HomeMy WebLinkAboutMotel 6 12/31/1999I
TOWN OF MANSFIELD
BOARD OF HEALTH
SIA PARK ROW, MANSFIELD 02048
PERMIT TO OPERATE A SWIMMING POOL
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:
Motel 6, Operating L.P.
for the operation of a [] Public, [] Semi -Public or [] Special Purpose Pool
at: 60 Forbes Blvd.
Method of water treatment is: Diatomaceous
Bathing load not to exceed 55 bathers.
Number of Lifeguards required at all times the pool is open is None.
"NO LIFEGUARD ON DUTY" sign is required.
Permit No.: 11
Date of Expiration: December 31, 1999
Date Issued
Scott Leite, Health Agent
TOWN OF MANSFIELD, SIX PARK ROW, MANSFIELD 02048
SWIMMING POOL APPLICATION
Name of Owner: Motel 6 0 - -Fi&
Address: 14651 Dallas Pkwy. #500 972-702-6883
City: Dallas
State: TX Zip: 75240-8897
Telephone: 508-339-2323
Pool Location: 60 Forbes Blvd.
Type/pool: Concrete, In -ground
Length: 40' Width: 20' Volume
Min/Max depth:
Swim area: 800sf
Dive area: none
Water source: Town
WIW Disposal:
Town Sewer
Type of finish:
Gunite
Scum gutter:
None
Deck type:
None
Skmmr weir lgth:
Two baskets
Treatment systm:
Diatomaceous
Disinfct method:
Automatic Chlorine
Chemical trtmnt:
Manually as required
No. of Bathers:
55
Remarks: Per daily testing pool maintained.
Permit No:
11
Fee: 75
35,000g
Please review information and make any applicable changes. Return to BOH office at
above address with check payable to town of Mansfield, $75.00 each pool. Permit
expires December 31st yearly. Thank you.
TOWN OF MANSFIELD, SIX PARK ROW, MANSFIELD 02048
SWIMMING POOL APPLICATION
Name of Owner: Motel 6
Address: 14651 Dallas Pkwy. #500 972-702-6883
City: Dallas
State: TX Zip: 75240-8897
Telephone: 508-339-2323
Fax:
Fed ID/SS No.:
Pool Location:
60 Forbes Blvd.
Type/pool: Concrete, In -ground
Length: 40'
Width:
Min/Max depth:
Swim area:
800sf
Dive area:
None
Water source:
Town
W/W Disposal:
Town Sewer
Type of finish:
Gunite
Scum gutter:
None
Deck type:
None
Skmmr weir lgth:
Two baskets
Treatment systm:
Diatomaceous
Disinfct method:
Automatic Chlorine
Chemical trtmnt:
Manually as required
No. of Bathers:
55
Remarks: Per daily testing pool maintained.
Permit No:
11
Fee: $75.00
20' Volume: 35,000 gals
Please review information and make any applicable changes. Return to BOH office at
above address with check payable to town of Mansfield, $75.00 each pool. Permit
expires December 31 st yearly. Thank you.
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