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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 I BEACON COMMUNITIES www,beaconcommunitiesile.com LIVING WELL BY DESIGN@ http://www.rentpayment.com/ Paying your rent is easier than ever when you pay online. Go to www.rentpayment.com and sign up today! Please consider the environment before printing this email 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