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0865 ATTUCKS LANE - Health
865 Attuck\S Lane Sewer Ac Hyannis ct # 4030 A = 294 - 079 r� J � C � .z 1 �1 n f :.'d4 1 d"k t• Un �D1/J1� �V`��l I TOWN OF B,AaRNSTABLE LOCATION �C�JUC' S /���`—� SEWAGE# VILLAGES ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (si , ryry NO.OF BEDROOMS U OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY THE COMMONWEALTH OF MASSACHUSETTS �. TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC❑ SEMI-PUBLIC❑ SPECIAL PURPOSE❑ POOL VOLUME: ALLON: BAT LO NAME OF POOL ADDRESS OWNER ADDRESS Regulation 105 CMR 435.001 effective date:2/20/98 the items marked with an"X"indicate the violated provisions. Items marked with a check are satisfactory. I�i 03.Bathhouse and sam facili' s adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool. Gate self-latching 4 ft.above ground. : 04.Sewage disposal 405.Location,structural stability,finish. q6l _\/06.Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers. _06.Suitable automatic equipment for disinfection of pool water. CO2 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. V08.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, 10 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 are missing,broken, loose or can be removed w/o tools until repairs are made. 8.Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. 9.Cross-connections.Potable water supplied through air gap. 10.Skimming Facilities.50%of recirculation drawn from surface of pool. 0 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. 013.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. 17.Pool supervision provided.CPO w/proper training. On staff or on contract,Documentation provided. L 14 1 �1 21.Permit issued. Adequate maintenance and testing records.Records initilialed by person making test. 22.Health Regulations Signs posted Warning Signs for special purpose pools. 23.Lifeguard AQualified Swimmer ❑If lifeguard:proper credentials,proper suits and garments worn. Whistle&bullhom provided.Qualified Swimmer; CPR trained,B.O.H approved.Limit bather load to 19 ❑Red or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire. '424.Safety Equipment.Ring buoys and rescue book provided. Rescue tube and backboard w/straps at pools attended by lifeguard. 25.First aid equipment provided.First aid kit complete. 125.Emergency Communication system at the pool and in working ordg. Emergency co uric *evice in locked area available at all times to staff and the public.Operating;*+gm, ergency numbers posted. P10 26.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-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Free chlorine 1.0-3.0 0 Cyanuric Acid 30-50,max 100 Combination chlorine 0.0-0.2 0 Wa)er Temperature 78-84,spa<104 pH 7.2-7.8 30.Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose polls.No test strips. J'33. 31&32.Water Clarity:Can see 6"black disk at bottom of pool. Watenclarity maintained.Filtration operating continuously. Special purpose poll drained&cleaned every 14 days minimum. 6 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 pool is closed by a Health Inspector or other agent of the B.O.H., the poll shall remain closed until the Health Inspector re-opens pool in writing. yr's /� COMMENTS: 'nc; � c SIGNED: A SIGNED: E: O EP,r Board of Health/He pt.ICALentative i Health Complaints 21-Mar-00 Time: 2:51:11 PM Date: 3/21/00 Complaint Number: 2276 Referred To: GLEN HARRINGTON Taken By: LS Complaint Type: GENERAL Article X Detail: Business Name: WOMAN'S BODY SHOP Number: 155 Street: ATTUCKS LANE Village: HYANNIS Assessors Map_Parcel: Complainant's Name: ANONYMOUS Address: Telephone Number: Complaint Description: THERE IS NO VENTILATION LIKE FANS AND NO WINDOWS IN BATHROOM AREA. THERE IS MOLD GROWING ON THE FLOOR. ALSO, WHEN THE TOILET WAS FLUSHED WHICH TAKES THE COLD WATER, PATRON WAS SCALDED IN SHOWER. THE PLUMBING SHOULD BE CHECKED BECAUSE IT IS A STATE LAW TO PROTECT AGAINST SCALDING. Actions Taken/Results: Investigation Date: S/ZY� n Investigation Time: /00 cze- 6-4 (i( f U�,✓lei d, Z.�Wh. � od es �G''c��a.2_ c Vn,& vim. �G .e s C4, �'�.� -� s�e a�-c. a ter., . ✓lr L� lo( L,� �%a-te c: o►�.� � ot�e� Ce� S 4aj , o� wa e�laL e,�, �u Coj"- aee- s v Aye Health Complaints 10-Apr-03 Time: Date: 4/9/03 Complaint Number: 3980 Referred To: SAM WHITE Taken By: RITA Complaint Type: SEWERAGE Article X Detail: Business Name: WOMANS WORKOUT Number: 165 Street: ATTUCKS LANE Village: HYANNIS Assessors Map_Parcel: Complainant's Name: WON'T GIVE Address: \ Telephone Number: Complaint Description: WAS THERE THIS A.M. FOR CLASS. TOILETS NOT AVAILABLE FOR USE OR SHOWERS. CANCO IS THERE NOW BUT RUGS SOAKING AND PEOPLE HAVE TO WALK ON THEM. Actions Taken/Results: SW investigated complaint. Spoke with manager System was backed up from apparent build-up of tampons flushed in the toilet. AB Canco had already investigated system to determine method of correction. AB Canco had left and was returning same day to correct problem. Rugs were wet-vac'd and new rugs were ordered roughly 2 hours after incident from Kent's Carpetland. Investigation Date: 4/9/2003 Investigation Time: 3:15:00 PM 1 350 MAIN STREET . TEL: (508) 775-2800. r WEST YARMOUTH, MA 02673 (800) 698-3993 FAX: (508) 778-9628 Septic Service Mechanical Services Pumping & InstallationO Heating & Plumbing Duct-Work Cleaning Fire Sprinklers Since 1930 .SERVICE INFORMATION: LOC: PRIORITY: JM` lM1f► ", kk'-Li Gu • BILL INFORMATION: 155 Q}tvelo [In TERMS: COD CHG CR CRD SERVICE LOC PHONE #'s AUTH. BY: OPEN DATE:_ DSPTCH: WORK REQUESTED REASON: REMARK: ', DESCRIPTION TOTAL AMOUNT WORK PERFORMED �h/M o A0^ - 1 - �- PUMPING CHG: 160 ADDL TAN WPIT: c[ an5� Zvi= �7.