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HomeMy WebLinkAboutIMPV-07-2023-199584.TIF catawba county public health 11/22/2023 Steve Dellinger 3599 Kelsie Ln Maiden, NC Subject: Notice of Intent to REVOKE the Improvement Permit for 2678 Mt Olive Ch Rd, Newton PIN 357019509200 Catawba County Permit IMPV-07-2023-199584 Dear Mr. Dellinger: The Environmental Health Division of Catawba County Public Health intends to revoke your Improvement Permit 30 days from the date of this notice. If the permit is revoked, you must apply for a new Improvement Permit (IP) and meet the requirements of the current laws and rules necessary to obtain a new IP. 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 150B-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 C.tcwk County Government Center 25 Government Drive I PO Box 389 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 11/22/2023. 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, evz /B(_____.-- --- eq4 5,4es n Evans, REHS Environmental Health Specialist Catawba County Public Health ( ) catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 11/22/2023 Owner(s): Steve Dellinger Mailing Address: 3599 Kelsie Ln Maiden,NC 28650 Property location/site legal description: 2678 Mt Olive Ch Rd PIN: 375019509200 Improvement Permit(IP) IMPV-07-2023-199584 7/6/2023 Authorization to Construct(AC) Date Issued 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 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 10"Large Diameter Pipe (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. 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: Date Signed: NCDHHS/DPH/EHS/OSWP Revised May 2015 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. , , t 1 ...... ePIN#CATAWBA COUNTY Case# IMPV-07-2023-199584 , . , PublicE l Health DepartmentHlthDi ision Subdivision nvironmentaeav 375019509200 PO Box 389,25 Government Drive,Newton,NC 28658 LOP! 3 w Site Address: 2678 MT OLIVE CHURCH RD, NEWTON NC 28658 Name on Permit: *STEVE A DELLINGER Property Size: Acres 1.48 Directions: NC 16, left onto Claremont Rd, right onto Mount Olive Ch Rd, proeprty on the 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 480 g.p.d Type of Facility: Primary Residence-SFD Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Public Water Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS _� _� ^W �� Proposed Wastewater System: 10"LARGE DIAMETER PIPE System Classification: IIIF-LARGE DIAMETER PIPE SYSTEM Pump Required _ __ _REPAIR SYSTEM SPECIFICATIONS _� _ w _ -� �_ �_ Repair System Required? ___ _Required _ ...._.. _._. _.._ _.._ ,._... -._.. __. ___ ._._ .._... _.� _.._ _._ .._.- -..-.. _..,.. ._.._. ..._.. __. __ _.,..., ...,,W Proposed Wastewater System: DRIP IRRIGATION System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: *DO NOT CUT OR FILL OVER SYSTEM AREA 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. "fhe 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'Lairs and Rules for Sewage Treatment and Disposal Systems' (I5A NCAC 18A.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 I lealth of this change prior to system installation. ofi.............„..-- --bog,, Evois 07/06/2023 Authorized State Agent Permit Issuance Date 7/6/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. eltpennit 07/06/2023 16:48 Catawba County Environmental Health EPgOs Oa3 .qqqgo aiviio' *pa l• ,qqgq „it s's i� ao 4, • :,e A \ c,Q..k q(- :; \i? • 4-' VIT i)V < /5:, A A41, 41 •2678 Q .