HomeMy WebLinkAboutEHPR-06-2023-44778.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
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Food Establishment Plan Review Application
Type of Construction: New ❑ Remodel ❑ Existing ❑✓ RTAP*❑✓ rldt � ).y 1
*Revisions to Approved Plans:Provide a list of all changes to the previously approved plops.Revise application as related
For REMODEL, specify the scope of work: Red Fish Ventures of NC DBA Hugh's Q
Red Fish Ventures of NC DBA Hugh's Q
Name of Establishment: Red Fish Ventures of NC DBA Hugh's Q r I I /tom l C )L
If existing, please give name of old establishment if known: 1.11 CVO
Address: 116 Lowes Food Dr#134
City: Lewisville State: NC ZIP Code: 28166
Phone (if available): 7044509633 Fax (if available):
Owner or Owner's Representative: Brian Rogers
Address: 139 Slip Shot Ln
City: Lewisville State: NC ZIP Code: 28166
Phone (if available): 7044509633 Fax (if available):
Email Address: bhr_79@hotmail.com
Submitter: Brian Rogers
Company: Red Fish Ventures of NC
Contact Person: Brian Rogers
Address: 116 Lowes Food Dr #134
City: Lewisville State: NC ZIP Code: 27023
Phone (if available): 7044509633 Fax (if available):
E-mail Address: bhr_79@hotmail.com
Title (owner, manager, architect, etc.): Partner
I certify that the information in this application is correct, and I understand that any deviation
without prior approval from this Health Regulatory Office may nullify plan approval.
• or Res••nsible Representative)
Signature & Date: �4!
Daily Hours of Operation:
Sun 11am-8pm Mon Tue Wed 11am-8pm Thu 11am-8pm Fri 11am-8pm Sat 11am-8pm
Projected number of meals served daily:
Breakfast: Lunch: 100 Dinner: 100
Number of food deliveries received per week:
Number of seats: Facility total square feet:
Projected start date of construction: Projected completion date:
Type of food service: (Select all that apply)
❑2 Restaurant 0 Sit-down meals
El Food Stand Take-out meals
❑ Drink Stand ❑■ Catering / ❑ Delivery
❑ Commissary ❑ Custom Self-Service Area
❑ Meat Market
❑ Other(explain):
Type of utensils used:
Single-service (disposable): Multi-use (reusable):
❑ Plates ❑ Glassware ❑ Silverware 0 Plates El Glassware ■❑ Silverware
Will specialized processes be used as specified in Section 3-502.11 of the North Carolina Food Code?
❑ Yes ❑ No
If YES, indicate which processes will be used:
❑ Curing El Acidification (sushi, etc.) El Reduced Oxygen Packaging (eg:Vacuum)
Smoking ❑ Sprouting Beans ❑ Other
Explain checked processes:
Poultry Chicken and Turkey will be smoked to 165F then held in alto shaam at 165F
Pork butts and ribs will be smoked until 203F then held in Alto Shaam at 165F
Beef Brisket will be smoked until 195F then held in Alto Sham at 142F for Service
Indicate any of the following highly susceptible populations that will be catered to or served:
❑ Nursing Home ❑ Child Care Center El Health Care Facility
❑Assisted Living Center El School with pre-school aged children
❑ N/A
Will any virtual brands be provided?
❑ Yes ❑ No
If YES, list brand names:
Menu to be served:
Estimated number of meals per week:
North Carolina Department of Health&Human Services • Division of Public Health • Environmental Health Section •Food Protection Program
5605 Six Forks Rd • 1632 Mail Service Center •Raleigh,NC 27699
Page 2 Revised 01/2023
Cold Storage:
How was the volume of cold storage indicated below determined to be adequate?
