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Home My WebLink AboutAUTH-06-2023-197882.TIF catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 9/2.8/2023 Owner(s): Kevin and Patricia Askey Mailing Address: 2871 Taft St Export, PA 15632 Property location/site legal description: 8043 Rowe St, Catawba PIN: 461901096417 improvement Permit(IP) IMPV-03-2023-192002 Date Issued 3/22/2023 Authorization to Construct(AC) AUTH-06-2023-197882 Date Issued 6/12/2023 I,_ taw 5K--,-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 150E-23 and all other applicable provisions of Chapter 150E 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 llle- PPBPS (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 1P 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 revocationio of the permit to take eff ct. ti Signature of Property Owner: // 4 Date Signed: j U— L'- NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health Cr.rowbo County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. G) catawba county public health September 28, 2023 Kevin and Patricia Askey 2871 Taft St Export, PA 15632 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 8043 Rowe St, Catawba PIN 461901096417 Catawba County Permits IMPV-03-2023-192002 and AUTH-06-2023-197882 Dear Mr. and Mrs.Askey: 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 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 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 9/28/23. Meeting the 30-day deadline is critical to your formal appeal. If you file a petition fora 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, ames R. Ross, REHS Environmental Health Specialist Catawba County Public Health 3832-0223 FILED ELECTRONICALLY CATAWBA COUNTY NC DONNA HICKS SPENCER FILED Sep 18, 2023 AT 04:33:00 PM BOOK 03832 START PAGE 0223 END PAGE 0227 INSTRUMENT # 16584 EXCISE TAX $96.00 NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $96.00 Parcel Identifier No.4619-01-09-6417 and Verified by County on the day of ,20 By: '19-01-00-5544 Mail/Box to: Samantha H.lanes,PLLC. 16501-D Nnrthcross Drive.HuntetsvilllejiC 28078 This instrument was prepared by: Samantha H.Terres,PLLC_16501-D Northcross Dente,Huntersyille,NC 28078 Brief description for the Index: LOT 1, Old Mill THIS DEED made this 18th day of September ,20 23,by and between GRANTOR GRANTEE PatsyL.Koutsogeorgas,widow and Kevin Edward Askey and spouse, Chris F.Koutsogeorgls,unmarried Patricia Anne Askey 117 Woodlynn Drive 2871 Taft Street Charlotte,NC 28214 Export,PA 15632 PropertyAddress: 8043 Rowe Street Catawba,NC 28609 Enter in appropriate block for each Grantor and Grantee: name,mailing address,and,if appropriate,character of entity,e.g. corporation or partnership. The designation Grantor and Grantee as used herein shall include said parties,their heirs,successors,and assigns,and shall include singular, plural,masculine,feminine or neuter as required by context. WITNES SETH,that the Grantor,for a valuable consideration paid by the Grantee,the receipt of which is hereby acknowledged,has and by these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain lot,parcel of land or condominium unit situated in the City of Catawba Township, _ Catawba County, North Carolina and more particularly described as follows: BEING ALL,ofl,otNo. 1,containing 1.057 acres,more or less,of the"Recombination Survey Plat for Jason R.Elenowitz and Patricia M. Elenowitz,"as the same is platted in Plat Book 85,Page 150,Catawba County Registry.For title,see Book 3513,page 1619,Catawba County Registry. See Exhibit"A"attached hereto. submitted electronically by "Samantha H. Terres, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Catawba county Register of Deeds. Page 1 of 2 NC Bar Association Form No. 3®197o,Revised 0tllt 1977,2002,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association—19R1 North Carolina Bar Association NC Bar Form No.3 3832-0224 The property hereinabove described was acquired by Grantor by instrument recorded in Book 3806 page 1871 . All or a portion of the property herein conveyed includes or X does not include the primary residence of a Grantor. A map showing the above described property is recorded in Nat Book 85 page 150 . TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee,that Grantor is seized of the premises in fee simple,has the right to convey the same in fee simple,that title is marketable and free and clear of all encumbrances,and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever,other than the following exceptions: There is excepted firm these warranties all easement,eartditierts,rights of way and restrictions as may appear on public recoil;and the lien of ad valorem taxes far the cunent year which taxes have been prorated as to the date of closing between the Grantor and Grantee. IN WITNESS WHEREOF,the Grantor has duly executed the foregoin as of the day and year first above written. /i' j' a-r li r i ce