HomeMy WebLinkAboutThe Fields Permit 500102 06 23 17.JH.PDFN.C. Deparmtent ofEniironment and Natural Resources
DiAsion ofEnvironmentaIHeaIth
PUBLIC SWIMMING POOL
OPERATION PERMIT
Time In: 0 9 0 Pm Ram
Time Out: 0 9 3 8 .E]Pm
Total Time: 36 minutes
Permission is granted to:
*Update Existing Facility?
New Facility ID: oC 0 1 $ 5 0. 0 1 0 1)
Old Facility M:
*Dare issued 0 6/ 0 3/ x 0 1 7
*Status Code: I
E L I T E S T R E E T C A P I T A L
Owner or Operator of
T H E F I E L D 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 1 0 1 1 C O U N T Y H O M E R D
city C 0 N 0 V E R Sr N C zip 1) 8 6 1 3
County 1 8
Type of Pool: (check one)Swimming Pool -Seasonal Swimming Pool- Year Round
Wading Pool - Seasonal LjWading Pool - Year Round
HSpa - Seasonal Spa -Year Round
Specialized - Seasonal HSpecialized - Year Round
Water Supply:
5-5 - MunicipallCommunity Waste Water System: 3-3 - MunicipallCommunity
Territory #: 01
EHS: IG54 - Huffman, Jason Signed
*Expiration Date: 1 0/ 3 1/.2 0
Remarks
NO NIGHT SWIMMING
Agent
Coln/13
no ■�
$f* /ll
in4J
3983
N --C- Department of Enliro-nmem and Natural Resources
DivisionofEEvirunmental Health
PUBLIC SWIMMING POOL
OPERATION PERMIT
Permission is granted to ELITE STREET CAPITAL
Owner or operatar
2018500102
Identifi canon -Number
06/23/2017
Date Issued
Status Code: I
of THE FIELDS
NameafPuNrc SWimmingPool
to operate a public swimming pool as defined in CT.S_ 130A-280 and 15A NCAC 18A _25DO at
1011 COUNTY HOME RD, CONOVER, NC 28613
Stmt.ide,--ss of Pool LoeMon
18
COW2N
Type of Fool: (check ane) 0 Swimming Pool
Wading pool
Spa
Specialized
Cther (describe)
Expiration Date;
10131/2017
Remarks:NO NIGHT SWIMMING
Signed: Agent
N.C. Depart=o � _ aI so
Division of Envi
INMU4CnONS
Purpose: Genera) Statute 130A-281 states " No public swimming pool maybe opened for use unless the owner cr aperaor has obtained
an operation permit issued by the Nparhnent". General Stztute 130A-282 requires the Commi ssio m for Health Serviots to
a pt ruies inc]wdirtg requirements for application review, expire#ion, renews), ardrevoc oiou or mspension of= operating
permit- Thane rul es are contained in 15A NCAC 1 SA -2500
This form is to he used as the permit specified above.
Preparation: Local esryironmmtalhealth speciAiits shall issueapernvteverytimcanr-w orreissuedpermitisindicated_Preparean
original and one -copy for:
1- Original given to pool owner or operator-
2- Copp for the local health department -
In the event the penmmit+transitional permit is suspended or revoked, complete the Su spensionlRevo- a ion form (DENR
4 009B) -
Disposition: Thisformmay bedestroyedin accordancemayth Su mdard8-B-6_Inspeetion Records, ofthe7tacordsDispasitiarrSc3tedrlle
pub] iA ed by the N C- Divisi on cf Arch v and Hi story-
Adfitiona] forms may beordredfrom- Division of Environmental Health
1632 Mail Service Center
Raleigh IWC 2764$-1632
(Courier 52-01-00)
EHS 346+2 (Revised 7/05)
Envisvrunental Health Services Section (Review 7r08)