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HomeMy WebLinkAboutEHPR-03-2022-40532.tif (;: ) 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 ■AIIIO.tIY100.OII111. Email: EHAdministrativeAssistants@CatawbaCountyNC.gov r� �►Z b3-�)P-y0 L Application fora MobileFooa nit Plan Review Submit application form, a complete proposed menu of food items for sale, and a scaled drawing to the Health Department for approval before beginning any construction or renovation. Applications must be reviewed and approved before we can look at your unit. Insufficient information will delay plan review. • Attach a proposed menu of food items for sale. • Attach a diagram of unit containing location of all equipment, storage areas, sinks, and tanks. • Does supporting restaurant or commissary have a well and septic system? If so, a tank check and water sample will be required. A "mobile food unit"means a vehicle-mounted food service establishment designed to be readily moved.All units must report daily to the restaurant or commissary for supplies, cleaning and servicing. Facilities shall be provided at the restaurant or commissary for all aspects of function of a mobile unit including food storage, dry storage, obtaining fresh water, sewage disposal and garbage disposal. An operator is not allowed to maintain foods and products sold in a mobile unit to be stored at their personal residences. If a permitted restaurant or food stand is not capable of handling the extra needs of a mobile food unit a permit will be denied. Name of Business: t,j/Y Owner's Name: . �� is r It'.OtifS (t244 5 Mailing address: tit- / C-4 t-i4iL t ( 5t 1 c ,( ,4i City: L IPM I'll State: IOC_ ZIP:,0 bf Telephone#(s): 0 Doi 65- yc+ Email Address: Wt'c N r� 5 4— c^ v(_.-t5YV1 'Restaurant or Commissary supporting unit: ei RGLS 11411a CAciqtl1 ( 1,45117 vc £ State ID#of Restaurant or Commissary: �?4 l Vdo w6� Applicant Signature Date: --_ ----, "...... li, ) - _. - . . --..... 4, .. . , i . ..... A ' • \' I C'' ... _, ...- 77 ..... se •D" ..". 2)' , f.... Ze.''''-•- _,.4-'1----'; • \ ..---- '•-•77) ' . ' 's• -..-,.. --.. ,. ,'''••. .1 41—,,,/,'. ..... ,.,, — `... ... r , _ .. _ _.... 1 . 10 t° 1 1 ; , . \ ; 1.. : ....1. • ........, I : I r.— I l' ' J I I Ai i , . f : (....c..-, - , •.) ; .-.1 •-•;, ; • t • I I , . ; t . I ..:', •.., ••.., .6"q..'-' ',11 , . :• 4.1 , C. t's r k• ''' ••-ko . . • 1 , ',• Dig N Dogs # 4 Menu Hot Dogs BBQ Nachos Fries Chips Drinks I �4'A • CATAWBA COUNTY (diT "I+ 100A SOUTHWEST BLVD IIlk NEWTON,NORTH CAROLINA 28658 RECEIPT "kgV r 1 PHONE:828.465.8399 Monday,March 28,2022 1$ 2 5M www.catawbacountync.gov PAYOR: Dig n Dogs Dig n Dogs(Williams,Samuel(Rusty)) PAYMENTS TRANSACTION NUMBER: TRC-37153453-28-03-2022 PAYMENT DATE: 03/28/2022 PAYMENT TYPE: Check 1172 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 03-22-404233 110-580200-663000 FLI Mobile Food Unit/Push Cart $150.00 Plan Review Fee TOTAL PAYMENTS: $150.00 EHPR-03-2022-40532 CASE TYPE: Environmental Health Plan Review WORK CLASS: Other FLI SITE ADDRESS: 211 22ND ST SW,HICKORY NC 28602 Applicant DIG N DOGS,4121 BUNKER HILL SCHOOL RD,CLAREMONT NC 28610 C:8283026545 **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 03/28/2022 11:04 Page 1 of 1