�-�.n ��s,��� ' ADDL HOSE: LOCATING CHG: CLEAR DRAIN: WATER BLAST: TECH DATL TRVL START END CHGED TIME ¢j'03 20 EVALUATION: PRIORITY CHG: DISPOSAL CHG: LABOR CHG: COVERS/FRAMES: 5% SLS TAX: I hereby accept the services performed as satisfactory and SUBTOTAL: acknowledge equipment was left in good condition. LESS PYMT: Interest at 1 1/2% per month after 30 days unpaid. Buyer agrees to all collection costs. AMOUNT DUE: CHECK #: COMPLETE INCOMPL. SIGNATUR SOC.SEC. #: MITT ROMNEY GOVERNOR Commo wealth of Massachusetts KERRYHEALEY ti F OFFICE OF CONSUMER AFFAIRS LIEUTENANT GOVERNOR BETH LINDSTROM d DIVISION OF PROFESSIONAL LICENSURE CODIRECTOR OFFICE OF NSUMER AFFAIRS AND Office of Investigation BUSINESS REGULATION Anne Collins � 239 Causeway Street Suite 400 DIRECTOR,DIVISION OF 'c��q,N SVey`m� Boston, Massachusetts 02114 PROFESSIONAL LICENSURE PHILLIP C.SMITH CHIEF INVESTIGATOR June 27, 2003 RECEIVED David Stanton J U N 3 0 2003 200 Main Street TOWN OF BARNSTABLE Hyannis, MA 02601 HEALTH DEPT. VAJL 1 1L''.. David Stanton VS Womans Body Shop DOCKET NO: SA-HS-03-054 INVESTIGATOR: Ann Marie Staunton Dear Mr. Stanton: This is to acknowledge receipt of your correspondence. Your correspondence has been assigned to the investigator above. Following our investigation of your complaint, a report will,be forwarded to the licensing board and a decision rendered. You will be notified of the decision by the board. If you have any questions please contact the investigator assigned to your case at 617-727-9996. Sincerely, Barbara Scott Administrative Assistant Ca PHONE-617-727-7406 FAX-617-727-1944 WEB-http:/Avww.mass.gov/reg BOARD OF REGISTRATION OF COSMETOLOGY IN THE MATTER OF SPECIAL ASSIGNMENT HS-03-054 David Stanton 200 Main Street Hyannis, Massachusetts 02601 The Board of Registration of Cosmetology's Investigator Ann Marie Staunton has investigated your complaint filed against Woman's Body Shop. Ms. Staunton found Violations of the Board's Rules and Regulations. Ms. Staunton has opened a Board complaint against this salon, which will result in a formal hearing . ANTHONY MOOSA CHAIRPERSON 0, MITT ROMNEY 0 GOVERNOR Commonwealth of Massachusetts KERRYHEALEY OFFICE OF CONSUMER AFFAIRS LIEUTENANT GOVERNOR w d BETH LINDSTROM DIRECTOR,OFFICE OF VISION OF PROFESSIONAL LICENSURE CONSUMER AFFAIRS AND Office of Investigation BUSINESS REGULATION g G� Anne Collins 239 Causeway Street, Suite 400 DIRECTOR,DIVISION OF Sv0 1�03 Boston, Massachusetts 02114 PROFESSIONAL LICENSURE PHILLIP C.SMITH CHIEF INVESTIGATOR July 31, 2003 David W. Stanton 200 Main St. Hyannis,MA 02601 CASE NAME: David W. Stanton VS Womans Body Shop DOCKET NO: SA-HS-03-054 INVESTIGATOR: Ann Marie Staunton Dear Mr. Stanton: This is to acknowledge receipt of your correspondence. Your correspondence has been assigned to the investigator above. Following our investigation of your complaint, a report will be forwarded to the licensing board and a decision rendered. You will be notified of the decision by the board. If you have any questions please contact the investigator assigned to your case at 617-727-9996. Since ely, Linda O'Brien Administrative Assistant is PHONE-617-727-7406 FAX-617-727-1944 WEB-http:/Avww.mass.gov/reg Public License Query . Page 1 of 1 '40' 1-t*-1uNW--0 A* NZ :r ^ C al i In ZaLdt qv.a3 f['i fr¢ Dfi Name: SUSAN T. Business: WOMANS WORKOUT CO. HUGHES AESTEHETIC SALON HYANNIS, MA **This Licensee has additional Licenses, click here to view them.** License 54572 Status: Current Number: Licensing Cosmetology License Type: Aesthetic Shop Board: Issue Date: 7/10/2002 Expiration 12/31/2004 Date: School: Exam Date: 7/10/2002 This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this 0 z0'` Division of Professional Licensure 239 Causeway Street Boston,Massachusetts 02114 Phone: (617)727-3074 Fax: (617)727-2197 Please send your technical questions or comments about this web site to REG.WebMaster@State.ma.us Disclaimer Privacy Policy Enforcement Process Glossary http://license.reg.state.ma.us/pubLic/PubLicenseQ.asp?board_code=HS&type class=_5&license 6/23/03 Health Complaints 27-Jun-03 Time: 12.55:00 PM Date: 6/18/2003 Complaint Number: 4110 Referred To: DAVID STANTON Taken By: KARYN DACE Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS Business Name: Women's Workout Company Number: Street: Attucks Lane Village: HYANNIS Assessors Map-Parcel: Complaint Description: Complainant was asked by the beautifican who works