HomeMy WebLinkAboutBaymont Pool Permit 500098 05 27 14.gk.pdfN.C. Department ofluvironment and Natural Resources
Di"4on, of Environmental ReaM
PUBLIC SWINMING POO
OPERATION PERMIT I
Time In: 0 8 ' 3 0 am Time Out: 9 : 1 1 R�am
PM - _[]PM
Total Time 41 minutes
Pennission is granted to:
B A Y M 0 N T I N N
0 to nor or Operator of
B A Y M 0 N T I N N
idtatificafien NbmbeT 2 0 1 8 5 0 0 0 9 8
Name of Public Stvirriming Pool
to operate a public swimming pool as defined in G.S. 13OA-280 and 15A NCAC 18A .2500 at
Address 1 1 .2 0 1 3 T H A V E D R S E
C jty H I C K 0 R Y ST N C zjp D 8 6 0 D
County Catawba
Type of Pool: (check ono Swimming Pool - Seasonal
Wading Pool -Seasonal
ESpa - Seasonal
WaterSupply, 1-1 -Community
Swimming Pool- Year Roun
Wading Pool - Year Round
—Spa -Year Round I
Waste Water System: 1-1 -Community
EHS, I.D.# 1655 Signed vA_tA, & Agent
Deparument of Ewvironment &nd'Natural Re.warc
Division of Enxironrnental Health
*Expiration Date: 0 9 / 3 0 / 2 0 1 4
Remaiks
De-partment ofEnvi-amne,,nt and Nawral Resaurces
Di-visicnofEnv,rznnienrzl Health
BAYMONT INN
Pennission is granted to
Owner or Operaror
2018500098
Identification Nwnter
05/27/2014
Date Issued
Status Cad-: A
of BAYMUNT INN
A'ap'ne qfPtzb[ic S�vim wing Pool
to operate a public sm-iniming pool as defined in Gx& 130A-280 and 15A NCAC 18A .2500 at
M w
N
Type of Pool: (check onO T Swinimilm Pool
Wading pool
Spa
Other (describe)
Signe& Agent
N.C, Department of Ii,truent and 4tural Rtsources
Di,-,isim of Emiftnurettat Health
Expiratj(xaDatc� 09/30/2014
9=
BOMKGI
Purpose: General Statute MA-281 states "Nw public sv6hnming pool may Lye openedfor us e unl -.ss the ovmer or operixer has otxamned
anoperation permit issued by the, Depmunent". General Statute 130A-I82 requires the Cctrrai ssion for Health Senices to
a&pt rules including r.quirera-mts for applicahon review, expiration, rtnewal, andrevoc-alion or suspension of an opffafing
pennit These rules arr,cottained, in 15A NCAC UA,15M)
This forra :s to he arced as the perrait specified above
prcpaxatio-a_ Local en-6r<nimmtnI hzalthspcciallsts shall issue apcnnit circry 6MC aflVIT Or fCi5$UC4PC1Mit is in'AiCA70d'. PrCParCafl
original and one copy for-,
1. Original, given to pool 0"'Mer or ciperatox,
2.. Con, for the local health department.
In the _-vert the permiftransitional perttit is suspended or rtvokM7 complete the SuspensronRevocatroi fo-mi kDF-INR
401,qB).
Disposition: This form ampule destroyed in accordance with Standard 83 .6., Inspection Records, of. the Record: asinon Schedule
pulb-I ish c d 'a-
y the N.C_ Divisiion 4Archivcs and Illstonr_
Additional forms may be or ell from Dili sion of Environmental Health
1632 'Nlail Service Centef
FA eighA NC 27699-1632
(Courier _5 2 -01 -00)
DEN R 3962 (lKevised 7,05)
Emironmental Health Services Section (Revitw T'OB)