HomeMy WebLinkAbout660 ROLLAND MOORE DR - CORRESPONDENCE - 3/14/2013STAT 3cR 8
Bill Owens, Governor
Douglas H. Benevento, Executive Director
Dedicated to protecting and improving the health and environment of the people of Colorado
4300 Cherry Creek Dr. S. Laboratory Services Division
Denver, Colorado 80246-1530 8100 Lowry Blvd. '�76 ♦ "t
Phone (303) 692-2000 Denver, Colorado 80230-6928
TDD Line (303) 691-7700 (303) 692-3090 Colorado Department
Located in Glendale, Colorado of public Health
http://www.cdpho.state.co.us and Environment
NOTE: Although Appendix A is not part of the official Regulations Pertaining to Swimming Pools and Mineral Baths,
5 CCR 1005-3, as adopted by the State Board of Health and published in the Code of Colorado Regulations, it is
included for the convenience of the user in this unofficial version of the regulations published by the department.
APPENDIX A
REQUEST FOR DESIGN REVIEW
Date: i 4 1 3
Name of Pool: T E Ga-ovc ARAa—TM
Phone:
Address: o of NA
o r-T G0. . ,C.
e® /a
Name of Owner: , p , > r—.,-,
e Fo , r G via n+ a
LL Phone: qyll.-zi
Address: Lr o e R-E, r..., "4 4 S,,
iq
Z 957-11I
NameofBuilder: I t4,cq C„ ,
oo,., — C-
Phone: 2 - Zf. s�
Address: ro33o S C,w_er-r. E
r�>� Cow,,a cn
Soszr
General Information:
Length: a;-
t- 0
Construction: ';Nov- C.4.6ss_
Capacity Ssr 681 gals.
.Spa/Hottub:
Capacity "/a gals.
Width: 4 0 - o
DEPTH Minimum: o' -4
Surface Area 23oB sq. ft.
Surface Area ti a sq. ft.
Shape: Far�Fon.�.
Maximum: 4I_ o it
Bather Load
Construction
0
Decks: d
p
Size: �300 Construction �,,tirn (,r,..,ceG,�inish WA AM1eo,.. Slope r/t) P&A- Foos
Drains provided? No Type Loceffn ",4-mac..
Hose bibs provided? qds Fencing (describe) Bj-A..w 6,.a .,Nv, 0,t +A �'4, l u-ro �A-rt tc 4AnC4
Depth Markers Provided: Pool wall` c Deck Ge Letter size 4
Water Supply: Avr% Ft�t,
Source: FiH-Spouts: Location: nnrwwr� a4p%. Slope w b
Air gap provided on fill spout? b4uv—F,ow
Waste disposal:
Backwash water to sanitary sewer It- s Indirect Connection: ` /->
Sightglass provided? I ,-s
Other?
Location rAEt, g A..rr,�
Page 2
Equipment:
Main Drain:
Number: Size: 32
Pipe Size: 3" Grating:
Skimmers: One per 500 sq. ft. of surface area. Minimum of two. Number L Size: z` 6v�
Make: PgwrA 4- Model: LA - 3 Equalizer line provided?
Overflow gutters (if used): Surge tank provided? NIA, Outlet pipe Size 14.1A
Distance between outlets AM'4 Make 44 Model—�
Inlets: Number 1-+ f-I Discharge depth 2 d Distance between inlets 1 s
Pumps:
Pool
Make
Model
HP
Capacity GPM 60Tdh
Wadi
S
Other 4 x)
1£,.+Trt,n—
w C. c, P^\.
Filters:
Pool
Make
Model
HP
Capacity m
SpaLIAWM
Flow gauge provided:
Located: P1-65.5JAC, S,46 oc (2,,,a
Pressure gauge(s) provided; 4r, i. Suction cleaning provided:
Heater:
Pool
Make
Model
HP
BTU
S a u
Other
Electrical GFI `s: Mechanical room
I
Bath/dressing rooms Pool Complex
Page 3 01301138
Disinfection System:
r
Chlorine Bromine Other x Grating
Equipment: Make: ,w�,. Model: CC ff o Type Gas Erosion .+ a Hypo
Gas System: Separate room N e. 1-foot window indoor Gas mask
Exhaust vent within 6 inches of floor level Intake located near ceiling
Exhaust fan automatically activated:
How?
Leakage test kit Safety brackets ---� -
Hypo systems: Regulator provided Backflow/back siphonage features
Other Equipment;
Horizontal
Diving boards: Number A Water depth N/A Board Height 01
^ Headroom 4ASeparation—AA
Lights: Number Make P"-J,&Model ow Watts S'oow
Ladders provided .'tli A Location A --ILA Steps ti b
Lifesaving equipment Y E5 -- Sro*. .a d.,Z% Safety line U14
Other:
Sathouse Facilities —
Floors Construction
Showers
I Toilet rooms
Dressing rooms
Walls Construci
K
c
Ceilings Constrotn
P.4
QZ�
Drainage
r,N
aN bVentilation
vixtures:
Male Showers Toilet rooms Dressing rooms
Female I N A rho..- -J Q
Turnoverrates: Pool I9z..4PMCa6ii NadingPeeF—
Spa/ Other'
Hot tub
Additional
Comments: