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CBPR-05-2019-31838.TIF
Pool Drain Safety Compliance Data PERMIT CANNOT BE ISSUED IF FORM IS INCOMPLETE A separate form is required for each pump including circulation,jet or feature. Name of Pool Towns at Sherrills Ford ID# I. Pump Flow Pentair WFE-6 Pump Manufacturer Model# I lorsepower 1.5 Maximum Pump Flow at highest speed FROM PUMP CURVE: 130 gpm. Pump use:Circulation/jet/feature(circle one) Has pump been serviced(disconnected from power for any reason)or changed out in last 12 months? YES/NO Flow meter manufacturer Blue White Flow meter reading 110 GPM 2. Drain Sump Measurements Is drain cover sumpless? YES/NO(if Yes,proceed to section#3) Sump manufacturer and model Sumpless OR: Field built sump(circle if yes) Diameter of pipe entering sump 3" inches. Pipe enters through BOTTOM/SIDE of sump(Must circle one) Distance between highest point of outlet pipe and top edge of sump 4 " inches. Sump dimensions 9" round 3. Drain Cover Data-MUST BE INSTALLED PER MANUFACTURER'S INSTRUCTIONS-Attach Instructions to form. Number of main drains on each pump 2 Distance between main drains(on centers) 3 feet—. inches Cover/grate manufacturer Paramount .model SDX2 .VGBA approval 2008/2017(circle one) Maximum flow rating of cover/grate 188 gpm Cover(s)located on pool:Floor/wall (circle one) Date installed 1/2021 Lifespan 5 years EXPIRATION DATE 1/2026 4. Equalizer Covers Number of operable skimmer equalizers 0 Have the equalizers been permanently disabled? YES/NO Equalizer fitting Manufacturer ,Model ,Lifespan Bulkhead adaptor Manufacturer . Model . Date Installed Diameter of equalizer pipe Cover is located on(circle where mounted): Floor/wall Equalizer fitting maximum flow rating gpm. Date equalizer cover/grates installed EXPIRATION DATE: 5. Safety Vacuum Release System(SVRS)-Safety Vacuum Release System manufacturer/model#- You will be required to demonstrate effectiveness during permitting inspection.Date last tested 6. m Line Choose One No vacuum line in pool OR Protective cover on vacuum lines installed before May I.2010.OR INSelf-closing,self-latching cover designed to he opened with a tool on vacuum lines installed afler May I. 2010 Full name of person providing this information Jeffrey Frey Signature , � Date 4/26/2022 NCDHHS Revised 1/27/2022 for immediate use. {t Prestige BuildingCompany, Inc. 307-E Cayuga Drive Phone (704)528-3999 Mooresville, NC 28117 Fax (704)528-3992 Web Site: www,orestigebuildingcompany.com May 25, 2021 RE: Townes at Sherrills Ford To Whom it May Concern: I certify that the swimming pool &facilities have been constructed in accordance to the approved plans and specifications. Construction is complete, and to the best of my knowledge, is in compliance with all applicable state and local requirements. E:2 Sincerely, Jonathan Pelchat Vice President Prestige Building Company, Inc. 1 ,... , . .,:.„Itcop„. ICKORy Pclbllc Utltttias DATA: O l PO Box 396 "` HickoryNC 28E03 Public Utilities Department 828-323-7427-phoney 828.322-[406-fax BACKELOW INSPECTION customer: Toe A1>1 l Address of Property: -`��"`-- _ --_------_._.. �. . iVta(ii ddres 6� , --Y- -_-•-....._ Meter Model&Number: �- ."" """" �°�^W Service Number: Wow Type of Service: 0CM ;� IRRIG( �' ,. Combo DOMIP.L. ( ) Type o(Assornb[ �, ,m. Size of Assembly; Manufacturar_r�,(,�'� (4Sode1: L E9 t7 4 /. ,Zii E 5eriet No: . Location of Assembly: j ` c? x^ — -6.=�.,.. : . f�� Containment(at rooter) ) or Isolation at hrnncth)( � �� -�•�..•.,�a,..,�-.....,.. . ten line Pressure: �! PSI: a va#4 ... a.,L Re let Give """"" ( )[.E keci CheClc V8i'1BPressure .. Qpened b,/ acuum :reaker ( t`!cued Tight _ . Y __P&L) ( flaked Air Inlet Opened - (L- G(osed Tight at SID [ Ditfi Pressure Did not en o Across Cheek (' ( ) Iit(rr.Pressure Check Valve: Across Valve: Across Check PSID Duffer ,' Q PSI Leaked( ) y Valve_ Held-at P5(© ( ) fEanet� nt �$(�? ( )Cleaned Only i( )Gleaned Only ( )C eerie .Only ,�...•_ Replecec! Replaced � Rubber Kit ( ) Rubber Kit Replaced Replaced ' Ru Assembly( ) ( ) Rubber Kit ( ) Rubber Kit i ,._, .,,,.,r.