HomeMy WebLinkAboutGeorgetown Apts 500055 PERMIT 05 17 17N.C. Depatmtent ofEniironment and Natural Resources
Division ofEnviroumartaIHeaIth
PUBLIC SWIMMING POOL
OPERATION PERMIT
Time In: 0 a: 1 3 F1 am Time Out: 0.: 4 8 opm
Total Time: 35 minutes
Permission is P -ranted to:
G E O R G E H A R R I S
*Update Existing Facility?
Nnv FacilityLi): . a. 0. 1 S. 5 0. 0 0. 5 5
Old Facility M:
*Dare issued 0 5 f 1 7/ a 0 1 7
*Status Code: I
Owner or Operator of
G E D R G E T 1 0 W N A P T S
Name of Public Swimming Pool
to operate a public swimming pool as defined in G.S. 130A-280 and 15A NCAC 18A.2500 at
Address a 4 0 6 T H S T S W
City H I C K 0 R Y ST N C zip a 8 6 0 1
County 1 8
Type of Pool: check orae �
YP ( ) Swimming Pool -Seasonal Swimming Pool- Year Round
Wading Pool - Seasonal LlWading Pool - Year Round
Spa- SeasonalHSpecialized
Spa -Year Round
Specialized - Seasonal - Year Round
Water Supply:
5-5 - MunicipallCommunity Waste Water System: 3-3 - MunicipallCommunity
Territory #: 01
EHS: IG54 - Huffman, Jason
*Expiration Date: 1 0/ 3 1
Remarks
NO NIGHT SWIMMING.
Signed NJ MIL kl6q 4M 19DIA Agent
N.C. Depamment ofEnimn e a ce
Division of Environment
Ip t
D 0 1 7
Coln/Ron inmo ■1*
3982
N --C- Department of Enliro-nmem and Natural Resources
DivisionofEEvirorunental Health
PUBLIC SWIMMING POOL
OPERATION PERMIT
Permission is granted to GEORGE HARRIS
Owner or operarar
2018500055
Identification -Number
0511712017
Date Issued
Status Code: I
of GEORGETOWN ARTS
XameafPublic SwimmingPaal
to operate a public swimming pool as defined in CT.S_ 130A-280 and 15A NCAC 18A _25DO at
240 6TH ST SW, HICKORY, NC 28801
Stmt.ide,--ss of Fool LoeMon
18
COW2N
Type of Fool: (check one) 0 Swimming Pool
Wading pool
Spa
Specialized
O#her (describe)
Signed: Agent
.N.C. Depart=t of En ' _ tur so
Division of Envirwm th
Expiration Date; 10/31/2017
Remarks: NO NIGHT SWIMMING_
INMU4CnONS
Purpose: Genera) Statute 130A-281 states " No public swimming pool maybe opened for use unless the owner or aperaor has obtained
an operation permit issued by the Dcpmiment". General Stztute 130A-282 requires the Commi ssiarr for Health Services to
a<bpt rues ioc]udog requirements for application reuie:w, expir8#i41], reuewa), ardrev4ca#iou 4r mspension of m opuAng
permit- Thane rules are contained in 15A NCAC 18A -25QQ-
This form is to he used as the permit specified above.
Preparation: Local mvi ronmmtal health speciAkts shall issue a pernvt every time a nr-w or reissued permit is indicated_ Prepare an
original and one -copy for:
1- Original given to pool owner or operator-
2- Copp for the local health department -
In the event the permit+tran sitinnal permit is suspended or revoked, complete the Su spensionlRevo- a ion form (DENR
4 Da9B) -
Disposition: Thisformmay bedestroyedinaccordasceaythSumdard8-B-6_InspeetionRecords,ofthe7tacordsDispasitiarrSc3tedrlle
published by the NC- Division cf Archives and Hi story-
A&titiona] formsmnay beordredfrom- Division of Environmental Health
1632 Mail Service Center
Raleigh IWC 2764$-1632
(Courier 52-01-00)
EHS 346+2 (Revised 7/05)
Envisvrunental Health Services Section (Review 7r08)