HomeMy WebLinkAboutStation Pointe 12/31/2017c,racr r, Commonwealth of Massachusetts
ter? ry
Town of Mansfield
{, Board of Health
Permit to Operate a Swimming Pool
PERMIT NUMBER
PERMIT EXPIRES:
Person Certified MORRIS D. BARKLEY
Pool/SPA Certification Date: April 28, 2016
Pool/SPA Certification Expires: April 28, 2021
Person Certified:
Pool/SPA Certification Date:
Pool/Spa Certification Expires:
5
December 31, 2017
Town of Mansfield
6 Park Row
Mansfield, MA 02048
In accordance with the provisions of Chapter 111. Section 127A of the Massachusetts
General Law, and Regulations established by the Massachusetts Department of Public
Health (105 CMR 435.00), permit is hereby issued to:
STATION POINTE (BEACON PROPERTIES)
for the operation of a ❑ Public
Method of water treatment is
Bathing load not to exceed:
W Semi -Public
located at:
9 FRANCIS AVENUE
CHLORINE TABLETS
54 bathers
❑ Special Purpose Pool
Number of Lifeguards required at all times the pool is open is.
"NO LIFEGUARD ON DUTY" sign is required.
.filmy Donovan-PaCmer, Heaah Agent
None
t
Date Is—sued ---
V$
E C E I
U
MAY 2 5 2"it
'wn of Mansfield
Town of Mansfield - Board of Hea1th6 Park Row
Mansfield, MA 02048
Swimming a®l Application
NAME OF OWNER: Station Pointe (Beacon
Properties)
ADDRESS: 9 Francis Avenue
CITY: Mansfield
STATE: MA ZIP:
TELEPHONE: 508.339.4178
U %4110:5
FAX:
EMAIL:
lhealey@BeaconCommunitiesLLC.com
FED ID/SS NO -
(SA ti401
� 3qto-o
Certification Expires Every 5 Years.
Permit Exoires December 31st Yearly
PERSON CERTIFIED: Morris Barkley
Pool/SPA Certification Date: 4.28.16
Pool/SPA Certification Expires:
4.28.2021
PERSON CERTIFIED:
POOL/SPA Certification Date:
Pool/SPA Certification Expires:
certification rernarks(if necessary):
REMARKS:
"NO LIFEGUARD ON DUTY" sign is required.
0
POOL X
POOL LOCATION:
9 Francis Avenue
TYPE/POOL: Pool 2
LENGTH: 40'
VOLUME: 24,000
MINIMAX DEPTH:3'-5'
PERMIT NUMBER
FEE: $125
Public
OPERATION: Sem i -Pu bl ic
SWIM AREA:800
WATER SOURCE: Town
W1W DISPOSAL: Town Sewer
TYPE OF FINISH: Vinyl
SCUM GUTTER:NA
DECK TYPE: concrete
SKMMR WEIR LENGTH: None
TREATMENT SYSTEM: Sand
Special Purpose Pool
WIDTH: 20'
DIVE AREA: NA
DISINFECT METHOD: Chlorine tablets
CHEMICAL TREATMENT: feeder
NUMBER OF BATHERS: 54
SIGNATURE: (����� DATE:
Jane Doucette
From:
Lee Healey<Ihealey@BeaconCommunitiesLLC.com>
Sent:
Thursday, July 06, 2017 6:36 PM
To:
Jane Doucette
Subject:
Automatic reply: Pool Permit
Thank you for your e-mail. Please note I will be out of the office beginning June 30th, 2017 with no access to e-
mail. I will return all messages when I return on July 10th, 2017. If you are a resident and need immediate
assistance, please call the Leasing Office at 508-339-4178.
Thank you,
Lee Healey
PROPERTY MANAGER, STATION POINTE
9 Francis Avenue, Mansfield, MA 02048
P: 508.339.4178 F: 508.339.4179
www.stationPointeBC.com
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I
Commonwealth of Massachusetts
Town of Mansfield
Town of Mansfield 6 Park Row
Mansfield, MA 02048
Board of Health
Permit to Operate a Swimming Pool
PERMIT NUMBER
PERMIT EXPIRES:
Person Certified: MORRIS D. BARKLEY
Pool/SPA Certification Date: April 28, 2016
Pool/SPA Certification Expires: April 28, 2021
Person Certified:
Pool/SPA Certification Date:
Pool/Spa Certification Expires:
6
December 31, 2017
In accordance with the provisions of Chapter 111. Section 127A of the Massachusetts
General Law, and Regulations established by the Massachusetts Department of Public
Health (105 CMR 435.00), permit is hereby issued to:
STATION POINTE (BEACON PROPERTIES)
for the operation of a ❑ Public [V—] Semi -Public ❑ Special Purpose Pool
located at:
9 FRANCIS AVENUE
Method of water treatment is CHLORINE TABLETS
Bathing load not to exceed: 71 bathers
Number of Lifeguards required at all times the pool is open is: None
"NO LIFEGUARD ON DUTY" sign is required.
