The URL can be used to link to this page

Home My WebLink AboutEHPR-10-2022-42487.tif • ENVIRONMENTAL HEALTH Catawba County Government Center catawba county 25 Government Drive i F.O. Box 389 I Newton, NC 28653 public health Phone: (828) 465-8270 f Fox: (828) 465-8276 114KIIG.tiv,rG 1fiIt . Email: EHAdministrativeAssistarts@CntewhnCountyNC.gov Plan Review Application for a Mobile Food unit Submit application form, a complete proposed menu of food items for sa e, and a scaled dr wing 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: tk) `1 `{, 1 ;r)Vi� / Nr,Owner's Name: -ttff�, c -v1.L' Mailing address: CA g & t l 5I f e.(21- //l' State: Ne2 (G nt City: L-�' ZIP: Telephone#(s): �) — Ic H 1 Email Address: C U n+a617\--(kj 4U �I 1 �'.I l�rL `jbi"Ct ('011 Restaurant or Commissary supporting unit: ��L� '1{r 4r,(l ( (Apt }�()�.t' C°I ., r'� State ID#of Restaurant or Commissary: � �Y �G�L L " • Applicant Signature - l i Date: [ /�L' x C .ra:kt, +A-1,61 \21 c c r u6s u n-) Food Handling Procedures Explain the following with as much detail as possible. Provide descriptions of the specific areas of the kitchen and corresponding items on the plan where food will be handled. Explain the handling procedures for the following food categories. Describe the process from receiving to service including: • How the food will arrive (frozen, fresh, packaged, etc.) • Where the food will be stored • Where (specific pieces of equipment with their corresponding equipment schedule numbers) and how the food will be handled (washed, cut, marinated, breaded, cooked, etc.) • When (time of day and frequency/day)food will be handled - - 'd1inc, (edible without additional preparation necessary, e.g. salads, cold sandwiches, raw molluscan shellfish) (A (I la 0 Vi lle hr1 i l�t'ai,Y 1 y r.-fr441J (L. 4(41 k-Aci, (t t A. ( /,/'t i.1D� - i''�,,,� -1-r, ,,-{— uce Har '' Will produce be washed or rinsed prior to use? Yes ❑ No Is there an approved location used for washing or rinsing produce? Yes Ft" No n Will it be used for other operations? Yes ❑" No n Please indicate location of produce washing equipment and describe the procedures. Include time of day and frequency for washing or rinsing the produce at this location: 17 ( } CC,I� >I CA w--Ca..�,�ba`J t' h� c;{CA-c'C - ( c 01 e� -- �u e v1rti01 kA t"(X `2 C' coi\A> _ O ( l �tLi'14 ' (ICf'. - !l() "��t r�1L: 3 4--, k 1 C' Ekrt Poultry t1cIY1( lP (.4 C c rr\, l 11 1Ct.i YU 0j I L vl'1Ck+- '�i- C.�CC i1 0 t%C Will poultry be washed or rinsed prior to use? Yes No ❑ Is there an approved location used for washing or rinsing poultry? Yes No 17 Will that location be used for other operations? Yes R' No n Please indicate location of poultry washing equipment and describe the procedures. Include time of day and frequency for washing or rinsing the poultry at this location: j-yee,h C Cry-v I vz� - L l 1 a.S , poc�rie 14., 16 v6L��tV--t pr c(' in -pie p sto-�(r!t i io l , t1\or,er if-z c,Ain I:V r~ OV CVei),-, . Will pork and red meats be washed or rinsed prior to use? Yes No ❑ Is there an approved location used for washing or rinsing pork and red meats? Yes []' No ❑ Will it be used for other operations? Yes No_a_ Please indicate location of seafood washing equipment and describe the procedures. Include time of day and frequency for washing or rinsing the seafood at this location: U _ Q e)(,1 06L.. nVfkk 0 V 'We irYl V1 .� -v DCi t t- �S I S t i)%:e'G i t '91'-J 0 01 0 r p c-400 i-1 en vA ( kec kv . c,3 0r��r` it --lie. --) Seafood Handling Will seafood be washed or rinsed prior to use? �� Yes n No EV Is there an approved location used for washing or rinsing seafood? l Yes n No El-- Will it be used for other operations? Yes 1-1 No Please indicate location of seafood washing equipment and describe the procedures. Include time of day and frequency for washing or rinsing the seafood at this location: , . 