Any person filing an application for review of a notice of violation or order of cessation shall incorporate in that application regarding each claim for relief:
- (1) A statement of facts entitling that person to administrative relief;
- (2) A request for specific relief;
- (3) A copy of any notice or order sought to be reviewed;
- (4) A statement as to whether the persons requests or waives the opportunity for an evidentiary hearing; and
- (5) Any other relevant information.