HomeMy WebLinkAboutWillow Crossing 12/31/1999TOWN 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:
The Village at Willow Crossing
for the operation of a [] Public, v/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.: 12
Date of Expiration: December 31, 1999
Date Issue
TOWN OF MANSFIELD, SIX PARK ROW, MANSFIELD 02048
S'+'VIMIVIING POOL APPLICATION
Name of Owner: r -r!. -t �016r Ar- IJillow 6r&mssjq.5
Address: e -'r
City: M'�E4 -
State: 'M' A Zip:
Telephone: 1-4ol- qtq- I 0-6 - S 0S -- A4,1 - /3 3 -4
Pool Location: )2�— C068 5TA-00-r
Type/pool:
Length: ),)Ii) Width- I I -L I-01) Volume: Q,000
Min/Max depth
Swim area:
Dive area:
Water source:
W/W Disposal:
Type of finish:
Scum gutter:
Deck type:
Skrnrnr weir Igtli:
Treatment systin:
Disinfct method:
Chemical trtmnt:
No. of Bathers:
Remarks:
31-o" 70 3LCj\11
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Towry
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Permit No:7 J
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Fee: /'u
Please review information and make any applicable changes. Return to BOH office at
above address with check pak ' /able to town of Mansfield, $75.00 each pool. Permit
expires December 31 st yearl, . Thank you.
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