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Home My WebLink AboutEHPR-06-2023-44563.TIF (°; catawba county public health November 3,2023 Shawn Corpening 7733 Sherrills Ford Rd Sherrills Ford, NC 28673 Re: Application for Improvement Permit for expansion of a day care facility at 7733 Sherrills Ford Rd,Sherrills Ford, NC 28673; Health Department file number EHPR 06-2023-44563. Dear Mr.Corpening: The Catawba County Health Department, Environmental Health Division on August 29, 2022,evaluated the above referenced property at the site designated on the plat/site plan that accompanied your permit application. According to your application the site is to serve a day care facility with a proposed expanded design wastewater flow of 2370 gallons per day. The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 including related statutes and Title 15A, Subchapter 18A,of the North Carolina Administrative Code, Rule.1900 and related rules. Based on the criteria set out in Title 15A,Subchapter 18A,of the North Carolina Administrative Code, Rule.1940 through .1948,the evaluation indicated that the site is UNSUITABLE for a sanitary system of sewage treatment and disposal. Therefore,we must deny your request for an improvement permit. A copy of the site evaluation is enclosed. The site is unsuitable based on the following: Unsuitable soil topography and/or landscape position(Rule.1940) Unsuitable soil characteristics(structure or clay mineralogy)(Rule.1941) Unsuitable soil wetness condition(Rule.1942) Unsuitable soil depth (Rule.1943) Presence of restrictive horizon (Rule.1944) X Insufficient space for septic system and repair area(Rule.1945) X Unsuitable for meeting required setbacks(Rule.1950) Other(Rule.1946) Based on the initial permit an expansion does not appear likely due to limited space. The original repair area is already a LPP PPBPS system and utilized all available space. No soil work was performed this is just based on looking at available space. These severe soil or site limitations could cause premature system failure,leading to the discharge of untreated sewage on the ground surface, into surface waters,directly to ground water or inside your structure. catawbacountync.gov Environmental Health Cctcwbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. Page 2 The site evaluation included consideration of possible site modifications,as well as use of modified,innovative,or alternative systems. However,the Health Department has determined that none of the above options will overcome the severe conditions on this site. A possible option might be a system designed to dispose of sewage to another area of suitable soil or off-site to additional property. For the reasons set out above,the property is currently classified UNSUITABLE, and no improvement permit shall be issued for this site in accordance with Rule .1948(c). Note that a site classified as UNSUITABLE may be classified as PROVISIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule.1948(d). A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. You have a right to an informal review of this decision. You may request an informal review by the soil scientist or environmental health supervisor at the local health department. You may also request an informal review by the North Carolina 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,6714 Mail Service Center, Raleigh, NC 27699- 6714. To get a copy of a petition form,you may write the Office of Administrative Hearings or call the office at (919)431-3000 or download it from the OAH web site at htto://www.ncoah.com/forms.html . 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. N.C.General Statute 130A-335(g) provides that your hearing would be held in the county where your property is located. Please note: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 3,2023. 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(N.C.General Statute 150B-23)to serve a copy of your petition on the Office of General Counsel,N.C. 