The URL can be used to link to this page

Home My WebLink AboutWillow Crossing 12/31/200111 A IA !A 1 ! 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: The Village at Willow Crossing for the operation of a [] Public, Semi -Public or [] Special Purpose Pool at: 25 Cobb St. Method of water treatment is: Hayward C-500LF Brominator Bathing load not to exceed 22 bathers. Number of Lifeguards required at all times the pool is open is None. "NO LIFEGUARD ON DUTY" sign is required. Permit No.: 11 Date of Expiration: December 31, 2001 Date Issued cott Leite, Health Agent TOWN OF MANSFIELD, SIX PARK ROW, MANSFIELD 02048 SWIMMING POOL APPLICATION Name of Owner: The Village at Willow Crossing Address: 25 Cobb Street City: Mansfield: State: MA Zip: 02048 Telephone: 508-261-1333 Fax: Fed ID/SS No.: Pool Location: 25 Cobb St. Type/pool: Gunite Concrete Length: 32' Width: 14' Min/Max depth: 31611 to 3'9" Swim area: 448 sf Dive area: None Water source: Town W/W Disposal: Town Sewer Type of finish: White Marbleite Scum. gutter: None Deck type: Concrete Skmmr weir lgth: 8.5" Treatment systm: Hayward C-50OLF Brominato Disinfct method: Bromine Chemical trtmnt: Bromine No. of Bathers: 22 Remarks: Permit No: 11 Fee: $75.00 -F Volume: 12,000 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. )-- Date 3) p,,.,) w A LS P1 APPENDIX 12 4V NAME OF CITY OR TOWN STATE SANITARY CODE: CHAPTER V, MINIMUM STANDARDS FOR SWIMMING POOLS 105 CMR 435.000 TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC SPECIAL PURPOSE POOL !. NAME OF POOL f � IJlt A /ziG ADDRESS Z15 e 6 OWNER ADDRESS ........................ :./ DATE OF INSPECTION POOL CAPACITY # OF GALS. lZ INSPECTED BY METHOD OF WATER TREATMENT BATHER �/ LOAD Z Z # OF LIFEGUARDS WATER SOURCE: 70 Regulation 105 GMK 4:55.000 i ne items maFKea oeiaw wnn an A uiuicaic Lilt-, VIU10 au Niuvwivna 11iJJ vrvii.-rJJ.VV Items marked with a "✓" are satisfactory. .03 Bathhouse and sanitary facilities adequate iignting; ventilation; sanitary condition. ......... .................................................................. ...... 03 Adequate enclosure around pool. Gate self -latching w/ ........................ :./ .. IatCh.4 ft.abPve.ground........................................................................ .04 Sewage.Disposal............................................. ............. .05 Location, structural stability, finish. .... ............................._.................._ ..--................._.....................� .06 Water circulation & filtration systems. Filter efflyent flow 60 meter reading: gpm. # of turnovers 1'Z-1 ............................................... . ............ ........ .06 Suitable automatic equipment for disinfection of pool water. 1 1-11 .06 Carbon dioxide (CO2) equipment for pH control adequate. CO2 cylinders anchored. Inaccessible to public, .adequaie.ventilation.provided..................................................... .08 Inlets and outlets - Inlets located to produce uniform y/ circulation. Over rim fill spout 6" above maximum water.level... Properly shielded and located..................... . .08 Main drain suction outlets covered with suitable protective covers or grates. Cannot be removed without use of tools. Open area does not provide entrapment of fingers, toes, etc. At least one antixortex.drain.provided...---- _.. . ..... .................. _..................... .08 Each system outlet protected against user entrapment by antivortex cover or other means. Minimum of 2 suction outlets provided for each pump, properly ...... located and .plumbed ................................. _...._.._..... ..... ......_.. .08 Suction outlet covers in place, unbroken and secure and cannot be removed except with the use of tools. Close pool immediately if outlet covers missing, broken , loose or can be removed without tools until repairs are made. ................ � `�4ob ............. POOLSIDE READINGS .08 Special purpose pool and wading pools equrppe wit emergency shut off pump switch. Accessible and r prominently marked. !v." ............._.......... ......................................... .09 Cross connections. Potable water supplied through air Free Chlorine Cyanuric Acid301' ? gap. ...........__........... Comb. Chlorine .............................._.._..........................__..... ........................ ............................................................ .10 Skimming facilities. 50% of recirculation drawn from pH Level (7 23 ;►:$}: r surface of pool. _..................._. ✓... -. ................................... _..........._ ................ E .12 Line with floats separates non -swimmer area from deeper water. ..........................................._..................................... ... ............_..._ ......... ..................._.......... .12 Water depth markings on deck and walls. Properly spaced. Boundary line on pool floor and walls. Step edges marked with contrasting color. .................... .................................................................... ................ .13 Walkway and decks 4 feet wide, safe condition. ..........................................__.............................. ..... ................................................................................... . _------- ... -..... .14 Ladders, steps - one per 75 feet. Not less than 2 ladders. .................................. ................._....................................... ............_............._........... ..... ........... .15 Diving equipment in safe condition. _....... ..... ...................... /�A .................... ......_... ........................... .17 Pool supervision - Pool supervision provided. Effective Jan. 1, 1999, pool supervisor certified as pool operator from YMCA or NSPF. ............. ............................................................_........................... ...... _..-........ .21 Permit requirements - Permit issued. Adequate maintenance and testing records maintained. Records initialed by person making tests. ......................._......_ ..._. .................... ........ .................................._............................................ .22 Health Regulations: Signs Posted. Health warning signs posted for special purpose pools. .23 Lifeguards required: Yes No _............................ ........... If lifeguard required; proper credentials, proper suits and garments worn. Whistle and bullhorn provided. ............................... .......................................... .24 Safety equipment. Ring buoys and rescue hook ....._..................... ..... ........-..._...................... ._................... provided. Rescue tube and backboard with straps at pools attended by a lifeguard. ................................................................... _................_............................_......... ....................._..... ...._.. - .25 First aid equipment provided. First aid kit complete ...................................................................................................................................................................................... 25 Emergency Communication System at the pool and in working order. Emergency communication device in unlocked area and available at all times to staff and the public. Operating instructions and emergency numbers posted. ................_.._........................_. ........_..................._............ ........................................ _........... ............................... .26 Waste and backwash water disposal properly discharged. No direct connection to sewer system. Separation tank provided for diatomaceous earth filter backwash water. ......_.............._......................................_........... ........................................................................................._....... .29 Chemical standards. POOLSIDE READINGS Bromine Z,p g p *' " " (n>!�y ; , Total Chlorine Alkalinity (50 =1,50 tiTi; ., `=r Free Chlorine Cyanuric Acid301' ? Comb. Chlorine Water Temp. 10st°(~;; r , pH Level (7 23 ;►:$}: '`parts per million Other .29 Pool water tested with appropriate frequency. ................................... .... .__...................... ................................................................................................. .30 Water testing equipment. DPD kit provided for chlorine and bromine. Unbreakable thermometer for special purpose pools. ....... .............. ...._..._.._..-_...._..... ......................... ................... - _._........_...... _...._....... 31 Water clarity:....._ .............. .....__.............................. _.. ................ ...... ......._........................................ ....................... .32 Water clarity maintenance. Filtration system operating continuously. ........... .......... ..............._.-_......._... _.. .... .... ...... ............... --------.........._..._....._..__..._---------------------------- ----- .32 Special purpose pool drained, cleaned and every 14 days. ......._......................................_....._........_.............. ........ .......................... . _..... .......... .. Maximum Operating Temperatures for Special Purpose Pools. (SPP). .33 a. Thermostatic control provided for each SPP. r(X b. Thermostatic control only accessible to the pool .......... operator ............................................................. ........ .----- .-------------------------------- _._.-- -- ------ .------ ------._------------------ 38 General sanitation. REGULATION NO. I THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE X/✓ .34 Closure of the pool. POOL MUST BE CLOSED UNTIL IT MEETS THE STANDARDS OF 105 CMR 435.29 THROUGH 435.31. SIGNED SIGNED Aerator Board of Health/Health Department O kmA 9 EI \ �q MA � I zoo @ S±§ISSOW mollim £§@fi !£C #02 IVa lV:zl IlI IO/OUTO & 4 \ 0 : ^ \ # 0 . * /\ ¥ � / O kmA 9 EI \ �q MA � I zoo @ S±§ISSOW mollim £§@fi !£C #02 IVa lV:zl IlI IO/OUTO Ll M (9) 1*4 0 NSC 0 ur tt db Ll M V1. In coon SDNISSOH3 M011im COOT, L£C 905 XVz4 WZT 9111 TO/0£/TO tt db V1. In coon SDNISSOH3 M011im COOT, L£C 905 XVz4 WZT 9111 TO/0£/TO