HomeMy WebLinkAboutBistro 127 Permit 011161 10 06 10SC.pdfTime In: 0 2 ' 1 9
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1 8 Catawba
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5-5 - Municipal/Community 3-3 - MunicipaUCommunity IV 01 1 7 .1
Water Supply Wastewater System Risk Category Territory k Capacity:
2 0 1 8 0 1 1 1 6 1 1- Restaurant I
Facility ID F-JExisfing Facility 0 [d F a cility ID: Operate aStatus Code
FlAttachiments
M ap Parcel: ID #
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Push Cart or MFU []Pushcart []fJ FU
Push Cart or MFU Name
Transitional Permit Conditions: Permit Expires: 790days 7180days
Non -Compliant items completed ey�
ConditionsfRemarks
NEED TO CHANGE OUT SINGLE DRAIN BOARD 18" TO 24" DRAIN BOARD WITHIN 20 DAYS
NEED TO CHANGE OUT ANY BULBS WITH SHATTER PROOF BULBS THAT ARE EXPOSED TO FOODS AND CLEAN
UTENSILS
EHsignalure-1 1711 1 0 / 0 6 / a 0 1 0
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Establishment Assigned To:
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Title Dale;
NC; De,parlmient OT Environmental! & Natural! Resources,
[E New F—]Transitionat,
Division of Environmental I lealth
Date: 1i 10&201D
Name of Estabiishment- Bistro 127
P e rm itte e - Miller Zoo, LLC
Location Address- 2039 P4, CpnnPrSt
ManageriPerson in Charge. Mail millAr
(;jy. Hiickcwy State: No /_ p: 26601
Gounty, 18
Billing IN arise, Miller Zoo, LLC
Status Code,
Billing Address: 2039NConterSt
Establishment ID2018011161
Cty: Hiickory Stat a NC Zlp! 2,8601
to p ;0: -------------- . Parcel IID: -------------
E it ta H Add t e ss,.
Lat Ljiiq�
Phone: WZB1 8bb-12W Fax:
Ernergancy[horse Number: (828)32U-4-",t56
Pprmi��ion is granted to operate a 1 - Restaurant
as defined in G S 130A�247(1) and 13OA-248,
Regulation of Food and Lodging Facilities See permit requirements in Rules.,
This permit is nottransferaole and may be revoked for failure to
comply wth all requi,ements
wastemater'oystems�iOuricip3licMn unity O-Site System cop3cty, 172
liquiricipalfcvm
C;atogore #� El El 0
WaterSupply punk on -site System
El
PusheartMobilo Food Unitopo-afing in COmLMC'iOn With
Restaurant or Comm ssa'y Name and _157167rnCe7
CcriditionsRema0s:
Estoolishment assigned to: 1711
-1,05 permit shall expire Q'i and i.� not renewable, All nprr,Comrnan'. items luted herein and an attached )ages (if
zooli--abIR) must De c3mpleteJ with in 9 0 180 d sivs dots. This establishment mist close if all noncompliant items are not corrected bt the
expiration date, A
Received QyAzy' _1 9 Tire: Cate. 10106120110
01a
,11 1013612010
,
Cigned:"m iRC#: Date:
Div, ntal Health
Putpoe: General Statute 130A 2,!8(blstaras"No establighment shall --omtnence orcoati sue operation v%ithour a pElmitor- ttanationcl permitismed by the Departtak-nt-
T'he ptrrrat or transitional to=at shall be issued to the oxntr or operatar of [he establistrnentanti shall not be ttanffera[ilt. If the establislinnent is 1�ased, the pe='t or
tfan3ItOn3Ip=t 91311 be Il5slleGi tc tfrr lessee 3nd strap rice be latobtained for this
tstabtishmtnt-Apt=itshall b,ei&sut�iotilv,saber foe establishmgrit satisfies all of the r=gui=tntscfthe rules _ The Commission shall adopt rules establishing the
requirements diatmust be met b-,fore i transitional n =.t may, tot. issued, and the pen od fDreAnch a =&ti anal pertrutmay beissued. Tire Eitparlarren,, may also impose
U'riditunzi of Lhrissuaricruf a pnillitul Lialladundl Pnalft ni acLuldincrNNid iulni adLipLrd by, dir, Cuinuiussiun_ A pnuft LYI uall"Autrual pt-unu -IIAI L-,c irillit'diaLtiv
revoked in accordance wthG.S. 13,UA-23(d) for failure af the tstablishrritnt to maintair a nitmtruinagradt of C. A permit or
aisptrded orrnrzktd inacccrdarce i-,RifhG_S_ 130A-23--" PreparatiGir Low anironmental Ilealth s;eciaiqss shall issue a perrnitevtn:timt a change in p=it status is
indicated,. Prepare 2norip=d and one copy for I .Onginal to be Left wkiththe a-wme-orepeftear. 2.Cop3,
Records Rttent on and a -To sib on Schedule 8B.6., fbri."ountvDisuact Health Departnents wht:h is pubdshed by the, '.I,,7zrtt Carolina Dram on ofArchi ves& history:
A ddibDnai fonms mav, be ord,,red from: Di'Asi on of En',iront—enta I Health, 1632 N13i I Senlce CtMter,Fakigh,-.\ if 276919�46327 (C ourier5 2 -oi-OC j
DENR 1341 (revised 02108)
Ervironmenta] Hezlth Sere ces Section (review 7108)