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Home My WebLink AboutIMPV-05-2023-195713.TIF (;' ) catawba county public health December 5, 2025 SHANNON LYNDON 1611 EMMAUSE WALK CONOVER, NC 2861 3 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 5305 HUDSON CHAPEL RD, CATAWBA, NC 28609; PIN: 378103331402 Catawba County Permits IMPV-05-2023-195713 and AUTH-05-2023-195715. Dear SHANNON LYNDON: 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. You must apply for a new Improvement Permit and Authorization to Construct and meet the requirements of the current laws and rules necessary to obtain a new Improvement Permit and Authorization to Construct. 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 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 General Statutes 130A-24 and 150B-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 December 5,2025. Meeting the 30-day deadline is critical to your formal appeal. catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive ( PO Box 389 1 Newton NC 28658 1 828.465,8270 MAKING. LIVING. BETTER. 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 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 150B-23 that you send a copy to the Office of General Counsel, 2001 Mail Service Center, Department of Health and Human Services. Respectfully, DEAN E S, REHS Environmental Health Specialist Catawba County Public Health (: :1") catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: December 5,2025 Owner(s): SHANNON LYNDON Mailing Address: 1611 EMMAT TS'WA 1,T CONOVER,NC 28613 Property location/site legal description: 5305 HUDSON CHAPEL RD,CATAWBA.NC 28609 PIN: 378103331402 Improvement Permit(IP) IMPV-05 2023-195713. Date Issued: 5/15/2023 Authorization to Construct(AC) AU.TH.05.2023-195715 Date Issued: 5/15/2023 I, i1Ahl`c r L r,d(J \ ,voluntarily relinquish my rights to pursue a formal appeal through the North (print full nathe) Carolina Office of Administrative Hearings pursuant to NC General Statute I30A-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 25%'REM TCTTG)N 11tG (SybLeui 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,ifthe 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 ofAdministrative 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 e effect. Signature of Property Owner. A AA- Date Signed: '"-g- -s NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 f Newton NC 28658 I 828,465.8270 MLA UtMf a.tt a± neT .m.