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Home My WebLink AboutIMPV-02-2023-188553.TIF G) Catawba county public health 05/08/2023 Thomas&Sue Jones 1313 Old Mill Rd Lincolnton, NC 28092 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 1291 Live Oak Ln, Catawba PIN 4700002862501 Catawba County Permits IMPV-02-2023-188553 and AUTH-02-2023-188556 Dear Mr. and Mrs.Jones: 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 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 1508-23 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 05/08/2023. 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. Res ectfully, / E ors Dean Evans, REHS Environmental Health Specialist Catawba County Public Health catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 5/8/2023 Owner(s): Thomas& Sue Jones Mailing Address: 1313 Old Mill Rd Lincolnton, NC 28092 Property location/site legal description: 1291 Live Oak Ln,Catawba NC PIN: 470002862501 Improvement Permit(IP) IMPV-02-2023-188553 Date Issued 02/03/2023 Authorization to Construct(AC) AUTH-02-2023-188556 Date Issued 02/03/2023 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 permits)(which includes the!Ps 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 Illb-25%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. l 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 Catowhc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8170 MAKING. LIVING. BETTER. f �4 ie CATAWBA COUNTY mk Public Health Department Subdivision yot Envirolrnental Health Dtvtaton PlNa 470002862501 � PO Box 389,25 Govemment Drive.Newton.NC 28658 LOIN 2 If;Y r Sits Address: 1291 LIVE OAK LN,CATAWSA NC 28609 Name on Permit: THOMAS JONES aroparty Slxa: Acres 10 Dlrectlona: Private road with gate off of Monbo Rd after going thru gate take 2nd left Owner/Authorized Representative Acknowledgement of Permit Receipt 1:-Ti certify that i am the owner or authorized agent tot\ner-s authorization required)representing the owner of the properly described above. 1J As the property owner or authorized representative. I have received the above referenced permit(s)as requested in the application for service RBPR-l0-2022-42467,by the following method(s): Rci:rrvcu iii I'c13,01. Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 11As the property owner or authorized representative I have reviewed and understand the specific conditions C vl tulw :aau cu, uiu u fweial 3iu that nnui applicable itg.,i Iasw_y CeyuiiC.uiCilii specified iiil:IcF fire North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(1SA NCAC 18A.1900), and/or Well Construction Standards(ISA 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: 02/03/2023 Owner/Authorized Re resentative Signature a'r:14440?..6_ Date j' 7 a3 ------.____ Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by _ _ (name of person sending permit) n t r,r I _ Signature (e Date/Time 1!d3�a 13 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 stake a few momentts tto comptette our custtomer service survey att http://www.surveymonkey.corn/s/ENCusttomerService '4:1I!ne5I1�1112 14C0C4S+-Ad ti �13 it) cAgcnmi 01101/2021 09 14 Ike CATAWBA Case# IMPV-02-2023-188553 fi.lik ,y Public Health Department Subdivision '1 Environmental Health Divisionlit( PIN# 470002862501 Vs. PO Box 389,25 Government Drive,Newton,NC 28658 I,OT# 2 Site Address: 1291 LIVE OAK LN, CATAWBA NC 28609 Name on Permit: THOMAS JONES Property Size: Acres 10 Directions: Private road with gate off of Monbo Rd after going thru gate take 2nd left 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 360 g.p.d Type of Facility: Primary Residence-SFD Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required Permit Conditions: *DO NOT CUT OR FILL OVER SEPTIC SYSTEM AREA *DESIGNED FOR A PUMP TO 25% REDUCTION SYSTEM WITH PRESSURE MANIFOLD *IF GRAVITY FLOW FROM HOME TO TANK AND DRAIN FIELD CAN BE SHOWN,A GRAVITY SYSTEM MAY BE INSTALLED *KEEP OUTLET PLUMBING ON UPPER LEFT CORNER OF HOME FACING LIVE OAK TO ACHIEVE GRAVITY FLOW Alpo iml 02/22/2023 12:46 4,4j • CATAWBA COUNTY Case# IMPV-02-2023-188553 ti t 2 Public Health Department Subdivision Q '4 Environmental Health Division PIN# 470002862501 PO Box 389,25 Government Drive,Newton,NC 28658 LOP/ 2 at su Site Address: 1291 LIVE OAK LN, CATAWBA NC 28609 Name on Permit: THOMAS JONES Property Size: Acres 10 Directions: Private road with gate off of Monbo Rd after going thru gate take 2nd left 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 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. n 544N1 111 02/03/2023 Authorized State Agent Pennit Issuance Date 2/3/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ,•1 qir ri n i 1 02/22/2023 12:46