HomeMy WebLinkAboutBest Western Permit 500006 05 16 13.jh.pdfN.C. Department of Etwironment. mid Natural Resources
MvWon ofEwinturental Health
PUBLIC SWIMMING POOL
OPERATION PERMIT
'Ex&LjUq Faciala
Idenfification, Number .7 0 1 8 5 0 0 0 0 6
Old Facility ID, (required if
Transitional)
Timelw 0 9 ' 3 , Elam Time Out 0 9 3 �'3m *Date Issued 0 5 / 1 6 / a 0 1 3
Totat Time- 1 minute *Status Code: A
Please use R[fl[flR]Ufl E]g] [2 E]K][]gj UM letters when filling in item s with boxes
Pennission is granted to:
0 JIWTIIWUMMIRZ�k ff
Owner or Operator of
B E S T W E S T E R N
Name of Public Swimming Pool
to operate apublic swimming pool as defined in GS. 130A-280 and 15A NCAC 18A .2500 at
A ddre SS 1 5 a 0 1 3, T H A V D R S E
CjtY H I C K 0 R Y ST N C z�p a 8 6 0 a
Coo n ty Catawba
1 NNNWWadin"g"Po I Seasonal Sp. �
Seasonal
Water Supply:
Territory #-
1654
ES I. D.
1- 1 -Community
01
-Expiration Date: 1 0 / 3 1
Rematirs
#
Waste Water System: 1-1 - Community
Signed Agent
N, C, Departmenof EnN
Divisim of Etmir=
N.C. Department of Fmhronmrnt and Natural Resources 2018500006
Eh -A si o ri o f Frivi rournent-al Health Identification flumb ef
05/16/2013
PUBLIC SWIMMING POOL Date Issued
OPERATION PERMIT Status Code: A
Permission is granted to HAMPTON INN of BEST WESTERN
Owner or Operator Name oaf Pij—b;Tc,7wunjnjng Pool
to operate a pub lie swimming pool as defined in G.S. 130A-280 and 15ANCAC 18A. 0 t
Ty pe of Pool: (check onJT Swinming Pool
Wading pool
Spa
Other (describe)
Signed: -- Agent
14, C, Deg artnimit of - i u ti so 8
)q D!Mv6!�ion V En ea
Expiration Date: 10,/31/20113
IRMIAHROM
purp()Se: Generat Statute t30A-281 state: "Yo public switumitV pool imkv be openedfor usze unt Ks the 0%%er or operator ha : obtained
an �,)poratloa petuart Mucd by the Dopattment". General Statute, 130A-282 roqutroo the Cornmi sncii for Health Sorvlcoq to
4,40pt roles, indcl4t"s reqVivemeoM for apph(ahon rovi�w, mp' iratton., reu �w -i, and vevo o, at ooor qu.� pta,6 oti of an op crati oh-
leemia. Those rule: are contained in 13.E NCAC 18A, 2500,
This E"=l is to b� rase As t1w P-=It cled alpove ,
PrepaTstion: Local ervvironrnmtal health szpeQiali;ts $hall issue a pertnit every time a new or rersauerl pe xait is indkatmi. Preparc an
origiriat aacl one co-py for:
1, Original given to pool o-iner or operator.
2, Copy for the local health department
In the eventthe perrait(transitional permit is guspearded orrevoked, cornplete, the Su qpengiordRevo cation form (DEUR
4009B),
Di-qpoeition: This foam may be destroyed in accordance vAtli Standard 8,B,&,Jrisp&ctioti Records, of the &,rorcjo aoPontion schodu/s.
published-bytheITC. Division of`Archiveg and I-1istorf,
Ad&bonal forrns may be ordered fromDivision of Environmental Health
1632 Mail Set-jice Center
Raleigh, ITC 27699-1632
(Courier 52-01-00)
DRAR 3062 (R wised 7/0 5)
Ewnraunerrtal Health Samces Sedioa(RviewUS)