Amy Donovan-PaCmer, Heaah Agent
Date Issued
Swimming is tion
NAME OF OWNER: Station Pointe (Beacon
Properties)
ADDRESS: 9 Francis Avenue
CITY: Mansfield
STATE: MA ZIP:
TELEPHONE: 508.339.4178
FAX:
EMAIL:
Ihealey@B eaconCommunitiesl-LC.com
FED
ID/SS NO'.
Certification Expires Every 5 Years.
Permit Expires December 31st Yearly
PERSON CERTIFIED: Morris Barkley
POOI/SPA Certification Date: 4.28.16
Pool/SPA Certification Expires:
4.28.2021
PERSON CERTIFIED:
Pool/SPA Certification Date:
Pool/SPA Certification Expires:
certification remarks(if necessary):
REMARKS:
"NO LIFEGUARD ON DUTY" sign is required.
POOL X
POOL LOCATION:
9 Francis Avenue
TYPE/POOL: Pool 1
LENGTH: 48'
VOLUME:
MIN/MAX DEPTH:3'-8'
ECA -
MAY
e- M i d -
( Row
Mansfield, MA 02048
PERMIT NUMBER l
FEE: $125
F1 Public
OPERATION: Sem i -Public
C7 Special Purpose Pool
WIDTH: 24'
SWIM AREA: 1152 DIVE AREA: NA
WATER SOURCE: Town
W/W DISPOSAL: Town Sewer
TYPE OF FINISH: Vinyl
SCUM GUTTER:NA
DECK TYPE: concrete
SKMMR WEIR LENGTH: None
TREATMENT SYSTEM: Sand
DISINFECT METHOD: Chlorine tablets
CHEMICAL TREATMENT: feeder
NUMBER OF BATHERS: 71
SIGNATURE: C'C 5 DATE:�2
z
Town of Mansfield
Town of Mansfield - Board of Health 6 Park Row
Mansfield, MA 02048
Swimming Pool Application PERMIT NUMBER 6
FEE: $125
NAME OF OWNER: STATION POINTE (BEACON PROPERTIES)
ADDRESS: 9 FRANCIS AVENUE
CITY: MANSFIELD
STATE: MA ZIP: 02048
TELEPHONE: (508) 339-6945
FAX:
EMAIL: Ihealey@BeaconCommunitiesLLC.com
FED ID/SS NO: 47-2118760
Certification Expires Every 5 Years.
Permit Expires December 31st Yearly.
PERSON CERTIFIED: MORRIS D. BARKLEY
Pool/SPA Certification Date: 4/28/2016
Pool/SPA Certification Expires: 4/28/2021
PERSON CERTIFIED:
Pool/SPA Certification Date:
Pool/SPA Certification Expires:
certification remarks(if necessary):
USA POOLS OF MA (877) 248-1872
REMARKS: "NO LIFEGUARD ON DUTY" sign is required.
NO LIFEGUARD ON DUTY" SIGN IS REQUIRED
SIGNATURE:
❑ Public
POOL OPERATION: Semi -Public
Special Purpose Pool
POOL LOCATION: 9 FRANCIS AVENUE
TYPE/POOL: SEMI-PUBLIC
LENGTH: 48' WIDTH: 24'
VOLUME: 34,957 GALLONS
MIN/MAX DEPTH: T-8'
SWIM AREA: 1152 SQ. FT. DIVE AREA: N/A
WATER SOURCE: TOWN
W/W DISPOSAL: TOWN
TYPE OF FINISH: VINYL
SCUM GUTTER: N/A
DECK TYPE: CONCRETE
SKMMR WEIR LENGTH: NONE
TREATMENT SYSTEM: SAND
DISINFECT METHOD: CHLORINE TABLETS
CHEMICAL TREATMENT: FEEDER
NUMBER OF BATHERS: 71
DATE:
Please make appropriate changes. Sign, date and enclose check payable to Town of Mansfield. Mail to: Board of
Health, Town of Mansfield, Six Park Row, Mansfield, MA 02048.
REGULATION
NO. THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE
- -�
X!✓
34
Closure of the pool. POOL MUST BE CLOSED UNTIL IT MEETS THE STANDARDS OF
105 CMR 435.29 THROUGH 435.31.
SIGNED N
t
SIGNED .
Operator
Board of Health/Health Department
.08 Special purpose pool and wading pools equipped with
emergency shut off pump switch. Accessible and
prominently marked.