1 ....._..., ,......, , --k._ to .t • _ ;:, S t 4 I •,. _......... . st..1.. , 1 " c 1 _ ,..._. ,... , . i 1 • I • e:k ---$th -- ••fl -- —rr— --,b' . "g 0 ‘Z--/ ,-:•J ''''' , c...) I , -.3 1.1._ 1,....../ b. tY-3 i ...:-.i. -.C.1.'N' --— T- , • , . T....) 0-, _-,-1 . I c-- --' i cct:Gine.r i I --• J) i. 4--• . '-L. t-, 5 Pi\ IS 5•'-) 5 I.---7---"I 4- -3-,,;,) CT_ , si•M,) 3.. . ._._... A 7.40 IAA ( (IQ i fall del PI 07111tf. 91a A: /'... )171AI Atli 140 2 I /• ___ — i .ir--- Of Svoure Ph ' 4v • b644, --s-Pa -ci 13 ,) phi cktir) PI cOc'r 2OI cc r Load ed 0dd -Pork— I-JDacled i" ac Cifvee . "Park. Sc,Noric( i v tc.�� I side 1304e-k-- vJtCh 1)31sldle Sa-tidkuic,h R5- u,c1 ‘.4ew 17DaVe d P�eatn� alcrc( diee27e 'Z195 mk-6/ 11-7_ \rac,k4 \ Tided, `Por , Checklist for Permitting a Mobile Food Unit (MFU) (Please keep this checklist and turn in the rest of this form) Submitted completed application form Submitted menu Submitted diagram of equipment layout Permits and schedule notifications: 1. Mobile food units (MFU) must work in conjunction with a permitted restaurant or commissary within Catawba County and you must report daily to the facility for supplies, cleaning and servicing. A log sheet must be kept at the facility which shows this. 2. MFU permits shall be posted at all times. A copy of the last inspection shall also be kept on site and the grade card shall be posted and visible at all times. 3. Operators must provide a list to the Health Department of all locations the MFU will operate on a routine basis. If the MFU travels to other counties, the operator must notify that county prior to operation. Such lists must be kept current or permit could be suspended! Stora je' 4. Storage of any and all extra supplies must be kept at the restaurant or commissary rather than your personal homes or vehicles. Adequate storage areas must be established and provided at the base commissary prior to permitting. Cleaning: 5. Cleaning of the unit and extra utensils, coolers, equipment must be done at the restaurant or commissary. The MFU must be kept clean. Water Suppfe' 6. All units must have a potable water system under pressure with water heating facilities. 7. Your unit's potable water tanks must be filled with a potable water hose at the restaurant or commissary at a clean and protected fresh water connection other than an exterior can/ mop wash facility. If the restaurant and/or commissary uses well water as its water source, a sample must be taken prior to issuance of permit. 8. The water inlet on the MFU should be located above the sewage outlet connection, have a different connection &size than the sewage disposal connection and it must be kept capped (covered) for protection unless being used. Sewage Dispo: 9. Your unit's sewage storage or gray water tanks must be 15 % larger than the potable water tanks. 10. The tank(s) must be emptied and thoroughly flushed at the restaurant or commissary at an established dump station connected to a properly sized and approved on-site sewage system or public sewer system. 11. All waste connections on the MFU for servicing the waste lines and tanks must be a different size or type than those used for the potable water and should be located lower than the potable water taps on the unit. CP' CATAWBA COUNTY G100A SOUTHWEST BLVD ��I NEWTON,NORTH CAROLINA 28658 RECEIPT 1py PHONE:828.465.8399 Tuesday,October 11, 2022 $412, 94 www.catawbacountync.gov PAYOR: Willie Brooks BBQ Willie Brooks BBQ(Garrett,Jefferey) PAYMENTS TRANSACTION NUMBER: TRC-48898595-11-10-2022 PAYMENT DATE: 10/11/2022 PAYMENT TYPE: Credit Card 296158397 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 10-22-413329 110-580200-663000 FLI Mobile Food Unit/Push Cart $150.00 Plan Review Fee TOTAL PAYMENTS: $150.00 EHPR-10-2022-42487 CASE TYPE: Environmental Health Plan Review WORK CLASS: Other FLI SITE ADDRESS: 1510 TATE BLVD SE,HICKORY NC 28602 Applicant WILLIE BROOKS BBQ,679 6TH ST NW,HICKORY NC 28601 C:2058626111 CONTACT@ WILLIEBROOKSBBQ.