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From: "Linda Zacharenko" <Lindaz@peqtwp.org>
To: <sharonb@peqtwp.org>
Subject: pool application 2
Date: Tue, 13 Jan 2009 15:53:32 -0500
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TOWNSHIP OF PEQUANNOCK
CONSTRUCTION DEPARTMENT
530 Newark Pompton Turnpike					973-835-5700 x 182
Pompton Plains, New Jersey 07444-1799			973-835-9396
Application for Private Swimming Pool Construction=20
To expedite your application for the construction of a private swimming =
pool, please complete this form and submit it along with the building =
permit application.

Owner in Fee ____________________________________Date___________________
Property Address =
________________________________________________________
Phone (____)____________________________________ Fax =
(____)_______________=20
Block __________ 	Lot _____________	Qualification Code ________________
Contractor=92s Name and Address ________________________________________
1. Lot area?_________ Total proposed impervious surfaces(incl. =
pool)________=20
2. Distance of pool from property lines?   Front______ Rear______ =
Side______
3. Distance of pool wall from all =
buildings?______________________________
4. Distance of pool walkway/patio from house?___________________________
5. Dimensions of pool? ____________  Capacity in gallons? ____________
6. Depth of pool?  Deep end_________  Shallow end_________=20
7. Highest point of pool above current finished grade? _________________
8. Are you using the excavated soil onsite or disposing of it? =
____________
( If soil is to be kept onsite or if the patio is within ten feet of the =
house, a  grading plan will be required.)
9. Are you using concrete or pavers around the =
pool?______________________
10. Are you using a new or existing fence for the pool barrier? =
_____________=20
11. If an existing fence is to be used, is it located within the =
boundaries of the
    applicant=92s property? _________               =20
12. Description of the existing fence: =
___________________________________
13.  Location and distance to property lines of pool equipment? =
____________
14. Type of filter? ___________________Type of disinfection? =
____________
15. Water supply? ___________________ Sewer or Septic__________________
16. If the property is served by a septic system, what is the distance =
of the pool to the nearest component? _________________Is the septic =
system shown on the plot plan?______________________
Signature of Applicant____________________________________

Health Officer Approved ____________           Zoning Officer =
Approved_____________
 =20


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<h2 align=3Dcenter style=3D'text-align:center'><font size=3D5 =
face=3DBaskerville><span
style=3D'font-size:18.0pt'><o:p>&nbsp;</o:p></span></font></h2>

<h2 align=3Dcenter style=3D'text-align:center'><st1:place =
w:st=3D"on"><st1:PlaceType
 w:st=3D"on"><font size=3D5 face=3DBaskerville><span =
style=3D'font-size:18.0pt'>TOWNSHIP</span></font></st1:PlaceType><font
 size=3D5><span style=3D'font-size:18.0pt'> OF <st1:PlaceName =
w:st=3D"on">PEQUANNOCK</st1:PlaceName></span></font></st1:place><font
size=3D5><span style=3D'font-size:18.0pt'><o:p></o:p></span></font></h2>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><font =
size=3D4
face=3D"Times New Roman"><span style=3D'font-size:14.0pt'>CONSTRUCTION =
DEPARTMENT<o:p></o:p></span></font></p>

<p class=3DMsoNormal =
style=3D'margin-left:42.0pt;text-indent:-24.0pt;mso-list:l0 level1 lfo1;
tab-stops:list 42.0pt'><![if !supportLists]><font size=3D3 face=3D"Times =
New Roman"><span
style=3D'font-size:12.0pt'><span style=3D'mso-list:Ignore'>530<font =
size=3D1
face=3D"Times New Roman"><span style=3D'font:7.0pt "Times New =
Roman"'>&nbsp;&nbsp;&nbsp;
</span></font></span></span></font><![endif]><st1:place =
w:st=3D"on"><st1:City
 w:st=3D"on">Newark</st1:City></st1:place> Pompton Turnpike<span
style=3D'mso-tab-count:5'>=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=
=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=
=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0 </span>973-835-5700
x 182</p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><st1:place =
w:st=3D"on"><st1:City
 w:st=3D"on"><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt'>Pompton
  Plains</span></font></st1:City>, <st1:State w:st=3D"on">New =
Jersey</st1:State> <st1:PostalCode
 w:st=3D"on">07444-1799</st1:PostalCode></st1:place><span =
style=3D'mso-tab-count:
3'>=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=
=A0 </span>973-835-9396</p>