there to call on her behalf because she fears retribution. Please keep all data confidential. The esthetician at the Women's Workout Company does dermaplaning which is a process done using a straight edge razor against the facial skin. There is an autoclave in which blades should be cleaned but the autoclave does not work and has been out of order for so long that it is currently being used to store makeup. Further, the blade is not being changed or sterilized or even cleaned between clients. Esthetician is concerned that Hepatitis and other diseases may be being spread this way and would like the Health Division to take this situation in hand. Actions Taken/Results: IDS CALLED STATE BOARD OF BEAUTICIANS. THEY ARE MAILING A COMPLAINT FORM TO ME. I TOLD THEM EVERYTHING WE HAD ON THE COMPLAINT, AND THEY SAID I WOULD STILL NEED TO FILL OUT THE COMPLAINT FORM FOR THEM. I OFFERED TO FAX OUR 1 Health Complaints 27-Jun-03 COMPLAINT TO THEM, BUT THEY SAID THEY DIDN'T DO THAT. DS WILL FILL OUT COMPLAINT FORM AND RETURN IT ASAP. DS RECEIVED A CALL FROM THE STATE AFTER SENDING OFF THE COMPLAINT FORM REQUIRED BY THE STATE. 6/27/2003 KELLY MONICAL OF THE BOARD OF COSMETOLOGY. HER NUMBER IS (617) 727-9991. THEY CANNOT USE A THIRD PARTY, HOWEVER, BECAUSE IT WAS UNSANITARY CONDITIONS, THEY WILL DO A SPOT CHECK. IF WE WANT MORE, THEN THE COMPLAINANT MUST FILL OUT AND SIGN THE FORM. Investigation Date: Investigation Time: 2 Health Complaints 18-Jun-03 Time: 12:55:00 PM Date: 6/18/2003 Complaint Number: 4110 Referred To: DAVID STANTON Taken By: KARYN DACE Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS LEI Business Name: Women's Workout Company �1 I�►1 Number: Street: Attucks Lane Village: HYANNIS , Assessors Map_Parcel: Complaint Description: Complainant was asked by the beautifican who works there to call on her behalf because she fears retribution. Please keep all data confidential. The esthetician at the Women's Workout Company does dermaplaning which is a a process done using a straight edge razor against the facial skin. There is an autoclave in which blades should be cleaned but the c autoclave does not work and has been out of order for so long that it is currently being used to store makeup. Further, the blade is not being changed or sterilized or even cleaned between clients. Esthetician is concerned that Hepatitis and other diseases may be being spread this way and would like the Health Division to take this situation in hand. Actions Taken/Results: Investigation Date: Investigation Time: 1 THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE of 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 CHESTER AND SUSAN HUGHES D/B/A WOMAN'S BODY SHOPP,THE corporation or individual for the operation of INDOOR POOL (Public,Semi-Public,or Special Purpose Pool) at 155 ATTUCKS LANE HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31, 1999 Susan G. Rask, R.S., Chairman Board Ralph A. Murphy, M.D. of January 1, 1999 Sumner Kaufman, M.S.P.H. Health POST CONSPICUOUSLY By Thomas A.McKean RS,CHO, Health Agent �t t THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE o� Board of Health Fee: $50.00 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 CHESTER AND SUSAN HUGHES/DBA WOMAN'S BODY SHOPP,THE corporation or individual for the operation of WHIRLPOOL (Public,Semi-Public,or Special Purpose Pool) at 155 ATTUCKS LANE HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31, 1999 Susan G. Rask, R.S., Chairman Board Ralph A. Murphy, M.D. of January 1, 1999 Sumner Kaufman, M.S.P.H. Health POST CONSPICUOUSLY By z Thomas A.McKean, RS,CHO, Health Agent ,t�N&7 NN 41, ZAqq ,V1,1 .11) ME '�rc A u "T 1. T Og4. .... ....... LE THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE Fee: Board of Health $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 CHESTER AND SUSAN HUGHES D/B/A WOMAN'S BODY SHOPP, THE corporation or individual for the operation of INDOOR POOL (Public,Semi-Public,or Special Purpose Pool) at 155 ATTUCKS LANE HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31,2000 Susan G. Rask, R.S.,Chairman Board Ralph A. Murphy, M.D. of i January 1, 2000 Sumner Kaufman,M.S.P.H. Health POST CONSPICUOUSLY By ��-t �0 Thomas A. McKean RS,CHO, Health Agent 4 Ii 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 CHESTER AND SUSAN HUGHES D/B/A WOMAN'S BODY SHOPP, THE corporation or individual for the operation of INDOOR POOL (Public,Semi-Public,or Special Purpose Pool) at 155 ATTUCKS LANE HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. j�— HET COUNT 10/10/00 This permit is valid until December 31,2001 Susan G. Rask, R.S., Chairman Board Ralph A. Murphy, M.D. of January 1, 2001 Sumner Kaufman, M.S.P.H. Health POST CONSPICUOUSLY By Thomas A. McKean RS, CHO, Health Agent �TME Town of Barnstable Department of Health, Safety, and Environmental Services .. t639. Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Health TO: Carol Ann Ritchie, Site Plan Review Coordinator FROM: Thomas McKean, Director of Public Health DATE: October 25, 1995 RE: #60-95 The Woman's Body Shopp--,:� The Health Department has the following comments/requirements regarding this application for Site Plan Review: • The building shall be connected to town sewer. • The owner/operator shall obtain permits for the tanning facility prior to opening each year thereafter. • The operator shall obtain permits for any pools/whirlpools prior to opening and each year thereafter. t Fd� OF �G*, � 1 TOXIC AND HAZA DOUS MATERIALS REtISTRATION FORM r NAME OF BUSINESS: 11qIlia S I-�� '/�' Mail To: BUSINESS LOCATION: 4 Ic q . Board of Health Town of Barnstable MAILING ADDRESS: 47- O0 kS i����NVAN)g vs, na/j P.O. Box 534 TELEPHONE NUMBER: 3O ff — 7 7�"�-- l�����,5' 0Z�O/Hyannis, MA 02601 CONTACT PERSON: I)E 1) NN9 --- EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below,)either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NOS �f This form must be returned to the Board of Health regardless of a yes or no answer..,Use the enclosed envelope for your convenience. r If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet o et Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants -- __ Motor oils/waste oils y Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners S White Copy-Health Department/ Canary Copy-Business Date: S C _ TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM 4 NAMEOFBUSINESS: SA` O?v 2-00 BUSINESS LOCATION: MAILING ADDRESS: I SS— A T -uc i-e S - L N. 4YANNI S M A Mail To: TELEPHONE NUMBER: (sOB) 7 728-4 9�Z Board of Health Town of Barnstable CONTACT PERSON: C R I B 1--,USN i N S j P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: ��/ 9 6"� 37 Hyannis, MA 02601 TYPEOFBUSINESS: NI 41 R SAc.oN Does your firm store py of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS - The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid r . Disinfectants Engine and radiator flushes _ Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor& furniture strippers Metal polishes hydrochloric acid, other acids) !/z• . Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids PE-P,M i nG So IU-n on1 4 19 A I (dry cleaners) Co to P, bcvc to pe& - Z q a Other cleaning solvents S H A M po0 — J 3 A 1 . Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS � 4 I ' TOWN OF BARNSTABLE SITE PLAN REVIEW j� �S +•' DATE: October 23 1995 TO: Tom McKean FROM: Carol Ann Ritchie, Site Plan Review Coordinator RE: Site Plan Review # 60-95 The Women' s Body Shopp 155 Attucks Lane, Hyannis Map/Parcel: 294/079. Proposal: Construct fitness/recreation center. Please submit this form, with any comments or additional requirements you may have regarding the above.referenced application, to the Building Commissioner's office by November 1, 1995.. Jhlv"e"the following/attached comments/requirements regarding this application for Site Plan Review . I do not have any comments/requirements regarding this application for Site Plan Review at this time. (Signature) �V'L( 1 r —der-,- � P-ObLS�(J �P Dc)(� or - FOR OfFiCE USE ONLY FUR SITE PLAN REVIEW DATE RECEIVED : a ACTION DUE BY LOCATION k 370 Pa e Lot B in Plan Boo Lot B in Plan 1 ,,egal Description+ Book 370, Paae _1 ?lanninA Board Subdivision Numbers Ma 294 Parcel assessor' s Map and Parcel Numbers Lot B, Attucks Lane, Independence Park H annis Property Addressr APPLICANT OWNER OF PROPERTY Namet The Women' s Bod Susan and �amet L• Paul Lorusso177 Address: Chester Hughes address,-F.—Box 1776 yannis , 180 Falmouth Road Hyannis , MA 02601 --- 5-3716 Phoney ( 508 ) 771- 1600 'hone t AGENT(iniierest owner_or applicant) ENGINEER Namet_�atri — vamer Peter Sullivan Address: Baxter & N e Inc . Address: r,„t-tPr , Mr•C'T annan F. Fish 812 Main Street MA 09rni OstervilllP MA 02655 Phoney - �honet ( 508 ) 428- iITILITIES ZONING CLASSIFICATION(S) u Districtt Industrial FR'`1 '= e Flood Hazard: C I NG uut,Ger:_ 0 Public X GP Surber: 0 Groundwater Overlay: Size: Frivata_ iiZe: Fire DIstrict: Hy At-cue Grot:r.d: _ Above Grcund: _ LOT ARFA:106 , 7Q�sq. ft. • ero:ot!nd: Underar��und; rater: Fublic X CL)ntent.:: --- Contents: -NUMBER"-OF-BUILDINGS --- private: - - - Fsre Protection: E`xIstIr� 0 Proposed: 1 BAR} INi; �FAAI_F: �;_R `T5 Demolition: 0 271llred: v62 _ Existing: 1 Electrical: Froposed:1Treduced) Arsal: X ., Underground, onsite TOTAL FLOOR AREA ( in sq.ft. ) �r! Site: 70_. To Closes Residential : : Total:—: Gas: rf Site �A Natural: X Office: X Propane:— Medical Officer IN_FtIS7QkICAL f'1STRICT: (yes)_ 01-0 p Commercialt" 990 rehabiltai (speci f v use) ion therapi s IN AREA GF_cR;IJCAL ENVIRONCIENTAL Fitness/Recreation 11 , 76 (no) X Wholesale (yes) X rno)_ Institutional : iF,),ECT �1THIN lOt�' OF WETLAND RESOURCE AREA. Industrial : -- S!-IC-PLAN l REV:^W 1� 4 Nov i y F r rep �Rrp f� � r, n • lam rc_- -- - Zoning District Industrial old King's Hiqhway District No or Listed in National and/or State Register of Historic Places No Perimeter set backs: Front 60 ' Side 30 ' Rear 3.0 ' Lot coverage 370 Type of Use ( zoning ) Fitness/Recreation, Commercial (rental) Flood Plain Zone C Elevation 54 Number Of Floors 1 Floor Area: 1st 12, 750 (See revised plans ) 2nd Other ( specify ) _ Parking Requirements : Required 62 Provided 70 Handicapped Spaces 4 Are there accessory buildings? No Accessory Buildings Floor Area N/A PLEASE PROVIDE A BRIEF , NARRATIVE DESCRIPTION OF YOUR PROPOSED PROJECT. The ro osed ro 'ect is located alon Attucks Lane wi h ' n Ind e ence Park on a 2 . 