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THE COMMONWEALTH OF MASSACHUSETTS
TOWN. 11 -OF .................. MANS FIELD. .....I.........................
BOARD OF HEALTH
FEE $75.00/yearly/pool
APPLICATION FOR A PERMIT TO OPERATE A SWIMMING POOL
Application is hereby made for a permit to operate a public, semi-public, or wading
pool. This pool is to be operated according to the minimum standards for swimming
pools set forth in Article VI of the Sanitary Code of the Commonwealth of Massachusetts.
1-=
TEL. NO . .3 3 f .` y'
LOCATION 1.32 2 LI S''
TYPE OF POOL Co 1,i j; � �: / S' 0 rye 1 P, b1-CIfENGTH ` WIDTH 3 cl VOLUME � 60 mss'
SKETCH (A detail plan must be filed with original application)
SIZE: SWIMMING AREA NON SWIMMING AREA DIVING AREA
SOURCE OF WATER -46 L" K
DISPOSAL OF SEWAGE AND WASTE WATER -e
TYPE OF FINISH (o� i. t.. r� �f' SCUM GUTTER
DECK: TYPE AND WIDTH Ce �, C- 6- e /-cam®� SKIMMERS: WEIR LENGTH
TREATMENT SYSTEM (Kind of filters `etc.) 'La Id -
DISINFECTION METHOD (Method, type, capacity etc) Ci
CHEMICAL TREATMENT (Feeders, capacity, quantity etc )
REMARKS
SIGNED
DATE
(Permits expire on Dec. 31)
FORM 1707 HOBBS d WARREN. INC.
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THE COMMONWEALTH OF MASSACHUSETTS
TOWN. ._0F .................. MANE F IELD. ...............................
BOARD OF HEALTH
FEE: $75.00 y arly/pool
APPLICATION FOR A PERMIT TO OPERATE A SWIMMING POOL
Application is hereby made for a permit to operate a public, semi-public, or wading
pool. This pool is to be operated according to the minimum standards for swimming
pools set forth in Article VI of the Sanitary Code of the Commonwealth of Massachusetts.
OWNER C'� r_, r 1 I V -e 1. 6\
TEL. NO .'.,> L�
LOCATION f° 3 % A'/
TYPE OF POOLS',(- M i LENGTH J WIDTH VOLUME
SKETCH (A detail plan must be filed with original application)
SIZE: SWIMMING AREA NON SWIMMING AREA DIVING AREA
SOURCE OF WATER_ Li J vv
DISPOSAL OF SEWAGE AND WASTE WATER t..(> 2e-14
TYPE OF FINISH -P n1 e o % SCUM GUTTER
DECK: TYPE AND WIDTH C -C /Z,/SKIMMERS: WEIR LENGTH
TREATMENT SYSTEM (Kind of filters `etc )
C2
DISINFECTION METHOD (Method, type, capacity etc.)
CHEMICAL TREATMENT (Feeders, capacity, quantity etc.)
REMARKS
SIGNED
DATE <{
(Permits expire on Dec. 31)
__
1 ,_. .., ?39 & WAI'MEN, INC.