HomeMy WebLinkAboutCENTER VILLAGE CONDO - SWIMMING POOL PERMITS SvJ i mmi cd f 6*-Q�
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THE COMMONWEALTH OF MASSACHUSETTS
A - TOWN OF BARNSTABLE
Board of Health Fee:
$75.00
Permit To Operate A Swimming Pool
N�
In accordance with the provisions of Chapter 111,Section 127A of the General Laws, and Regulations established by the
Massachusetts.Deparment of Public Health(105 CMR 435.00)permit is hereby issued to
CENTER VILLAGE CONDOMINIUM TRUST
corporation or individual
for the operation of OUTDOOR POOL
(Public,Semi-Public,or Special Purpose Pool)
at 10 CAPT COOK LANE, CENTERVILLE MA.
address
Method of water treatment is. chlorine-automatically fed
Bathing load not to exceed 19 bathers.
QUALIFIED SWIMMER MUST BE AT POOL SITE ALL TIMES POOL IS OPEN. JANE CURTIS 508-428-
1112
Wayne Miller, M.D.,Chairman Board
This permit is valid until December 31, 2009
Paul J. Canniff, D.M.D. of
Junichi Sawayanagi Health
POST CONSPICUOUSLY By ��
Thomas A. McKean, RS, CHO, Health Agent
,e
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
>� Board of Health Fee:
$75.00
Permit To Operate A Swimming Pool
In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by the
Massachusetts Deparment of Public Health(105 CMR 435.00)permit is hereby issued to
CENTER VILLAGE CONDOMINIUM TRUST
corporation or individual
for the operation of OUTDOOR POOL
(Public,Semi-Public,or Special Purpose Pool)
at 10 CAPT COOK LANE, CENTERVILLE MA.
address
Method of water treatment is chlorine-automatically fed
Bathing load not to exceed 19 bathers.
QUALIFIED SWIMMER MUST BE AT POOL SITE ALL TIMES POOL IS OPEN. JANE CURTIS 508-428-
1112
Wayne Miller, M.D., Chairman Board
This permit is valid until December 31, 2008
Paul J. Canniff, D.M.D. of
Junichi Sawayanagi Health
POST CONSPICUOUSLY By
Thomas A. McKean,RS,CHO, Health Agent
THE COMMONWEALTH OF MASSACHUSETTS
A TOWN OF BARNSTABLE
Fee:
Board of Health
w $75.00
Permit To Operate A Swimming Pool
In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by the
Massachusetts Deparment of Public Health(105 CMR 435.00).permit is hereby issued to
CENTER VILLAGE CONDOMINIUM TRUST
corporation or individual
for the operation of OUTDOOR POOL
(Public,Semi-Public,or Special Purpose Pool)
at 10 CAPT COOK LANE , CENTERVILLE MA.
address
Method of water treatment is chlorine-automatically fed
Bathing load not to exceed 19 bathers.
QUALIFIED SWIMMER MUST BE AT POOL SITE ALL TIMES POOL IS.OPEN. JANE CURTIS 508-428-
1112
Wayne Miller, M.D., Chairman Board
This permit is valid until December 31,
p 2007 Paul J. Canniff, D.M.D. of
Junichi Sawayanagi Health
POST CONSPICUOUSLY By
Thomas A. McKean, RS,CHO, Health Agent
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
r Board of Health Fee:
$75.00
Permit To Operate A Swimming Pool
In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by the
Massachusetts Deparment of Public Health(105 CMR 435.00)permit is hereby issued to
CENTER VILLAGE CONDOMINIUM TRUST
corporation or individual
for the operation of OUTDOOR POOL
(Public,Semi-Public,or Special Purpose Pool)
at 10 CAPT COOK LANE, CENTERVILLE MA.
address
Method of water treatment is chlorine-automatically fed
Bathing load not to exceed 19 bathers.
QUALIFIED SWIMMER MUST BE AT POOL SITE ALL TIMES POOL IS OPEN. JANE CURTIS 508-428-
1112
Wayne Miller, M.D., Chairman Board
This permit is valid until December 31, 2005
Susan Rask, R.S. of
Sumner Kaufman, M.S.P.H. Health
�q POST CONSPICUOUSLY By ��
IM Thomas A. McKean, RS,CHO, Health Agent
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New Federal Pool Requirements
The Virginia Graeme Baker Pool and Spa Safety Act
The provisions of the new law are designed to prevent serious injuries and fatalities associated with
suction entrapment in pools and spas.
In accordance with regulation 105CMR432.00 the facility listed below has made the following
changes/modifications:
Center Village Outdoor Pool
10 Capt. Cook Lane
Centerville, MA
Suction Fittings:
To conform to the American National Standard ASME All 12.19.8-2007 the following drain/suction
covers have been installed.
Single Main Drain Cover:
Installed one G.E.C. 8/24 Retro Unblockable Suction Outlet Cover
❑ Multiple Main Drain Covers: Submerged suction outlets connected together with centers at
least 3 feet apart:
lYJ Sidewall Suction Cover/Covers:
Installed two Aquastar 8" low profile anti-entrapment covers with skimmer equalizer retrofit kits
Secondary Device or System designed to prevent entrapment:
❑ Safety Vacuum Release System—
❑ Suction—Limiting Vent System
❑ Gravity Drainage System
❑Automatic pump shut off system
❑ Drain disablement
❑ Other systems
Oceanside Pools
161 Queen Anne Road, Harwich, MA 02645.
508-432-9200 Fax 508-432-9244
4
APPLICATION FOR A PERMIT TO OPERATE-A SWIMMING POOL,
Application is hereby made for a permit to operate a public or semi-public swimming pool. This pool is
to be operated in accordance with 105 CMR 435.00: Minimum standards for swimming pools (State
Sanitary Code: Chapter V) and the Town of Barnstable Code.
C�Ojej-
OWNER: s ` . . '' J PHONE:
POOL LOCATION ADDRESS:
POOL TYPE: (circle one) INDOOR POOL OUTDOOR POOL SPECIAL PURPOSE (ie. hot tub)
SKETCH: Please attach a le igble detailed sketch with dimensions, depths and detailed pool volume calculations
SIZE: Swimming area (>5' deep) sq.ft. Non-Swimming area(<or= 5')_ sq.ft.
MAXIMUM BATHER LOAD: Swimming area: people. Non-Swimming area: people
Bather load calcs per 105 CMR 435.27: 15 sq.ft. of surface area per person for non-swimming area
20 sq.ft. of surface area per person for swimming area
10 sq.ft. of surface area per person for special purpose pools
POOL SUPERVISION: (circle) Lifeguard* Qualified Swimmer**
*Attach certification copies t
**Applicant must file a separate request to the Board of Health with certification and insurance copies
CERTIFIED POOL OPERATOR: t/2t>>d&2 (attach copy of CPO certificate)
DISINFECTION(type of chemical, method, capacity, etc. ) t Qi C"Co(- fjoS�c)H
o ., .1, 196,.08
FILTRATION (type, size, etc)
NUMBER OF MAIN DRAIN(S): If>1, drain cover centers at least 3' apart?
ADDITIONAL SYSTEM\DEVICE FOR ANTI-ENTRAPMENT:
ANSAASME Al 12.19.8 COMPLIANT DRAIN COVERS? (unblockable drains exempt if
they are at least 18"X 23" or at least 29"diagonal measurement) G,LC $ 2y ZZXQ-,D
f - 1
SPECIAL NOTES: 0J 5 (n � J 12 !J ) )
e 0
1 -
t .sr { '. `.C.. , ..
DATE-' Q SIGNED:
*NOTE: You must file a separate application for each swimming\special purpose pool.
Q-.\POOLS\Pool Application 2009.doc
April 2009
Town of Barnstable
Board of Health
200 Main Street
Hyannis, MA 02601
RE: Lifeguard Modification for Outdoor Pool
CENTER VILLAGE CONDOMINIUM
Location: Captain Cook La., Centerville
The Condominium requests a variance for Lifeguard Modification for Qualified
Swimmers.
The pool is supervised at all times the pool is open. The pool is closed and padlocked
when a Qualified Swimmer is not in attendance.
The Certified Pool Operator is Oceanside Pools.
CPR certificates are on file with the BOH and others will be sent.
Pleaa"ind attached Insurance Liability Certificate.
Huntingest manages the property and is the proper mailing address.
Thank yo�,,
Jane Curtis
Huntingest Management
PO Bos 340
Marstons Mills, MA 02648
508-428-1112
Enc: i r1-9,+c o
r;fy
�FfHETp��O� 4,�,qo
Town of Barnstable 9q,0�0
* BAM
AB . = Board of Health
9 MA83.
QjA 039. p�0 200 Main Street
TFD MA'S
Hyannis, MA 02601
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
May 1, 2008
Jane Curtis
Huntingest Group
40 Industry Road
Marstons Mills, MA 02655
RE: Center Village , Lifeguard Modification for the Swimming Pool
Dear Ms. Curtis,
We will allow you to employ "qualified swimmers," in lieu of the requirement to
employ fully certified lifeguards, at your swimming pool located at the Center
Village Condominium Trust, located at 10 Captain Cook Lane, Centerville, MA.
This includes persons in your pools and includes all other persons within the pool
enclosure. The following conditions must be complied with:
(1) The pool must be supervised by a "qualified swimmer" all times the pool
is open. We wish to make it clear that this swimmer must be at the pool
and cannot be observing from the desk unless another swimmer is
provided and physically present at the pool. This swimmer must be
certified in adult, child, and pediatric CPR by the American Red Cross,
American Heart Association or equivalent, be familiar with lifesaving
equipment and knowledgeable in first aid procedures.
(2) All qualified swimmers shall wear orange colored hats or orange colored
visors with the words "POOL STAFF" in 15 millimeter (5/8 inch) black
colored lettering on the front of the hats.
(3) The maximum capacity of the swimming pool is reduced to nineteen (19)
persons.
(4) You shall maintain a permanent record on a form prescribed by the Board
of Health listing each swimmer supervising the pool when it is in use. The
Q:\POOLS\QUALIF.SWIMMER LETTERS\Pool Modifi Center Village Condos w SwimTest 2008.doc
attached form must be posted at the pool site in a convenient location to
be viewed by the Health Inspector any time inspections are conducted.
(5) You shall submit a copy of the applicant's insurance policy naming the
Town as coinsured in the amount of$1,000,000.
(6) All other regulations contained in Chapter V, Minimum Standards for
Swimming Pools, must be strictly complied with.
(7) The qualified swimmers must hold a current American Heart Association,
American Red Cross, or equivalent CPR certificates with training in adult,
child, and pediatric CPR.
(8) The swimming pool water must be tested for coli form bacteria at least
monthly by a certified laboratory.
Please be ' advised that if you exceed this capacity of 19 persons, your
modification will be invalid and you will be required to cease operation of the
pool.
This modification expires December 31, 2008. It is your responsibility to ensure
that you request renewal of the variance from the lifeguard requirements each
year prior to opening the pool.
Sincerely yours,
Thomas A. McKean, CHOP)
Town of Barnstable
Public Health Division
Attachment
Q:\POOLS\QUALIF.SWIMMER LETTERS\Pool Modift Center Village Condos w SwirnTest 2008.doc
I certify that the below listed qualified pool supervisors pass the swimming test
administered by me. I further certify that the pool supervisor is familiar with lifesaving
equipment and knowledgeable in first aid procedures including resuscitation. The pool
supervisor is/or was at pool site supervising the pool during the hours listed below:
DATE TIME IN NAME OF QUALIFIED TIME MANAGER'S
POOL SUPERVISOR OUT SIGNATURE
QAPOOLS\QUALIF.SWIMMER LETTERS\Pool Modift Center Village Condos w SwimTest 2008.doc
1 y • •
April 2008
Town of Barnstable
Board of Health
200 Main Street
Hyannis, MA 02601
RE: Lifeguard Modification for Outdoor Swimming Pool
C'CENTER VIE17AGE--CONDOMINIUM
Location: Captain Cook Lane, Centerville
The Condominium requests a variance for Lifeguard Modification for Qualified
Swimmers instead of Lifeguards.
The pool is supervised at all times the pool is open. The pool is closed and padlocked
when a Qualified Swimmer is not in attendance.
The Certified Pool Operator is Oceanside Pools.
The CPR certificates will be sent as I receive them. People wait until the last minute.
Please find attached Insurance Liability Certificate.
Huntingest manages the property and is the legal mailing address.
Si � .
i e 1 ou /
Y
Jame Curtis
Huntingest Management
PO Box 340
Marstons Mills, MA 02648
1 �a
EJ.
DATE:
sAnNsteets, } FEE:
NABS.
1679. �e$
REC. BY
Town of BarnstablgCHED. DATE:
Board of Health
200 Main Street, Hyannis MA 02601
Office: 508-862-4644
FAX 509-790-6304 Susan d.Rask,R.S.
Sumner Kaufman,M.S.P.H.
Wayne A.Miller,M.D.
VARIANCE REQUEST FORM
""LOCATION _
Property Address/D f f
-
Assessor's Map and Parcel Number: Size of Lot:
Wetlands Within 300 Ft. Yes
Business Name: :a
No Subdivision Name:
P I ANT' AI�IR: Phone it
Did the owne a property authorize ou esent him or her? Yes No CD ,
R RTY OWNER'S NAME CONTACT PERSON
Name:
in.cy
Address: Address: ?/
Phone: Phone:
VARIANCE FROM REGULATION(Nn Reg.) ON F RV I CE(May attach,if more space nee )
NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System ❑
yj(to be completed by Q(/ice st4 ff-person receiving variance request application) 'f"
Four(4)copies of the completed variance request form
Four(4)copies of engineered plan submitted(e.g.septic system plans)
Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
Signed letter stating that the property owner authorized you to represent himther for this request
Applicant understands that the abutters must be notified by certified mail at least ten days prior to mating date at applicant's expense
(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals (same
owner/lemee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems .
(only if no expansion to the building proposed))
Variance request submitted at least IS days prior to mating date
VARIANCE APPROVED Susan Q,Resk,RS.,Chairman
NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL Wayne A.Miller,M.D.
Q:\HRALTH\Application Forme\VARIRSQ.DpC
%TMMONWEALTH OF MASSACHUSETTft
TOWN OF BARNSTABLE
V\ WHVMUNGPOOLINSPECTION REPORT
3ov,
TYPE OF P00 )EMI-PUBLICY SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD /
NAME OF POO n ADDRESS ` C C'k—.. ,l �'L,Ilt
OWNER ADDRESS
Regulation 105 CM 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory.
Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground.
Z04.Sewage disposal
`l05 Location, structural stability,finish �j rl� S"f f b
V
_ 0,6 Water circulation&filtration systems.Filter effluent flow meter reading�_gpm.#of turnovers O
t_ 06 Suitable automatic equipment for disinfection of pool water.
k /T 06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation.
8 Inlets&Outlets-Inlets located to produce uniform circulation. Over rim fill spout 6"above max.water level.Properly shielded&located.
1z'10 8 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes,
/ etc...At least one anti-vortex drain provided
L 08 Each system outlet protected against user entrapment by anti-vortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly
located and plumbed.
_izo 8 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose
or can be removed w/o tools until repairs are made.
08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked.
09 Cross-connections.Potable water supplied through air gap.
10 Skimming Facilities.50%of recirculation drawn from surface of pool.
_ I2 Line with floats separates non-swimmer area from deeper water. t(
/)
Ilx9r'
12 Water depth markings on deck and walls.Properly spaced.Boundary line n pool floor and walls. Step edges marked with contrasting color.
Y13.Walkwa s&Decks 4 ft.wide. Safe condition.
_
✓14 Ladders,steps-one per 75 feet.Not less than 2 ladders.
P 15 Diving equipment in safe condition.
d
d'��
17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided. /
} !. '21 Permit issued.Adequate maintenance and testing records. Records initialed by person making tests.
y 22 Health Regs. Signs posted Warning signs for special purpose pools.
���""✓23 Lifeguard ❑Qual. Swimmer If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided.Qual.Swimmer:CPR trained,
BOH approved.Limit bather load to 19 ❑Red or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire
Safety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard.
5 First aid equipment provided. First aid kit complete.
V 25 Emergency Communication system at the pool and in working der.E ergency c°�muni ation device in unlocked area and available at all times to staff and the
`. public.Operating instructions and emergency numbers posted. �a r h W�� i'r(„r�
v 26 Waste&backwash water disposal properly discharged.No direct connection to sewer syst m.Sebar tion tank provided for diatomaceous earth filter backwash water.
