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Home My WebLink AboutMansfield Meadows 12/31/2006TOWN OF 1 BOARD OF HEALTH SIX PARK ROW,1 02048 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: Mansfield Meadows Assoc for the operation of a ElPublic Ell/semi-Public ElSpecial Purpose Pool at: Bonney Lane Method of water treatment is: calle and iron remover. Automatic chlori Bathing load not to exceed: 43 bathers Number of Lifeguards required at all times the pool is open is: None "NO LIFEGUARD ON DUTY" sign is required. A I Permit No.: 7 Date of Expiration: December 31, 2006 Scott telite, Health Agent Date Issued Name of Owner Address: City: State: MA Telephone: Fax: Fed ID/SS No.: Pool Location: Type/pool: Length: 40' Min/Max, depth Swim Area: Dive Area: Water Source: W/W Disposal: Type of Finish: Scum Gutter: Deck Type: Skmmr weir length: Treatment System: Disinfect Method: Chemical Treatment No. of Bathers: Remarks: Permit No.:7 Fee per pool: SIX PARK ROW, MANSFIELD I 1< SWIMMINGPOOL Mansfield Meadows Assoc 12 Bonney Lane 49 Mansfield Zip:02048 508-339-3357 508-339-9761 04-3083384 Bonney Lane Residential Width: 22' 3.5' to 9' 40'x22' None Town Town Sewer Concrete Cement Slab Volume: 55,000 Heyward Earth Filter 4800 Chlorinating sticks, plus to increase ph calle and iron remover. Automatic chlori El 19j $75.00 Permit Expires December 31St yearly SIGNATURES /I DATE: h116 6 Please make appropriate changes. Sign, date and enclose checkpayable to Town of Mansfield. Mail to: Board of Health, Town ofMansfield, Six Park Row, Mansfield, MA 02048. RA HealthWafs Documents\PERMIT APPLICATIONSnVINfMING POOLS APP.doc TOWN ON MANSFIELD BOARD OF HEALTH SIX PARK O MANSFIELD, MA 02048 STATE SANITARY CODE: CHAPTER V, MINIMUM STANDARDS FOR SWIMMING POOLS; l` CMR 435.000 SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC SPECIAL PURPOSE POOL ❑ NAME OF POOL , ADDRESS OWNER 1ADDRESS r DATE OF INSPECTION POOL CAPACITY OF OF GALS. i cS INSPECTED BY METHOD OF WATER / BATHER # OF LIFEG ARDS WATER SOURCE: vz TREATMENT' LOAD `{ Regulation 105 CMR 435.000 The items marked below with an "X" indicate the violated provisions of 105 CMR 435.000. Items marked with a " �" are satisfacto . REGULATION VIOLATIONSICOIV MENTS .03 Bathouse and sanitary facilities adequate lighting; ventilation; sanitary condition. ----Kd(i4d---------------------------------------------------------------------------------------------------------------------------- 03Adequate enclosure around pool. Gate self -latching wliatch 4 ft above i/ around_ -------------------------------------------------------------- _A4 Sewage Disposal------------- ---�-r =`'� =--------------------------------------------------- -05 - - - - --- ----------------------bility,finish.----_-----___-_ _ -_-_ _ -_--_ -; y---------------- - - -- ---- ----- ------------------------------------------ .06 Water circulation & filtration systems. Filter effluent flow meter reading: .06 ., ;� m # of turnovers ----------- -- --- -- ----- ap =-------------------- - - -- --- - -- ------ -- ---- ------------------------------------ __06 Suitableautomaticequipmentfordisinfectionofpoolwater------------- ------------------------------------ --------------------------------- .06 Carbon dioxide (CO2) equipment for pH control adequate. (CO2) cylinders , . �'�________________________________________________________________________ anchored_ Inaccessible to public, adequate ventilation provided_ ------ .08 inlets and outlets- Inlets located to produce uniform 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 antivortex drain _-- p1qvided. .08 Each system outlet protected against user entrapment by antivortex cover for or other means. Minimum of 2 suction outlets provided 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 v,4thout tools until repairs are made. 08 Special purpose pool and wading pools equipped with emergency shut off , ___pumpswitch. Accessible and -prominently marked ._________________________�_ - _ --------------------------------------------------------------------- 09Crossconnections. Potable water suppliedthrouphairgap_____________ ______ _ ____ _ __10 Skimminpfacilities, 50%of-re-circulation drawn from surface of pool.