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HomeMy WebLinkAboutTara Woods App 500052 05 11 23 ENVIRONMENTAL HEALTH Catawba County Government Center catawba county 25 Government Drive I P.O. Box 389 I Newton, NC 28658 public health Phone: (828) 465-8270 Fax: (828) 465-8276 Mrrrxa UVIM6 erne Email: EHAdministrativeAssistants@CatawbaCountyNC.gov -j , Itt`b Application for Public Swimming Pool Permit 1 �) S5bOOS� Pool Information Name of public swimming pool: Tarawoods Street address: 1330 5th Street NW City: Hickory State: NC ZIP: 28601 Type of public swimming pool MSwimming pool [Wading pool nSpa nOther (describe) Date constructed or remodeled: Before May I, 1993 After May 1, 1993 Dates of operation: Opening date: 5/8/23 Closing date: 10/01/2023 Opening Hours of operation: time: 8am (losing time: 9pm Owner Informatint Name of owner: Tarawoods HOA Owner email: dthornburg©thornburgl Mailing address: 1 330 5th Street NW City: Hickory State: NC ZIP: 28601 Contact Person: Donna Thornburg Phone#: 828-328-2836 Operator(On-Site Manager) Information Pool operator: John Paul Knight Phone#: 828-310-5111 Street address: 4418 Granfloral Drive City: Hickory State: NC ZIP: 28601 Pool operator trained by: ){ National Swimming Pool Foundation (Certificate#: 68-682019 nOther (please specify) Application Submitted by: John Paul Knight n Owner N1Operator Signature of Applicant: Date: Purpose General Statute 130A-282 requires the Commission Health Servicesto adopt rules governing public swimming pools.The rules in 15A NCAC 1 SA.2500 require the owner or operator to apply annually for an operation permit for each public swimming pool.This form is to allow owners or operators of public swimming pools to apply for permits.Preparation:The informotion requested on this farm is to be completed bythe pool owner or a designated representative of the owner.The completed application is submitted to the local health department for the county in which the public swimming pool is located.A separate application must be completed for each public swimming pool.Copies:Original to he maintained at the local health department.Disposition: Please refer to Records Retention and Disposition Schedule for County/District Health Departments which are published by North Carolina Division of Historical Resources. Reorder.Additional Forms may be ordered from:Division of Environmental Health, Department of Environment and Natural Resources,1630 Mail Service Center,Raleigh,NC 27699.1632,(Courier 52.01.00) DENR 3961(Reeked 4/03) Environmental Health Services Section(Review 4/06) CATAWBA WBA COUNTY BLVD ` NEWTON,OOA NORTH CAROLINA 28658 RECEIPT _® 41 PHONE:828.465.8399 Thursday, May 11,2023 18 41, sM www.catawbacountync.gov PAYOR: Knight Brothers Holding LLC Knight Brothers Holding LLC(Knight,John Paul) PAYMENTS TRANSACTION NUMBER: TRC-63821439-1 1-05-2023 PAYMENT DATE: 05/11/2023 PAYMENT TYPE Check 1055 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 05-23-422496 110-580200-663000 Pool Inspection Fee- Seasonal S150.00 TOTAL PAYMENTS: $150.00 FLI-0000148 CASE TYPE: Food&Lodging Institutions WORK CLASS: 50-Seasonal Swimming Pool SITE ADDRESS: 1330 5TH ST NE 4126,HICKORY NC Manager THORNBURG ASSOCIATES,638 4TH AVE SW,HICKORY NC 28601 B:8283282937 Owner TARA WOODS,PO BOX 3443,HICKORY NC 28603 B:8283282936F:NONE Pool Operator KNIGHT BROTHERS HOLDING LLC,4418 GRANFLORAL DR,HICKORY NC 28602 C:8283105111 **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 05/11/2023 13:18 Page 1 of 1