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Home My WebLink AboutAUTH-03-2023-192030.TIF (4 catawba county public health November 05, 2025 Elmira Houston White 3304 Barham Blvd, Los Angeles, CA 90068 Subject:Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct Permit for 9481 Riviera Dr,Sherrills Ford NC 28673; PIN:462801469327 Catawba County Permits IMPV-03- 2023-192027 and AUTH-03-2023-192030. Dear Elmira Houston White: The Environmental Health Division of Catawba County Public Health intends to revoke your Improvement Permit and Authorization to Construct Permit 30 days from the date of this notice. You must apply for a new Improvement Permit and meet the requirements of the current laws and rules necessary to obtain a new Improvement Permit. You have the 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 bythe 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 to 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 General Statutes 130A- 24and 150E-23 and all other applicable provisions of Chapter 150B. General Statute 130A-335(g) provides that your hearing will be held in the county where your property is located. 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 November 05, 2025. 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 General Statute 150B-23 to serve a copy of your petition on the Registered Agent for the catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 I 828.465 8270 MAKING. LIVING. BETTER. Department of Health and Human Services:Julie Cronin, Office of General Counsel, Department of Health and Human Services, 2001 Mail Service Center, Raleigh, N.C. 27699-2001. Do not serve the petition on your local health department. Sending a copy of your petition to the local health department will not satisfy the legal requirement in General Statute 150E-23 that you send a copy to the Office of General Counsel, 2001 Mail Service Center, Department of Health and Human Services. R spectfully, James R Ross, REHS Environmental Health Specialist Catawba County Public Health dotloop signature verification:cftlp,us/9on1-I F 1Crn-Ct.ge (6 ) catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 11/5/25 Owner(s): Elmira Houston White Mailing Address: 3304 Barham Blvd Los Angeles CA 90068-1472 Property location/site legal description: 9481 Riviera Dr,Sherrills Ford NC 28673 PIN: 462801469327 Improvement Permit(IP) IMPV-03-2023-192027 Date issued: 3/23/23 Authorization to Construct(AC) AUTH-03-2023-192030 Date Issued: 3/23/23 1, Elmira White _ ,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 IPs and ACs)in order for the authorized agent/local health department to issue the applicable permits(new IP and/or AC)for the site. I understand by completing this form that the permits for a IItg-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 AC 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: Fz*,-,r ,-"a Date Signed: 11/14/2025 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 1828.465.8270 MAKING. LIVING. BETTER. r dyea CATAWBA COUNTY ... _ _. .t. ,. Public Health Department cz Subdivision LUTHER COWANS SHERRILI "'j Environmental Health Division PIN#"r!! 46280265053076 PO Box 389,25 Government Drive,Newton,NC 28658 I.0 /: .2 w Site Address: 9481 RIVIERA DR, SHERRILLS FORD NC 28673 Name on Permit: ELMIRA HOUSTON WHITE Property Size: Acres 0.51 Directions: Take Island Pointe Rd to Riviera Dr and make a left.The lot is 200ft on right. Owner/Authorized Representative Acknowledgement of Permit Receipt X _I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. ;(,, As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-02-2023-43347,by the following tnethod(s): Received in Person Facsimile Transmittal (Return form with signature required) 7 Electronic Image Transmittal/E-mail (Return receipt required) 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: 03/23/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson sending permit) Signature f- Date/Time It/ Method: Fax J 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 yorPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService e i to i �` I ft.SO.) atii..5$60 c I.tei ) 13 l‘ IL� 1 ehpennit 03/24/2023 06:52