HomeMy WebLinkAboutEdgewood 12/31/19910
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THE COMMONWEALTH OF MASSACHUSETTS
° FEE: $75.00 yearly/pool
TOWN. .... O F .................. 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 V/I� of the Sanitary Code of the Commonwealth of Massachusetts.
'IFOWNER�n�-TEL.
TYPE OF POOL �i�.,�,� -�
��_` t L°`~" r'i l LENGTH '--i � WIDTH QL) VOLUME �j Lel
SKETCH A detail lan must be fled with original a lication
SIZE: SWIMMING AREA t (� ' NON SWIMMING AREAS ACU DIVING AREA -
SOURCE OF WATER
DISPOSAL OF SEWAGE AND WASTE WATER]��r
TYPE OF FINISH G,) ,,, e SCUM GUTTER c�
DECK: TYPE AND WIDTH SKIMMERS: WEIR LENGTH
TREATMENT SYSTEM (Kind of filters etc)
DISINFECTION METHOD (Method, type, capacity etc)
CHEMICAL TREATMENT (Feeders, capacity, quantity etc) ;,P, i
REMARKS
DATE
(Permits expire on Dec. 31)
• - ?B ': "BARREN. INC.