<h5 align=3Dcenter style=3D'text-align:center'><b =
style=3D'mso-bidi-font-weight:normal'><i><u><font
size=3D4 face=3D"Times New Roman"><span =
style=3D'font-size:14.0pt;mso-bidi-font-weight:
normal'>Application for Private Swimming Pool Construction =
<o:p></o:p></span></font></u></i></b></h5>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><i =
style=3D'mso-bidi-font-style:
normal'><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;
font-style:italic;mso-bidi-font-style:normal'>To expedite your =
application for
the construction of a private swimming pool, please complete this form =
and
submit it along with the building permit =
application.<o:p></o:p></span></font></i></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><i =
style=3D'mso-bidi-font-style:
normal'><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;
font-style:italic;mso-bidi-font-style:normal'><o:p>&nbsp;</o:p></span></f=
ont></i></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold'>Owner in Fee =
____________________________________Date___________________<o:p></o:p></s=
pan></font></b></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold'>Property Address =
________________________________________________________<o:p></o:p></span=
></font></b></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold'>Phone (____<span =
class=3DGramE>)_</span>___________________________________
Fax (____)_______________ <o:p></o:p></span></font></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.25in;line-height:150%'><b><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold'>Block __________ <span =
style=3D'mso-tab-count:1'>=A0=A0=A0 </span><st1:place
w:st=3D"on">Lot</st1:place> _____________<span =
style=3D'mso-tab-count:1'>=A0=A0 </span>Qualification
Code ________________<o:p></o:p></span></font></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.25in;line-height:150%'><b><font size=3D3
face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold'>Contractor=92s Name and Address =
________________________________________<o:p></o:p></span></font></b></p>=


<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>1. Lot area<span =
class=3DGramE>?_</span>________
Total proposed impervious surfaces(incl. pool)________ =
<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>2. Distance of pool from property
lines?<span style=3D'mso-spacerun:yes'>=A0=A0 </span>Front______ =
Rear______
Side______<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>3. Distance of pool wall from all =
buildings<span
class=3DGramE>?_</span>_____________________________<o:p></o:p></span></f=
ont></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>4. Distance of pool walkway/patio =
from
house<span =
class=3DGramE>?_</span>__________________________<o:p></o:p></span></font=
></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>5. Dimensions of pool? =
___________<span
class=3DGramE>_<span style=3D'mso-spacerun:yes'>=A0 =
</span>Capacity</span> in
gallons? ____________<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>6. Depth of pool?<span
style=3D'mso-spacerun:yes'>=A0 </span>Deep end________<span =
class=3DGramE>_<span
style=3D'mso-spacerun:yes'>=A0 </span>Shallow</span> end_________ =
<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>7. Highest point of pool above =
current
finished grade? _________________<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>8. Are you using the excavated soil =
onsite
or disposing of it? ____________<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'mso-margin-top-alt:0in;margin-right:.5in;margin-bottom:
0in;margin-left:9.0pt;margin-bottom:.0001pt;line-height:150%'><span
class=3DGramE><b><i><font size=3D2 face=3D"Times New Roman"><span =
style=3D'font-size:
11.0pt;line-height:150%;font-weight:bold;font-style:italic'>( =
If</span></font></i></b></span><b><i><font
size=3D2><span =
style=3D'font-size:11.0pt;line-height:150%;font-weight:bold;
font-style:italic'> soil is to be kept onsite or if the patio is within =
ten
feet of the house, a <span style=3D'mso-spacerun:yes'>=A0</span>grading =
plan will
be required.)<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>9. Are you using concrete or pavers =
around
the pool<span =
class=3DGramE>?_</span>_____________________<o:p></o:p></span></font></i>=
</b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>10. Are you using a new or existing =
fence
for the pool barrier? _____________ =
<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>11. If an existing fence is to be =
used, is
it located within the boundaries of =
the<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'><span =
style=3D'mso-spacerun:yes'>=A0=A0=A0 </span><span
class=3DGramE>applicant=92s</span> property? _________<span
style=3D'mso-spacerun:yes'>=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0 =
</span><o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>12. Description of the existing =
fence:
___________________________________<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>13.<span =
style=3D'mso-spacerun:yes'>=A0
</span>Location and distance to property lines of pool equipment? =
____________<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>14. Type of filter? <span =
class=3DGramE>___________________Type
of disinfection?</span> =
____________<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>15. Water supply? =
___________________ Sewer
or Septic__________________<o:p></o:p></span></font></i></b></p>

<p class=3DMsoNormal =
style=3D'margin-right:.5in;line-height:150%'><b><i><font
size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:12.0pt;line-height:150%;
font-weight:bold;font-style:italic'>16. If the property is served by a =
septic
system, what is the distance of the pool to the nearest component?
_________________Is the septic system shown on the plot plan<span =
class=3DGramE>?_</span>_____________________<o:p></o:p></span></font></i>=
</b></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'>Signature of =
Applicant____________________________________</span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'>Health Officer Approved ____________ <span
style=3D'mso-spacerun:yes'>=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0</span>Zoning =
Officer Approved_____________</span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><span style=3D'mso-spacerun:yes'>=A0 </span></span></font></p>

<p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
style=3D'font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

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