Residential Swimming Pool Excavation Approval

Applicant Information

Name Address Phone Email

Property Details

Property Address Lot/Block Parcel Number

Pool Details

Type (In-ground/Above-ground) Dimensions (L x W x D) Excavation Depth Estimated Start Date Estimated Completion Date

Contractor Information

Company Name License Number Contact Person Phone

Compliance Checklist

Requirement	Compliant	Comments
Setback Requirements Met
Fencing and Barriers Planned
Utility Lines Located
Erosion Control Measures

Approval

Reviewer Name Date of Approval Signature