✓29 Chemical Standards. Frequency of Testing: Gt
POOL SIDE READINGS IN PARTS PER MILLION-ppm
Bromine 2.0-6.0 Total chlorine
Alkalinity 60-150 Free chlorine 1.0-3.0 U
CyanuricAcid 30-50,max 100 Comb. chlorine 0.0-0.2
Water temp. 78-84,spa<104 pH 7.2-7.8 �f >
-1/30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips
V31 &32 Water Clarity: Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously.
N2 Special purpose pool drained&cleaned every 14 days minimum
4�3 Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator.
34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31. If the pool is closed by a Health Inspector or other agent of the B.O.H.,
the pool shall remain closed until the Health Inspector re-opens pool in writing.
COMMENTS:
t
SIGNED: SIGNED: C _ DATE: 50
O RATOR and of Health/Health Dept. Representative
F ��
Town of Barnstable
a i
�„�M • Board of Health
p � 200 Main Street
Hyannis,MA 02601 ,
Office: 508-862-4644 Susan G.Rask,R.S.
FAX: 508-790-6304 Wayne Miller,M.D.
Sumner Kaufman M.S.P.H.
May 10, 2005
Ms. Jane Curtis
The Huntingest Group p.c.
40 Industry Road
Marstons Mills, MA 02648-0340
` eriter. Village/Lifeguartl Modification for the Outdoor SwrnrrlingPoo txx
Dear Ms. Curtis,
We will allow you to employ "qualified swimmers," in lieu of the requirement to
employ f ully c ertified I ifeguards, a t y our o utdoor s wimming p ool I ocated a t the
Center Village Condominiums, Captain Cook Lane, Centerville, MA. This
includes persons in your pool and includes all other persons within the pool
enclosure. The following conditions must be complied with:
(1) The pool must be supervised by a "qualified swimmer" all times the pool is
open. We wish to make it clear that this swimmer must be at the pool and
cannot be observing from the desk unless another swimmer is provided
and physically present at the pool. This swimmer must be certified in
adult, child, and pediatric CPR by the American Red Cross, American
Heart Association or equivalent, be familiar with lifesaving equipment and
knowledgeable in first aid procedures. (Minimum swimmer qualification
requirements are enclosed).
(2) All qualified swimmers shall wear orange colored hats or orange colored
visors with the words "POOL STAFF" in 15 millimeter (5/8 inch) black
colored lettering on the front of the hats.
(3) The maximum capacity of the swimming pool is reduced to nineteen (19)
persons.
(4) You shall maintain a permanent record on a form prescribed by the Board
of Health listing each swimmer supervising the pool when it is in use.
(Sample of prescribed form is enclosed).
PoolCenterVillage
l
(5) You shall submit a copy of the applicant's insurance policy naming the
Town as coinsured in the amount of$1,000,000.
(6) All other regulations contained in Chapter V, Minimum Standards for
Swimming Pools, must be strictly complied with.
(7) The qualified swimmer(s) must hold a current American Heart
Association, American Red Cross, or equivalent CPR certificates with
training in adult, child, and pediatric CPR.
(8) The swimming pool water must be tested for coliform bacteria at least
monthly by a certified laboratory.
Please be advised that if you exceed this capacity of 19 persons, your
modification will be invalid and you will be required to cease operation of the
pool.
P
Sin( rely yours,
� �,IYAVh7A ./
Wayne)Miller M.D.
Chairman
BOARD OF HEALTH
TOWN OF BARNSTABLE
PoolCenterVillage
' OF THE • ` DATE:
FEE
BAANBTABLB,
� MA89.
ArFD 39. � REC. BY
Town of Barnstab19,HED. DATE:
Board of Health
200 Main Street, Hyannis MA 02601
Office: 508-862-4644
FAX: 508-790-6304 Susan G.Rask,R.S.
Sumner Kaufman,M.S.P.H.
Wayne A.Miller,M.D.
