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Introduction & Checklist

The intent of this application is to provide information in addition to the plans regarding the operational procedures of the facility.
Rules Governing Swimming Pools (15A NCAC 18A .2500) require that plans be submitted for approval prior to construction. Plans must be submitted with the necessary paperwork (see following checklist) to the Richmond County Health Department.
Submittal Checklist
1. A set of plans for review must be submitted. Plans shall be drawn to scale. All prints and drawings shall be a minimum of 18 x 24 inches and a maximum size of 36 by 42 inches.
2. Plan and sectional view dimensions of both the pool and the area enclosed by the barrier fences to include the bathhouse and the equipment room and pool accessories.
3. Specifications of all treatment equipment used and their layout in the equipment room.
4. A piping schematic showing piping, pipe size, inlets, main drains, skimmers, gutter outlets, vacuum fittings and all other appurtenances connected to the pool-piping system.
5. Layout of the chemical storage room.
6. Specifications for the water supply and wastewater disposal systems.
7. This department shall approve, disapprove or provide written comments on plans and specifications for public swimming pools within 30 days of their receipt.
8. If such action is not taken within 30 days, the plans and specifications are deemed approved. If construction is not initiated within one year from the date of approval, the approval is void.
9. The swimming pool contractor shall contact the local health department when pool pipes are in place and visible so that the local health department may conduct an open-pipe inspection of pool piping.
10. Upon completion of construction, the contractor shall notify the local health department and the owner.
11. The contractor shall provide the owner with a complete set of drawings showing as built the location of all pipes and connections of all equipment and written operating instructions for all equipment.
12. The owner shall submit to the health department a statement signed by a registered design professional stating that construction is complete and in accordance with approved plans and specifications.
Establishment Plans
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Project Information & Contacts

Restrooms & Showers

Number of Fixtures Provided - Showers
Number of Fixtures Provided - Lavatories
Number of Fixtures Provided - Toilets
Number of Fixtures Provided - Urinals
Are benches or room provided for dressing?
1. Yes
2. No
Does the pool deck enclosure have showers?
1. Yes
2. No
Where do showers drain?
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Chemical & Equipment Room

Calculations

Pool Perimeter
Surface Area
Volume
Flow Rate
Turnover Rate
Bather Load
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Acknowledgement & Signature

Acknowledgement*
I hereby certify that the information in this application is correct, and I understand that any deviation without prior approval from this Health Regulatory Office may nullify plan approval.
1. I understand.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Owner Electronic Signature*
Date*
Date

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Swimming Pool Plan Review Application

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Introduction & Checklist

Project Information & Contacts

Restrooms & Showers

Chemical & Equipment Room

Calculations

Acknowledgement & Signature

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