16 S,NC 16S to left on Cayton Dr, Left on Timber Run Ln
Owner/Authorized Representative Acknowledgement of Permit Receipt
‘i HP I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
HP As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-07-2022-41642,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
4 Electronic Image Transmittal/E-mail (Return receipt required)
HP 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: 11/16/2022
Owner/Authorized Representative Signatur td0sn_/
r? Date November 18, 2022
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature _ Date/Time 1 i(l 0l 7?—
Method: Fax 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 yoaPlease ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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,1,i,„.„i 11/17/2022 10:09
j
CATAWBACOUNTYCase# AUTII-11-2022-184619
Public Health Department Subdivision WYNSWEPT PH 5.1
/in Environmental Health Division PIN# 367804627661
PO Box 389,25 Government Drive,Newton,NC 28658 I.OT# 70
Site Address: 3165 TIMBER RUN LN, MAIDEN NC 28650
Name on Permit: *NEST HOMES LLC
Property Size: Acres 0.78
Directions: Intersection of Buffalo Shoals Rd &NC 16 S, NC 16S to left on Cayton Dr, Left on Timber Run Ln
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: 0.25 g.p.d.fft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25% REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Septic Tank: New Tank: 1.000 gal
Pump Tank _gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfield: Total Area: 1,080sq ft Total Trench Length: 360 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: 3 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*Do not cut, drive, fill, or grade over septic or repair areas.
*Septic system must be 10 ft from property lines, 50 feet from wells, 5 ft from building foundations and
appurtenances, and out of right-of-ways and easements.
*Install a 1,000 gallon septic tank(risers required if top of tank is greater than 6 inches below land surface).
*Install 360 linear feet of 25%reduction system, proposed 3 lines total at 120 ft each on contour.
*Lines were originally laid out by Soil Scientist Paul Penninger.
*Final grade of septic area must shed surface water off and away from system.
*All gutter drains must be routed away from the septic system.
*Well should be 5 ft from property lines; 25 ft from structures; 50 ft from septic systems; and out of right-of-ways
and easements.
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: 0.25 9•P•d.lft2
Proposed System: 25%REDUCTION
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
,ti, ,niiI 1i/17/2022 10:09
.sy CATAWBA COUNTY Case# Al1TI I-1 l-2022-184619
W
Public Health Department Subdivision YNSWEPT PH 5.1
{
UEnvironmental Health Division PIN# 367804627661
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 70
/g. MI
Site Address: 3165 TIMBER RUN LN, MAIDEN NC 28650
Name on Permit: *NEST HOMES LLC
Property Size: Acres 0.78
Directions: Intersection of Buffalo Shoals Rd&NC 16 S, NC 16S to left on Cayton Dr, Left on Timber Run Ln
Pump Required
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 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 I lealth authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
1
i
11/16/2022
Authorized State Agent Permit Issuance Date
11/16/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department.
Iqv:rnui 11/17/2022 10:09
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Parcel: 367804627661, 3165 TIMBER RUN LN 1 in=40ft
MAIDEN, 28650
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Copyright 2021 Catawba County NC
11/16/2022