VARIANCE REQUEST FORM
LOCATION '
Property Address:
Assessor's Map and Parcel Number: Size of Lot:
Wetlands Within 300 Ft. Yes Business Name:
No Subdivision Name:
APPLICANT'S NAME: Phone
Did the owner of the property authorize you to represent him or her? Yes No
71�
PROPERTY OWNER'S NAME ) C�TACT PERSON -`I x h��a r
Name 07 � Vd, �y� i✓X >T q/�'l� W-
Name: �`
Address: Ili, 0--2&S Address:
Phone: Phone: A
VARIANCE FROM REGULATION(cyst Reg.) REASON FOR VA IANCE(May a ach if more space needed)
` r
NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System ❑ IIII
Checklist(to be completed by office staff-person receiving variance request application)
Four(4)copies of the completed variance request form
Four(4)copies of engineered plan submitted(e.g.septic system plans)
Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
Signed letter stating that the property owner authorized you to represent him/her for this request
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same
owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems
[only if no expansion to the building proposed])
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G.Rask,R.S.,Chairman
NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL Wayne A.Miller,M.D.
Q:\HEALTH\Application Forms\VARIREQ.DOC
Town of Barnstable
Board of Health
200 Main St.
Hyannis, MA 02601
March 29, 2005
RE: Lifeguard Modification - Center Village Condominiums
TO: Thomas McKean
We request a modification from the Recommendation of the State Environmental Code regarding
Swimming Pools and Lifeguards.
The maximum capacity of the pool does not exceed 19 persons.
Copies f o current CPR certificates of Qualified p Q Swimmers are included with request.
Copy of insurance policy naming Town as co-insured is included with request.
J Curtis, manager
Center Village Condominium
°"uiiFJ/-/Xo /� /7a6`D
` f
*CONMONWEALTHO'FMASSACHUSET'o
TOWN OF BARNSTABLE
SWIIvM41NG POOL INSPECTION REPORT
0 0 d
TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC k SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD
NAME OF POOL 1 ADDRESS
OWNER V I ADDRESS
Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory.
t .
OXBathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground.
04.Sewage disposal
►r _ OS ion,structural stability,finish
06 r circulation&filtration systems.Filter effluent flow meter reading�sGgpm.#of turnovers (p i�
uitable automatic equipment for disinfection of pool water.
_ 06 02 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation.
VO8
lets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located.
ain drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes,
etc...At least one anti-vortex drain provided
O8 Each system outlet protected against user entrapment by anti-vortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly
�I6cated and plumbed.
08 S
5wdon outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose
or can be removed w/o tools until repairs are made.
�08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked.
09 Cross-connections.Potable water supplied through air gap.
V10,Skimming Facilities.50%of recirculation drawn from surface of pool.
�12me with floats separates non-swimmer area from deeper water.
;12 Wat epth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color.
Nyalkwa &Decks 4 ft.wide.Safe condition.
_✓ 14 La s,steps-one per 75 feet.Not less than 2 ladders.
�17P
ng equipment in safe condition.
�� l supervision provided.CPO w/proper training.On staff or on contract,Documentation provided.
_ 2 ermit issued.Adequate maintenance and testing records.Records initialed by person making tests.
V 22 ealh Regs.Signs posted Warning signs for special purpose pools.
23 Lifeguard Qual.Swimmer ❑If lifeguard:proper credentials,proper suits and garments worn.Whistl &bullhorn provided.Qual.Swimmer:CPR trained,
�OH approved.Limit bather load to 19 ❑Red or orange bathing suit with proper lettering for lifeguard Fellow Qualified Swimmer attire
rafety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard.
irst aid equipment provided.First aid kit complete.
rgency 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 &backwash water disposal properly discharged.No direct connection to sewer system.Separatiorl tank provided for diatomaceous earth filter backwash water.
_✓29 Chemical Standards. Frequency of Testing:
POOL SIDE READINGS IN PARTS PER MILLION-ppm
Bromine 2.0-6.0 Total chlorine
Alkalinity 60-150 Q Free chlorine 1.0-3.0 Q
Cyanuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2
Water temp. 78-84,spa<104 pH 7.2-7.8 7160
0 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips
31 2 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously.
�33
pecial purpose pool drained&cleaned every 14 days minimum
Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator.
_ 34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If the pool is closed by a Health Inspector or other agent of the B.O.H.,
-the pool shall remain closed until the Health Inspector re-opens pool in-writing.
COMMENTS: \
V � 1
SIGNED: SI CED: DATE:
PEWATOR ]Board o Health/Health Dept. Representative
ft—OMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
SWIMMING POOL INSPECTION REPORT
TYPE OF POOL: PUBLIC ❑ SE PUBLIC ' SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD
NAME OF POOL & ADDRESS p r
OWNER tf ADDRESS
Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory.