� . _, ..,, CV Assembly( ) CV Assembly ( } ( )Closed i'[ght Opencd a ..", . ( ) CV Assembly ION.Presume • _PSIt7 ( )Clhsetl Tight Air inlaf !' I Across Check Diff,PressureCheck Check Value Valve: YSID Suter Across Valve: PSID Shut Uft#' Leaked _ l'SEU • ( ) field Tight( ). Shut Off#2 Leaked( Held Ti.ht Assembly: PASSED(L-( or FAILED( ) NOTE: All repairs must be complelQd within(1Q)days. REM7IKS7 Kil: DIFF( t}pL( )Et — Model: V y 5 7 S: F J Company: Serial No: OS a1_Yo,� I,hereby certify that this date Is accurate and reflects the proper operation and matntenerice of the assamby. flurs :.Gaf� '� q I / / l 4.._e._ _CERT.NO,4[?77; `' rlt F F 35 TIME/DATE•.._`_., d,.'.4 a. ,, BACKFLOW INSPECTION COMPANY: t-Ictie&Lilfg.4,kFh _«__._PH NO: 7 etY.,it!4 0 I r, ruritilIC 1rrI III or1, July 25, 2021 Catawba County Public Health \►. Nipiii, 3070 11`h Avenue Drive SE Hickory,NC 28602 r,,,k Permit#: #SWMC-07-2020-135833 Townes @ Sherrill Ford 'MITI., !„ 8150 Sheffield Drive Terrell, NC 28628 To Whom It May Concern: \,„iii( ,.„► n.. We, Edgewater Pools, LLC, have built the Townes @ Sherrill Ford Amenity 2,211 Center Swimming Pool to the specifications and plans to the best of our knowledge. We also agree to the best of our knowledge, Townes @ Sherrill Ford Amenity Center Swimming Pool,meets all the North Carolina Department of Environmental Health &Natural Resources rules and regulations as required. S'ncer�ly, W. Neill Fortune, AIA Fortune Architects 8510 McAlpine Park Drive, Suite 204 Charlotte,NC 28211 Denver Glass, Inc STOREFRONT SPECIALIST 6625 Denver Industrial Park Denver,NC 28037 704-966-0985 TO: Prestige Building Company DATE: 05/21/2021 SUBJECT: Mirror Letter: 8150 Sheffield Drive,Terrell,NC 28682 To whom this may concern, We are sending you this letter to confirm that the mirrors installed at the Sherrill's Ford project located at: 8150 Sheffield Drive,Terrell,NC 28682,were installed using necessary safety backing. The product used on this project was C.R. Laurence 2MT48. Thank you, .5-/"? A 0-2- ( Alex Ashby Vice President Denver Glass, Inc. denverglassnc@gmail.com N.C. Department of Environment, Health, and Natural Resources Division of Environmental Health PUBLIC SWIMMING POOL DATA SHEET Name of Pool Qr!-ri c.e.) g', t J�OZ&. rO4Z Location A3-O ✓5 4te. T�zr.�•!'.. i!if.. r. �8'e Pool Contractor fdQ�.f t1 I-1---L Date of Construction 4/9 1.Pool dimensions _ 6. Equipment Room: Pool volume .y-9 v Weatherproof building Surface area .---Well ventilated Bather load V .----Sanitary sewer fl.Drain ✓ Fl. 'A"slope to drain 2.Pool Structure: Ceiling height ',/ ft. Fiberglass Concrete Gunite Rounded Corners 7.Chemical Storage Area: .f Other(Specify): _--Dry ✓ Ventilated Number of Main Drains a. Size of grate_ 9.x " 8.Circulation Pum : / , Anti-vortex Make /AA- i� � Number of Returns/Inlets _ _ Model# 0 r[JLp t �IY.P. /,X In wall 3 In floor Size of pipe 9.Filter: Number of Skimmers Sand D.F Cartridge Overflow gutters: Make E'L Ai - Number of Outlet Drains / Model# R--/OD(' ✓ Hair and lint catcher Circulation rate(GPM) 72 Backwash late(GPM) iK P 3.Fill Spout: Pressure gauge • Location i ire �l�.,w _ __7 Sight glass Size of pipe CC'' dd�- /'� _ _/Flow meter Other method /f(ir relief valve Back-flow prevention �..€24 i e��ri -,��j"/" _______Pool heater Source of water �44e a _ Turnover rate(hours) ,..,.a 4.Deck: Type C _ 10. Automatic Chemical Feed: �, Finish -rs yti ,Type_ i. . ;;:p." ' Make A,(¢ Minimum with 8' ft. Model# f/L'— :34-4' Slope �y"Zp"tYfr Automatic soda ash feed: 44 •'Deck drains Diving boards Type • Hose bib; '- Depth markers _Overflow type_ Surge tank Number of ladders / _ Number of stairways _ II. Bathhouse/Toilet Room: Outside rinse showers Number of toilets,female I Number of toilets,male 5. Safety Equipment: / Number of urinals / Underground lights ,2t Lavatories I _Showers i Deck lights Y Fl.Drain to sanitary sewer V Ring buoy w/rope 1/7.-Non-skid floor finish i Floating life line Shepherd's crook 12. Wastewater Disposal: Spa timer Sewage to: . n-%1 i. •• Telephone Pool overflow&backwash water to :e7A4,1, .•t ',e ofe C:, FORM_COMPLETED BY: ry (Name) / (Title) (Date) DEHNR T615(3/90) ( Environmental Health Services Section Pool Plan Review Application 10-2015