HomeMy WebLinkAboutEHPR-11-2022-42896.tif t 11 P�-II ' )C) -1I)&`4 '
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.
• Attack a proposed menu of food items for sale.
• Attach a diagram of snit containing location of oil egsipmest,storage areas,sinks,and teaks.
• Does sapporting restaurant or commissary bare a well and septic system? if so, a task check and water sample will be regoirod.
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: .�c_t i I k�.V� bS �CA�-• \ C--a,-- L e VC_.
Owner's Name: -kt)Y. o +o., )r.-e.—i
Mailing address: lS3 1Soos+--e_ 1 ,L -
City: row.--k...-.c... State: tiC- ZIP: a E V LC
Telephone#t(s): 8C.0 - --4- G e S
Email Address: �c.a_�(', 61 d�,c -1�-1 ..... bS - C-CAevN
Restaurant ortommivary supporting unit•. ��t{-i-n w,'c J‘--Jo,.n,c,,i - v' (-LA(S;•mac.
State ID#t of Restaurant or Commieeer y+ 'B B 0 (0 8 ` L S
Applicant Signature L ,�,. Date: I i/c7 / 9c
Explain the following wilh 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 bandied
(edible without additional preparation necessary,e.g.salads,cold sandwiches,raw molluscan shellfish)
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Will produce be washed or rinsed prior to use?
Is there an approved location used for washing or rinsing produce? Yes _ No_n_
Will it be used for other operations? Yes_l No j[L
Please indicate location of produce washing equipment and describe the procedures.Include time of day and frequency
for washing or rinsing the produce att this location:yy
F o P rrP w-e ` y. 1`� S k.r
Will poultry be washed or rinsed prior to use? Yes[_ No Ef
Is there an approved location used for washing or rinsing poultry? Yes No_l_
Will that location be used for other operations? Yes_f NoE_
Please indicate location of poultry washing equipment and describe the procedures. ladude time of day and frequency
for washing or rinsing the poultry at this location:
Will pork and red meats be washed or rinsed prior to use? Yes _,
Is there an approved location ased for washing or rinsing pork and red meats? Yes ❑ No ❑
Will it be used for other operations? Yes_l No_0
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:
Fps Qrt(l r.� kt .��'
Will seafood he washed or rinsed prior to use? Yes_11_ No__ _
Is there an approved location used for washing or rinsing seafood? Yes_a_ NoC_
Will it be used for other operations? Yes_a_ Non_
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:rr '/ ` 1
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Floors- Rubber
Walls- Metal
Ceilings- Metal
Water Storage(Inside) -30 gallons Municipal Supply
Sewage Tank (outside) 45 gallons
Water Heater Eccotemp Model EM-70
3 compartment sink 15x15x15
Drain boards 17x13.5(right)x 17x13.5(left)
Will you wash dishes at
Will you wash dishes on Mobile Food Unit? commissary?
Q Yes ei4(es
9'No Q No
Q Other Q Other
If at Commissary, how will you store soiled dishes?
..zrci
Number of Hand Sinks on Unit
Lighting
Is there shielded covers on lighting in Unit? Is there shatterproof bulbs?
Qes G 1es
Q No Q No
Q Other Q Other
Food Service Equipment List
***Food Equipment Layout and Manufacturer Specification Sheets must be labeled with
corresponding number from this list***
1. Equipment Type Manufacturer Model
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2. Equipment Type Manufacturer Model
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3. Equipment Type Manufacturer Model
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4. Equipment Type Manufacturer Model
5_ Equipment Type Manufacturer Model
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6. Equipment Type Manufacturer Model
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7. Equipment Type Manufacturer Model
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8. Equipment Type Manufacturer Model
9. Equipment Type Manufacturer Model
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10. Equipment Type Manufacturer Model
Will any foods be offered raw or undercooked or cooked to consumers' preference such as beef,
eggs, fish, shellfish, poultry, pork, lamb?
O Yes*
Q-No
O Other
*Consumer advisory must be posted on menu per NC Food Code Manual 3-603-11 .
