HomeMy WebLinkAboutDebbie's Heavenly Touch Catering 020383 Notice of Immediate Permit Suspension or Revocation 10 26 18.LB.PDF
N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF PUBLIC HEALTH, ENVIRONMENTAL HEALTH SECTION
NOTICE OF IMMEDIATE PERMIT SUSPENSION OR REVOCATION
COUNTY:
*Name
ID:
STREET:
*Date
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CITY:
STATE:
NC
ZIP CODE:
County:
TIME:
Dear Owner or Operator:
Your establishment has been inspected in accordance with the laws and rules governing:
( ) tattooing in North Carolina General Statutes
( ) public swimming pools in North Carolina
( ) food and lodging establishments in North
130A-283 and related statutes and Title 15A,
General Statutes 130A-280 through 282 and
Carolina General Statutes 130A-247 through
Subchapter 18A, of the North Carolina
related statutes and Title 15A, Subchapter
130A-250 and related statutes and Title 15A,
Administrative Code, Rule .3200 and related
18A, of the North Carolina Administrative
Subchapter 18A, of the North Carolina
rules.
Code, Rule .2500 and related rules.
Administrative Code, Rule .2600 and related
rules.
As a result of an inspection, the Department has determined that the establishment is in violation of Title 15A, Subchapter 18A, of the North
Carolina Administrative Code, due to the attached noncompliant items.
VIOLATIONS NOTED - Please List
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The Department has determined that the conditions found constitute an:
( ) Failure of a public swimming pool to maintain minimum water
( ) IMMINENT HAZARD as defined in G.S. 130A-2(3) and that the
quality or safety standards or design and construction standards
imminent hazard requires emergency action in order to protect the public
pertaining to the abatement of suction hazards which result in an unsafe
health.
condition
This letter is to notify you that based upon the above findings, your permit or transitional permit is hereby
( ) IMMEDIATELY REVOKED in accordance with G.S. 130A-23(d)
( ) IMMEDIATELY SUSPENDED in accordance with G.S. 130A-
or G.S. 130A-248(b). Once your permit has been revoked, you must
23(d). The permit suspension will not be lifted until the health
apply for a new permit and must meet all of the current requirements
department determines that all of the identified violations have been
necessary to obtain a new permit.
YOU MUST CEASE OPERATIONS
corrected. YOU MUST CEASE OPERATIONS IMMEDIATELY
IMMEDIATELY AND CANNOT OPERATE YOUR ESTABLISHMENT
AND CANNOT OPERATE YOUR ESTABLISHMENT WHILE
UNLESS A NEW PERMIT IS OBTAINED.
YOUR PERMIT IS SUSPENDED.
Operation of your establishment without a permit or while the permit is suspended or revoked may lead to civil action to require you to cease
operation, or criminal charges in accordance with G.S. 130A-25, or both.
You have a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition for a contested case hearing with the Office
of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. To get a copy of a petition form, you may write the Office of
Administrative Hearings or call the office at (919) 431-3000. The petition for a contested case hearing must be filed in accordance with the
provisions of North Carolina General Statutes 130A-24 and 150B-23 and all other applicable provisions of Chapter 150B.
PLEASE NOTE: WITHIN 30
If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative Hearings
DAYS OF THE DATE OF THIS LETTER. Meeting the 30-day deadline is critical to your right to a formal appeal. Do not wait for the outcome
of any informal review or appeal if you wish to file a formal appeal. FILING A FORMAL APPEAL DOES NOT AUTOMATICALLY STAY
AN IMMEDIATE PERMIT SUSPENSION OR REVOCATION. UNLESS A STAY IS ISSUED, THE PERMIT
( )REMAINS SUSPENDED UNTIL THE HEALTH
( )IS REVOKED AND THE ESTABLISHMENT CANNOT BE
DEPARTMENT DETERMINES THAT THE VIOLATIONS HAVE
OPERATED UNTIL A NEW PERMIT IS OBTAINED OR
BEEN CORRECTED OR UNTIL THERE IS A FINAL DECISION
UNTIL THERE IS A FINAL DECISION IN THE CONTESTED
IN THE CONTESTED CASE.
CASE.
If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are required by Law (N.C. General Statute 150B-23) to serve a copy of your
petition on the state agency that is a party to the action. The state agency party in this case is the North Carolina Department of Health and Human Services. Service must be
made in accordance with Rule 4 of the North Carolina Rules of Civil Procedure and 26 NCAC 3.0102(a)(3). You must send the copy to: Office of General Counsel, N.C.
Department of Health and Human Services, 2001 Mail Service Center, Raleigh, NC 27699-2001. Do NOT send the copy of your petition to your local health department.
Sending a copy of your petition to the local health department will NOT satisfy the legal requirements in N.C. Gen. Stat. 150B-23 that you serve a copy on the state agency
that is a party to this action.
You may also request an informal review of this decision in accordance with 15A NCAC 18A .2676. You may call or write the local health department if you need any
additional information or assistance.
Signature of Environmental Health
Signature of Recipient
EHS I.D.#
Purpose: General Statute 130A-23 gives the Secretary the power to suspend or revoke a permit issued pursuant to Chapter 130A, under certain conditions. This form is developed to be used
for suspensions or revocations Preparation:
Local environmental health specialists shall complete form EHS 4009B whenever an "Immediate Suspension or Revocation" is issued. 1. Original to be left with responsible person 2. Copy
for the local health department. 3. Copy for
Environmental Health Section, Division of Public Health. Disposition: Please refer to Standard-8.B.6., Inspection Records, Records Retention and Disposition Schedule for County/District
Health Departments, published by the North
Carolina Division of Archives and History. Additional forms may be ordered from: Div. of Environmental Health, 1630 Mail Service Center, Raleigh, NC 27699-1632 (Courier 52-01-00).
EHS 4009B Immediate-Suspension
Environmental Health Section (Review 7/13)
N.C. Department of Environment and Natural Resources
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NOTICE OF IMMEDIATE PERMIT SUSPENSION
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