HomeMy WebLinkAboutB&B Concessions TFE Permit 730848 09 01 15.GK.PDFTime In: 1 2
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LANew El Tran sitiona I
Name of r= sta blishmc? nt
F a i r c r o u n d s
Address 1:
umudwnq
N e w t c n 4 C 8 6 5 8
Po rrinHe e
Manager or Person in Charge
[] M ailing Address Same
B a n d B
M ailing Name
a a 0 0 A to b o t 5 0 1 e n C t
M Ailing AddroNq 1
DIUMBINN
A. c w r t h 3 A 3 0 1 0 1
C IY: 'Tt a —te, SIP:
Phone Fax Emergency Phone WArriber
Calawba
ErnailAdid'eSS:
5-5 - MunicipallUmmunifty
Water Supply
0 E 4 8 440 Enter last 4 digits on l,,i
Facility ID
4-4 - On -Site Syscam INIA
Wastewater Systern Risk Category
Old F acility V
as # Pascal ID ;P
1 0
,C-05 n I _Y;
41
'Terrilory F Capacity:.
73 - Temporary
-4- 00 e re a Stailus Code
Lair Lcn q, rara�
E—U5hQartQ,rMFly []Pushcarl []MFU
Psh cartIM o �i e Food U n it operating in co n,unction with: ID. -
Transitional Permit Conditions: PertritE-rpires: Non-PQ19 u days [] 14U Days
C'onOrtlonstRernarks vIiantite rnsccmiolete(4y:
Ncri-Compliant Remarks
L VIN r
�HS 'sign BNre:
1655-Kain, GAreg 0 9, 1 1Z I / J 0 1 5
. . . . . . . . . . .
EHSIC Date:
Establishment Assignad To:
1655-Kain, Greg
10 anaggriPerson in charge
0 9 0 1 a 0 1 5
Tifle Daw:
M
M
NG Deparlment of Health and Human Services [j]Parmit F-]TransitionalPermit
D iv ision of Public I I ealth
Envircinmentat Hoalth Soction Date: GWM2015
Name of Establishment: B & B P erml ittee: B&B
I
C ly: Newton
State - NC Zip: 28658, Managicr/Pior-son in Chargo-,
Milling Name Bard 8 County Guts
BfilngAddress_ 280UAbbeats GfenC1
City. Acwrth State:Z rp: 3,0101 Status Code: I
Ernai[Address: Establishment ID, 20173,0848
---------------------------
Phone- - Fax: map, #� - - - - - - - - - - - - - - - - Parcel ID---------- - - - -
Emergency Phone Number Lat . . . . . . . . . . . . . . . . . Lonl. . . . . . . . . . . . . . . .
Permission is granted to operate a 73 - rernporary Food Establishment as defined in G S 13OA-,24(l) and 1 MA-248,
Regulation of FoA and Lodging Facil ties, See permit requirements in Rules. `f his permit is not, transfer ole and may be revoked for failur-a to
comply wth all requi-ements,
WastexeaterSysterns; [:]muricovcmrrlunk, [flran-Site System Capacty:
category #: 91 E ff]
WaterSupply: [fliduricolic)mmunity E]On,.Site ystern
Fushc3tt'Nobile Food Unitope'ating in conjun0on with ReSTaUrEnt Or COMMSSa'y NRMe an —0 15r56J — — — — — — — — — —
Cc nd it! on &Rem a rk&
Ect a, blishrrent assigned 'to: 1666 Kain, Grog
............................................................... .... .....
---------------------------------------------
$itionall PerM it Condition%
-his permit $hall expire 01 and isnot renewahle, All nn-comrlian, items listedherein and on attached cages (if
anali--ablp,) must ce cDrnic.leteJwilhln ::1 go / EP 80 days days. This astablishment mist close if all noncornaliant i,ems are not corrected had the
expiration da:e.
pp,relvpri Py Tit n,
M 3nageriPerson in Charge
n,t,,- 09101riO15
I
Signet Eli. 9 REHS#: 1655-Kain, Greq Date: 0901,Q015
Mvisibn If Public Health
Pure;Geneval Statute 130,,k 2,'8(b'stat-2s"-No
'Meptmitortransit oral pemitt shall be issued tD, the iyvner or operator of the establistnrnt and shall not be transferable- If the establiArnent is 1,ca sed, the rmlor
transitonalpemt shall be issued tothe lessee and shall not be, transferable,. If 1�e locah-an of ant st2bh shrarm.t dianges, a neNv Perm f shall be obtained for the
satisfies all of shall adoptrules est2btishinggthe
requirements diat must berne before a transitional perm may he issued, and the per for Mucha tnins-.1tonal pernnumay be, issued, Tice Eitpartmen, rnav also inipose,
uctldituns Ull uarisidulial pnrnitin nansidunal prtunL Ball brit-111irdiawtv
t-e,wcke,din,acr-ordance,-with G-S- 130A-23(,d) for failure of the establishment tomaintaif an-finitrurrigrade of C- A leer mt or frarsificrial permitmay otnen-sise be
suTefdtdo,rzecvokt.din,accc,t-darce.-with G-S- I. 30A-23--" Preparation- Loml en,ironrnentail health specialists shall issue a perniit evtry time a charge i - , ge n petm i it status is
irAica-,ed. Prepare an onginA and one copy for I . Oiigtnal to be Left with the miner or operstor. I Copy for d.e local health depamn-ant. Dispazt:Lan: Pteasse refer to
RtcoAs Retentai and Disposition Sdiedule 8B.6., for CounmDi strict Health Depar=.mtsNN1nzh ispub.islied bythe North Casolina Ex;nsimofArciiives& History
Additional fbous mav be ordmed from: Fnciromnentai Health Secuor., 1,6,32 Mail rice Center, Raleigt4 NK 27dg,9-1632, (Courier 52-I)i-Ti)
EH3 1341 (reviseO 07112)
Ervironmenta] Health Section
Comment Addendum - Attachment
Location Address: F qrouna ds
Wastewater System: o klunicipavCornmuniV @ on -Site System
Water Supply: C, '07-SltL SIYSkSM
Permiltee: B&B
gum=
Condlllons/RemarKs icontlnuea):
No n---orrplia it Items:
Date- ooioi,,Qol6
Status Code: I
at go ry 4: 0