03.Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool. Gate self-latching 4 ft.above ground.
i'04.Sewage disposal
_5 Location,structural stability, finish
06 Water circulation&filtration systems.Filter effluent flow meter reading—1=—gpm.#of turnovers
�6 Suitable automatic equipment for disinfection of pool water.
0V:-06O
02 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation,
lets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max. water level.Properly shielded&located.
8 M ainin drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes,
etc...At least one anti-vortex drain provided
Each system outlet protected against user entrapment by anti-vortex cover or by 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 w/use of tools.Close pool immediately if outlet covers missing,broken,loose
or can be removed w/o tools until repairs are made.
pwo0 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked.
— 09 Cross-connections.Potable water supplied through air gap.
V10 Skimming Facilities.50%of recirculation drawn from surface of pool.
�'z/12 Line with floats separates non-swimmer area from deeper water. �� � o
12 Water depth markings on deck and walls.Properly spaced.Boundary line on(ol flo®and walls. Step edges marked with contrasting color.
—171//3 Walkways&Decks 4 ft.wide. Safe condition.
14 Ladders,steps-one per 75 feet.Not less than 2 ladders.
/15 Diving equipment in safe condition.
/17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided.
'/21 Permit issued.Adequate maintenance and testing records. Records initialed by person making tests.
�L2/2 Health Re s. Signs posted Warning signs for special purpose pools.
23 Lifeguard ❑Qual.Swimmer C5 f lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhom provided.Qual.Swimmer:CPR trained,
BOH approved.Limit bather load to 19 ❑Red or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire
�/24 Safety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard.
_�_//25 First aid equipment provided. First aid kit complete.
V25 Emergency Communication system at the pool and in working order.Em gencey commrun. do device in unlocked area and available at all times to staff and the
public.Operating instructions and emergency numbers posted. �^ �t'4
v/26 Waste&backwash water disposal properly discharged.No direct connection to sewer syste .S aration tank provided for diatomaceous earth filter backwash water.
_,/29 Chemical Standards. Frequency of Testing: P\ t tl✓�
POOL SIDE READINGS IN PARTS PER MILLION-ppm
Bromine 2.0-6.0 Total chlorine
Alkalinity 9-150 10 Free chlorine 1.0-3.0
CyanuricAcid 30-50,max 100 Comb.chlorine 0.0-0.2
Water temp. 78-84,spa<104 pH 7.2-7.8
V30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips
_ 31 &32 Water Clarity: Can see 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously.
O32 Special purpose pool drained&cleaned every 14 days minimum
0/�3 Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator.
J 34 POOL MUST BE CLOSED UNTIL IT.MEETS 105 CMR 435.29 THROUGH 435.31.If the pool is closed by a Health Inspector or other agent of the B.O.H.,
the pool shall remain closed until the Health Inspector re-opens pool in writing.
COMMENTS:
f
cf��
W" , /
SIGNED: SIGNED: DATE:
OlIuFRATOR Bard of Health/Health Dept. Representative
l/
IMONWEALTH OF MASSACHUSETT
ff
TOWN OF BARNSTABLE
SWRvMNG POOL INSPECTION REPOR
TYPE OF POOL: PUB L C P IA-L,PURPOSE b POOL VOLUME• j .B T LO
NAME OF POOL ADDRESS 18
OWNER ADDRESS
R lation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"X"indicate the violated provisions. Items marked with a check are satisfactory.
Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground.
04. Sewage disposal
OS Location structural stability,finish
6 Water circulation&filtration systems.Filter effluent flow meter readingpm.#of turnovers
6 Suitable automatic equipment for disinfection of pool water.
06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation.
8 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located.
0 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes
P P g >
etc...At least one antivortex drain provided
08 Each system outlet protected against user entrapment by antivortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly located
and plumbed.
1, C 8 Suction outlet covers in place,unbroken and secure and cannot be removed except w/use of tools.Close pool immediately if outlet covers missing,broken,loose
or can be removed w/o tools until repairs are made.
Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked.
09 Cross-connections.Potable water supplied through air gap.
10 Skimming Facilities.50%of recirculation drawn from surface of pool.
VX 12 Line with floats separates non-swimmer area from deeper water.
its�12 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color.
V 1 Walkways&Decks 4 ft.wide.Safe condition.