46 acre parcel. The proposed project one-storyith 11 , 760 yquare feet for recre Lion P ( including a POO. l and 990 square feet of pace for a rehabilitation thereanist 1 assert that 1 have completed ( ot' cau d o be completed) this page , the Site Plan Review Application and the he list on the back of the application and that , to the best of knowledg t in submitted here is true. ( signature) (date ) "'E'°" Town of Barnstable �� . = Board of Health 9 116639. �•� P.O. Box 534, Hyannis MA 02601 FD MA'S Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman M.S.P.H. TANNING FACILITY PERMIT JANUARY 1, 1999 Permission is granted to: CHET AND SUSAN HUGHES D/B/A: WOMENS BODY SHOPP Address: 155 ATTUCKS LANE,HYANNIS # of Booths or Beds 2 Only at the following location 155 ATTUCKS LANE, HYANNIS Remarks: The operator shall comply with all Regulations contained within MGL Chapter 111, Sections 207-214. APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF BARNST LE BOARD OF HEALTH T omas A. McKean Director of Public Health THIS PERMIT EXPIRES DECEMBER 31, 1999 r TOWN OF BARNSTABLE TANNING FACILITY INSPECTION REPORT �J HEALTH DEPARTMENT NAMEAj DATE �� �j "' ADDRESS. / � �G6yj°e JGf„t' TEL. NO. OPERATOR � (J?,qY)/1e, �ts4sYkY�,CK� # of DEVICES ..2j, PERMIT POSTED_ Regulations of 105 CMR 123.000: TANNING FACILITIES ITEMS V 1. WARNING SIGNS �y A 2. TANNING DEVICES SY�y� °.� ' ��� fffi 3. PROTECTIVE EYEWEAR'1', 4. OPERATORS 5. RECORDS- ollf-a � � INJURY REPORTS ►/ 7. SANITATION �nA /L��Ns� G��� 8. Tanning facility does not claim or distribute promo- tional material that claims that the use of a tanning device is safe and free from risk. REMARKS: L PERS ERVIEWED SANITARIAN _ 1. WARNING SIGN : Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 (f) . , ,2. TANNING DEVICES : Manufactured and certified. to comp,ly.'with the C'od'e 'of',tederal Regulation§-(21"' CFR '1040.20) ,' timer provided which does not exceed the manufacturer's recommended exposure time, records available of the recommended exposure time established by the manufacturer, interior temperature of the devices do not exceed 100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers to protect customers from injury by touching or breaking lamps, construction of booth to withstand the stress and the impact of a falling person, access to the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. _ 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. 4. OPERATORS : Trained and sufficiently knowledgeable in the correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure Schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or increased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturer's procedures for correct operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury, effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the 20.0-400 nanometer range; list of operators maintained and available; trained operator present all times during operating hours. _ 5. RECORDS : Written statement of warning as described in 105 CMR 123.003(A) (1) handed to each customer each time device is used which •is signed acknowledging that he/she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to 17 years of age, consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customer's total number of visits and tanning times, copies of license application and license information. 6. INJURY REPORTS: Submitted to the Board and to the Department with a copy to the injured person or complainant. 7. SANITATION : Access to toilet and handwashin facilities liquid — g q soap Provided paper towels provided, receptacle provided, safe supply of drinking water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary condition free from rubbish. f Town of Barnstable MARM ABM Board of Health 9�Ar=1k -- P.O. Box 534, Hyannis NIA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A Murphy,M.D. Sumner Kaufman M.S.P.H. TANNING FACILITY PERMIT JANUARY 1, 2000 Permission is granted to: CHET AND SUSAN HUGHES D/B/A: WOMENS g/or��� Address: 155 ATTUCKS LANE, HYANNIS # of Booths or Beds 2 Only at the following location 155 ATTUCKS LANE, HYANNIS Remarks: The operator shall comply with all Regulations contained within MGL Chapter 111, Sections 207-214. APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF B STABLE BOARD OF HEALTH Thomas A.McKean Director of Public Health THIS PERMIT EXPIRES DECEMBER 31, 2000 C 1 I s • • TOWN OF BARNSTABLE TANNING FACILITY INSPECTION REPORT HEALTH DEPARTMENT NAME !�/j'L�/d�'1' �I �� �6/7/ 1�/I DATE 71A ADDRFSS � IGr TEL. NO. OPERATOR �GL" �f�.t� # of DEVICES�_PERMIT POSTED_ Regulations of 105 CMR 123.000: TANNING FACILITIES ITTEEMS ` 1. WARNING SIGNS 2. TANNING DEVICES 3. PROTECTIVE EYEWEAR 4. OPERATORS 5. RECORDS Y/ 6. INJURY REPORTS 7. SANITATION ��� V 8. Tanning facility does not claim or distribute promo- tional material that claims that the use of a tanning device is safe and free from risk. REMARKS: t � Joel", PERSON INTERVIEWED SANITARIAN 1. WARNING SIGN Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.00311(f) . , 2. TANNING DEVICEC :,.Manufactured a.nd ceri . ied to comply with the code cry.f Federal Regulations (21 CFR 1040.20) , timer provided which dc:us not exceed the manufacturers recommended exposure time; records available of the recommended exposure time 'established by the manufacturer, interior temperature of the devices do not exceed 100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers to protect customers from injury by touching or breaking lamps, construction of booth to withstand the stress and the impact of a falling person, access to the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. _ 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. 4. OPERATORS : Trained and sufficiently knowledgeable in the correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure Schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or increased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturer's procedures for correct .operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury, effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the t 200-400 I I - nanometer range; iist, of operators maintained and available; trained operator present all times during operating hours. 1 _ 5. RECORDS Written statement of warning as described in 105 CMR 123.003(A) (1) handed to each customer each time device is used which is signed acknowledging that he/she has read.and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to 17 years of age, consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customer's total number of visits and tanning times, copies of license application and license information. 6. INJURY REPORTS: Submitted to the Board and to the Department with a copy to the injured person or complainant. 7. SANITATION : Access to toilet and handwashing facilities, liquid soap provided, paper towels provided, receptacle provided, safe supply of drinking water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation' provided in each device, interior of facility maintained in good repair in. a safe, clean sanitary condition free from rubbish. TOWN OF BARNSTABLE �pF TH E i�•vQ ♦� OFFICE OF i DA"ST"L r BOARD OF HEALTH 7 NAM aj 1639• �� 367 MAIN STREET �0 MAX HYANNIS, MASS.02601 TANNING FACILITY PERMIT JANUARY 1, 1995 Permission is granted to WOMAN'S BODY SHOPP Address 180 FALMOUTH ROAD, HYANNIS # of Booths or Beds 2 Only at the following location 180 FALMOUTH ROAD, HYANNIS Remarks: The operator shall comply with all Regulations contained within MGL Chapter 111, Sections 207-214. APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF BARNSTABLE BOARD OF HEALTH Thomas A. McKean Director of Public Health THIS PERMIT EXPIRES DECEMBER 31, 1995 a' TOWN OF BARNSTABLE CFTHET04 ��Q�- -♦' OFFICE OF BAHa9TSBL i BOARD OF HEALTH °o f6J9' 367 MAIN STREET �crnYk HYANNIS, MASS.02601 APPLICATION FOR PERMIT TO OPERATE A TANNING FACILITY Full Name- Of Applicant A Address of Applicant ) ( Q A4cu±n i cam. alA,' Q,(c; o�( 1 d rq Name ''Of Establishment Address of Establishment OfJ 0eL�()V2 -- # Of >Booths Or Beds a Telephone Number ( Coc)Q Sole .Owner: ✓ Yes No I,f Applicant Is A Partnership, Full Name And Home Address Of All Partners: 1. ,. If Applicant Is A Corporation: State Of -Incorporation Full Name And Home Address Of: President 5uS -f'�-�� Treasurer Clerk Federal Identification No. Signature Of Applicant Home Address `( 4'hck ,r- S J, Home Telephone No. TOWN OF BARNSTABLE TANNING FACILITY INSPECTION REPORT HEALTH DEPARTMENT NAME (/v 0 6YIZi{/�S' DATE ADDRESS 1eV'0 ,1_6 TEL. NO. 7 900 OPERATOR # of DEVICES PERMIT POSTED Regulations of 105 CMR 123.000: TANNING FACILITIES ITE/MS R 1. WARNING SIGNS 2. TANNING DEVICES X 3. PROTECTIVE EYEWEAR .4...- OPERATORS X 5. RECORDS 6. INJURY REPORTS 7. SANITATION X 8. Tanning facility does not claim or distribute promo- tional material that claims that the use of a tanning device is safe and free from risk. REMARKS: na PERSON INTERVIEW SANITARIAN i _ 1. WARNING SIGN : Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 (f) . _ 2. TANNING DEVICES : Manufactured and certified to comply with the Code of Federal Regulations (21 CFR 1040.20) , timer provided which does not exceed the manufacturers recommended exposure time, records available of the recommended exposure time established by the manufacturer, interior temperature of the devices do not exceed 100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers to protect customers from injury by touching or breaking lamps, construction of booth to withstand the stress and the impact of a falling person, access to, the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. _ 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. _ 4. OPERATORS : Trained and sufficiently knowledgeable in the correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or