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Home My WebLink AboutAUTH-11-2022-185331.tif i°1•,LNIIIIIN Nile1r catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 3/20/2023 Owner(s): Rebecca&Glenn Hpwel1__ Mailing Address: 2614 Sage Wing nr _. Grand Rapids,MI 49508 Property location/site legal description: 6742 Goose Point Dr,Denver PIN: 369604842650 Improvement Permit(IP) IMPV-11-2022-185327 Date Issued 11/30/2022 Authorization to Construct(AC) AUTH-11-2022-185331 Date Issued 11/30/2022 I.qIf tr( ( t tII ,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 ._._—__._ LYa59%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 Signature of Property Owner: Date Signed: 3— —7`-D-3 NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health (c'l:wbc County Go,dernnienl Unto 25 Govcinnieni Drive I NI Rea 389 i tlt vton N( 78650 I ;ild.465.87/O �1 If Ni I 1',i .A i .7. L;��.1,, . t.! Ii: ., , milw catawba county public health 03/20/2023 Rebecca &Glenn Howell 2634 Sage Wing Dr Grand Rapids, MI 49508 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 6742 Goose Point Dr, Denver, NC PIN 369604842650 Catawba County Permits IMPV-11-2022-185327 and AUTH-11-2022-185331 Dear Mr. and Mrs. Howell: 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 I P/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 Cciowbc County Government Center 25 Government Drive PO Box 389 Newton NC 28658 I 828.465 8270 pR{ �AFla� .r> kya6E .a °ki t, :. �.3',E e E ii. . 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 3/20/2023. 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 150E-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, .....L0 st James R. Ross, REHS Environmental Health Specialist Catawba County Public Health WPAriY CATAWBA COUNTY a �'�� Subdivision PEBBLE BAY PH 4 / Public Health Department S.r,_�., }i Environmental Health Division PINS 369604842650 '+ ..00 PO Box 389,25 Government Drive,Newton,NC 28658 LOTS 144 CV,SlteAddress: 6742 GOOSE POINT DR,DENVER NC 28037 Name on Permit REBECCA&GLENN HOWELL Property Size: Acres 1.48 Directions,: NC 16, Left on Campground Rd,Left on Catawba Bums Rd,L on Goose Point Dr,Property on right Owner/Authorized Representative Acknowledgement of Permit Receipt l certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of the property described above g�the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR-09-2022-42323,by the following method(s): _ Received in Person _ Facsimile Transmittal(Return form with signature required) `I Electronic Image Transmittal/E-mail (Return receipt required) s 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(ISA 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: 11/30/2022 Owner/Authorized Representative Signature 11///C,( /6----- Date 44pS___ Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Ci,ci.) Signature / Date/Time � `/`/)3 Method: Fax y 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 yo Please ttake a few momentts tto compiette our custtomer service survey att http://www.surveymonkey.com/s/EFICusttomerServIce re i36e te&j)DiaII@rn; ky .u.Stot;fts.SeV "- et chpnmii 12/01/2022 16:46 o_! CATAWBA COUNTY Case# AUTH-11-2022-185331a f Public Health Department Subdivision PEBBLE BAY PH 4 ,.: - .,(1:::,( Environmental Health Division PIN# 369604842650 PO Box 389,25 Government Drive,Newton,NC 28658 ipt LOT# 144 Site Address: 6742 GOOSE POINT DR, DENVER NC 28037 Name on Permit: REBECCA&GLENN HOWELL Property Size: Acres 1.48 Directions: NC 16, Left on Campground Rd, Left on Catawba Burris Rd, L on Goose Point Dr, Property on right Authorization to Construct Permit __ Permit Category: New Septic Wastewater Flow: 480 g:p.d." ` • Type of Facility: Primary Residence- • •;; Basement? No Basement Plumbing? No Bedrooms: 4 4,''..: Water Supply: Community Well Maximum Occupants: 8 Soli LTAR: 0.275 g.p.d./ft2. WASTEWATER SYSTEM REOUIREMENTS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Septic Tank: New Tank: 1.000 gal Pump Tank 1.000_gal Grease Trap_gal Dosing Volume 238 gal Pump Specs: 40.94 GPM @ 42 TDH - a. Pressure Head 2 ft Draw Down 11.3 in ;r.;_' - Drainfield: Total Area: 873 sq ft Total Trench Length: 291.. 'ft'' Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 in Minimum Soil Cover: 6 in Minimum Trench Separation: 8 if on center Number of Drain Lines: 5 Trench Width: 2 t Distribution: LPP Pre Treatment: NONE Pump Required ***** Operator Required Additional Specifications: FILL ALL DRAINAGE AND VERTICAL CUTS WITHIN 20 FEET OF THE SEPTIC AREA PRIOR TO INSTALLATION. -DO NOT CUT OR FILL OVER SEPTIC AREAS. -WATER LINE MUST BE 10 MIN FROM SEPTIC AREAS. CAN CROSS THE SEPTIC SUPPLY LINE VERTICALLY WITH THE WATER LINE 18 INCHES ABOVE THE SEPTIC SUPPLY LINE. ` t` -USE 3/16 ORFFICE IN IN EACH PANEL. USE 1 1/4 INCH PVC FOR THE LPP DISTRBUTION PIPE. USE 2 - INCH PVC FOR THE SUPPLY LINE. T.: 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 LIAR: 0.275 da 9•p• ft2`' •Proposed System: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION ''r " ` Pump Required ***** Operator Required ehpennit 12/01/2022 16:46 CATAWBA COUNTY Case# AUTH-11-2022-185331 i� t ryPublic Health Department Subdivision PEBBLE BAY PH 4 Environmental Health Division PIN# 369604842650 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 144 Site Address: 6742 GOOSE POINT DR, DENVER NC 28037 Nanie"on'Permit REBECCA&GLENN HOWELL Property Size: Acres 1.48 Directions: NC 16, Left on Campground Rd, Left on Catawba Burris Rd, L on Goose Point Dr, 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 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 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. 11/30/2022 Authorized State Agent Permit Issuance Date 11/30/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. • ehpenuit 12/01/2022 16:46 .seR__,0,,,2061v2tia?„3,2 j Catawba County Environmental Heal � ` 406128 Lio r rp" r c4 `8742 ',t 3T �, . �' t... S �?- r r Ai Ir, ,N,''04.!''' 07,c) . c `~ jal* 1 'V 2/ 7' \) N. SO 11 • ?O' G , OP 161.64_ 34 (20000 0 146.8i Parcel;369604842650, 6742 GOOSE POINT DR 1 in=40ft DENVER,28037 This mapJreport Product VMS preps from the Catawba Cour,NC SeosPedel lAforrraation 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 report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,'and shall not be held liable for any and damage%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. Copyright2021 Catawba County NC 11130/2022