r �„ er_Ti(SEALI (Entity Name) Print/T e Name: Patsy L.Kotrlsogeorts By: (SEAL) Print/T Name&Tide: Print/Type Name: F. YPe /Iyp KotntsopeaiTos By: (SEAL) Print/Type Name&Title: Print/Type Name: By: (SEAL) Print/Type Name&Title: Print/Type Name: State of North Carolina -County or City of Catawba L the undersigned Notary Public of the County or City of Gaston and State aforesaid,certify that Patsy L.Koutsogeorgas personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this 18th day of September ,20 23. My Commission Expires: M reh-2),82(r IC.,t1.,A1 C.Frady +rotary Public (Affix Seal) Notary's Printed or Typed Name State of North Carolina -County or City of Catawba I,the undersigned Notary Public of the County or City of Gases and State aforesaid,certify that Chris F.Kourtsogcotgas ‘\',"till11, personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the pill er r._egpfressed. Witn s my hand and No 'al stamp or seal this 18th day of September ,2023 . ar My Commission Expires: March 29.2026 i v i ti '+ ..3.` ra Notary Public (Affix Seal) .U'J, e'• 64/C :' Notary's Printed or T Name '. Off: State of -County or city,on)1 1 td��"'`' I,the undersigned Notary Public of the County 6f'Cit9 af and State aforesaid,certify that personally came before me this day and acknowledged that _he is the of ,a North Carolina or corporation/limited liability company/general partnership/limited partnership(strike through the inapplicable),and that by authority duly given and as the act of such entity,_he signed the foregoing instrument in its name on its behalf as its act and deed. Witness my hand and Notarial stamp or seal,this day of ,20_. My Commission Expires: Notary Public (Affix Seal) Notary's Printed or Typed Name Page2of2 NC Bar Association Form No. 3 0 1976,Revised 0 1977,2002,2013 This standard form has been approved by: Printed by Agreement with the NC Bar Association—1981 North Carolina Bar Association—NC Bar Form No.3 3832-0225 STATE OF NORTH CAROLINA COUNTY OF GASTON I, Kimberly C. Frady, a Notary Public for said County and State, do hereby certify that CHRIS F. KOUTSOGEORGAS, agent for PATSY L. KOUTSOGEORGAS (aka Patsy Lytton Koutsogeorgas)personally appeared before me this day, and being duly sworn, says that he executed the foregoing and annexed instrument for and in behalf of PATSY L. KOUTSOGEORGAS (aka Patsy L. Koutsogeorgas) and that his authority to execute and acknowledge said instrument is concerned in an instrument duly executed, acknowledged, and recorded in the Office of the Register of Deeds in the County of Iredell, State of North Carolina, in Book 3805, Page 0043 and that this instrument was executed under and by virtue of the authority given by said instrument granting him power of attorney. I do further certify that the said CHRIS F. KOUTSOGEORGAS acknowledged the due execution of the foregoing and annexed instrument for the purposes therein expressed for and in behalf of the said PATSY L. KOUTSOGEORGAS (aka Patsy Lytton Koutsogeorgas). Witness my hand and off cial seal, this 18th day of Sept mber, 2023. I Notary Pu lic My commission expires: 3/29/2026 • � `-t C17 7- r;;o2 G� 3832-0226 E4 ;b - ,A ,f AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY AND AGENT'S AUTHORITY (N.C.G.S 32C-3-302) Return to: !, Chris F. Koutsogeorgas (Name of Agent), do hereby state and affirm the following under penalty of perjury: (1) Patsy L. Koutsogeorgas (Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated June 1, 2021 (herein "Power of Attorney"). (2)The powers and authority granted to me in the Power of Attorney are currently exercisable by me. (3) I have no actual knowledge of any of the following: (a) The Principal is deceased. (b) The Power of Attorney or my authority as Agent under the Power of Attorney has been revoked or terminated, partially or otherwise. (c) The Principal lacked the understanding and capacity to make and communicate decisions regarding his estate and person at the time the Power of Attorney was executed. (d) The Power of Attorney was not properly executed and is not a legal, valid power of attorney. (e) (Insert other relevant statements) 1-1-2018 3832-0227 (1) I agree not to exercise any powers granted under the Power of Attorney if I become aware that the Principal is deceased, that the Power of Attorney has been revoked or terminated, or that my authority as Agent under the Power of Attorney has been revoked or terminated. SIGNATURE AND ACKNOWLEDGMENT a7,41p•-jp- i// Agent's Signatur: Agent's Name Printed: Chris F. Koutsogeorgas Agent's Address: I IS S.SOr : *A/1,- C 4k Ncasaes Agent's Telephone Number: Date: `T State of NC County of Mecklenburg Sworn to or affirmed and subscribed before me th' day by: Chri F. Koutsogeo • s Date: -l9-Ao.23 tzty . ,. . , Notary Public Notary's Printed o yp-• Name 1111101/ (Official/Notarial Seal) .�`'1`5ER(y My commission expires:J'--.9•. .i4 . ... .... ,�, D o _ U' (JB4Ir 6( N 11 0 1-1-2018