Reach-in cold storage (in cubic feet): Walk-in cold storage (in cubic feet):
Reach-in refrigerator storage: ft3 Walk-in refrigerator storage: ft3
Reach-in freezer storage: ft3 Walk-in freezer storage: ft3
Number of reach-in refrigerators:
Number of reach-in freezers:
Cold Holding:
List foods that will be held cold: (include equipment used)
Potato Salad , lettuce tomato, Cheese, onions in walkin or work top cooler
Hot Holding:
List foods that will be held hot: (include equipment used)
Beans-steam well Pulled pork, Pulled Chicken, Turkey Breast, and Pork ribs-Alto
Shaam Brisket- Alto Shaam
Cooling:
Indicate by checking the appropriate boxes how cooked food will be cooled to 41°F (7°C)within 6 hours.
If"Other" is checked indicate the type of food:
Cooling Process Meat Seafood Poultry Other
Shallow Pans ❑ ❑ ❑ ❑
Ice Baths ❑ ❑
Rapid Chill** ❑ ❑ ❑ ❑
(**Check only if rapid chill equipment such as blast chillers are provided.)
Thawing:
Indicate by checking the appropriate boxes how food in each category will be thawed.
If"Other" is checked indicate type of food:
Thawing Process Meat Seafood Poultry Other
Refrigeration ❑ ❑
Running Water less than 70°F (21°C) ❑ ❑ ❑ ❑
Cooked Frozen ❑ 0 ❑
Microwave ❑ ❑ ❑
North Carolina Department of Health&Human Services • Division of Public Health • Environmental Health Section • Food Protection Program
5605 Six Forks Rd • 1632 Mail Service Center •Raleigh,NC 27699
Page 3 Revised 01/2023
Food Handling Procedures: (Should be provided by owner/owner's representative)
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 categories of food. 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, hot held, etc.)
• When (time of day and frequency/day) food will be handled
1. Ready to eat foods: Edible without additional preparation necessary. e.g., salads, cold sandwiches, raw molluscan shellfish
Washed vegetables placed in containers in walkin all dairy and cheese plaeced in Walk in
cooler and rotated to sandwich unit for service
2. Produce; grains and pasta: e.g., beans, rice, macaroni
Beans are canned held on storge shelf. Macaroni will come in pre made frozen product then
thawed in walkin cooler for service. Corn Bread and hush puppy mix held in dry stoage till
mixed then held in cooler for service.
3. Poultry:
Chicken and Turkey will be placed on bottom walk in cooler shelving until cooked in smoker to
0
4. Meat:
Pork butts and Pork Ribs will be placed in the walkin cooler on the bottom shelf until smoked
to 203F then held in alto shaam at 165F Beef Brisket will kept in the walkin cooler until
smoked to 195F then held in the Alto Saam at 142F Hotdogs come in frozen will be thawed in
walkin cooler. Burgers will be held on bottom shelf of the walkin cooler then placed in chef
base for service as needed.
5. Seafood:
NA
North Carolina Department of Health&Human Services • Division of Public Health • Environmental Health Section • Food Protection Program
5605 Six Forks Rd • 1632 Mail Service Center • Raleigh,NC 27699
Page 4 Revised 01/2023
Dry Storage:
Provide information on the frequency of deliveries and the expected gross volume that is to be delivered each time:
Where will dry goods be stored?
