HomeMy WebLinkAboutMansfield Meadows 12/31/2007TOWN OF MANSFIELD
BOARD
SIX PARK ROW, MANSFIELD 1)4.
In accordance with the provisions of Chapter 111. Section 127A of the Massachusetts
General Laws, and Regulations established by the Massachusetts Department of Public
Health (105 CMR 435.00). permit is hereby issued to:
Mansfield Meadows Assoc
for the operation of a ❑ Public E 3 XSemi-Public ❑ Special Purpose Pool
at:
12 Bonney Lane #9
Method of water treatment is: calle and iron remover. Automatic chlori
Bathing load not to exceed: 43 bathers
Number of Lifeguards required at all times the pool is open is: Alone
"NO
LIFEGUARD ON DUTY" sign is required.
Permit No.: 7
Date of Expiration: December 31, 2007
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Scott eite, Health Agent
Date Issued
I IT
Name of Owner'.
Mansfield Meadows Assoc
Address:
12 Bonney Lane #9
City;
Mansfield
State: MA
Zip:02048
Telephone:
SM -339-3357
Fax:
SM339-9761
Fed I D/S$ No.:
04-3083384
Pool Location:
Bonney Lane
Type/pool:
Residential
Length: 40'
Width: 22' Volum: MOW
Min/Max. depth:
3.51 to 9'
Swim Area:
40'x22'
Dive Area:
None
Water source,
Town
W/W Disposal:
Town Sewer
Type of Finish:
Concrete
Scum Gutter:
Deck Type:
Cement Slab
Skmmr weir length,
Treatment System:
Heyward Earth Filter 4800
Disinfect Method:
Chlorinating sticks, plus to increase ph
Chemical Treatment:
calle and iron remover. Automatic chlod
No. of Bathers:
43
Name of Certified Pool Operator:
Permit No..7
Fee per pool:
575.00
Permit Expires December 31' yearly
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SIGNATURE
MIA
DATE:
Please make appropriate changes. Sign, date and enclose check payable to Town ofUapqfleld Mail to. -
Board of Health. Town ofMansfield, Six Park Row, Uansfield, U4 02048.
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NAME OF CITY OR TOWN
STATE SANITARY CODE: CHAPTER V, MINIMUM STANDARDS FOR SWIMMING POOLS,
105 CMR 435.000
SWIMMING POOL INSPECTION REPORT
,rvnr nr. TYv\T . 'DT MT Tr' h erxAT_UTTRT TO wel gPFf".TAT. PTTRPn9R POOL ❑
NAME OF POOLeu-
ADDRESS
OWNER
ADDRESS
DATE OF
-
POOL CAPACITY
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6 �1
SPE BY
INSPECTION
"
# OF GALS
s =
METHOD OF WATER
BATHER
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# OF LIFEGUARDS
WATER SOURCE:
TREATMENT
LOAD
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.
REGULATION X/✓ VIOLATIONS/COMIVI> WS
ventilation; sanitary condition.
.03 Adequate enclosure around pool. Gate self4atching w/
latch 4 ft above ground.
.04 Sewage Disposal
.05 Location, structural stability, finish.
.06 Water circulatio ation systems. Filter Effluent flow
meter reading: pm. # 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.
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 Slimming 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. Property
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
If lifeguards required. Proper credentials, proper suits
and garments wom. 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 property
discharged. No direct connection to sewer system.
Separation tank provided for diatomaceous earth fitter
backwash water.
.29 Chemical standards
POOLSIDE READINGS
Bromine 2.0-6:U *.
Total orine
Alkalini SO<1�0. in
F Chlorine
Cyanuric Acid (A-it)(i o
Comb.
Chlorine
Water Temp. 1Q4°F
pH level (7.8)
* narts ner million
Other
.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
M
i
REGULATION
NO. I THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE
34 I I Closure of the pool. POOL MUST BE CLOSED UNTIL IT MEETS THE STANDARDS OF
105 CMR 435.29 THROUGH 435.31.
SIGNED SIGNED
Operator