HomeMy WebLinkAboutLR Pool 530050 Permit 12 29 17N.C. Department ofEmironment and \atural Resources
Division of Environmental Health
PUBLIC SWIMMING POOL
OPERATION PERMIT
Time In: 0$; 3 0 0 pm m Time Out: 0 9 1 5 Ram
m
Total Time: 45 minutes
Permission is granted to:
*Update Existing Facility?
New Facility ID: x 0 1 8 5 3 0 0 5 0
Old Facility ID:
*Dare Issued 1 a/ a 9 f a 0 1 8
*Status Code:
L E N 0 I R
R
H
Y N E C 0 L L E G E
Owner or Operator of
L E N O I R
R
H
Y N E C O L L E G E P O O L
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 7 5 1
S
T
A S A V I C H P L N E
City H I C K
O
R
Y S T N C zip x 8 6 0 1
County 1 8
Type of Pool: (check orae) ❑ Swimming Pool - Seasonal
❑ Wading Pool - Seasonal
F-1 Spa - Seasonal
r-1 Specialized - Seasonal
Water Su pply: 5-5 - Municipal/Community
Territory #: 01
EHS: 1654 - Huffman, Jason
*Expiration Dare: 1 a / a 9
Remarks
NEW DRAIN COVERS INSTALLED.
Signed
N.C. Department
Division of Emir
a 0 1 8
❑o Swimming Pool -Year Round
❑ Wading Pool - Year Round
❑ Spa - Year Round
F1 Specialized - Year Round
Waste Water System.
3-3 - Municipal/Community
Heal
Agent
C.."3'dG k'S
FPS d'.4 ^I'�
3973
V_C_ Depaftment afEmifonment and Natural ResaLrces
Division ofEnv ronmmial Health
PUBLIC SWIMMING POOL
OPERATION PERMIT
Permission is granted to LENGIR RHYNE COLLEGE
L Owner or Operator
2018530350
Identificakon -Numt•er
1212912018
Date Lsued
status c ode:
of LENGIR RHYNE COLLEGE PDLL
Name of P ubl ie .S67i m m i ng Pool
tc o� erate a public swimming pool as defined in G.S. 130A-280 and 15A NCAC 18A .2500 at
751 STASAVICH PL NE, HICKORY, NC 28601
Streat_4dd-a.s afPool Locution
18
County
Type of Pool: (deck one) 0 Swimming Pool
❑ Wading pool
❑ Spa
❑ Specialized
❑ Od= (describe)
Expiration Date,
Signed: - Agent
N.C. Departmento a ow— ,
Di,rYsiandfEnvi H
2129�1201
Remalrkz:NFW DRAIN COVERS INSTALLED.
INURUCTIONS
purpose: General Statute 13DA-281 states "No public swimming pad! may be opened for use urs! ms t e, owner or operator has otxainecd
an operation permit issued by the Dma irnme _ General Statute 134A-182 requires the Comrni ssion for Health Services to
adapt rut es including requirements for application revitw, txpiration, rersewal, andrevocabon or suspension of an operating
permit. Those -ales are eortai ned in 15A ItiCAC I 8 ,2 500,
This farm �s to be used as the permit specified above-
Prcparstioz: L ocal environmental hcatth specialists shall issue a permit evcry time a nein• or feissucd permit is indicated_ Irrepare an
original and one copy for:
1. Original given to pool oamer or operator.
2_ Copy for the local health department_
In the Brett the permittrar sitional permit is suTended or revolcee� complete the Suspension.'Revocation form (DENR
40)9B) -
Disposition: This form may be destroyed in accordance with Sunda d 88.6., Inspection Records, cf theRacards Di position Schedule
pub] iAcd by Ac N_C_ Ditrision ofArchivcs and ILston•_
Additionalforms may beorderodfram: Di visionofEnvironmenLdFlealth
1632 Mail Service Center
Ral eigh, IFC 2764-1632
(Courier 52-41-04)
EES 3962 (Revised 7/05)
Enviretmettal Heap Services Section (Review TOR)