.09 Cross connections. Portable water supplied through air
gap.
.10 Skimming facilities. 50% of recirculation drawn from
surface of pool.
.12 Line with floats separates non -swimmer area from
deeper water.
.12 Water depth markings on deck and walls. Properly
spaced. Boundary line on pool floor and walls. Step
edges marked with contrasting color.
.13 Walkway and decks 4 feet wide, safe condition.
.14 Ladders, steps - one per 75 feet. Not less than 2
ladders.
.15 Diving equipment in safe condition.
.17 Pool supervision - Pool supervision provided.
Effective Jan. 1, 1999, pool supervisor certified as pool
operator from YMCA or NSPF.
.21 Permit requirements - Permit issued. Adequate
maintenance and testing records maintained. Records
initialed by person making tests.
.22 Health regulations: Signs posted. Health warning
signs posted for special purpo e pools.
.23 Lifeguards required: Yes No ❑
If lifeguards required. Prop credentials, proper suits
and garments worn. Whistle and bullhorn provided
.24 Safety equipment. Ring buoys and rescue hook
provided. Rescue tube and backboard with straps at
pools attended by a lifeguard.
.25 First Aid equipment provided.
.25 Emergency Communication System at the pool and in
working order. Emergency communication device in
unlocked area and available at all times to staff and the
public. Operating instructions and emergency
numbers posted.
.26 Waste and backwash water disposal properly
discharged. No direct connection to sewer system.
Separation tank provided for diatomaceous earth filter
backwash water.
.29 Chemical standards
POOLSIDE READINGS
Bromine
Cyanuric Acid
Water Temp.104":
*parts per million
.29 Pool water tested with appropriate frequency.
.30 Water testing equipment. DPD kit provided for
chlorine and bromine. Unbreakable thermometer for
special purpose pools.
.31 Water clarity
.32 Water clarity maintenance. Filtration system operating
continuously.
.32 Special purpose pool drained, cleaned and every 14
days.
Maximum Operating Temperatures for Special Purpose
Pools. (SPP).
.33 a. Thermostatic control provided for each SPP.
b. Thermostatic control only accessible to the pool
operator
.38 General sanitation
6\
ce c" :'65 AV "bc
r
Total Chlorine
Free Chlorine
Comb.
Chlorine
PH level
Other
Town of Mansfield
6 Park Row, Mansfield, Massachusetts 02048
508-261-7366
Health Department
Amy Donovan -Palmer, Health Agent
STATE SANITARY CODE: CHAPTER V, MINIMUM STANDARDS FOR SWIMMING POOLS,
105 CMR 435.000
SWIMMING POOL INSPECTION REPORT
TYPF. C)F MOT.- PTTRLTC fl RRMT-PTTRT.W. bt RPFC'TAT. PTTRPCIRF. PCXIT. rl
NAME OF POOL
\ j
ADDRESS
f�
OWNER
ADDRESS
DATE OF
INSPECTION
��
POOL CAPACITY
# OF GALS
y bQC�
INSPECTED BY
METHOD OF WATER
TREATMENT
����
BATHER R�
,
# OF LIFEGUARDS
WATER SOS CE:
Regulation 105 CMR 435.000 The items marked below with an "X" indicate the violated provisions of 105 CMR 435.000.
Items marked with a "v"' are satisfactory.
REGULATION X/✓ VIOLATIONS/COMMENTS
.03 Bathhouse and sanitary facilities adequate lighting;
ventilation; sanitary condition.
.03 Adequate enclosure around pool. Gate self -latching w/
latch 4 ft above ground.
.04 Sewage Disposal
.05 Location, structural stability, finish.
.06 Water circulatio filtration systems. Filter Effluent flow
meter reading: gpm. # of turnovers
.06 Suitable automatic equipment for disinfection of pool
water.
.06 Carbon dioxide (CO2) equipment for pH control
adequate. CO2 cylinders anchored. Inaccessible to
public, adequate ventilation provided.
.08 Inlets and outlets - Inlets located to produce uniform
circulation. Over rim fill spout 6" above maximum
water level. Properly shielded and located.
.08 Main drain suction outlets covered with suitable
protective covers or grates. Cannot be removed
without the use of tools. Open area does not provide
entrapment of fingers, toes, etc. At least one
antivortex drain provided.
08 Each system outlet protected against user entrapment
by antivortex cover or other means. Minimum of 2
suction outlets provided for each pump, properly
located and plumbed.
08 Suction outlet covers in place, unbroken and secure
and cannot be removed except with the use of tools.
Close pool immediately if outlet covers missing,
broken, loose or can be removed without tools
until repairs can be made.
x,10 tea\ %\ a C2�`�� �-
.08 Special purpose pool and wading pools equipped with
emergency shut off pump switch. Accessible and
prominently marked.
