HomeMy WebLinkAboutBaymont Pool 500098 05 14 15.GK.pdfN.C. Department offrivironment and Natural Resources
Disli4on, of Environmental ReaM
PUBLIC SWINMING POO
OPERATION PERMIT I
Time In: 1 2 5 [E am Time tart: 1 : 1 1 Dam
D PM — —EEPM
Total Time ° 12 hrs 46 minutes
Pennission is granted to:
B A Y M 0 N T I N N
0 tv nor or Operator of
B A Y M 0 N T I N N
idtatificafien NbmbeT 2 0 1 8 5 0 0 0 9 8
Name of Public Stvirnming Pool
to operate a public swimming pool as defined in G.S. 13OA-280 and 15A NCAC 18A .2500 at
Address 1 1 .2 0 1 3 T H A V E D R S E
C jty H I C K 0 R Y ST N C zjp D 8 6 0 D
County Catawba
Type of Pool: (Check one) *Swimming Pool -Seasonal
I Wading Pool -Seasonal
ESpa - Seasonal
WaterSupply, 1-1 -Community
Swimming Pool- Year Roun
Wading Pool - Year Round
Spa - Year Round I
Waste Water System: 1 -1 -Community
1655
EH I.D.# Signed L INA h V, Agent
DeparuiieTiTtof Emironment arna"natural .ear s
Division ofEnvironmenW Health
*Expiration Date: 0 9 / 3 0 / 2 0 1 5
Remaiks
N-C. De-partment ofEnvi-amne,,nt and Nawral Resaurces
Di-visicnofEnv,rznnienrat Health
2018500098
BAYMONT INNI
Pennission is granted to of BAYMUNT INN
Owner or Operaror N-ap'ne qfPtzb[ic Srvim wing Pool
to operate a public sm-iniming pool as defined in Gx& 130A-280 and 15A NCAC 18A .2500 at
M w
N
Type of Pool: (check onO T Swinimitm Pool
Wading pool
Spa
Other (describe)
Signe& Agent
i �Namr Rtsoutoes
bi-,isim of EnNi.ontrental Health
Expiratj(xaDatc� 09/30/2015
9=
Purpose: General Statute MA-281 states "Nw public s%barmAng pocl may Lye openedfor use unl-,;s- the ovmer or operacr has otxalned
anoperation permit issued by the, Depffnrtent". General Statute 130A-I82 requires the Ccrrani ssion for Health Services to
adept rules including rtquirerasits for applicatiou review, expiration, rtuewal, andrevoc-aticyst or sus pensionof an opefafing,
permit Tprase rules are,cottained, is 15A NICAC IS 25al,
This forna :s to he u5edas the pemit
preparzt,io-a_ Local en-6r<nimmtnI issuc apermittvery time ariewaz r assucdpczmatiar it in'licaTed'-prepare
an
original and one copy for-,
1. Original, given to pool 0"'Mer of operator,
2.. Con, for the local health department.
In the _-vert the permiftransitional pennit is suspended or revoked, complete the SuspensronRevocation fom, (DENIR
40'1,qB).
Dispositioa: This form alay be destroyed in accordance with Standard 8 B .6., Inspection Records, of. the Record: ositzon Schedule
pax lb,lishcd'a-
y th c N. C - Divisi, on 4 Archives an,! I E storn,.
A&litional forms may be ordered from Di-,i sion of Environmental Health
1632N,L-il Service Center
FA feighA NC 27699-1632
(Courier _52-01-00)
EH S 3962 (Reviwd 7,05"�
Em-troarnental Health So nets Section (Revitw T'OB)