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HomeMy WebLinkAboutCreekside Pool App 500054 05 12 23 0 ENVIRONMENTAL HEALTH Catawba County Government Center Catawba county 25 Government Drive I P.O. Box 389 I Newton, NC 28658 public health Phone: (828) 465.8274 Fax: (828)465-8276 f IN.e19U6.HIM. I Email: EHAdinin@CatawbaCountyNC.gov 1 Application for Public Swimming Pool Permit „ r u .0000 i 4(3 Pool Information Name of public swimming pool: I V )i1$ 5 DD0S`i C �eekS de �'�C1� e>� s Street address: iZZ 1 V}k'‘ 5)-• -5IUd Nu.) City: t't' Ck- -' \ State: YO t-' ZIP: Z 1 bU 1 Type of public swimming pool ITSwimming pool IT Wading pool ESpa Dither (dtsaiie) 4 Dole constructed or remodeled:ngefre May I, 1993 Dlfter May I, 1993 � ]{ �7 Dates of operation: Opening date: d (1 Closing date: � //JI a 3 Opening Hours of operation: 'isle: 16 . closing time: D ' 60 Firi r: Owner Information .- LCC Cobb 1P Cci� orte tour}; Name of owner: C-f e e 16-5,C F� .•:v' Ve.5 cf� Owner email: 5' el.w,:II,CC Mailing address:r 7 'U Jr �Vt it v V II '' p ram' C ity: M I e�(�Y'1/1 State:NC ZIP: g!1 O I //�� — y93s-� �:r Contact Person: lJ1 I va r�S Phone#: U �- J A2. Oj:frator(Our.-Site Manager)Information Pool operator. K-Q n, N oird Pboae#: r]C 0- ,V 27" 4 / 35— r� J Street address: ) oC 01 /0 S� s)YQ NW City f 1 A C k a w1 State:NC ZIP: CV FL,0 1 .� Pool operator trained by: EKat natal Swimming Pool Di Foundation(Certf(icate#: �15ZI ) Dither(please specify) L iCtiAy ,A Al t/t-a he F e f {t 1 h 1un daW' Application Submitted by Owner Operator �'' i Signature of Applicant: Date: /1► /zt l.,'.' Popo.aeronl Soots 130A.202 relents the Ceaeaissiee Health Services le 9dapl Mu gonna'poi&twiny peek TIoneiole 1 SA NCAC 1 SA.2 SOa reneee Ile nisei'er speniw Is epsly uweOy hew pwsea paneil ter vest psllie swinoiss peel.Tide ream b to slew meanie wenNn etpsd i ono*pooch to epeki he penal.P►epeosO. The Weenie.rgseseel on hie rrr Is I.be onion 1pie pool*no era despsdd ropnssebtbn sitter*weer.T11s co pleN4 appseaeeo b sel nest N die heel WI igoliont Men tiliiidy le vdWl Els ph r srkerine peel is Iseold.A o� sepoos eppl{sree oast 6 ompleNd 6e earl pel&sw{rsite peal Cepseu OrER4d 1,M*nth deol et 16 loud lead deponent Shoitliott Nat rehr 11 hare[Are"end Dispelled ��. Sslreduh he Cwuty/District Kuhl neprio.A a bob ars pebtished ey North Grdin Divine'el}gawks!Rseswew Rader:Addidseal tones easy be Wool irer.Divines el Enrkeewwed H.M., Oyer Weer onradreseaanlend Newel Riviera;,1630 Aldl Seethe Crier,lelelpr,NC 27699.1632,(Courier S2.01-00) . OENR3961(R.dred4/03) EeArsrsmadai Neil Sersins Seim(Rolm 4/061 2 ' ' f \ . , . 4 ` T� • • : w. . . • 11 [ ' " "" S.•.f• JC . . \� ` ' Licensed Aquatic Facility ® - : . ] Technician u aai■, cart fl aua ) . } / mc0f�.¥AquaticFm� : . ,T1 + �nSlmmln r_dSpa a j • ��k■ 15 � k+ k }: / ;p, ` .�. �� . \/ �� ; f 5 m� \ \\ » t �_& � {y. : � ; »© . » § , ' «< . ) \\�\\. .. © / .__ . � ] ¥ ) ) . ` ) ) 1..ii ... I i . - . • } ii ) . \ • ) ] ) Cp CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT _1P ,, PHONE:828.465.8399 dFriday,May 12, 2023 1 4 2 5M www.catawbacountync.gov PAYOR: Creekside Apartments Investors LLC Creekside Apartments Investors LLC PAYMENTS TRANSACTION NUMBER: TRC-63897786-12-05-2023 PAYMENT DATE: 05/12/2023 PAYMENT TYPE: Check 1694 received in hickory 5/10/23 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 05-23-422602 110-580200-663000 Pool Inspection Fee-Seasonal S150 00 TOTAL PAYMENTS: $150.00 FLI-0000 149 CASE TYPE: Food&Lodging Institutions WORK CLASS: 50-Seasonal Swimming Pool SITE ADDRESS: 1227 10TH ST BLVD NW,HICKORY NC Contact Person CREEKSIDE APTS POOL, 1227 10TH ST BLVD NW,HICKORY NC 28601 B:8283244935 Owner CREEKSIDE APARTMENTS INVESTORS LLC,245 W MAIN AV,GASTONIA NC 28052 **NO PEOPLESOFT ACCOUNT ASSIGNED** Pool Operator MICHAEL GENTRY, 1227 10TH ST BLVD NW,HICKORY NC 28601 B:8283244935C:8283106919 receipt 05/12/2023 13:48 Page 1 of