HomeMy WebLinkAboutEHPR-4-11-10690.TIF � $�' � �N"�°l� - �'ll°�01��1'a
� � CATAWBA COUNTY
V ,.� ''C P O Box 389 - Newton, North Carolina 28658 -(828) 465-8270 - Fax (828) 465-8276 - TDD (828) 465-8200
1 842 SM Public Health - Environmental Health Division i
PLAN REVIEW APPLICATION FOR A MOBILE FOOD UNIT
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 uniY' 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 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 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 handling the extra needs of a mobile food unit or pushcart, a permit will be denied.
Name of Business: �� (�e'T���! C
Owner 8� mailing address: /��O h �'�/'�-�ti C� v�
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Telephone #(s): 1 ,2 � � � 3 8 - / ' - � �
Email Address: Z�UrGt� ha � (YYl ��,�n� �.'Gt��„
Restaurant or Commissary supporting unit: �S�Q�. ��,r�-P�VL��.►- �.�-r1E .
State ID # of Restaurant or Commissary: � S �
Applicant Signature 8� Date: O ��p`Z �� 1
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Mobile Food Unit/Push Cart
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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�� � ' CATAWBA COUNTY Nc
�,� ��, 100-A South West Blvd PLAN RECEIPT
� F—] Newton, NC 28658-
���� 828 465-8399 Thursda A ril 28 2011
V . ''C ( ) Y, p � ,
j84'Z s www.catawbacountync.gov
P�an �ase: EHPR-4-11-10690 �n�oice Number: INV-4-11-274729
Environmental Health Plan Review Invoice Date: 04/28/2011
Site Address: 2636 NORTHWEST BLVD, Newton, NC
APPLICANT OWNER CONTRACTOR
EL QUETZAL
1800 N RANKIN AV
NEWTON NC 28658-
(828)638-
Fee Name Fee Amount
Food and Lodging Review Fee Fixed $200.00
Total Fees Due: $200.00
PAYMENTS
PAYER: ERICA ALDANA
Date Pay Type Check Number Amount Paid ChangE
04/28/2011 Cash -1 $200.00 $0.00
Total Paid: $200.00
Total Due: $0.00
�
��lan rcecip� 04/28/201 I 12:4