%),(1; / cyG7cy 'Pa p�' "s •o0 � 2 s, s •'s is •2684 ■ Parcel:375019509200.2600 MT OLIVE 1 in=60ft CHURCH RD NEWTON, 28658 This ppetppauct wee pmpse dbenlb Wat @ County.NC on Services. Catawba County has made substantial efforts b ensues tieappiegofIoaelanend lydantdoe cOrbeled�tw Yatdataon dee report Catawba County promotes and recommends He Independent veairalfon of any dab eenbilted en phis mapol product by UM taw.The Casty of Cahawba,Its employees,agents,and person,d edeyn,and spell not be Mid bbla far why and all dermas.loss or Mtiity,sneerer tired.Indirect or consequential which anses or may aloe barn ate n-pt4spo t product or the hoe l hare of by arty person or ratty. Copyright 2027 Catawba County NC 07/06/2023 DEPARTMENT OF IIEA1.11I AND I IUMAN SERVICES SIxe1,..I of_ f DIVISION OF PUBLIC I/GAL CII,ENVIRONMENTAL.I U A1.111 SECTION PROPERTY ID)II: ON-SITE WATER PROTECTION BRANCH COUNTY. SOIL/SITE EVALUATION r_..— for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) 31/Cle:OWNER: ....\...)11‘16.11,_irr _ APPLICATION DAI C ADDRESS: DATE EVALUATED:r Z3 PROPOSED FACILITY: �r PROPOS D SIGN FLOW(.1949):360 PROPERTY SIZE: Irv? LOCATION OF SITE: 24 76 I GEC PROPERTY RECORDED: WATER SUPPLY: D Private ublic 0 Well 0 Spring 0 Other EVALUATION METHOD: ❑Au:er Boring jornit O Cut TYPE OF WASTEWATER: ewagc 0 Industrial Process 0 Mixed r o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L E LANDSCAPE HORIZON POSITION/ DEPTH .1942 PROFILE IISLOPE V. (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &/,TAR TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ - PA o-C{ it CL ZeY c T� , Li- a?7 411c V. ; y . al 1 VC d7- u$ oA$k Li, �1 ;� ce a� la a7 / L A o-lo ut io3z 4 c F 7 10 2 iy. -qa 04tit_ 0- ri -7/z LiZ / ( , 2s' (# 344/ A -to ,� mac. 2�y 1 . /p:.� Dlk C, Fr �S 3 c .if)-La Wei CL , ri ,�z 9 �/Z ( / 7 c ( a7 as A d-to 7lz /.._ D /0 its rci- c rr 4 i _ ( D "S ( 0 2 T- O ____-------- DESCRIPTION INTTUt.SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available apace(.1945) P S P,5 SITE CLASSIFICATION(.1948): 3 n EVALUATED BY: dGnS P+ e Gt~ System Type(s) /O r� f I C' OTHER(S)PRESENT: Sire LTAR - Z.r ,. t 1 COMMENTS: Updated Febn ary 2014 SOIL/SITE EVALUATION Sheer a„ (Continuation Sheet-Complete all field in fugl DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID q: DIVISION OF PUBLIC HEALTH DATE OF EVALUATION: ENVIRONMENTAL HEALTH SECTION �` COUNTY: ON-SITE WATER PROTECTION BRANCH • ► . • P o SOIL MORPHOLOGY OTHER F {.1941) PROFILE FACTORS 1 .1940 - - L .1942 E LANDSCAPE 110R1Z POSITION! .1941 .1941 SOIL .1942 .1956 .1944 PROFILE a SLOPE% ON STRUCTIIRFJ CONSISTENCE/ WETNESS/ S(2t1, SAPRO RE.STR CLASS DF.PTII TEXTURE MINERALOGY COLOR DE',/II CLASS 11ORI7, 1,LIAR (IN.) / O-P g /6-� .�5 C F.k.C. V fEc. 2746 0.4 c,.... Fie PS as ct6 / ( aas F4 o g srZ.-. 4 4 $az kip _,r sc� g r� 3c( 7 /647 'M • awl 0 4et- 13 ,q-- 17 s h- se- Fr eh 17-ys' Moss C. F l C A ' cff ,c)"4( ,,yr L 8�I 13 li-Ig /bi c-- Fr'� Ig-tig M4s c_ Fr 61 Lie / 7 0 r 4 c_q t- 5r r-I- g/; 7 c lg- qg oils c-_ F; g" �� U a 7 / ( COMMENTS: Updated Fabmary 2014 Catawba County Environmental Health • lib-''-----"------------- ce C-----'..".... N3) ..., r• v\ / oc or./ ( t--",-- If, , • 0 1 a' V. 6 A 1 / � ,r IP , f0 °°" :Pi ?92'O •2678 G 994` �s yi- 'Po * ce ... 's ■ .... .> 89Z 1 •2584 ■ Parcel:375019509200,2600 MT OLIVE 1 in=60ft CHURCH RD NEWTON,28658 This map/rsport product was prepared horn the Catawba County,NC G•ospatlal Information Services. Catawba County has made substantial efforts to ensure the aoa i,y of bodkin and istning Itformwdon contained on this map or data on this report Catawba County promotes and recommends the Independent rerlflotfon of arty data oont tr ed an Shia macaw*psah0ud by the user.The County of Catawba,its employees,agents,and personnel,dtsddm,and shall not be held liable for any and al duaaaM,Wear liability,whether direct,Indirect or consequential which arises or may wise from this map freport product or the use thereof by airy person Or grey. CapytfehN 2029 CabtMn County NC 07,06/2023 — , 0 p z $ l . = .o „l:Ill• f x i J . R- � I I � 1 i i . ' i 1H1 Aa 54 1, e saE I iY ! ill 3 t I + `4 ' v 5 R B A — 'f On S aaa = �., a x �' V €I y 62 p u gi lJ m a Q`,' A o ii 4 as MX O 6 0\ iRl0 A► , 6 OZ^ A} 1 ©< 9 66 • iii: z. 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