HomeMy WebLinkAboutEHPR-05-2023-44413.tif G) ENVIRONMENTAL HEALTH
Climbs County Government Center
catawba county 25 Government Drive I P.O. Box 389 I Newton, NC 28658
public health Phone: (823)465.3270 I Fax: (828) 465-8276
I AUIU Immo.ICHI.
Email: EHAdmin@CatawbaCountyNC.gov
6 P- .OS- 3 -ut/913
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Plan Review Application for a Pus Cart
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 detailed 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 he required.
A "mobile food unit" means a vehicle-mounted food service establishment designed to be readily moved. A pushcart"means a mobile piece of
equipment or vehicle which serves hot dogs or foods which have been prepared,pre-portioned, and individually pre-wrapped at a restaurant or
commissary. All mobile food units and pushcarts must work in conjunction with a permitted establishment.All units must report daily fo 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 or pushcart 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 handli
ng.the extra needs of a ile food unit or pushcart, a permit will be denied.
Name of Business: v r""\- \ J s
Business Owner Name: C_c\kc , a A t1\
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Business Owner Mailing Address: `1� _aL J
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Telephone Number(s): QDC, - _`(tr t "
Email Address: r c aW \\b \l¢ Cn , co
Restaurant or Commissary Supporting Unit: J(L.)\�er N �i- Qke-_ A. Com h\
State ID # of Restaurant or Commissary:
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Applicant Signature & Dat :- Ili r
( ) ENVIRONMENTAL HEALTH
Catawba County Government Center
catawba county 25 Government Drive I P.O. Box 389 ) Newton, NC 28658
public health Phone: (828) 465-8270 I Fax: (828) 465-8276
MINI 11P1.1.111111
Email: EHAdmirKs CatawbaCounryNC.gov
Push Cart Diagram: Draw to scale, identifying and describing all equipment or submit
plans from manufacturer of push cart
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aO. CATAWBA COUNTY
�� t Ilk a 100A NORTH AR BLVD
NA INVOICE/RECEIPT
NEWTON,NORTH CAROLINA 28658
PHONE:828.465.8399
V Monday,May 22, 2023
1$t}Z SM www.Catawhacountync.gov
Invoice Number: 05-23-423037 Invoice Date: 05/22/2023
EHPR-05-2023-444 13
CASE TYPE: Environmental Health Plan Review WORK CLASS: Other FLI
SITE ADDRESS: 1510 TATE BLVD SE,HICKORY NC 28602
Applicant DIRTY DOGS, 195 24TH ST NW,HICKORY NC 28601
**NO PEOPLESOFTACCOUNT ASSIGNED**
PAYOR: Dirty Dogs
Dirty Dogs(Campbell,Cyrstal)
FEES
EHPR-05-2023-44413 FEE AM l' DUE AMT
FLI Mobile Food Unit/Push Cart Plan 110-580200-663000 05/22/2023 $150.00 $0.00
Review Fee
FEES: $150.00 S0.00
TOTAL FEES: $150.00 $0.00
PAYMENTS
INVOICE NUMBER FEE NAME FEE AMOUNT
TRANSACTION NUMBER: TRC-6462525 1-22-05-2023
PAYMENT DATE: 05/22/2023
PAYMENT TYPE: Credit Card
305601691
05-23-423037 FLI Mobile Food Unit/Push Cart _ M $150.00
Plan Review Fee
TOTAL PAYMENTS: $150.00
invoucereceipt 05/22/2023 13:26 Page 1 of 1