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 N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, N. C. Department of Health and Human Services. You may call or write the local health department if you need any additional information or assistance. Sincerely, 5-t,,„ -P,- Steven Price, REHS Environmental Health Specialist Enclosures: Site Evaluation Rule.1945, .1948,.1950 • t(r }Sea .YY•. .-- ' - — .--...-. ni I il! Ili Its „I III 1 • ....•••-• - q' tj 1 4 i ritrifi h • 1 ip ti li 1,4 i I j !l 1 .1 -, - •�F j-- - t 1 1 .... i. „1"i igh ''� M' ),_7 ., , to s, ..,,,,,,,,,,... _.,,.. .VA . i \ 1 ., d . I 1 a ill i I I " pli,.....!_ti. ____ _., , . . _... 1 ,„ , ,,t___ ______------- _____--------- . . ' 1 1... 1 iiirmillii ., ..............— , . Y • 11 -- •f r' _ • It 111 i }� '♦ •inh' r ♦r♦ rrrrrr•w ♦♦ ♦♦ 1Ya.. ItAdi .• .wrr r.r.u.... d` rr .♦♦r•♦r +♦ . e ('�.99 �t1♦ r• .♦ • r•r Ir ♦ 1 !��. •,.. .. .. :.♦ •,►. - - Ir In 1 1ld 4 .• : : ::.:::;;;::::. a•♦ram,. •,•r '♦ w♦• --��- �� t ; t . 1 - ... I:-:* ...................... .....-- ..... :-.? • -- -. -' 01114 .h. mir : ir I � r • fit., .. r. . --.,__ .i ' iz. T �i 0 #a"ma.21 1 4 i •ir Alli-ompipl„1 .1!:61 11c ;; _ 1 r ql �e i3If " . ) .11 ll ' III ' . ' II f I il‘fili ' ill ,. . 10' Ivo Ai 1 . t �� _ t 1 '; ir�l I •y • - ?.Z ------------------ -------- ------Irli If 1111 111c1".t- ki \ . -- - - •-- . �� I $ KIDZ!CAMPUS 0'• CHAS. H. E INC. l' i l 1 DAY CARE FACILITY CA MI Sf "/61-1112-0111/ 71/6410.0141 ' UMj !(lf ft1r8.NORTH JtAIJNA .F�•k / —\ CA'rAWBA COUNTY t� 1'�Mi AHeail Dgmrtn st Case N 11VI,S2()07-00I70 (. ..) Erviw ,�cntal Health Division Subdivision t'O Box38•),I00 A Southwes Btvd,tteams NC ?86S8 S Secdivisi h/Lut ft � / (828B 465.8270 FAX(828)465.8276 TDD(828)465-82W PINS 460802795983 Applicant/Owner• KIDZ-KAMPUS She Address: 7733 SHERRILLS FORD RD SHERRILLS FORD NC Property Size: SF 2. ACRES Directions: GO SOUTH ON SHERRILLS FORD RD(TOWARDS MOLLYS BACKBONE)PROPERTY ON RIGHT BEFORE MOLLYS BACKBONE) Catawba County Health Department Operation Permit pa rl4y; Iiii I • ti ti Ica ( t, r....\, 11 g. ite) . Y -�`� � `--` Arco Repai r Lks:141ii* Lti T �5 LPP • , N. • N. \ Nk, V)::.,,t....\ 1. ...,,...A. ID a) tO ID'W Ai ik.cilk. XV large System(',oclt , 1)W hliCV#40444) ttil AO 267o PetiticiTIA 9 r•ftlil System Typo Description. c'x-pOVI Types V and VI systems expire in 5 years. (In accordance with Tablo Va) OtoilielP MOW tented health lMitM t3 months prior to extration for permit renewal. PERMIT CONDITIONS: 1. Performance: System shall perform in accordance with Rule.1961. II. Monitoring: As required by Rule. 1961. III. Maintenance: As required by Rule. 1961. Other; / Subsurface system operator required? Yes Y No II yes, sec,attached sheet for additional operation conditions,maintenance and reporting. IV. Operation: This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal,and Ali pd.ii. ions pf the Itnpta�iement Perthit and Coiistrucllon Authori _ C I • Yi 1 4. Sy t: i t151a _ .1.1. •r or i iPs. q 0,• I Date of •., .t'• Permit Issurance Form F S&ME, INC. SITE/SOIL EVALUATION Project No. k dE Coro loos Phone No. Date: (JaF1 J Q7- Location L5Incrrti IS rprd ed Pin County: (` Property �j-n W�j� Size -`'2.5?A_C- Proposed Facility: )c,ycare_ Water Supply: On-Site Well ❑ Evaluation: Auger Boring ❑ �oa1�t'C� 1 ., tiN i i n I-}$hrS Community ❑ Pit Public ❑ Cut ❑ Weather: 6unnI /{5°F Antecedent Moisture rrois-1- Surface Water: 60I,t, T FACTORS PROFILE i PROFILE .9, PROFILE 3 PROFILE £4 '� 7 Landscape Position% L Cc, , . L. CC L t_ LEGEND Horizon Depth I 0 _ LP 0- 8 0 - c Q_ I LANDSCAPE POSITION Color Munsell MO ( IY10 & - Klo Cg- NO &fa R Ridge Interfluve Texture gb. Br Br SC A- S Shoulder Structure 5 -- -- Si_ Q•ed 6 r L Linear Slope Consistence SS S ftS i p re nsi n P 9z s f Sp S Foot Slope N Nose Slope H Head Slope Boundary Cc Conclave Slope Horizon Depth 11 *:o _ I E. 8 - 3 - 9 - a L- 3Z Cv Convex Slope Color-Munsell Red led Red- -pci T Terrace Texture • C C C C P Hood Plain Mottles i llgy J •F ,, _ — _ TEXTURE Structure n SgkltrirASK M_�r)SBLANGek0L. 1100 SF5>. n1I'7 �0 SBK s sand Consistence Ft-f F; ss t SSiSP Fa s S S . $i ji' Is Loamy sand o2 �'IYIX1(t:T 1g 1-170 `Sew t�t n sl sandy loam -oot ChinPeiS ot1 Gttk SAS, hart I loam - Boundary - 'Tt t t S t O C CxI I si sib Hozonri Depth 111 ( - a 1 3'4- t-18. ac- LI 8 32 - So sil sih loam Color-Munsell d ued Red Re A sicl silty clay loam Texture C. CL_ G CL- cl clay loam Mottles F, }= F 5of;PF &vol & C/Pn Yet B r r Re►t e 46 Br scl sandy clay loam Structure MO S Y+ toe- SUL rnoEa�/wt M.