HomeMy WebLinkAboutEHPR-02-2022-40115.tif ( 4 ENVIRONMENTAL HEALTH
Catawba County Government Center
catawba county 25 Government Drive I P.O.Box 389 I Newton, NC 28658
public health Phone:(828)465.8270 ( Fox:(828) 465.8276
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Email:EHAdmin@CatowbaCountyNC.gov
Plan Review for New Tattoo Establishment
Submit application, contact sheet, and$265.00 fee to Environmental Health for approval before
beginning any construction or renovation. Applications must be reviewed and approved before we
can look at the establishment. Insufficient information will delay plan review.
• Is the proposed location service by public sewer and water, or is it serviced by septic and
well?
• Attach a diagram to scale of the layout of the establishment complete with furnishings and
storage for the tattoo artist in their individual areas.
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ENVIRONMENTAL HEALTH
Catawba County Government Center
catawba county 25 Government Drive I P.O. Box 389 I Newton, NC 28658
public health Phone: (828) 465-8270 I Fax: (828) 465.8276
ails., 111111 111111.
Email: EHAdmin@CatawbaCounty/NCl1.gov
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Application for Tattooing Permit No of Application J 4 /'
2/16/2022 I it 201 0 L, t/3 I )
Tattoo Artist Information:
First NameTabitha last Name Spencer MI
Mailing Address:1968 46th ave drive ne
City State Zip
Telephone Number:8286124978 E•mall:Tabbygirl.thatsme@yahoo.com
Tattoo Establishment Information:
Name of Establishment:Omorfia Hair Studio
street Address: 2342 Springs road NE
City State Zip
Business Hours: 10-5
Number of Tattoo Artists in 1 'Establishment 2 Anticipated Date to Begin Tattooing: 3/1/2022
Tattoo Artist Signature: 0. 1
Instructions
Purpose: To allow tattoo artists to apply for tattooing permits a s required in General Statute 1 30A-283 and ISA NCA(I BA.3202. A
separate application must be completed for each permit.
Preparation: Each tattoo artist must complete and sign a separate application for each location where he or she will engage in tattooing
within the State of North Carolina. The completed application must include the full name, mailing address and
signature of the tattoo artist, the name and street address of the tattoo establishment, and the anticipated date of
commencing operation.
Submission: The completed application must be submitted to the loot health department in the county where the tattoo establishment is
located at least 30 days before commencement of operation. The local health department may require payment of fees or
additional information upon submission of the application.
Disposition: This form may be destroyed in accordance with Standard 7 of the Records Disposition Schedule.Published by the N.C.
Division of Archives and History.
DEMR 401S(Revised 11/00)
Environmental Health Service Section(Review 11/03)
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BA • CATAWBA COUNTY
100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
• `r PHONE:828.465.8399
/ Wednesday,February 16,2022
18 A 2 SM www.catawbacountync.gov
PAYOR: OMORFIA HAIR STUDIO
OMORFIA HAIR STUDIO(SPENCER,TABITIIA)
PAYMENTS
TRANSACTION NUMBER: TRC-34902394-16-02-2022
PAYMENT DATE: 02/16/2022
PAYMENT TYPE: Credit Card
285875345
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
02-22-402541 110-380200-663000 Tattoo Artist Fee S225.00
TOTAL PAYMENTS: S225.00
CASE TYPE: WORK CLASS;
SITE ADDRESS:
receipt 02/16/2022 I1 47 Page l of l