HomeMy WebLinkAboutB and B Outdoors 730971 08 18 16.LS.PDFTime Im 1 0 1 : 5 El aryl' Time Out: 1 0: 3 0® amTotalTime: 15 minutes F�Transifio
El pm - - 1PM RNew nal
B A N} B 0 U T D 0 0 R S
Name of E stabhshment
� 0 1 M it R G A N
A
V
E
Address 1:
Address 2�
L I T T L E R I V
E R
S C D 9 5 6 6
City:
State; zlp�
B A N D B 0 U
T D
0
0 R S
Permittee
M anager or Person in charge
[E M ailing Address Same
B A N D B 0 U
T D
0
0 R S
M ailing Name
� 0 1 M 0 R G A N
A
V
E
1A ailing .Address 1
Mailing Address 2
L I T T L E R I V E R
C ity:
Phone Fax
Email Address:
5-5 - MunicipalICommunity 3-3 - Muni cipal/Community WA
Water Supply Wastewater System Risk Category
0 9 7 1 4jjoEnterlast4drgytsonly
Facility 0 0 to Facility ID:
S C ;2 9 5 6 6
State: ZIP:
pp
0.
Emergency Phone Hummer
1 8 Catawba
�Znty #
01
Territory # Capacity�
73 - Temporary Food I
esokliq4#"AF4
Operate a: Status Code
Id ap # Parcef 0 #
0 8 1 1 8 0 1 6
Lat Long. Date:
PushCart orKfit? [:]Pushcart [:]MFU
Pushcarliklobile Food Unit operating in conjunction with:Restaurant or Commissary ID.,
Transitional Permit Conditions: Permit Expires: 0 days 180 days
Condition sIR am arks Non-PI"pliant items completed by;
GOOD FOR 8/18/2016 ONLY
3977
Non -Compliant Remarks Click the checkbox to add non-comptaor rtmarks
Estaptishment Assigned To;
171 1-Carpenter, Scott
EHS Signature:
1896-Sears, Luke 0 8 / 1 S' 2 0 1 6
EHSID Date:
Title
M anageriPerson in Charge
0 8 / 1 8 0 1 6
Date:
NG Deparlment of He a Rh and Human Services [j]Parmit F-]TransitionalPernnit
D iv ision of Public I I ealth
Environmental Floalth Soction Date: 08118i2016
Name of Establishment: B AND B OUTDOORS P erm ittee: B AND B OUTDOORS
DaWNTMI
Cly: L1T7LERIVER
state - Sc Z fp: 29566 Managior/Piorson in Chargo:
BEllng Nam BANDS OUTDOORS County Catawba
BfilngAddress_ 201MORGANAVE
City, LiTTLERIVER State:,SC Z rp: 29566 Status code: I
E m all Add re ss: Establishment ID, 2018730971
---------------------------
Phone- - Fax: MOP #: - - - - - - - - - - - - - - - Parcel ID- - - - - - - - - - - - -
Emergency Phone Number Lit..------..---_-.. Lon" ................
Permission is granted to operate a 73 -Temporary Food Establishment as defined in G S. 13OA-247(l) and 1 MA-248,
Regulation of Food and Lodging Facilities, See permit requirements in Rules. `f his permit is not, transfew,le and may be revoked for failuria to
comply wth all requi,-ements.
WastexeaterSysterns; murlcovcr rnmunk, []on -site System Capacty:
category #: 91 E ff]
WaterSupply: [Elm uricipalIC)mmunity E]On-Sits S,stem 11 IE
Pushc3tt'Nobile Food Unitope'ating in conjunvion with Restaurant Or COMM SSa'y Name an —3—i665W — — — — — — — — — —
Cc nd it! on &Rem a rk&
E etablishrre nt 3 ssig nod 'to: 1,71 I -Carpenter, Soott
GOOD FOR 8/18MI 6 ONLY
............................................................... .... .....
---------------------------------------------
$itionall ParM it Condition%
-his permit $hall expire 01 and isnot renewahle, All rian-comrlian, items IWed herein and on attached Danes (if
anali-mbI20 must de cDrmc.leteJwilhln 90 E] 180 days dais. This astablishment mist close if all noncomaliant i,.ems are not corrected had the
expiration da:e.
RP,rP.lvPd rya' Tit P,,
M 3nageriPerson in Charge
n,t,,- 08118r,016
Stoned BY: REHS#: 1896-Sears, Luke Date: 0811812016
/��Dii ision of Public Health
es -om wcontinueoperation Nmthout a pennit ot- tmnsidonzl pefrait isawd by the Erepartment-
Purpwe�G "Tilstarul 2,'S(b, status "N tabInbimmt diall rare niene
-Me permit or Iran clonal it Iialibe issued to the iyx-ner or Operator of the establiskrnEntanii shall not be transfemble.- If the estabfi shne.int is, leased, the p=t or
transitonal prranut diall be issued to the Itsseeacid giall not be transkrable,. If pie location of an establishmentdean ges, a rnewpermn shall lotobtarned for the
establishrntnt- A perrnit shall be. issued only Nxlien tatestablislunumt satisfies all of the rNWrements cfthe rules _ The, Cominim on shall adopt rules establisbing the
requirements ithat must be met, be -'ore itransidmial permt maybe. issued, and the penod for cNInch a trans:tional pernutmax, be issued. TheDeparanerr, rnavalso impost
ucqlditun;,Un ffir is sum-Ictuf a parmul ualladulial PtIllift ftI,dCCuIddTILrN%AtL lult�sadqyLtnd by d'it Cumininniazi- A pnrift m kiansadimail pnmit '11all be iralnrihaLdy
Masked in accordance mitts G_S_ t 30A-23(d) for failure of the estabEshment to maintair a mnitrurn grade. of _ A pennit a trarsitienal perm maN, odienNise he
suTerdtd or revoked in acccrdarce with G_S_ 130.4-23" Preparation- Local emiromnerrtal health specialists shall issue pemit evtry, time a change in permit status is
indicated. Prepare anori,=21 and one LoP77 for I . Onginal to be left wadi ffieoi�caef of operztm 2. Copy for the local health departrnmt. Di sposItIon: Ptease refer to
RecoAs Retenton and Di W-itial Sditdule 8B .6, fbr C ounrvDi strict Health DepattmentsMuzh is pubdshed b�7the North Carolina Dvasim ofArchivnes; & Histon,,:
Additional fbous may be, ord-,red froni: FrivironmentaL dealt Sector., 1632 Mail Sffice Center, RaJeigh,".NC 27C99-1,632, Q�=itz 52-01-00)
EH 3 1341 (revise 0 0712)
Ery iron m enta] Health Section
Comment Addendum - Attachment
EstaWln�jTrevt Va-ft�e: 9 ANn 8 OUMOORS
Location Address: 201MORGANAVE
ity: L MILE RIVER
�lounty, Catawba
Wastewater System: (j) klunicipavCornnuniV C) On-Sita System
Water Supply: @ C, 'fin-sitL� sysksm
Permiltee: BANDBOUTDOORS
gum=
Condlllons/RemarKs ilcontlnue,3):
Mon---orrpliait Items:
Date- 0811V2016
Status Code:
at gory 4: