HomeMy WebLinkAboutBella Habeba Italian Restaurant Permit 011186 05 06 11.LS.pdfTnrne In0
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13 E L L A H A B E B A I T A L I A N R E 5 T A U R A
M Urixg Name
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M ailing Aldress
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city'. Mate.;—Znrr
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Phrne7'-- Fax Emergency Phone Number
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5-5 - Municipal/Communrly 3-3 - Mural dpaXommunil y IV 01 4 9
Water Supply Wlastewater System Risk Category Terlitory F rapa—cltll
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Facility Q [:jEx*tingFacHdr-? 0 Id Facility 10. operate a Status Code
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LOrtg. Late:
egk_h_P_311_q_rM-_F_V_ []Pushcart Mt Fit
Pushi�artflcl obOe Food Unit operating in conjunchon with:
Transitional Permit Conditions, permit Expires, 1 1 / 0 a 0 1 1 E390 days IF' so days
— — -- Nnn-Comphant ftms cornpleled by:
CondfflonsRemarks
FINISH SHIELDING ALL LIGHTS
CAULK AROUND BASEBOARD STH ROUGHOUT
FRFr AROUND CAN WASH
NEED CORRRECT THERMOMETERS IN COOLERS
f"19A
Establishment AssignedTo;
11896-Sears, Luke
EHS Signature,
1896-Sears, Luke 5 / 1 1
EH0 Cat -e #
M anager.Terson in chats e
05/06/,2011
ritte Date,
IN Department of Environmental & Natural Resources New [j]Transitional
Division of Environmental Heallth
Date, i06i Tt 1' 1
NairneofEstatolliShirnen ..BELLAHASEBA RAMA t RESTAURANT pernnilirge. BELLA HASEBA ITALIAN RESTAURANT
Locatioln Address, ss, 147ftl klLAN AVENUE NE Manage r1Ta rs n in Charge: JESSICAZAMORA
cty: HICKORY
t t f: 28601 County, 1
131hrigName, ELLA HASERA ITALIAN RESTAURAStatus Code, a
ilin Addr s 1475ltlCFiLAf fLf f Establishment U --20-1-80-1-1-1----_-----_- - ------------------
cgs„ HICKORY Stateip, 28601 Map,. �- Parcel ID,
EmaIt Address. t t: LrtnT................
Phone- (2 )15 9120 Fax (828)855-9130 EmergencyPhone Number. (828)2' 2-P9t1
rrinission is granted to operate a i R Restaurant as delrn d in a,' 1 OA- 7(l) and 13OA-248,
Regulation of Food and Lodging Facilities. See permit requirements in Rules., This pennit is not transferable and may be revoked (or faiilure t
comply with 0 requirements,
'Nasty rater iste s, rldnicipar(Ccrn unl), On -Site System Caparplm, 49 Cateadr)" �
Water Supply * M urm€cipauComr unti' On -Sint Syslei
pusElcastgptabrre paad Unit operating in canrdnrtsan csitrar _
-5�IrRkii_W
Restaurant air Commissary Name atl Cl rLi nS ��fi
rrnditnsc ,ennarl;s.
Establishment assigned to: 18-Sears, Luke
FINISH SHIELDING ALL LIGHTS
CAULK AROUND BASEBOARDS THROUGHOUT
FRP AROUNDCAN WASH
NEED CORRRECT THERMOMETERS IN COOLERS
THEY HAVE [BEST MANAGEMENT SERVICE CONTRACT
E]ttt l"tments
This pri nrmit small expire on 1110212011 and is not renewsib a. All non-cnnwptiant arms listed herrirn and on attached pages itt
aplikable; must be completed within 090 180 dais dares. This establishment must citmse it atrnoncompliant items are not corrected by the
expiration date,..
fadatvr:d By .._. \ Tiltam Date,
O&OW 111
tbn �r niri tsar_ ..
1 It Tsar , Lulus date. C5 11
Dirrsion at Environamwentar tin
Purpose: General Statute 130A-248Ibl states "'.\a establishment shalt corarnoriceorcontinue Wrationvithoto a ; it ortranstionalpernurmsned by the Departrwra,
The permit or transitional pariah shall be, issued to the owner or operator of the establishnitnt and shalt not be transfetublic,If the establishment is lead, time pen :'t or
u2n do aal preramdt shall be issued to the le w and shall rrot be tratisfitsable, if the locatiota of an fttab,isb ml chan gws, a new penriit shall bt ob assxed for the
esur blishment A pecruit shall be is ied ordy %xheu the c stablishment sa ras 6 es all of trine regal lern Cnts; of the rules, The Cos nun,mlion shall adoptrut es estabti shirig the
reguxirern is that must be later before, a transinortal pwerrist may be issued, and the penod for srftie a tronal prermraat may be issued, The Depa . ermt may also unpose
condibon's On the rs re of a per, Mir or nrannzi,umil pe= t In arum n catth rules adop aedbv the Corannssion A Mrmr; or uan0rpernut shall t immediately
revoked inaccordance uithG.S.1f0d23tdtfor failmeofthe esra:ltshtrl ttottmarnimnam., rurrium grade of C, A perricitur transmonal pernift mac, othermmasebe
smm ndedorrevo ed in accordance wmath C _ 130AW23..`° Paepararrmmtm Local en iron menW healt specialists shall issue apermit everytinita c angern permit statusis
indicated, prpare an origins and one, copy for, 1 rigin t to be tell %itb the o leer or operator. 2, Copy fear the local health deparrment, DispositiisaPlease refer to
P.ecoixis Retenn act and a sposilt reduale dfl.d., for CountyDisistct Heaitlm Departments wbtch ispub] ished by the `tiorth Carolina Divismonof Archives & liistrmry
Addmti onal fLqms may be ordered flora; rw�i sion ofPrrvircatri sital licatrlm, 1,632 ytail Service Center, Raleigh, 'NC 1-7 609-1632, (Courser 52-01-lfr)
DENR 1341 (revised DZ?08)
Environmental HeaRh Seroices Seclton (revle 7108)