Square feet of dry storage shelf space: ft2
Finish Schedule:
Indicate floor, wall and ceiling finishes (e.g., quarry tile, stainless steel, vinyl coated acoustic tile)
Area Floor Base Walls Ceiling
Kitchen
Bar
Food Storage
Dry Storage
Toilet Rooms
Dressing Rooms
Garbage& Refuse Storage
Service Sink
Other:
Other:
Water Supply and Sewage:
Water supply: ❑ Municipal ❑ Well Sewer: ❑ Municipal El Septic
Will ice be: ❑ Made on premises ❑ Purchased
Water heater(s):
Tank type:
a. Manufacturer and model:
b. Storage capacity: gallons
Electric water heater: kilowatts (kW) Gas water heater: BTU's
c. Water heater recovery rate (gallons per hour at 80°F temperature rise): GPH
Tankless:
a. Manufacturer and model:
b. Quantity of tankless water heaters:
c. Water heater recovery rate (gallons per minute at 80°F temperature rise): GPM
(See Water Heater Calculators on the Plan Review Unit website to calculate recovery rate needed)
North Carolina Department of Health&Human Services • Division of Public Health • Environmental Health Section •Food Protection Program
5605 Six Forks Rd • 1632 Mail Service Center •Raleigh,NC 27699
Page 5 Revised 01/2023
Check the appropriate box indicating equipment drains:
Indirect Waste Direct Waste
Plumbing Fixtures Floor sink Hub Drain Floor Drain
Warewashing Sink ❑ ❑ ❑ ❑
Prep Sinks ❑ ❑ ❑ ❑
Handwashing Sinks ❑ ❑ ❑ ❑
Warewashing Machine ❑ ❑ ❑ ❑
Ice Machine 0 ❑ ❑ ❑
Garbage Disposal ❑ ❑ ❑ ❑
Dipper Well ❑ ❑ ❑ ❑
Refrigeration ❑ ❑ ❑ ❑
Steam Table ❑ ❑ ❑ ❑
Other: ❑ ❑ ❑ ❑
Other: ❑ ❑ ❑ ❑
Warewashing Equipment:
Manual Warewashing:
Size of each sink compartment (inches): Length: Width: Depth:
What type of sanitizer will be used?
❑ Chlorine ❑ Iodine ❑ Quaternary Ammonium ❑ Hot Water ❑ Other(specify)
Mechanical Warewashing:
Will a warewashing machine be used? ❑ Yes ❑ No
Warewashing machine manufacturer and model:
Type of sanitization: ❑ Hot water(180°F) ❑ Chemical
General:
Describe how cooking equipment, cutting boards, slicers, counter tops, other food contact surfaces and clean in place
equipment that cannot be submerged in sinks or put through a dishwasher will be cleaned and sanitized:
Describe location and type (drainboards, wall-mounted or overhead shelves, stationary or portable racks) of air-drying
space:
Square feet of air drying space: ft2
North Carolina Department of Health&Human Services • Division of Public Health • Environmental Health Section •Food Protection Program
5605 Six Forks Rd • 1632 Mail Service Center • Raleigh, NC 27699
Page 6 Revised 01/2023
Handwashing:
Indicate number and location of handwashing sinks:
Employee Accommodations:
Indicate location for storing employees' personal items (ex. coats, purses, medication, etc.):
Refuse and Recyclables:
Will refuse be stored inside? ❑ Yes ❑ No
If yes, where:
Provision for refuse disposal: ❑ Dumpster ❑ Compactor
Will a contract for off-site cleaning of the dumpster/compactor be obtained? ❑ Yes ❑ No
If yes, indicate name of cleaning contractor:
Will the dumpster/compactor be cleaned at the establishment? ❑ Yes ❑ No
Describe location for storage of recyclables (cooking grease, cardboard, glass, etc.):
Service Sink:
Location and size of service (mop) sink/can wash:
Describe location for storage of cleaning implements (e.g. mops, brooms, hoses, etc.):
Insect and Rodent Control:
How is protection provided on all outside doors?
❑ Self-closing door ❑ Fly Fan El Screen Door
How is protection provided on windows (including drive-thru windows) or other openings to the outer air?
❑ Self-closing ❑ Fly Fan ❑ Screening ❑ N/A
Linen:
Indicate location of clean and dirty linen storage: ❑ N/A (no linen storage on site)
Poisonous and Toxic Material:
Indicate location of poisonous and/or toxic materials (chemicals, sanitizers, etc.) storage:
North Carolina Department of Health&Human Services • Division of Public Health • Environmental Health Section •Food Protection Program
5605 Six Forks Rd• 1632 Mail Service Center •Raleigh,NC 27699
Page 7 Revised 01/2023
Alto Shaam
ALTO-SHAAM 767-SK 120V SPECS
Fiantit
1 '/Each
[Shipping Weight
265 lb.
