HomeMy WebLinkAboutLake Hickory Country Club 500022 05 16 17.LS.PDFZ c Depa=tnt of linvao nt and Halural Peso = Demerit Score: 0
Divisim of Ha+,ir a [He•s kh
Inspection of Swimming POol Date of InTJChg-- 0 5 f 1 6 1 a 0 1 7
Status Code_ A
Health Department 18 Catawba
Current FacilityID 2018500022
Old Facility ID
Water Supply: Q Irl unicipallCommunity ❑ On -Site Supply Water sample taken today? Inspection FName Change
❑Yes 171 No Re -inspection F]Verification of Closure
Wastewater. EM unlclpallCvmmuntty on -511e System
Visit E]StatusChange
Name of Establishment: LAKE HICKORY COUNTRY CLUB
Location Address: 430 17TH AV NW
Pool Operator: JERRY
(F, L) PERKINS
MailingAddr. PO BOSS 1476
HICKORY state NC 28601 HICKORY gut, NG 28603
City: zip: city: Zip:
Points
Deducted
WATER QUALITY: (.2535) (Check)
*1. Water clear enough to dearly see bottom of pool and pool d rain ........... 6
*2. Disinfectant ren r xL ded by;
free chlorine = 1 s (at least 1.0 ppm or 2.0 ppm where required);
bromine = (at least 2.0 ppm); or
bignanide = (30 to 50 ppm. 6
3. Pool w ater p8 = 7 4 (7.2 to 7 8 ............................... s
.............
*4. Water temper at are- heated pool °F; does not eKeeed 90OF
(swimming poo() or 104°F (spa) ................................................... G
5. Daily written records of water quality andtest kit kept on site .................. 84
POUT. NAL - TE1AtiCE:
*6.1112in drain corers secured and in good repair, no sactian hazard. Single
drains protected b. April 1, 2006 (2517,.2539)- . ....................... ....... 06
7. Pool wall s and fl oor kept dean, free of debris and in good repair (.2537)... 04
8. Surface skimmers {with weirs, baskets and corners) or gutters dean, in good
repair, and functioning properly. no floating debris (.251& .2537) .............. 04
9. Depth markings and no diving markers or signs visible and properly located
(2523_2537) .............................................................................. C 4
10. Safety ropes with floats and contrasting color bands provided at shallow area
breakpoints (.2515..2523) .....................•------•---•--••----• .........---•---•-- 02
11. Diving equipment, ladders, steps and handrails properly placed, in good repair � 2
(_2517, _2521)--------- -------
12. Inlets and other fittings in place and in good repair (.2537)............ 8
4
13. Contrasting band on steps and benches (.2521.1516.1532) ................
14. Spa timer working properly (.253 7) ... .....................................•-----.....
01
PRENISES:
*15. Sada• hook and ring bnoy with throw rope or lifeguard with rescuetabe
provided and properly located (_2530, _2537) _____________________________________ 06
16. Fence or barrier with self-closing, self -latching gates properly constructed and 4
maintained (.2528, .2537) ............................................................-.
17- Decks unobstructed, properly drained, free of trip hazards (.2522, .2537-....... - 4
1S- Lifeguards present or warning signs pasted( -2530) ................................. 4
19- Signs prohibit glass containers or pets in pool area( -2530) .................... 4
20. Caution signs posted at hot water spas (.2532) ......•......... ....................... 4
21. Pool and deck li ghting provi ded at pod s that operate at ni ght (.2524, .253'
*22_ Emergencytelephoaeprovided (2530) .............................................. 6
EQL]P31E--,T ROONL•
23. ChIcrine or bromine automatic feeders that meet NSF Standard 50 (.2535)..... 0 4
24. Approved pump, filter, andflow meter operating properly (2518, .2514) ........ 04
25. Equipment and chemicals kept in a dry, well -ventilated enclosure (2533, .2534. 2
.2537)........................................................................._.._...._....-.
Z6. Valves and pipes identified by color codes or labels (.2518) ........................8 2
27. Filter backwash di scharg ed throu gh an air gap (.2513) ............................. 2
DRESSING AND SANITARY FACII.TTTIES: � 2
28. Bathhouse or rest rooms accessibl e; shower sign posted (.2526) .................
29. Requir ed fi xtures provided, dean, and in good repair (.2526) ................ 2
30. Approved wairr source, no cross connections (.2512) ..... ............. .........._..2
31. Sewage disposed of in a properly operating sewage system (.2513) ................ 2
32. Floors smooth, slip -resistant, kept clean(.2526)....................................... 2
33. Hose bibbs andfloor drains provided (.2526) ----------------------------------------- 2
* indicates zriticaI item (6 -paint demerit
Comments:
SEE COMMENT SHEET ATTACHED-
Comment
TTACHED"Comment Shee Attached
❑Yes 7No
Report Received by: i
J
Inspcetion EHS I.D. = 1895 - Sears, Luke
Conducted by:
Pwpmn General S tatute 13 _ requeres the C fv: Health Sevices to adopt rales puveoia= Public a- if n Pools. 15A NCAC 18A .2i 1: specifies tie corimb elan isupectio form to vox d the resutta of
itupectivm-This Evan is de be used in emkirre ' Cow oEpublic a�iutmin� pwla, *ram, -adint Paola and water recreation att a ti na. Pnrp t6w Local environ td health apecialiats shall complete the fc=
atiezy time iaa}' cmdvice as impecei and twa copiaa foe: 1- pas ictal to ba la$ erith the M.M. p. 2. Copy far the meat hoalth dapartenoat. I Copy for tie Enciroa tal Health Samiets Sndion,
Di, iaionof E-m^i:onnNatal H"41- n"tpeeaia- This foam any b9dantwyad in aomMa a n•ith Standard -&B,&, kopectionReomda, of the Rrcordr DOrpwitim Schr dr publithd by tho N.C. Dim^ mof Atchiw aetd
Hatay. AMitioral forms may hecrdorad fromt Dim 2ionofEnv ronmertnl Ranh, 14n2Mail SDrviC Cmter, RalaiSh, XC27Mg-1430.
EE s 3960 (Alrised 07,106)
Fat ironmealarnealthsertYn Sectios(Reriew07M
N.C. Department of Environment an Natural Resources I Name: LAKE "ICKUNY COUN I3YCLUU
Division of Environmental Health
COMMENT ADDENDUM
ID: 2018500022
Street: /-30 17TH AV NW
City: HICKORY
Time In- 0 2 : 4 0
Time Out: 3 1 5
Total Time: 35 minutes
N.C. Department ofEnvironment and Natural Resours es I Narue- LAKE HICKORY-OUNTRYCLUB
Division of Environmental Health ID: 2018500022
COMMENT ADDENDUM
Street: 430 97TH AV NVQ`
City: HICKORY