HomeMy WebLinkAboutMansfield Children's C. 12/31/19919
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THE COMMONWEALTH OF MASSACHUSETTS
• FEE: $75.00 yearly/pool
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.
OWNER /"' lli t l r'
LOCATION //,.0
TEL. NO . 33 ? - 21/
TYPE OF
POOL 3 ,7 41
'yG
LENGTH el"- WIDTH VOLUME Ir, e od
SKETCH
(A detail plan
must be
filed with original application)
SIZE:
SWIMMING AREA
-,2% 2� `-I
NON SWIMMING AREA DIVING AREA l%'
SOURCE OF WATER
DISPOSAL OF SEWAGE AND WASTE WATER �- v
TYPE OF FINISH zZ/J "?1" SCUM GUTTER
DECK: TYPE AND WIDTH SKIMMERS: WEIR LENGTH
TREATMENT SYSTEM (Kind of filters etc.
DISINFECTION /METHOD (Method, type, capacity etc.)
/IO' II/ /-/,/,7 <----
CHEMICAL
'
CHEMICAL TREATMENT (Feeders, capacity, quantity etc
REMARKS
DATE l
r
(Permits &4/ire on Dec. 31)
- - 71 ^.r "fARREN. INC.