[Width
J26 5/8 Inches
[Depth
131 5/8 Inches
Height_
33 3/8 Inches
Interior Width
22 Inches
Interior Depth
[26 1/2 Inches
Interior Height
20 1/8 Inches
Amps
16 Amps
Hertz
60 Hertz
[Phase
1 Phase
Voltage
L120 Volts
Wattage
1,900 Watts
12 x 20 Pan Capacity
7 Pans
Cabinet Size
Undercounter
Capacity
1100 lb.
Construction
Stainless Steel
Control Type
Classic
Features
Demo Available
Made in America
NSF Listed
Smoker Oven
Ventless
Interior Configuration
Shelves
Slides
Number of Doors
1 Door
!Plug Type
Hardwire
NEMA 5-20P
Power Type
Electric
!Temperature Range
60 - 325 Degrees F
!Type
Cook & Hold Ovens
Smoker Ovens
Alto Shaam-2
ALTO-SHAAM 1000-TH-I 208/240 SPECS
IQuantit
J1/Each
1Shipping Weight
1440 lb.
[Width
'23 15/16 Inches
Depth
31 5/8 Inches
!Height
75 5/8 Inches
'Interior Width
18 7/8 Inches
[Interior Depth
26 1/4 Inches
Interior Height
26 7/8 Inches
Hertz
60 Hertz
Phase
1 Phase
Voltage
208/240 Volts
Wattage
5,300 - 6,000 Watts
112 x 20 Pan Capacity
112 Pans
Cabinet Size
!Full Height
[Capacity
120 lb.
Construction
Stainless Steel
Control Type
Classic
'Features
Demo Available
Made in America
NSF Listed
Ventless
[interior Configuration
Shelves
Slides
Number of Doors
2 Doors
Plug Type
'Hardwire
Power Type
Electric
Temperature Range
60 - 325 Degrees F
[Type
Cook & Hold Ovens
OFF Set Wood Smoker (outside)
14'x4' Built by Parkers Pits 391 Limestone rd. Dorchester SC
Wood Burning smoker.
6, ‘.101 4.11 )II;,1_, 17
SMOKED MEATS SIDES
1/2 lb/Rack 1 Ib/Rack Fries $2.50
Pulled Pork $8 $15 Potato Salad $3.2
Pulled Chicken $8 $15 Bunk House Beans §3.2
Turkey Breast $10 $19 Green Bean Casserole 03.2
Brisket $14 $28 Creamed Corn §3.2
Ribs $16 $30 Mac & Cheese §3.2
Slaw (Red or White) §2.50
Side Salad $3.2
5
aaQ PLATES
ALL PLATES COME WITH YOUR CHOICE OF MEAT, SIDES,+ BREAD
1 Meat + 2 Sides $16
2 Meats + 2 Sides $29
3 Meats + 3 Sides $40
SANDWICHES KIDS
Served With Fries Served With Choice of side + Drink
(Upgrade your side for$2) (12& Under)
Pulled Pork $11 Hotdog $6.99
Pulled $11 Chicken Tenders $6.99
cbiR4ft lub $14 Hamburger $6.99
Brisket $16.5 Mac & Cheese $6.99
Hamburger $11 DESSERTS
SALADS Banana Pudding $4.75
House salad $8.50 Oreo Pie $4.75
House Salad+ Meat Choice $12.00 13EVERA CIES
aO Soda $2.50
Hushpuppies $3.00 $2.50
Tea
Jalapeno Cornbread $3.00
Water
Texas Toast $3.00
%
v
DRAFT eEE1 CAN 5EE1( 12 oz 16 oz
Domestic $3.00 Domestic $2.50 $3.00
Craft/Cider $4.25 Imports $3.25
WINE
Chardonnay $4.25
Pinot $4.25
WIM8 Zinfandel $4.25
Merlot $4.25
Cabernet $4.25
House Red $4.25
1