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HomeMy WebLinkAboutSpinnaker Bay Pool App 500109 05 11 22 rii-DE) -X')) -!71 a7t/ ::�; ENVIRONMENTAL HEALTH (.lean C G.va► + i 2v1�S 4L►1 i) catawba county 25 G.v.tutlid/h I P.O.la31!I N.waq,NCYt{63l k ;� public .14-',. ,.11111411 pia..:12$)4454270 I hies 11U1)46341276 - Email:ENiidmia@(alawbafountyN(.gov �'1 1 .: _.� -� 1c �- Application for Public Swimming Pool Permit— ��' `` � i,,., Pool information - i . %wee alai&Montag pool: 5Qt►)No-16e S strut.iilar, i'O l S.)l� k 4 t " n,1 �f • age ,, C4SOecc—,\\S FCDsd Side: WC Di: ag615 eitScoul ITH d P4Ik lialaill P"laillail Pig ❑w.,Mg DP EO (dam) - 1` .w a.A*.dsd r rAlorrialkpingeho mr L itt3 r]iisr Mr,I, it's 9da d fellgfw Oprii durc Q 9 c \ s' ans.s.1.: De_ b C 3 ) ovwei Nisi i*mint gm $4,Nl Nisi taw: \�k AA Owner Information Hew aIowner: SO(1f)01..1Ke"1— l * 4 orr.rwrrgs NiJaY�l�cu1. noel. fay \,..e.Cc-1\16 Vor6, stewNC ZIP: G aiklel3 i A cl. t '3.m m 011,5 ►im If:_ _(o-R h I -1 `l'1 Operator(On-Site Manager)Information tool'moat:LiY1 iCk . K. 1av� Ii.eli: (031-01 - LIV5 7 si►as whim 1 I 501 cv\GLl t la or5\Nevi-}��s cc-d shte:sc riP: WC c6.G-1 3 Peeialowst iredsedir Psi Iwagiaiw(fatlri"ra.i,at: 051 ( -ryo—(QQ 'JOB«(pis au wady)Q r rk P.r IC�►dl Swa M M I 0 G' 'CBD of 5(�y� *ow**s +kr: Lip ci _Me pit 4 A\o v) ❑Nova CKOpendon Siperiars of Appentat 7}CALOAnr, Doi jpJ 1 jaQal 1ProwinitilwortAlh-IIl mom ir[rrahNsii Unitas WMKn+ta+i "tAg Woolf pork 1Mtrir r1SAN(KWWI PION 1MVAMPrWOO,wq-tl_:. it et sorrolAreporrir M exit milk Wpm*m i.(Ik We k it rrro rimer or Apron Opik rule art oils ilMkk risk'towline kirwrrr ruirrrel*Yr Woks M ,rr,iytApfrr'.ai„r.w or a iMp u5 eopsaatrw dig peon.So ar,iwl aNiith timed I.M i.t idi lq.ww le le o.ry it sill dr Oat Wool%rri t,loop&A atllMtMtroperars.a iv stotimipi kr wdr oak Mew wi•Coplic 01.1 le it.r mui r is halo*/rqu.r.r.ol..tlrr Sow n1.s bewbbArrrANl4kplb Milk b utrN►{lrllAie Nob twoliwoad'aw paid it Mali Orgies airiIN diewrkd Rewrur,Mirk liilrni F.wa wry 14 ol.ti isr bkilr gi t thru.j No, eatotowWwwwwftitdioniatows,texlilttts..iwfam,edJ,i,Ai271t4-1u.(Gr1.Ui else( sers#dblktiow 64.0.114.46 Sinew SEMI(44.01M %).C.(V( Completed (om) must Pool Drain Safety(VGB)Compliance Data be suhmilted with PERMIT CANNOT DE ISSUED IF FORM IS INCOMPLETE ���j A separate form is required for each pumping system. application Name of Pool 0l- ok Aaarc,s��v� �l>�rr?a j -' exc s l`5 co id AiO— t 5`l7\3 FORM COMPLETION—A separate Pool Drain Safety Compliance Data form must be completed and submitted for each individual pool at a facility inclndina spas.wading pools,and other pools. 1. Pump flow Pump Manufactory rr),,1 Model ar 0 1 __Horsepower__ Maximum Pump Flow. Maximum flow ate from pump curvy_11.0„_ , (Provide supporting evidence if flow reduction) 2. Praia Sumo Me sstemcntl This is the area under the floor drains,if field built sump may need to remove drain cover one time to measure, (Check here if sumpless ,then proceed to nest section) Sump shape:Round-width: inches diameter, OR Square- inches X inches Sump minimum depth inches Diameter of outlet pipe in sump Inches Distance of top(inside)of outlet pipe from bottom of cover/grate inches Sump manufacturer and model#if available 3. Praia Cover/Grate Data 541-- Number of drains on each pump __Distance between drains(on centers) 3 _ Cover/grate manufacturer }.t't a. modcIW61/ t%b E fr ) Llfespan: 2 ye r Maximum flow rating of cover/grave r gpm(floor); )L gpm(wail)r ?