HomeMy WebLinkAboutBella Habeba Italian Restaurant Permit 011209 01 11 12.LS.pdfTime In: 1 0 4 4,
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M anager or Person in charge
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Emergency Phone Number
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Facility ID [] Fxlstim; Fa0lity?
Old Facility ID:
operale a:
Status Code
ElAttaChMents
Map #
ParcW M #
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eMjb_qAM_0L_M_f_U Pushcart
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Pushf;artffill 0 bile Food Emit op orating Inc onjuncllon with
Transitional Permit Conditions: Permit Expires: 0 7' / 0 9 / a 0 1 days [Floodays
Non -Compliant dens completed by�
CondificInsMemarks
REMOVE BUFFET SERVING TABLE
REMOVE ALL OPENED PACKAGES OF FOOD PRODUCT OUT OF GLASS DOOR COOLER BECAUSE ITIS NOT APPROVED
FOR OPENED PRODUCTS.
FIX GASKET ON FREEZER AT THREE COMPARTMENT SINK.
FIX CAN WASH SO IT IS ENCLOSED BY CONC,REATE BARRIER.
1:896-Sears, Luke 1 1 .7 0 1, 2
ENS 10
EstabliShnneril ASsigned TO
11896-Sears, Luke v-
M ari ageriPerson in Charge
0 1 / i i / 2 0 1 2
# Tide Daly
NC Department of Environmental & Natural Resources [:]New [ETransitionm
Divlsjon of Environmental Health
Date. 01111/2012
NameofEstabfishrrlent' Bella Halseba Itahan Restaurant Permittee ALY HAROUN
Location Address: 1475 Highland Ave NE Man agerPercson in Charge: ALY HAROUN
City: Hickory State Zip, Zip, 28601 County-2
Bfing Name- Status Code T
BillingAddress, 1475 Highland Ave NE Establishment IQ_ 2018,011209 -------------------
CitV: Hickory State � NC Zip, 28601 Map #" Parcel iD:
---------------- --------------
Emad Address Lat,-'--'--L ---------- . Lonq� ................
PhonFax._ Emergency Phone Number
Permission is granted to operate a 1 - Restaurant as defined in (3,S. 13OA-247(i) and 130A-*248,
Regulation of Food and Lodging Facilities, See permit requirements in Rules This pennilt is not transferable and may be revoked for failure to
comply,kh ail requirements.
WaStewat@r8VSt@rnv *MunidpaIf0ommuM:y On -Site system capatdy� 49 Category M M M
Water Supply M unicileauCommuniy on -site System
H El
PushcartIld a bile Food Unit operating In conirrntjron with=
Restaurant or Commissary Narne and 10 number
Condilrsn$IR emarks'.
Establishment assigned Is: 1896=Sears, Luko
REMOVE BUFFET SERVING TABLE,
REMOVE ALL OPENED PACKAGES OF FOOD PRODUCT OUT OF GLASS DOOR COOLER BECAUSE IT IS NOT APPROVED FOR OPENED
LIT:
FIBGASKET ON FREEZER ATTHREE COMPARTMENT SINK,
FIX CAN WASH SO IT tS ENCLOSED BY CNCR EATE BARRIER.
[]Attachments
Transition al Permit C onditions
This peanit shall expire on 07109Q012 and is not renew@bW. All non-comphanl items listed herein and on allached pages (if
applicable) must be comMeted w4hin 90 IOU daze days, This establishment must close if all noncompliant dents are not corrected' by the
expiration dale
Receive d sv, V, Title, rate.
M , agefis rson, In Charge,
Sborn ed1896-Sears, Ldke 0111 V2012
ps#, Daw
Divslo' I Health
Purpose: General Statute 130A.248(b) states "No elabbshmentstiall, co ace. or contingeopmton wftuta penna orlzowitjonal permitissutd by'tbeDqort=t,
The perniA ortransibonal pmmt shelf be issued to 11heow-nertar opelatorofthe establislumntavert shall nd be hansfmble. Ifthe establishinent is Icased, the perrmit ar
t M'itiaa pernotit 4billte issued to the lessee and still riot be txanstable. If thelocation ofan esabli t itdianges,a newpemni shall be obtained for the
eslablislu-nail, A parrait, strall be ismed only wis Ifie establishment, satisfies all of the regal ants of the niles The Conarrossion diall adloptirciles eslablis Mug the
requirernmAs Unt must be met before at asitional la may be issued,. dthe penod for wtiich a transitional penmitmay b e issued, The Department rmy also impose
conditions on the iisssance of a pnmt or inusitiorW piert—rat, in accordlancevoth toles adotrtt,4 by the Convoission
revoked in, accordance voith G S I 3DA-23(d) far failure of the eslablislimeat to maintain a minimurn grade of C, A pmrrdt ar transitioral perrilit my other-Mse be
suspended ar revoked in accordance vrith G. S. 13 OA-23--' Preparation- Local. ern6rorurtntal health specialists %IA issue a perual, every timea change in pennit slatus is
indicated, lor",e an origirW- and one copy for, 1. L owner -rnoiail lobe left v4th the or op tar. 1 Copy for the local health ,deWment DispositiPlease refer to
Records Retentim and Disposition Schedule 8.B.6 , for Counly;Distact Health, Departm ents srAnch is published bythe North Carolina Division ofArcItives &History.
Additional, fbaris my be orderedfrorn: Division of En"rownental Health, 1632 Mail Sftvice CenW, lkaleigh, HC 2,7699-163 2, (Coutier 52-01 -00)
DEFIR 1341 (tevlsed 02108)
Environmental Health Services Section (revtew V08)