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CAEOP22-0013 141 <br /> Engineer Option Permit Common Form LHD Reference: <br /> This section for Local Health Department use only. <br /> PART 2: LHD Completeness Review of the Notice of Intent to Construct <br /> "(c)Completeness Review for Notice of Intent to Construct.—The local health department shall determine whether a notice of <br /> intent to construct,as required pursuant subsection(b)of this section,is complete within 15 business days after the local health <br /> department receives the notice of intent to construct. A determination of completeness means that the notice of intent to <br /> construct includes all of the required components. If the local health department determines that the notice of intent to <br /> construct is incomplete, the department shall notify the owner or the professional engineer of the components needed to <br /> complete the notice. The owner or professional engineer may submit additional information to the department to cure the <br /> deficiencies in the notice. The local health department shall make a final determination as to whether the notice of intent to <br /> construct is complete within 10 business days after the department receives the additional information from the owner or <br /> professional engineer. If the department fails to act within anytime period set out in this subsection,the owner or professional <br /> engineer may treat the failure to act as a determination of completeness." <br /> The review for completeness of this Notice of Intent was conducted in accordance with G.S. 130A-336.1(c). This <br /> NO1 is determined to be: <br /> ❑ INCOMPLETE(If box is checked, Information in this section is required.) <br /> Based upon review of information submitted in Part 1,the following items are missing: <br /> Copies of this form listing missing items were sent to the design PE and the Owner on <br /> Date <br /> via with directions to re-submit missing items using Page 5 of this form. <br /> Email,FAX,USPS,hand-delivered <br /> Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date <br /> VCOMPLETE(If box is checked, information in this section is required.) <br /> Based upon review of information submitted in Part 1 of this form,this NOI is deemed COMPLETE. <br /> Copies of this signed form were sent to the design PE and the Owner on 12/28/2022 via EMAIL <br /> Date Email,FAX,USPS,hand-delivered <br /> A copy of this NO1 and tracking information was sent to the State on 12/28/2022 via EMAIL <br /> Date Email,FAX,USPS,hand-delivered <br /> Kathryn Hobby,REHS 1835 12/28/2022 <br /> Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date <br /> DHHS/EHS/OSWP—EOP COMMON FORM Updated April 2022 Page 4 of 6 <br />