HomeMy WebLinkAboutBaymont Pool PERMIT 500098 05 23 16.GK.PDFPERMITP_ LIT
OPERATION
Time In: C7 3 :2 0 0 Rm Time 0A 5 1 1 []p
Total Time, i Fur 51 niinUt 5
Permission is, granted to�'
Owner or0perator of
• 9 •
dFacility III (required if
*Date Isstied 0 5 D 3l� 0 1
B A Y M 0 N T I N N
L.. ....._....J L........- L.------ ._.L ....A .... .. ....... J:... L. .........J.... I-- ......, L._.,,,- .._.5........ .....- ___,..L. ..a_.,__ ...........L.„ ,..,..,.A. .L.„.,.,.,.,.,.,_s.
m to li S rnmi Pont
to operate a public swimming pool as definedin & . 13DA-280 and 15A NCAC 18A.2500 at,
Address 1 1) 0 1 3 T H AD I
C sty H T C K 0 R Y S T IN C zip 8 6 0
County Catawba
Type of PooL (check ogre Swimming Pool Seasonal
Wading PoolSeasonal
Spa -Seasonal
Water" SDI 1"_ Communit
KIM
*Expiration Dater 0 9 1 3 0
Remarks
Swimming Pool -Year Round
Wading rr
Year Spa : a •
�.�t .. Community
Water System
17
Signed Agent
N..0
Ili-'isicn rs�r nRa4 1
0 1
N-C. Department ref Err vi=u.e,,nt and Nawral Resaurces
Di-visicnofEnv,rznnienrat Health
Pennission is granted to BAYMONT INN
Owner or Operaror
2018500098
Identification Numter
05/23/2016
Date Issued
Status Cad- B
of BAYMONT INN
anl'e ofPtiblic 5uwnrning Pool
to operate a public sm-iniming pool as defined in fix& 130A-280 and 15A NCAC 18A .2500 at
S&wtAzj� q,17Pooi Locat."On
Type of Pool: (check otiinitniniz Pool
Wading pool
Spa
Other (describe)
Signe& Agent
-mmm= and Natural Rtsouuv•s
\.C, Depa=r�tmot , I /-�n�al ral v
DO,i sim of E n wimwneutt Health
Expiratj(xaDatc� 09/30/2016
9=
11ply KA1
PUrPOse: Geri eral Statute 13 -2 8 1 states " o publ ic sMarmi ng pool may he, open ed for use uril -,;s the owner cc Operator has otmn ed
anoperation permit issued by the, Depabnerit"_ General Statute 130A.-282 requires, flie Ccmmi ssion for HeVIth Senices to
a&pt t'WeS inclUdin g r.-Lquirerants for applicabou review" expiration, r.-neuJ, andrevocation or suspension of au operafing
pennit "lase rules are cottained, is 15A, T" CAfC 18A,2500,
This forra :s to he rased as the pemit spry cifiedabove-
preparzti")--"I_ Local en-6r<n=amtnI health specialists Shall is5ucapermit o"Cry time anew of reismccipcnnit i5 iivhcazcd_ Preparean
original and one copy for;
1. Original, given to pool 0"'Mer or operator,
2.. Con, for the local health department.
In the _-vert the permitransitional penaft is swpemded or revoked_, complete the Suspemsioq,Revocation foraal (DEN'R
40'1,qB).
Dispositioa: Thi s form maybe destroyed in ac cer danc e with Stzn&f d S. . 6., Inspection Records, of the Record: D,1:pos2 tz o n &,hedade
pulb-I ish cd 'a-
y thc N.C_ Division 4Archivcs an,! TEstory-
Additional forms may be ordmed from Di-,i shin of Environmental Health
1632 it Service Center
FA feighA NC 27699-1632
(Courier _52-01-00)
EH S 3962 (Reviwd 7,05"i
Em-troarnental Health SEnices Section (Revitw T'OB)