Thermometer
Do you have a food grade small diameter probe thermometer (0-220 F)
(. (es
O No
Types of Food to be Thawed
Thawing Method
[1efrigerated Unit
n Under Running Water
O Microwave
I I Other
Thawing Location
commissary
O Unit
Chicken Soup
Chicken soup will be made from scratch every morning in the commissary kitchen and placed into
Cambro. At sale location, soup kettle will be preheated, and soup will be transferred from Cambro to
soup kettle. Leftover soup will be discarded at the end of the day.
Jerk Chicken with Rice,Cabbage and Plantains
Skin on Leg and thigh quarters purchased from Restaurant Depot. Chicken is marinated overnight in
commissary and cooked every morning in commissary and transferred via a Cambro to a food trailer
where it is placed in a 4-inch pan then placed into a preheated food warmer. Rice is cooked each
morning in commissary and placed in a Cambro.At food trailer rice is placed into a preheated steam
table. Fried cabbage is cooked every morning in the commissary and placed in a Cambro. At food trailer
cabbage is placed into steam table. Fried Plantains will be made to order on the food trailer by dropping
them in the deep fryer. Leftover will be discarded at the end of the day
Snapper Fillet with Rice,Cabbage, Plantains
• Frozen Snapper Fillets are purchased from Restaurant Depot. Snapper is thawed every morning and
placed in container. It is kept cool by placing in a Cambro for transportation to food trailers. It is placed
in a pre-cooled refrigerator. It is cooked to order in deep fryer.
Jerk Chicken Salad
Boneless skin off chicken thighs purchased from Restaurant Depot. Chicken is marinated overnight in
commissary and cooked every morning in commissary and transferred via a Cambro to a food trailer
where it is placed in a 4-inch pan then placed into a preheated food warmer. Lettuce, onion, carrots and
tomatoes will be washed and cut and commissary. Salad dressing will be purchased at Restaurant depot
in pre-packaged quantities. Leftover will be discarded at the end of the day.
Snapper Fillet Sandwich
Sandwich will be made to order. Store bought Coco Bread will be used. Condiments such a tartar sauce
and hot sauce during preparation. Cole slaw will be made every morning in the commissary. Leftover will
be discarded at the end of the day
Curry Chicken Patty
Frozen precooked patties are purchased from restaurant Depot. Patties are cooked every morning in the
commissaryynd placed in a Cambro.At food trailer patties are placed into food warmer.
�n Patty
Frozen precooked patties are purchased from restaurant Depot. Patties are cooked every morning in the
commissary and placed in a Cambro. At food trailer patties are placed into food warmer.
Condiments/Drinks
Restaurant Depot- Hot sauce, Ranch Dressings,Tartar Sauce, Salt& Pepper,
canned soda, bottled water
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Draw to scale, identifying and describing all equipment, including handwash facilities, equipment,
washing facilities, cooking equipment, refrigeration, worktables, storage,hot and cold holding
units,water source and storage. Describe the floor,wall and ceiling surfaces of the unit.
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4'A CATAWBA COUNTY
O� 100A SOUTHWEST BLVD
yNEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
4Jj1 Tuesday, November 29,2022
1$42 sm www.catawbacountync.gov
PAYOR: Durty Thumbs LLC
Durty Thumbs LLC(Gabriel,Antonio)
PAYMENTS
TRANSACTION NUMBER: TRC-522I9491-29-11-2022
PAYMENT DATE: 11/29/2022
PAYMENT TYPE: Credit Card
298030951
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
11-22-415267 110-580200-663000 FLI Mobile Food Unit/Push Cart $150.00
Plan Review Fee
TOTAL PAYMENTS: S150.00
EHPR-11-2022-42896
CASE TYPE: Environmental Health Plan Review WORK CLASS: Other FL1
SITE ADDRESS: 802 HWY 70 SW,HICKORY NC 28602
Applicant DURTY THUMBS LLC,,
C:7044956018
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 11/29/2022 15:12 Page I of I