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T.E.L.L BBQ 731031 PERMIT 05 18 17
Time In: 0 53 9 Dam Tim ON: 6 : 3 1 0 am ToWl Tana: l Try i11011N05 ®New ❑Transitional e Fa r a Nd M Mind ACUnas 1 T. E. LL BBQ Name NE W USIMMOm M Ong AE6eaaa 2 fa irgr o u n d a NC 38650 CXy: A66mae 1. atala: IIP: Phone Fax Emergency Phone Number Aeenaaz 1 0 C610WD0 Email Aral N e.tn n 55-Munirir OCmmluniry 39- MunkyrOCnnmunky NC 26658 Ot CNY'. ams: ZIP: ❑ u Ong Aaan» same T via - Lot: M ailing Name 2644 cattle Cre e Fa r a Nd M Mind ACUnas 1 M Ong AE6eaaa 2 N etoto n NC 38650 CXy: atala: IIP: Phone Fax Emergency Phone Number 1 0 C610WD0 Email Aral Count 55-Munirir OCmmluniry 39- MunkyrOCnnmunky N/A Ot a Water 6uPPY Wastaxalar$yNam RNN Category Tendency Cape", 1 0 3 1 ♦Emenasl4mgnsoniy 23 -Temporary I Today ID Old FUWry D: Caesars a. 51ams Cade Parcel ID a Lord. Pu$h C2"*r MFU ❑PuagCNl ❑MFU PUMCNUM smile Food JAM opaNlMg M [enluntlim W6: TraOSNIODal Perm Cg1®NgIO: Pamir EapYsa: ConMlonamem>Rs Non-Compllant Gama ks 0 5/ 1 8/ 2 0 1 DPM: Nomp90daya ❑Ulldays m011ant home mmgNM by: F] Cin oe oaenaono aao too or,olanunaae 0e 40 4000 / ENarbod1menl AMlgneO To'. 105E-1<ein, Greg EN6 51gnalurel MMaearmenon M Mama 1055Kain.Grog 0 5/ 1 8/ 2 0 1 0 5/ 1 8/ 2 0 1 7 ENBID Dan: ® Tire Dan: NC Department of Health and Human Services QPennit OTransitional Permit Division of Public Health Errvimnmental Health Section Data: MlMO17 Name of Establishment TELLOW Permittee first Luh Location Address. reltgm udge city: Nevdan Stste'NC Zp:2� ManagenPemon in Charge: Biling NameT rW2 County GekaAe Biling Address. 2844 detlM Greek Femur Rd CRY: stapt n State: NC Zip: 28658 Status code: I Email Address: Establishmend IQ_201aT31a31 __________________________ Phone: Fax Map #:............... Parcel ID:_____________ Emergency Phone Number. Lat: ---------------- Long,................ Permis9on is granted to operate a 73 Trampmery Food EnebgsNlwnl as defined in G.S. 130A -20(D and 1MA-248, Regulation of Faod and Lodging Facilities. See permit requirements in Rules. This para[ is not transferable and may be revoked for failure to comply with all requirements. waas.atersypems. [EMumdoawcommunis QonslN system capacity : categon a: M O ff water sappy: Op Mummpapeommums Onerous system © o PuancamMeblle FOol Vntl Operating In Conjunction with: I Reataarto Of COmm Wary Name and 10 Amba! ENa011snmee assigned 0 1OW"n, Greg Tde. nate: 031182017 Signed By. "q Lit It., REHSR 18$ in,Gleq Dale: 0511182017 teases ®d mill no w makable, EH31341(revised 07112) Environmental Hoo SeC4on eonmmnmlil ❑ABachments ToneNonal Permit conditions This pard Aall eagre an and Is no ranewade. An nomcompllant time listed herein and on attached pages (Ir aloiltlhle) must OO Computed within 090/❑180 days days. TMs esnOivermat must CION 9 all nancanninard ROM are no COUOMd by the ea#roarn data Tde. nate: 031182017 Signed By. "q Lit It., REHSR 18$ in,Gleq Dale: 0511182017 teases ®d mill no w makable, EH31341(revised 07112) Environmental Hoo SeC4on eonmmnmlil Comment Addendum - Attachment Establishment Location AddrI mugmoms City: Naeioo State. NL County:(eOuMta Zp:18658 Wastewater System: ! • .e a.ce....m O o..em e,... Water Supply: • •=nepavc"M..w O o' -s" e..w. Permittee: TNar Lup NonComppant llama