Application for Public Swimming Pool Operation Permit

Pool Information

Name of public swimming pool:(Required)

Street Address of pool location:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Type of public swimming pool:(Required)

Swimming pool

Wading pool

Spa

Other

If Other, please describe

Date constructed or remodeled:

Before May 1, 1993

May 1, 1993 or later

Dates of operation:(Required)

Opening date

Dates of operation:(Required)

Closing date

Hours of operation:(Required)

Opening date

Hours of operation:(Required)

Closing date

Owner Information

Name of owner:(Required)

First Last

Mailing Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Person:(Required)

First Last

Phone:(Required)

Email:(Required)

Operator (On-Site Manager) Information

Name of pool operator:(Required)

First Last

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone:(Required)

Email:(Required)

Pool operator trained by:(Required)

First Last

Certification Number:(Required)

Each application must include payment of $100

Application Submitted By:

Owner or operator Signature:(Required)

Printed Name:(Required)

First Last

Date:(Required)

Comments are closed.

County Administration
Phone: 828-488-9273

Board of Elections
Phone: 828-488-6177

Building & Grounds
Phone: 828-488-9273 ext 2253

Building Inspections
Phone: 828-488-9273 ext 2268

Clerk of Court
Phone: 828-488-7400

Co-Op Extension Office
Phone: 828-488-3848

Health Department
Phone: 828-488-3198 x2002

Department of Social Services
Phone: 828-488-6921

See all Department Contacts here.

Application for Public Swimming Pool Operation Permit