.09 Cross connections. Portable water supplied through air
gap.
.10 Skimming facilities. 50% of recirculation drawn from
surface of pool.
.12 Line with floats separates non -swimmer area from
deeper water.
.12 Water depth markings on deck and walls. Properly
spaced. Boundary line on pool floor and walls. Step
edges marked with contrasting color.
.13 Walkway and decks 4 feet wide, safe condition.
.14 Ladders, steps - one per 75 feet. Not less than 2
ladders.
.15 Diving equipment in safe condition.
.17 Pool supervision - Pool supervision provided.
Effective Jan. 1, 1999, pool supervisor certified as pool
operator from YMCA or NSPF.
.21 Permit requirements - Permit issued. Adequate
maintenance and testing records maintained. Records
initialed by person making tests.
.22 Health regulations: Signs posted. Health warning
signs posted for special purpose pools.
.23 Lifeguards required: Yes No Q
If lifeguards required. Propef credentials, proper suits
and garments worn. Whistle and bullhorn provided
.24 Safety equipment. Ring buoys and rescue hook
provided. Rescue tube and backboard with straps at
pools attended by a lifeguard.
.25 First Aid equipment provided.
.25 Emergency Communication System at the pool and in
working order. Emergency communication device in
unlocked area and available at all times to staff and the
public. Operating instructions and emergency
numbers posted.
.26 Waste and backwash water disposal properly
discharged. No direct connection to sewer system.
Separation tank provided for diatomaceous earth filter
backwash water.
.29 Chemical standards
POOLSIDE READINGS
Bromine 1 (2.0-6.0 ppm'
Alkalinity �(50-150 ppm)
Cyanuric Acid (30-100 ppm)
Water Temp. 104°F.
parts per million
.29 Pool water tested with appropriate frequency.
.30 Water testing equipment. DPD kit provided for
chlorine and bromine. Unbreakable thermometer for
special purpose pools.
.31 Water clarity
.32 Water clarity maintenance. Filtration system operating
continuously.
.32 Special purpose pool drained, cleaned and every 14
days.
Maximum Operating Temperatures for Special Purpose
Pools. (SPP).
.33 a. Thermostatic control provided for each SPP.
b. Thermostatic control only accessible to the pool
operator
.38 General sanitation
lt�
-v `
t._
Total Chlorine
Free Chlorine 1.0-3.0 m;
Comb. (0.0.0.2 ppm)
Chlorine
pH level (7.2-7.8).
Other
Town of Mansfield
. 6 Park Row, Mansfield, Massachusetts 02048
508-261-7366
A11 Health Department
Amy Donovan -Palmer, Health Agent
105 CMR
435.000 /I)
SWIMMING POOL INSPECTION
REPORT
:.:,r.
SEMI -PT TBLIC ❑
RPFCTAT. PTTRPC)CF POnT r1
NAME OF POOL
C`, ADDRESS
OWNER
ADDRESS
DATE OF
POOL CAPACITY
INSPECTED BY
fNSPECTION
r
# OF GALS
METHOD OF WATER
�
BATHER
# OF LIFEGUARDS WATER SOURCE:
TREATMENT
-
LOAD
—it
Regulation 105 CMR 435.000 The items marked below with an "X" indicate the violated provisions of 105 CMR 435.000.
Items marked with a "✓" are satisfactory. •-� \\,,k
REGULATION
ventilation; sanitary condition.
.03 Adequate enclosure around pool. Gate self -latching w/
latch 4 ft above ground.
04 Sewage Disposal
05 Location, structural stability, finish.
.06 Water circulation & filtration systems. Filter Effluent flow
meter reading: gpm. # of turnovers
.06 Suitable automatic equipment for disinfection of pool
water.
.06 Carbon dioxide (CO2) equipment for pH control
adequate. CO2 cylinders anchored. Inaccessible to
public, adequate ventilation provided.
.08 Inlets and outlets - Inlets located to produce uniform
circulation. Over rim fill spout 6" above maximum
water level. Properly shielded and located.
.08 Main drain suction outlets covered with suitable
protective covers or grates. Cannot be removed
without the use of tools. Open area does not provide
entrapment of fingers, toes, etc. At least one
antivortex drain provided.
08 Each system outlet protected against user entrapment
by antivortex cover or other means. Minimum of 2
suction outlets provided for each pump, properly
located and plumbed.
.08 Suction outlet covers in place, unbroken and secure
and cannot be removed except with the use of tools.
Close pool immediately if outlet covers missing,
broken, loose or can be removed without tools
X/✓ VIOLATIONS/COMMENTS
M