Private Swimming Pool Application - City Of Walker Form

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CITY OF WALKER
PRIVATE SWIMMING POOL APPLICATION
NOTE: This form must be submitted by the applicant, as well as a site plan indicating the location of the
proposed pool in relation to adjacent lot lines, buildings, driveways, and septic tank systems.
_____________________________________________
Name of Owner________________________________________________Telephone ____________________
Address___________________________________________________________________________________
(Number)
(Street)
(City)
(Zip)
GENERAL INFORMATION
Pool Locations:
( ) Above Ground
( ) Below Ground
Construction: ( ) Cement
( ) Metal
( ) Plastic
( ) Other_______________________________________
Length____________Width____________Minimum Depth____________Maximum Depth _________________
Volume_____________________________gal. Surface Area ________________________________________
Number of: Bottom Drains_______________Skimmers______________Return Inlets_____________________
Ladders____________________Steps_________________Diving Boards ____________________
Source of Water Supply: ( ) Public
( ) Private Well
Method of Pool Water Disposal: ( ) Public Sanitary Sewer
( ) Storm Drain
( ) Drain to Ground Surface
WATER TREATMENT EQUIPMENT
Pump Size___________________________hp. Pump Capacity_______________________________gal./min.
Type of Filter:
( ) Sand
( ) Diatomaceous Earth
( ) Cartridge
Filter Area____________________________sq. ft. Max. Capacity of Filter_______________________gal./min.
Type of Disinfectant:
( ) Chlorine
( ) Bromine
( ) Other __________________
Method of Dispensing Disinfectant: ( ) Pump
( ) Erosion Feeder
( ) Hand
RECIRCULATION INFORMATION
Flow Rate, Recirculation System__________________gal./min. x 60 = __________________________gal./hr.
Pool Volume,
gal.
Flow Rate,
gal./hr. = _____________________________________hrs.(Turnover Rate)
Flow Rate,
gal./min.
Filter Area,
= _______________________________gal./sq.ft./min. (Filter Load)
SAFETY DEVICES AND EQUIPMENT
Type of Pool Enclosure or Protective Device:
( ) Fence
( ) Hedge
( ) Spring Loaded Ladder
( ) Alarm
Height of Pool enclosure or Protective Device _____________________________________________________

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