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 10/11/2022 17:04 Page 1 of 1 (4 catawba county public health Mobile Food Unit/Hot Dog Pushcart Agreement We,the undersigned parties, acknowledge by signature that the parties have read and understand the Rules Governing the Sanitation of Restaurants and Other Food Handling Establishments, 15A NCAC 18A, section .2600, as pertains to the operation of a mobile food unit/pushcart and that the parties understand the responsibilities of each party as required in .2670- .2672 of the rules and must meet requirements from the 2009 NC FDA Food Code Manual,which include: "Pushcarts or mobile food units shall operate in conjunction with a permitted restaurant or commissary and shall report at least daily to the restaurant or commissary for supplies, cleaning,and servicing. Facilities,in compliance with this section, shall be provided at the restaurant or commissary for storage of all supplies. The pushcart shall also be stored in an area that protects it from dirt,debris,vermin and other contamination. Water faucets used to supply water for pushcarts and mobile food units shall be protected to prevent contact with chemicals, splash and other sources of contamination. Solid waste storage and liquid waste disposal facilities must also be provided on the restaurant or commissary premises." This,the / r J day of O C IObC✓ 20 I, ri'J//( S 1/e- l50 (7C,c Z)GJil e of (Restaurant Owner or M ager) (Title) 0 bbc-/!?er \.J(cieb .rC located at (Name of Establishment)/6/0 -Talc Z3o1,clkl/Cffci ,L _ , NC )eb ID#7at02_0`i c )- (Address) (ZIP) certify that I have read and understand the above r(-1aattioonns and hereby authorize 01/7//e / i��l S �,.Y/ / jji:04//,Mobi Food Unit Operator to operate (Name) a push cart or mobile food unit in conjunction with my facility, as required by the rules. I certify that I am authorized to enter into this agreement on behalf of the above listed establishment. I understand that the rules require the unit to visit my establishment each day the mobile food unit operates or pushcart, for supplies, cleaning, and servicing, including replenishing of water and disposal of all solid and liquid waste. I agree to post and maintain a log to be signed and dated by the mobile food unit or pushcart operator upon each visit to my establishment, to produce the log upon request, and to accurately report its catawbacountync.gov Environmental Health Colowbo County Government Center 25 Government Drive ( PO Box 389 I Newton NC 28658 1828.465.821C MAKING. LIVING. BETTER. contents upon inquiry. I agree to allow all supplies for the unit to be stored in the above listed premises. I agree to provide access to my establishment by the mobile food unit operator or pushcart for these purposes. I understand that the area in my establishment used by the mobile food unit operator is subject to any inspection performed by the local environmental health department. I agree that if this approval is rescinded,Catawba County Environmental Health shall be notified immediately. KJ(a/��L�-. _r. �'/ , Permitted Operator (Signature) , Mobile Food Unit/Pushcart Operator 'jr :••OP' LIZABETH Z CORRELL Notary Public Catawba Co., North CaroIi. 13r;,a2025 Ai AI. , Notary Seal My Commission Ex ires P (Si. 1 ture)My commission expiresCO.Y6-1) 31 a 0 - -05-1-0- 1\icycta 1 -)