�K LJk Sgr� sc sandy clay Consistence 1=r f F SS SP F ssJsp FQ S`p j�Sp sic siltyclay f Sop i•'1f c clay CONSISTENCE WET Boundary Ns non-sticky Horizon Depth IV 199 - 4 a Ss slightly sticky Color-Munsell Pea S sticky Texture C,f �L Vs very sticky Mottles C/ Structure rr S Np non-plastic Consistence J�j SS Q Sp slightly plastic P plastic Vp very plastic Boundary MOIST Soil Wetness vfr Very friable 1 Restrictive Horizon fr friable Saprolitc fi firm - LTAR Q,a5-4,3 a.3 vfr Very firm Classification �7s STRUCTURE sg single grain • t I e m massive �n 7r� 3" ( -}tY 1 n cr crumb St!,1 r �+ pi gr granular (� (7 k Yi or sab subangular blocky ,re(•Y & .fe' L Z1nr5 r��Y ab angular blocky 4 ,I Q bG.!r1 Ci C V J pi platy `l pr prismatic • . S&ME, INC. SITE/SOIL EVALUATION Project No. Phone No. Date: _ Location Pin County: _ Property Size Proposed Facility: -_ Water Supply: On-Site Well ❑ Evaluation: Auger Boring ❑ t Community ❑ Pit ❑ Public ❑ Cut ❑ Weather: Antecedent Moisture Surface Water: FACTORS PROFILE 5 PROFILE 4, PROFILE 9_ PROFILE Landscape Position% L_ L CC L— LEGEND I Horizon Depth I 0— 8 O _ 9 0 — 4t LANDSCAPE POSITION Color Mansell Par B r }3 r - _ R Ridge Interfluve Texture St__ SI.— St_ S Shoulder Structure (ytp Q&.. MO C 'eV')t] GP-- L linear Slope Consistence 'ASAp pQ. 55/S f SS/Sr S Foot Slope T N Nose Slope I1 Head Slope Boundary Cc Conclave Slope Horizon Depth II 9 — act q. — a-T 41 _ I Cv Convex Slope Color—Mansell Re d Red P•rti T Terrace Texture C C. C P Flood Plain Mottles ( le_t UY TEXTURE Structure Mtn SBK, Mo SPX- M o S- s sand Consistence Pa cS/SE FQ„ SSiSQ SS($P Is Loamy sand sl sandy loam Boundary I loam _ si silt Horizon Depth Ill al 54 a. — rut a' — Ha sit silt loam Color—Mansell Fad �4.f1 Red sic) silty clay loam Texture CI-. Ct_ CL. cl clay loam Mottles C RtitC Yet i .r (' saf tnc. _ F_sa.Qsandy clay loam _ t scl Structure (V.I K Seim W>< SB - i,1,.)k S'il t; Y sc sand clay Consistence tom, SSI v F_ SSrsp �� 1S.p sic silty clay I yt_fa it1C ]r QUAv1 R:^- C Ql1l1Y1-44 c clay Ati 0+4 e- _ CONSISTENCE WET Boundary Ns non-sticky Horizon Depth IV Ss slightly sticky Color—Munsel I S sticky Texture J Vs very sticky Mottles Structure Np non-plastic Consistence Sp slightly plastic P plastic Boundary Vp very plastic MOIST • Soil Wetness vfr Very friable Restrictive Horizon fr friable Saprolite fi firm LTAR Ot3 0r2) O.a 5—0.3 rfi Very Jinn ClassificationPS �_ l t — STRUCTURE sg single grain in massive Wt7at°'r See( tc-q - cr ciumb as -r\ +t o�l.l 1 t gr granular sab subangular blocky ab angular blocky pl platy pr prismatic 15A NCAC 18A ,1945 AVAILABLE SPACE (a) Sites shall have sufficient available space to permit the installation and proper functioning of ground absorption sewage treatment and disposal systems,based upon the square footage of nitrification field required for the long-term acceptance rate determined in accordance with these Rules. (b) Sites shall have sufficient available space for a repair area separate from the area detemhined in Paragraph(a)of this Rule. The repair area shall be based upon the area of the nitrification field required to accommodate the installation of a replacement system as specified in Rule.1955..1956,or.1957 of this Section. Prior to issuance of the initial Improvement Permit for a site,the local health department shall designate on the permit the original system layout,the repair area,and the type of replacement system. (e) The repair area requirement of Paragraph(b)of this Rule shall not apply to a lot or tract of land: (I) which is specifically described in a document on file with the local health department on July I. 1982.or which is specitically described in a recorded deed or a recorded plat on January 1, 1983;and (2) which is of insufficient size to satisfy the repair area requirement of Paragraph (b) of this Rule, as determined by