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THE COMMONWEALTH OF MASSACHUSETTS FEE: $75.00 yearly/pool
r.
TOWN, . ,..OF ................ _MANSFIELD
BOARD OF HEALTH
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.
TEL. NO. 339-3357
OWNER MANSFIELD MEADOWS ASSO
LOCATION Bonney Lane
LENGTH 40' WIDTH 22'_ VOLUMEaac
TYPE OF POOL Residenti
,*SKETCH A detail lan must be filed with ori inal a2 b
ack
-0-
SIZE: SWIMMING AREA 40'x22! NON SWIMMING AREA 3294 sq.ft.DIVING AREA
SOURCE OF WATER Town
DISPOSAL OF SEWAGE AND WASTE WATER
Town
SCUM GUTTER
TYPE OF FINISH Concrete
DECK: TYPE AND WIDTH cement slab SKIMMERS: WEIR LENGTH
(on back)
TREATMENT SYSTEM Kind of filters etc.
Hayward DE -4800 Earth Filters
v
DISINFECTION METHOD Method type) capacity etc. Chlorinating sticks, lus to increa
se
ph, minus to decrease ph, shock, algaecide concentrate, water clarifier, scale and
iron remover.
CHEMICAL TREATMENT Feeders ca acit uantit etc.
Automatic Chlorinator
REMARKS
DATE�°���
(Permits expire on Dec. 31)
- - 1 , , HOI,39 ,S 'NARREN. INC.
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