______ _______ _____ _ - - -------------- -------------------------------- 12 Line with floats separates non swimmer area from deeper water. ---------------- ------------------- p-------------------- ---------------- ----------------------------------------------- .12 Water depth markings on deck and walls. Properly spaced. Boundary line .... on pool floor and walls, _Step edges marked with contrasting color_ _ _ _ _ _ _ _ _ _ _ _ _ _ 1-3-Walkwayand decks4feetwide,safecondition _v --------- - - - .________________________ ----- --------------------------------------------------------------------- .14 Ladders, steps _ one per 75 feet. Not less than 2 ladders. .15 Divingegupment in safe condition.----------------------------------- _ ' -------------------------------------------------------------------------- 17 Pool supervision — Pool supervision provided. Effective Jan 1, 1999, pool /,- _ _ superyisor certified aspool operator from -YMCA -or NSPF_ _ _ _ _ _ _ _ _ _ _ _ _ -------------------------------------------------------------------------------- .21 Permit requirements — Permit issued. Adequate maintenance and testing records maintained. Records initialed by -person -----_----- tests.___________ _______ --------------------------------------------------------------------- .22 Health Regulations: Signs Posted. Health warning signs posted for special I/ --- purpose -pools ----------------------------------------------------------------------------------------------------------------------------------- ,23 urposepools---------------------------------------- .23 Lifeguards required; Yes ❑ No Ld If Lifeguard required; proper credentials, proper suits and garments wom. --- Whistle and bullhorn prov_ided.--------------------------------------- ----------------------------------------------------------------------------- .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. v ------------ ------------ - - - V 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 property discharged. No direct connection to sewer system. Separation tank provided for diatomaceous (� earth filter backwash water. -------------------------------------------------------------------- -------------------------------------------------------------------- - .29Chemical standards. .29 Pool water tested with pppropriatefrgquen9y- ------------------------- � --------------------------------------------------------____-- ----- 30 Water testing equipment. DPD kit provided for chlorine and bromine. t/ Unbreakable -thermometer for -special purpose pools---------------------- _______-___-___--_-_-____---_----_----_------- .31 Water clarity. _ 32 Water clarity maintenance_ Filtration system operating continuously_ ------ ✓ ! ®.32 specialpurpose pool drained, cleaned and every_ 14 days. ---------------- - -------------------------------------------------------------------------- Maximum Operating Temperatures for Special Purpose Pools. (SPP). j .33 a. Thermostatic control provided for each SPP. _ b_ Thermostatic control only accessibletothepooloperator------------- _____________________________________________________________________________) .38 General sanitation. POOLSIDE READINGS Bromine `( 0 6 O ppm Total Chlorine Alkalinity ;j'50- 159-, finj Free Chlorine Cyanuric Acid Comb. Chlorine (Oil =Q Water Temp. 104 F pH Level 7 2Z B *parts per million Other .29 Pool water tested with pppropriatefrgquen9y- ------------------------- � --------------------------------------------------------____-- ----- 30 Water testing equipment. DPD kit provided for chlorine and bromine. t/ Unbreakable -thermometer for -special purpose pools---------------------- _______-___-___--_-_-____---_----_----_------- .31 Water clarity. _ 32 Water clarity maintenance_ Filtration system operating continuously_ ------ ✓ ! ®.32 specialpurpose pool drained, cleaned and every_ 14 days. ---------------- - -------------------------------------------------------------------------- Maximum Operating Temperatures for Special Purpose Pools. (SPP). j .33 a. Thermostatic control provided for each SPP. _ b_ Thermostatic control only accessibletothepooloperator------------- _____________________________________________________________________________) .38 General sanitation. REGULATION NO. THE SPACE BELOW DESCRIBES VIOLATIONS MARKED ABOVE I XIII .34 { i6i"T GG--- i _ A— e9 CLOSED i Closure of the pool. i OOL IMIUST BE CLOSED UNIT i L IT N'IEETS THE STANDARD POOL j 4 SIGNED �� i�, /� SIGNED Ooera or Board of Health/Health Department