the local health department;and (3) on which a ground absorption sewage treatment and disposal system with a design daily flow of: (A) no more than 48(1 gallons is to be installed;or (B) more than 480 gallons is to be installed if application for an improvement permit which meets the reouirements of Rule.1937(c)of this Subchapter is received by the local health department on or bctbre April I. 1983. (d) Although a lot or tract of land is exempted under Paragraph(c)from the repair arca requirement of Paragraph(b),the maximum feasible arca,as determined by the local health department, shall be allocated for a repair arca. History.Vote: Arrthorrtl'G.S. 130A-33S1e1 and(I): Elf July 1, 1982; .f:nendedEf February 1, 1992;July 1, 1983:Jatruar• 1. 1983. ISA NCAC 18A.1948 SITE CLASSIFICATION (a) Sites classified as SUITABLE may be utilized for a ground absorption scwagc treatment and disposal system consistent with these Rules. A suitable classification generally indicates soil and site conditions favorable for the operation of a ground absorption scwagc treatment and disposal system or have slight limitations that arc readily overcome by proper dcsign and installation. (b) Sites classified as PROVISIONALLY SUITABLE may be utilized for a ground absorption sewage treatment and disposal systcm consistent with these Rulcs but have modcratc limitations. Sites classified Provisionally Suitable require sonic modifications and careful planning,design. and installation in order for a ground absorption sewage treatment and disposal system to function satisfactorily. (c) Sites classified UNSUITABLE have severe limitations for the installation and use of a properly functioning ground absorption sewage treatment and disposal system. An improvement permit shall not be issued for a site which is classified as UNSUITABLE. However,where a site is UNSUITABLE,it may be reclassified PROVISIONALLY SUITABLE if a special investigation indicates that a modified or alternative system can be installed in accordance with Rules.1956 or.1957 of this Section. (d) A site classified as UNSUITABLE may be used for a ground absorption sewage treatment and disposal system specifically identified in Rules .1955, .1956. or.1957 of this Section or a system approved under Rule.1969 if%Titter documentation.including engineering,hydrogeologic,geologic or soil studies,indicates to the local health department that the proposed system can be expected to function satisfactorily. Such sites shall be reclassified as PROVISIONALLY SUITABLE if the local health department determines that the substantiating data indicate that: (I) a ground absorption system can be installed so that the effluent will be non-pathogenic.non-infectious, non-toxic,and non-hazardous; (2) the effluent will not contaminate groundwater or surface water;and (3) the effluent will not be exposed on the ground surface or be discharged to surface waters where it could come in contact with people,animals,or vectors. The State shall review the substantiating data if requested by the local health department. Nrston•Note.: Authority G.S. 130A-335(e): Eli:July 1, 1982: Amended Eff April 1. 1993,January 1, 1990. 1SA NCAC 18A.1950 LOCATION OF SANITARY SEWAGE SYSTEMS (a) Evcry sanitary sewage treatment and disposal system shall be located at least the minimum horizontal distance from the following: (I) Any private watcr supply source,including any well or spring 100 feet; (2) Any public watcr supply sounc 100 feet; (3) Streams classified as DVS-1 100 feet; (4) Waters classified as S.A. 100 feet,from mean high water mark; (5) Othcr coastal waters 50 feet.from mean high water mark; (6) Any other stream,canal,marsh,or other surfhcc waters 50 feet; (7) Any Class I or Class II reservoir 100 feet,from normal pool elevation; (8) Any permanent storm water retention pond 50 feet,from flood pool elevation; (9) Any other lakc or pond 50 feet.from normal pool elevation; (10) Any building foundation 5 feet; (II) Any basement IS feet; (12) Any property line 10 feet; (13) Top of slope of embankments or cuts of 2 feet or more vertical height 15 feet; (14) Any water line 10 feet: (15) Drainage