� Dare drain cover/mates installed „a, 13 IcO 4. _ EXPIRATION DATE: `✓t_Ot.0 p� 4. Equalizer Covert Number of opercb/e simmer equalizers OR Hare the equalizers been disabled? YES/NO Equalizer fitting Manufacturer ,model ,Lifespan Equalizer fitting maximum flow rating Date equalizer cover/grates installed: _ EXPIRATION DATE: 5. Safety Vatuagr Release Sv rem(SVRS)—SVRS required if dual drains are closer than 3 feet on center or pump has a single drain with bloatable cover or sump. Safely Vacuum Release System manufacturer- Vacuum line-Choose One No vacuum line in pool OR Protective cover on vacuum lines Installed before May 1.20l Q OR Self-closing,self-latching cover designed to be opened with a tool on vacuum lines installed after May 1,2010 Full name of n providing this info a ion�.1/l }r� Sigrrtture ci,� (,�ry� !oft ©)0 } - Reviser} rl0)6 f'o Completed feted Pool Drain Safety(VG9)Compliance Dab p f>t must ��. 6.t0 ( B G6hm E ISSUED IF FQ13. R 1 1CO i ET be submitted with \ A separate form is required for each pumping system. application Name of Poo1 ► Q. FORM COMPLETION—A se rate Poo Dra'n S fe Co►n 1i nee Data fo m must be corn feted and submitted for melt titadivit ual pool at a facility ineiudinz suss;yyadin Roots,and otter Mois- t- Nano Th j�Pump Manufactmu r"t�k c Model K 0 1�'tiO 3 Horseporva-� Maximum Pump Flow. Maximum flow rate- ---hmm�mm�cnr, , ---.._ __..kiQi _a_L¢pm. (Provide supporting evidence if flow rtdrrction) 2_. Drain Sump Measuremetats This is the area under the floor drains,if field built sump may need to remove drain cover one time to measure. (Check here ifsumpless ,then proceed to next section) Sump shape:Round-width: inches diameter, OR Square- inches X _inches Sump minimum depth inches Diameter of outlet pipe in sump Inches Distance of top(inside)of outlet pipe from bottom of cover/grate inches Sump manufacturer and model 0 if available 3. praie Cover/Grate Data e 3�r— Number of drains on each pump p- --Distance between ttdrai��nss�(on centers) Cover/grate manufacturer � (' modelw(�Il "1b OP), Lifespan: YTi‘•f Maximum flow rating ofcovedgrare_j3 gpm(floor); �_ gpm(wall) Date drain cover/grates installed',. (�\ a \ EXPIRATION DATE:_ d_ Equalizer Covers Number ofopers:We skimmer egxratizers OR Have the equalizers been disabled? YES/NO Equalizer fitting Manufacturer model ,Lifespnn Equalizer fitting rrm'cimum flow rating - Date equalizer cover/grates installed: EXPIRATION DATE: S. Safety Vacuum Release Svstenl(SVRS)—SVRS required if dual drains are closer than 3 feet on center or pump has a single drain with blockabie cover or sump. • Safety Vacuum Release System manufacturer- Ya room line-Choose One • No vacuum lire in pool OR Protective cover on vacuum lines installed before May 1.2010 OR Self-closing,self-latching cover designed to be opened with a tool on vacuum lints installed after May 1,2010 Full name of`.. a providing this inf a ion n( � Ia. - `'� sR ' o jl iL7'trot Signature Ii 4 } - . t1 n j_ N Revised 15 �4'A C. CATAWBA COUNTY �' ,._. 100A SOUTHWEST BLVD " NEWTON,NORTH CAROLINA 28658 RECEIPT PHONE:828.465.8399 U ��►� Tuesday, November 9,2021 1$4 2 sM www.catawbacountync.gov PAYOR: SPINNAKER BAY POOL SPINNAKER BAY POOL PAYMENTS TRANSACTION NUMBER: TRC-29592744-09-1 1-202 1 PAYMENT DATE: 11/09/2021 PAYMENT TYPE: Check 005345 RECEIVED BY MAIL INVOICE NUMBER FEE NAME FEE AMOUNT 11-21-399169 Pool Inspection Fee -Year Round $200.00 TOTAL PAYMENTS: $200.00 FLI-0000328 CASE TYPE: Food&Lodging Institutions WORK CLASS: 53-Year-Round Swimming Pool SITE ADDRESS: 7831 SPINNAKER BAY DR DR,SHERRILLS FORD NC Manager DIANE BARBEAU SPINNAKER BAY HOMEOWNERS ASSOC.,7831 SPINNAKER BAY#305,SHERRIL FORD NC 28673 OTHER-IMPORTED SPINNAKER BAY POOL,7831 SPINNAKER BAY DRIVE 109,SHERRILLS FORD NC 28673 F:NONE NONE **NO PEOPLESOFT ACCOUNT ASSIGNED** Pool Operator DEBBIE JOHNSON,7831 SPINNAKER BAY DR 112,SHERRILLS FORD NC 28673 B:3045325014 receipt 11/09/2021 14:29 Page I of I