Public Swimming Pool Data Sheet
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10 NC Department of Environment , Health , and Natural Resources Division of Environmental Health PUBLIC SWIMMING POOL DATA SHEET Name of Pool ______________________________________________________________________________ Location __________________________________________________________________________________ Pool Contractor ______________________________________ Date of Construction ____________________ 1 Pool dimensions ______________________ 6 Equipment Room Pool volume _________________________ _____ Weatherproof building Surface area _________________________ _____ Well ventilated Bather load __________________________ _____ Sanitary sewer fl Drain _____ Fl ¼ " slope to drain 2 Pool Structure Ceiling height _____ ft _____ Fiberglass _____ Concrete _____ Gunite _____ Rounded corners 7 Chemical Storage Area _____ Other specify __________________ _____ Dry _____ Ventilated Number of Main Drains ______________ 8 Circulation Pump Size of grate ________________________ Make __________________________________ ______ Anti - vortex Model _______________ HP ______________ Number of Returns Inlets ____________ In wall ______ In floor ______ 9 Filter Size of pipe _______________________ _____ Sand _____ DE _____ Cartridge Number of Skimmers _________________ Make ______________________________ Overflow gutters Model # ____________________________ Number of Outlet Drains ___________ Circulation rate GPM _________________ ________ Hair and lint catcher Backwash rate GPM _________________ _____ Pressure gauge 3 Fill Spout _____ Sight glass Location ___________________________ _____ Flow meter Size of pipe _________________________ _____ Air relief valve Other method ________________________ _____ Pool heater Back - flow prevention __________________ Turnover rate hours __________________ Source of water ______________________ 10 Automatic Chemical Feed 4 Deck Type ___________________________ Type ______________ Make ______________ Finish ________________________________ Model # _______________________________ Minimum width _________________________ Automatic soda ash feed Slope ________________________________ Type _______________________________ ____ Deck drains ____ Diving boards _____ Overflow type _____ Surge tank ____ Hose bib ____ Depth markers Number of ladders _____________________ 11 Bathhouse Toilet Room Number of stairways ____________________ _____ Number of toilets , female _____ Outside rinse showers _____ Number of toilets , male _____ Number of urinals 5 Safety Equipment _____ Lavatories _____ Showers _____ Underwater lights _____ Fl Drain to sanitary sewer _____ Deck lights _____ Non - skid floor finish _____ Ring buoy w rope _____ Floating life line 12 Wastewater Disposal _____ Shepherd's crook Sewage to _____________________________ _____ Spa timer Pool overflow & backwash water to _____ Telephone ______________________________________ FORM COMPLETED BY __________________________________________ _______________________________________ Title Date Name Page