Systems: (A) Interceptor drains.foundation drains,and storm water diversion (i) upslopc 10 feet. (ii) sideslope 15 feet,and (iii) downslopc 25 feet; (B) Groundwater lowering ditches and devices 25 feet; (16) Any swimming pool 15 feet; (17) Any other nitrification field(except repair area) 20 feet; (b) Ground absorption sewage treatment and disposal systems may be located closer than 100 feet from a private water supply,except springs and uncascd wells located downslopc and used as a source of drinking water, for repairs, space limitations,and other site-planning considerations but shall be located the maximum feasible distance and in no case less than 50 feet. (c) Nitrification fields and repair areas shall not be located under paved areas or areas subject to vehicular traffic. If effluent is to be conveyed under areas subject to vehicular traffic,ductile iron or its equivalent pipe shall be used. However,pipe specified in Rule.1955(c)may be used if a minimum of 30 inches of compacted cover is provided over the pipe. (d) In addition to the requirements of Paragraph(a)of this Rule,sites to be used for subsurface disposal for design units with flows over 3,000 gallons per day, as determined in Rule .1949 (a) or (b) of this Section, which include one or more nitrification fields with individual capacities of greater than 1,500 gallons per day.shall be located at least the minimum horizontal distance from the following: (I) Any Class I or 11 reservoir or any public water supply source utilizing a shallow(under 50 feet)groundwater aquifer 500 feet; (2) Any other public water supply source,unless determined to utilize a confined aquifer 200 feet: (3) Any private water supply source,unless determined to utilize a confined aquifer I00 feet; (4) Waters classified as SA 200 feet,from mean high water mark; (5) Any waters classified as WS-1 200 fccr (6) Any surface waters classified as WS-Il.WS-III.B.or SB 100 feet;and (7) Any property line 25 feet. (c) Collection sewers, force mains, and supply lines shall be located at least the minimum horizontal distance from the following: (I) Any public water supply source,including wells.springs, and Class I or Class II reservoirs 100 feet,unless constructed of leakproof pipe,such as ductile iron pipe with mechanical joints equivalent to water main standards, in which case the minimum setback may be reduced to 50 feet; (2) Any private water supply source, including wells and springs SO feet, unless constructed of similar leakproof pipe. such as ductile iron pipe with mechanical joints equivalent to water main standards,in which case the minimum setback may he reduced to 25 feet; (3) Any waters classified as WS-I,WS-II. WS-III,B. SA.or SB 50 feet, unless constructed of similar leakproof pipe,such as ductile iron pipe with mechanical joints equivalent to water main standards,in which case the minimum setback may be reduced to 10 feet; (4) Any other stream,canal, marsh,coastal waters,lakes and other impoundments, or other surface waters 10 feet: (5) Any basement 10 feet: (6) Any property line 5 feet: (7) Top of slope of embankments or cuts of two feet or more vertical height 10fax (8) Drainage Systems: (A) Interceptor drains,storm drain,and storm water diversions 5 feet; (B) Ground-water lowering ditches and devices 10 feet: (9) Any swimming pool 10 feet: (10) Any other nitrification field 5 feet. (f) Sewer lines may cross a wvatcr line if 18 inches clear separation distance is maintained,with the sewer line passing under the water line. When conditions prevent an IS-inch clear separation from being maintained or whenever it is necessary for the water line to cross under the sewer,the sewer line shall be constructed of ductile iron pipe or its equivalent and the water line shall be constructed of ferrous materials equivalent to water main standards for a distance of at least ten feet on each side of the point of crossing. with full sections of pipe centered at the point of crossing. (g) Sewer lines may cross a storm drain if: (1) 12 inches clear separation distance is maintained;or (21 the sewer is of ductile iron pipe or encased in concrete