HomeMy WebLinkAboutCatawba Country Club Permit 500018 05 18 17N.C. Dgarmwt onm ,uent and NamN Re rms
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PUBLIC SWIMMING POOL
OPERATION PERMIT
'Update Existing Facility?
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Tine In: 1 e: 1 8 pram Tone out: 1 1 33 1 ®ppm 'Date lssued 0 5/ 1 8 / 2 0 1 7
TOal Tine: 1 hr 13 runules 'Sraws Code: I
Permission is granted to
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CATAWBA COUN
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Name ofPuelle Swimming Pool
4000
to operate a public swimming pool
as defined
in G.S.
130A-280 and 15A NCAC 18A.2500 at
Address 1 1 5 4 C O
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Type of Pool: (check one) BSwimming Pocl-Seasonal
Wading Pool -Seasonal
Spa - Seasonal
Specialized - Seasonal
Water SuppY ss- rdnnidaagcammuniy
Territory #: 01
ST N C zip 2 8 6 5 8
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Swimming Pool -Year Round
Wading Pool -Year Round
Spa -Year Round
Specialized - Year Round
Waste Water System: ss- tdnnoeagcmwwnay
EHS: 1656-Neln.Gng
Signed
ILI
Agent
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4000
N.C. Defmmaot aEvwmmentae6Nawa aemmes
2018500018
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PUBLIC SWIMMING POOL
05/18/2017
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OPERATION PERMIT
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Pemlission is granted to CATAWBA COUNTRY CLUB op CATAWBA COUNTRY CLUB
Owner or Opaorev NpmeofPuNwS m(ngPool
to operate a public swimming pool as defined in G.S. I3GA-280 and 15A NCAC 18A.2500 at
1154 COUNTRY CLUB RD, NEWTON, NC 28858
StrmtAddev ofpool Loconon
18
Covey
Type of Pool: (check one) Swimming Pool
Wading pool
Spa
Specialized
Other (describe)
Signed: 14 l / LG-. l � Agent
N.C. DepxmtqoeEnri dNsmd Rammms
Diaiim ofEeaimomeoW Hedn
Expiration Date: 09/29/2017
Remarks:
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Purpose: Genual Sense 130A-281 sues- No public smoming pool may be opened fee use unless the oenn or opasor hu opined
mopaadmpewitiom by the Depamme.Genal Stsutel30A-282ngssm the Camsissimfor Health Servicesto
adopttdm ntdudntategek®maformNd review, mpkmim,rmewd, mdrewmfimorsuepmimdanoperating
pamitnose rules n cmeinetl is ISA CNCAC I&A.25K
Thistmm is tobeusedaz Ihepermit sperifid above.
Ne3msim: Loral mwrmmm[d heshh speialim shall issue a palet every fime a new or reissued patent is wdicazei Ngyrmem
oriental and me copy for.
1. Grind gives to pod orocor opamor.
2. Coq for the load hdM depament
In the est thepamimtmitimd posit is suspended orrevokM msdoe the SaspmimrRevomim teen (DEM
4009B).
Dismshm: This tom may be desboyetl ntmmmv«with Stanmrd 82 C. Inspection Records. dthe RecoMs Dispmiom Sdvdsle
NUished by the N C. Diviim d&t1sves and fbmmy.
Adidmad forms mo, beordaedfi®: Mvidm dpnr%mmmol Hdth
1632 Mil Service Corer
Biigh, NC 27699-1632
(C cr!i2m*0)
EH 3962( ted M)
Eovirmvamal Hands Servims Seim noriew 7N8)