HomeMy WebLinkAboutHockomock Y 12/31/2001TOWN OF MANSFIELD
BOARD OF HEALTH
SIX PARK ROW, MANSFIELD 02048
PERMIT TO OPERATE A SWIMMING POOL
In accordance with the provisions of Chapter 111, Section 127A of the Massachusetts
General Laws, and Regulations established by the Massachusetts Department of Public
Health (105 CMR 435.00), permit is hereby issued to:
Hockomock Area YMCA -Mansfield
for the operation of a [] Public, Imi Public or [] Special Purpose Pool
at: 40 Balcom Street
Method of water treatment is: Sand Filter
Bathing load not to exceed 40 bathers.
Number of Lifeguards required at all times the pool is open is None.
"NO LIFEGUARD ON DUTY" sign is required
Permit No.: 12
Date of Expiration: December 31, 2001
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Date fssued ott Leite, Health Agent
TOWN OF MANSFIELD, SIX PARK ROW, MANSFIELD 02048
SWIMMING POOL APPLICATION
Name of Owner: Hockomock Area YMCA -Mansfield
Address: 40 Balcom Street
City: Mansfield
State: MA Zip: 02048
Telephone: 508-339-3066
Fax:
Fed ID/SS No.: 04-2131749
Pool Location:
40 Balcom Street
Type/pool:
Above -ground
Length: 38' Width: 18'
Min/Max depth:
3' to 41611
Swim area:
Dive area:
None
Water source:
Town
W/W Disposal:
Septic System
Type of finish:
Steel w/ply liner
Scum gutter:
U l"4 1
Deck type:
Wooden
Skmmr weir lgth:
1.5 to 2'
Treatment systm:
a�� / ;`f "ter
Disinfct method:
Chlorine
Chemical trtmnt:
Chlorine
No. of Bathers:
40
Remarks:
Permit No:
12
Fee: $75.00
Volume: 22,000 gals
Please review information and make any applicable changes. Return to BOH office at
above address with check payable to town of Mansfield, $75.00 each pool. Permit
expires December 31 st yearly. Thank you.
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Date
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