or ductile iron pipe for at least five feet on either side of the crossing. (h) Sewer lines may cross a stream if at least three feet of stable cover can be maintained or the sewer line is of ductile iron pipe or encased in concrete or ductile iron pipe for at least ten feet on either side of the crossing and protected against the normal range of high and low water conditions, including the 100-year flood\wave action. Atria] crossings shall be by ductile iron pipe with mechanical joints or steel pipe. Pipe shall be anchored for at least ten feet on either side of the crossing. (i) Septic tanks.lift stations.wastewater treatment plants.sand filters,and other pretreatment systems shall not be located in areas subject to frequent flooding (areas inundated at a ten-year or less frequency) unless designed and installed to be watertight and to remain operable during a ten-year storm. Mechanical or electrical components of treatment systems shall be above the I IX)-year flood level or otherwise protected against a 100-year flood. 'limn-Note: Authority G.S. 130A-3351 1 and(1); Eff:Jtdv 1, 1982: Amended Eff.Jantaarr 1, 1990; October 1, 198_ U.S. Postal Service'" CERTIFIED MAIL° RECEIPT G Domestic Mail Only N For delivery information,visit our website at www.usps.com m Cc opening En .1lfi thcSP .13 rl Certified Mail Fee (� Extra Services&Fees(check box,add fee as appropriate) ```C K 0[s }� ❑Return Receipt(hardcopY) $rn `. ` 1 ❑Return Receipt(electronic) $ co ❑Certified Mall Restricted Delivery $ Q' rg i3 ['Adult Signature Required $ .(./)1 , n 0 Adult Signature Restricted Delivery$ �,, /11 1-1 Postage \. ��Z.7 / (� Total Postage and Fees • 60 3-9g a EHPR 06-2023-44563 ni ru sent To Shawn Corpening o Street andhpt.'t1'3`INifiIIs Ford Rd N .C(ty State,tiPtherrills-Ford;NC--28673 PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. 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Important Reminders: -Adult signature service,which requires the •You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail°,First-Class Package Service®, available at retail). or Priority Mail®service. -Adult signature restricted delivery service,which •Certified Mail service is not available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified •Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,It should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on •For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mall item at a Post Office'for the following services: postmarking.ff you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipients signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt:attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt tar your records. PS Form 3800,Aprli 2015(Reverse)PSN 7530-02-000-9047 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3. A. Si,•Ft le • Print your name and address on the reverse I ❑Agent so that we can return the card to you. ❑Addressee • Attach this card to the back of the mailpiece, , ceived by(P r' ted a e C. Date of Delivery or on the front if space permits. /I(,--A/ ay /) 2 1. Article Addressed to: D. Is delivery addressdifferent m item 1? Yes If YES,enter delivery address below: ❑No Shawn Corpening 7733 Sherrills Ford Rd Sherrills Ford, NC 28673 IIIIII'I llll IIIIIII'll IIIIII IIlll II III I'll 3. Service Type❑Adult Signature ❑Priority Mail Express® ❑Regisistered MaiIT" iedultertifi SignatureedMail® Deliv Restricted Delivery 0 Registeredery Mail Restricted 9590 9402 8110 2349 0286 60 o CCertified Mail Restricted Delivery 0 Signature Confirmation*" ❑Collect on Delivery 0 Signature Confirmation 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery ❑Insured Mail .. 7022 2410 0003 1218 3703 °Insured dm$50 ilRestrictedDelivery I PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKING# First-Class Mail Postage&Fees Paid MIN i I I 11111111111i!1111USPS L Permit No,G-10 9590 9402 8110 2349 0286 60 United States •Sender:Please print your name, address,and ZIP+4V in this box* Postai Service RECEIVED EHPR 06-2023-44563 Steven Price, REHS Nov ��3 Catawba County Environmental Health PO Box 389 Environmental HealthNewton, NC 28658