HomeMy WebLinkAboutBilly's BBQ Permit 011327 09 04 14.sc.pdfTime In: I D : 0 0 am Time Out 1 ' : 3 0 El a il Total Time.27 minutes
I . 3 E) pm .1- - Elpm [ENew [:]Transitional
I i I I y ' s B B Q
Name of Establishment
9 a 4 C o n o v e r B I v d W
Address 1:
C o n o v e r N C D 8 6 1 3
City: State: zlp;
A p h a n to s L L C
Permittee
T to rin m; y F to t i to u
M anager or Person in charge
E Nil ailing Address Same
A p h a n ) s L L C
1A ailing N a me
9 ) 4 C o n ol v e r B I v d W
Id ailing Address 1
C a n to v e r N C .1 8 6 1 3
City. State: zlp:
( 7 0 4 3 a 5 - 3 8 8 8 7 0 4 9 6 5 4 0 8 9
Phone Fax Emergency Phone Number
Email Address:
5-5 - Municipat/Communlity
NEEMEM
1 3 a 7 alliol Enterlast 4 d[grts only
Facility tD
1 8 Catawba
County #
3-3 - Muni cipallCommunlity, IV
Wastewater System Risk Category
1 - Restaurant
0 ]1d F a cifity ID: Operate a:
01 1 5 6
Territory # Capacity_
I
Status Code
M ap, # Parcet 0 #
0 9 / 0 4 0 1 4
Lat, Long. Date:
Push Cart or MFU E]Pushcart E]MFU
PushcartlMobile Food Unit operating in conjunction with: Restaurant or GonnitussarylD.,
Transitional Permit Conditions: PennitExpires: F-190 days E1180 days kl
Canditions/Remarks Non -Compliant items completed by;.
REPLACE CEILING TILES IN BACK ROOM WITH WASHABLE.
cmar'"rz
Ramil
3951
Non -Compliant Remarks Ghck the checkbox to add non -co rap fiant re ma *s
Al ar
KA^1
SFAS Sknature:
1711 -Carpenter, Scott 0 9 / 0 4 / 2 0 1 4
EHSID Date:
M anager/Person in charge
0 9 / 0 4 0 1 4
Title Date:
M
-]
N G Department ot HGA11h and Human Services [j] Perm it F Tr ansitional Permit
D rtisian of Public I I ealth
Environmontal Hcalth Soction Date: 09IM2014
Name of Establishment; B!ilVsBl3Q lid ittee:A hands LLG
cty:: Conover
iiillllliii 11111� 11 10
Biling Name AphanosLLC Gaunty Catawba
BifingAddress24ConaverUlvdW
cly: Conover State:NC Zip: 28613 Status Code.
E m a 0 Add ris ss: Establishment ID, 2018011327
Ph one: t704) 325-3,888 Fax: tap # ---------------- Parcel 11), -------------
Emergency Phone Number (71-4)965,4089 Lat ---------------- . Long:-.------.-----..
Permission: is granted to operate a I - Restaurant as defined in: G S. 130A-24?(l) and 1 3OA-248,
Regulation of goad and Lodging FacitarleSI See permit requirements in Rules, This permit is not transfewle and may be revoked for tailure to
comply wthall requi7ements.
Wastewater ysterns; R]m uricip3m)mmunity [:]On -Site System Capacly: 156 categarf
Water Supply: R]M uricipajfCmmunjty Don -site system El E
sushcvtiNobile Food Unit ope,ating in conjun0on with restaurant or C omm ssay Name any-37i6Wi6eF ----------
CcndjtionVRernarks:
Establishment assigned to: 171 I-Cortaonter, Soott
REPLACE CErLhN0 TILES iN BACK ROOM WITH WASHABLE,
Tran%itional Perm it Conditions
—his vermit shall exDjre oi and isnot renewalle, All riancompliaw items listed herein and on attached aoges (if
211okable) must de c;Drmolete J within 9 0 180, daYs daws. This establishment mist close if all nonconnialiant i*.ems are not corrected lov the
expiration dwe,
R o reNed Ry Tits nntp' 09104r2014
Sioned By. R,E,HS#: 17111-Ca"Nor, Date: 0913412014
Division of Pu clic Health
Purpaw General Statute, 130A 248(11a� statez"No establishrn_,�nt --hall --arnmence cx continue zromahon wthouta Fenrut crr axnaaaalpeffmns-,ued 1,ythe mar' rent -
Ile emit or transdonat peomit iall be, issued to, the iymneror operator of the, establistrrentand shall not be transfemble.- 11711testablishment ist--astd, the, penilt or
transutonal pemt Mall be rued tothe lessee and Mall not be =sfeable. 1fhelocat-an ofare establishinentchanges, a ntiNvpmnit shall be obtained for the,
establishmant - A p=it shall be issueJonhNNten die establishmm-t satisfies all of the rNuirernentscf the rules- -Me Commission shall adopt rules establishing the,
requirements that must bemet before a transitional .it may, be issui5d, and fliep en�ce_ for winch a tran&tional permitmaybeissiued- TheDtpartment n-ayalso, impose
Lunditunsern the issuanctufa pangui Uansidunal purrint in acLualariLt.vvid- rult'sadopwd by ilia Conitnissiun- A pnTruL ul transitiusial pnI11111 Aiall br, milliv&aLdy
i-e,,�rokedin,ac=dance,,,,ithG-S- 130A-L3(d) for failure of the estabtishmeast tomaintain ,3nfinirr.umgrade of C_ A pennit or trarsitictial permitniavothenxise be
susperdel orre%,,oke-dina,crcrdarce,,filth G-S- 130A-232 Preparatioti: Loml enNitommental health specialists shall issue a -�t eveiy time a rhan in penaiiii: status, is
pern ge,
indicatect. Prepare an originaJ and one copy for 1. Otiginal tot latwith the uvalefor oper2tor. 2. Cop-
y for tle local healtlidepamon-m. aspamtion.- Please refs to
Records Retenton and Di spositial Schedule 8 B.6., for Count3o, District Haalth Depat=.,itnts NAiizh is pub.,i shed by, the North Ca:61ina Di°asion ofArchives & history:
Addlti fo s ma.y be ortkried from: EmIrournestal Health Se-mor., 1,632 Mail Senice, Center RaJeigh, NK 27ti99-1632, (CoutIlei 52-01-9a)
EHS 1341 (rovisoO OT021
Ervironmenta] Health Section
Comment Addendum - Attachment
Lo,cabo n Address: 324 Corover BNA VV
aty, Conover
ao,unty: C01,a"ba
M�
Wastewater System: (j) muricipavc-r-unity C) On -Site Sysitern
Water Supply: @ MuniccipaMommunit/ C, On -Site -Systems
Permiltec AphanosLLC
CondlrlonstRemarKs icontlnuel):
tqon-'.orrpliaitltems;
Date: 09IN12014
Status Gode: I
C atego ry 4: IV