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THE COMMONWEALTH OF MASSACHUSETTS
FEE: $75.00 yearly/pool
....... . TOWN _0F ..................MANSFIELD
BOARD OF HEALTH
S -U W � s r
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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 MILLHAUS AT MANSFIELD CONDO TRUGT TEL. NO. 339-7531
LOCATION 150 RUMFORD AVI?.
TYPE OF POOL CUNITE LENGTH60 F"'. WIDTH 30 F^ VOy, 66000 gals
SKETCH (A detail plan must be filed with original application)
SIZE: SWIMMING AREA 60 X30 NON SWIMMING AREA 3000 SO.r'DIVING AREA NONE
SOURCE OF WATER TOWN OF MANSFIELD METERED FROM HYDRANT
DISPOSAL OF SEWAGE AND WASTE WATER TOWN SEWER
TYPE OF FINISH CONCRETE SCUM GUTTER YES
DECK: TYPE AND WIDTH CONRETE 16 FT. SKIMMERS: WEIR LENGTH -(4) EIHHT FT APART
TREATMENT SYSTEM (Kind of filters etc ) SAND FILTER ( HAYWOOD 3000 )
DISINFECTION METHOD (Method, type, capacity etc) AUTOMATIC C11LOREFATOR
(.IARC MAC ) 22 PSI
CHEMICAL TREATMENT (Feeders, capacity, quaOMT
n'YCRIT
REMARKS
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SIGNED
DATE 9 APZIT 91
(Permits expire on Dec. 31)
?'t',,'-VARREN. INC.
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