14 Ladders,steps-one per 75 feet.Not less than 2 ladders.
5 Diving equipment in safe condition.
- Pool supervision provided. CPO w/proper training.On staff or on contract,Documentation provided.
2 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests.
723
Health Regs.Signs posted Warning signs for special purpose pools.
LifeguardQual.Swimmer ❑ If lifeguard:proper credentials,proper suits and garments wom.Whistle&bullhom provided. Qual.Swimmer:CPR trained,
BOH appr Q.Limit bather load to 19
24 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/stra s at pools attended b lifeguard.
P P P Y Bt+
5 First aid equipment provided. First aid kit complete.
Y 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.
6 Waste&backwash water disposal properly discharged. No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash
water.
29 Chemical Standards. Frequency of Testing:
POOL SIDE READINGS IN PARTS PER MILLION-ppin
Bromine 2.0-6.0 Total chlorine
Alkalinity 60-150 Free chlorine 1.0-3.0
C anuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2
Watprtemp. 78-84,spa<104 pH 7.2-7.8
0 Water testing equipment.DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips
k 31&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously.
2 Special purpose pool drained&cleaned every 14 days minimum
Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator.
34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.Ifthe pool is closed by a Health Inspector or other agent ofthe B.O.H.,
the pool shall in closed until the Health Inspector re-opens pool in writing.
. remain
rose
COMMENTS:NAVA/47-
® '
SIGNED: AAA I jig SIGNED: g:
PE Board of Hea ✓eal a t._Representative
"OMMONWEALTH OF MASSACHUSET
TOWN OF BARNSTABLE /�
SVv7MNIING POOL INSPECTION REPO j 1000
TYPE OF POOL: UBLIC ❑ SE UBLIC SPECIAL PURPOSE ❑ E P00 VOLU 0 GAL. MAX. BATHER LOAD
[HME OF POOLJQ�ff ADDRESS
OWNER ADDRESS
R ulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an"V indicate the violated provisions.Items marked with a check are satisfactory.
V03.Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground.
4.Sewage disposal
Location, structural stability,finish
VVWater circulation&filtration systems.Filter effluent flow meter reading '�!—gpm.#of turnovers
Suitable automatic equipment for disinfection of pool water. 4 '
NCO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation.
08 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located.
08 Main drain suction outlets covered w/suitable protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes,
etc...At least one anti-vortex drain provided
8 Each system outlet protected against user entrapment by anti-vortex cover or by 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 w/use of tools.Close pool immediately if outlet covers missing,broken,loose
or can be removed w/o tools until repairs are made.
Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked.
09 Cross-connections.Potable water supplied through air gap.
�110 Skimming Facilities.50%of recirculation drawn from surface of pool.
_ 12 Line with floats separates non-swimmer area from deeper water.
_ 12 W ater depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color..3 Walkways&Decks 4 ft. wide. Safe condition.
14 Ladders,steps-one per 75 feet.Not less than 2 ladders.
Diving equipment in safe condition.
17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided.
21 Permit issued.Adequate maintenance and testing records. Records initialed by person making tests.
22 Health Regs. 'gns posted Wam'ng signs for special purpose pools.
23 Lifeguard Qua]. Swimmer lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided.Qual.Swimmer:CPR trained,
BOH approved.Limit bather load to 19 ❑Red or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire
V/24 Safety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard.
V25 First aid equipment provided. First aid kit complete.
V25 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&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water.
V29 Chemical Standards. Frequency of Testing:
POOL SIDE READINGS IN PARTS PER MILLION-ppm
Bromine 2.0-6.0 Total chlorine
Alkalinity 60-150 Free chlorine 1.0-3.0
Cyanuric Acid 30-50,max 100 Comb. chlorine 0.0-0.2
Water temp. 78-84,spa<104 pH 7.2-7.8
30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips
31 &32 Water Clarity: Can see 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously.
32 Special purpose pool drained&cleaned every 14 days minimum
33 Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator.
34 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If the pool is closed by a Health Inspector or other agent of the B.O.H.,
the pool shall remain closed until the Health Inspector re-opens pool in writing.
COMMENTS:
l
S
i
SIGNED: SIGNED: P5AT
OPE A OR oar of Health/H It Dept. epresentati
s I