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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 hpos17Ca nesl jhp osim 0 ries1 'lbws.Cfnll pp ,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 ►►►, IP/4CrWclI PBS 1"7-•2o2,2— 9/442 Catawb aunty Environ ental Health out. II- 2o2Z- IIryl;t9 '----- s° w€.tt iii-2022- hi"!4 15 lk ! 3 145.00 b 49 \ \ AO 3 w \ 74A 7i 3 \ es i 4. can Il 1 7) -p\v_lk 49 \ - p i \ 1 \ 145.E 73A A li } N ty .., t D 1 4 145.00 k ::,0 , --kr \ ‘ ..or ‘ /ot •3165 3 ‘\ •3139 sD I 72A ii \ \ \ \‘‘ d 340 ` 25 ^ 110.00 \ ........-------------------- 110.W ___________________i ‘ a 10R RUN Oa Parcel: 367804627661, 3165 TIMBER RUN LN 1 in=40ft MAIDEN, 28650 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 shal 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 11/16/2022