increased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturers procedures for correct operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury, effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the 200-400 nanometer range; list of operators maintained and available; trained operator present all times during operating hours. _ 5. RECORDS : written statement of warning as described in 105 CMR 123.003(A) (1) handed to each customer each time device is used which is signed acknowledging that he/she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to 17 years of age, consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customers total number of visits and tanning times, copies of license application and license information. _ 6. INJURY REPORTS: Submitted to the Board and to the Department with a copy to the injured person or complainant. _ 7. SANITATION : Access to toilet and handwashing facilities, liquid soap provided, paper towels provided, receptacle provided, safe supply of drinking water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary .condition free from rubbish. TOWN OF BARNSTABLE A OFFICE OF i BA"ST&n i BOARD OF HEALTH i639• �e� 367 MAIN STREET ,F0 MAI k HYANNIS, MASS.02601 TANNING FACILITY PERMIT JANUARY 1, 1996 Permission is granted to CHESTER HUGHES D/B/A WOMAN'S BODY SHOPP Address 180 FALMOUTH ROAD,HYANNIS # of Booths or Beds 2 Only at the following location 180 FALMOUTH ROAD, HYANNIS Remarks: The operator shall comply with all Regulations contained within MGL Chapter 111, Sections 207-214. APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF BARNSTABLE BOARD OF HEALTH Thomas A. McKean Director of Public Health THIS PERMIT EXPIRES DECEMBER 31, 1996 I' -f' 40.00 DUE, PAYABLE TO: )WN OF BARNSTABLE TOWN OF BARNSTABLE - k* PLEASE CALL. FOR AN oFTHE Toy INSPECTION. OFFICE OF $75.00 DUE: WHIRLPOOL BATH t HA"STAML BOARD OF HEALTH °0 1619• �e0 367 MAIN STREET MAY HYANNIS, MASS.02601 APPLICATION FOR PERMIT TO OPERATE A TANNING FACILITY Full Name Of Applicant (_, e-s4cr WuqlAeS Address of Applicant " c? s � 16t�� C,4e Name Of Establishment - e 410M'q/L�s &jk -�-5 0 Address of Establishment # Of Booths Or Beds Telephone .Number Sp /W/'O0 Sole Owner: Yes No If Applicant Is A Partnership, Full Name And Home Address Of All Partners: F If Applicant Is A Corporation: State Of Incorporation Full Name And Home Address Of: President Sj-S'Ak) 1-1o�W Treasurer SJ S�� 0")5 kc-s Clerk SUSd46J our,bC Federal Identification No. Signature Of Applicant Home Address S t Ajv ��✓1� �'/ale /��yJ7"r�� i �o?" Home Telephone No. 7 �672- tj TOWN OF BARNSTABLE TANNING FACILITY INSPECTION REPORT HEALTH DEPARTMENT NAME �Jl �� DATE ADDRESS 44 L. NO. OPERATOR 5�o:?OAi # of DEVICES PERMIT POSTED OA iztL - 'j Regulations of 105 CMR 123.000: TANNI FACILITIES ITEMS ` WARNING SIGNS 2. TANNING DEVICES 3 PROTECTIVE EYEWEAR �A40PERATORS 5 RECORDS ' 6 INJURY REPORTS /� 7 SANITATION 8. Tanning facility does not claim or distribute promo- tional material that claims that the use of a tanning device is safe and free from risk. REMARKS: PERSON INTERVIEWED SANITARIAN r _ 1. WARNING SIGN : Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 (f) . _ 2. TANNING DEVICES : Manufactured and certified to comply with the Code of Federal Regulations (21 CFR 1040.20) , timer provided which does not exceed the manufacturers recommended exposure time, records available of the recommended exposure time established by the manufacturer, interior temperature of the devices do not exceed 100 degrees Fahrenheit. Additional Requirements For stand-up Booths: Physical barriers to protect customers from injury by touching or breaking lamps, construction of booth to withstand the stress and the impact of a falling person, access to. the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. _ 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. _ 4. OPERATORS : Trained and sufficiently knowledgeable in the correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or increased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturers procedures for correct operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury, effects of uV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the 200-400 nanometer range; list of operators maintained and available; trained operator present all times during operating hours. _ 5. RECORDS : Written statement of warning as described in 105 CMR 123.003(A) (1) handed to each customer each time device is used which is signed acknowledging that he/she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to- 17 years of age, consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customers total number of visits and tanning times, copies of license application and license information. _ 6. INJURY REPORTS: submitted to the Board and to the Department with a copy to the injured person or complainant. _ 7. SANITATION : Access to toilet and handwashing facilities, liquid soap provided, paper towels provided, receptacle provided, safe supply of drinking water provided, towels provided, disinfection of -toilet facilities, disinfection 'of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary .condition free from rubbish. i TOWN OF BARNSTABLE HEALTH DEPARTMENT MASS. 9� s639•A�O� ��® �E039. TANNING FACILITY INSPECTION REPORT V sq A. r? NAME DATE ADDRESS /Y*L k IJ/ L. NO. _- 06)/, OPERATOR #of DEVICES PERMIT POSTED �1-lnj r/ d Regulations of 105 CMR 123.000: TANNING FACILITIES ITEM 1. WARNING SIGNS 2. TANNING DEVICES 3. PROTECTIVE EYEWEAR 4. OPERATORS 5. RECORDS 6. INJURY REPORTS 7. SANITATION 8. Tanning facility does not claim or distribute promotional material that claims that the use of a tanning device is safe and free from risk. REMARKS: U NOW, 00 A�r�M ff)��&D-61) 6X-P—O�V -�� P rS66 gs a2AK t-,r-E U(� IPA 0 P,MA O O Q PERSON INTERVIEW INSPECT US SIGN 6TU m •q.v—...wgpx;u.,yrfyt�:ma,�'r�%„»Bi'�:--,_.. _ .. ,. �l'K R:P,, t+.Y'u 3 ^j�;r.�v-. .. .!vent. .• ..c'+M``4 M y 1.,WARNING SIGN : Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 (f). 2. TANNING DEVICES : Manufactured and certified to comply with the Code of Federal Regulations (21 CFR 1040.20), timer provided which does not exceed the mggidarturer'S tlosure time, records available of the recommended exposure'time estab- lished,byed,by the,manufacturer, interior temperature of the devices do"not exceed 100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers to protect cus- s comers from injury by touching or breaking lamps, construction of booth to withstand the Ust.ress and the impact of a falling person, access to the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning session with'instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. 4. OPERATORS : Trained and sufficiently knowledgeable in the correct'operation of e, tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure Schedule, photosensitizing ` agents such as foods,-cosmetics, and medications that may produce an abnormal or in- creased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturer's procedures correct operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury, effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic _ `• spectrum with photobiology and physics within the 200-400 nanometer range; list of operators maintained and available; trained operator present all times during operating hours.. 5. RECORDS: Written statement of warning as described in 105 CMR 123.003 (A) (1) handed to each customer each time device is used which is signed acknowledging that he/ she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to 17 years of age; consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customer's total number of visits and tanning times, copies of license application and license information. 6. INJURY REPORTS: Submitted to the Board and to the Department with a copy to the injured-person or complainant. �. 7. SANITATION: Access to toilet and handwashing facilities, liquid soap provided, paper towels provided, receptacle provided, safe supply of drinking.water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary condition free from rubbish. ti Town of Barnstable tHE t Regulatory Services c Thomas F. Geiler,Director BARNSTABLE. ; Public Health Division - Y MASS. `b i639• A�0 Thomas McKean, Director pTED MAC I 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,Chairman Fax: 508-790-6304 Paul J. Canniff,D.M.D. Junichi Sawayanagi TANNING FACILITY PERMIT January 1, 2009 Permission is granted to: Barbara Niggel DBA: Willy's Gym Address: 865 Attucks Lane Hyannis, MA 02601 # of Booths or Beds: 1 Only at the following location: 865 Attucks Lane,Hyannis Remarks: The operator shall comply with all Regulations contained within MGL Chapter III, Section 207-214 APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF BARNSTABLE BOARD OF HEALTH Thomas A. McKean Director of Public Health Expires 12/31/2009 #1-TanningPermit.doc • � Pal � 771-o�lB lw �9aq o ol !b6A Ng)� do WA-16C m 15� . P60pzc NA vc SL/ IVO GMD 64r�,S- @93o� m n ABLE TOWN OF BARNST HEALTHe DEPARTMENT TANNING FACILITY INSPECTION REPORT NAME:, VM DATE ADDRESS TEL. N OPERATOR #of DEVICES PERMIT-POSTED. Regulations of 105 CMR 123.000: TANNING FACILITIES ITEMS 1". WARNING SIGNS TANNING DEVICES 3.' PROTECTIVE EYEWEAR` -j/-4. OPERATORS 5. RECORDS INJURY REPORTS 7 SANITATION Tanning facility does not'claim or distribute promotional material that claims that the use of a tanning device is safe and free from risk. REMARKS: ( ® V Ly P ON INTERVIEWED INSPE 'SSG TUBE --�r�-- r-f r+-d+F..-...,tt: �. .ram'. w"-+^.^,r- 1 .,�}.*.f'"�r��,,,�,t.•ti,��ir,r..��.,.-�„P�r-.i --�"`--�.J''r"- .1. WARNING SIGN : Posted within three feet of each tanning device, readily-legible,, clearly visible, printed in white on a red ackdrbund;16tteYrsrat least 3/16 inch high,sign 8 1/2 inches-wide'by y11 inches long; cont6in°s'all n,`r the,-informatioequired by sections 1-6 of 105 CA R-12&003 (f). 'l, t. 2:TANNING DEVICES : Manufactured and certified to comply with the Code of. Federal Regulations (21 CFR 1040.20), timer provided which does not exceed the manufacturer's recommended exposure time Jecords x6ailable of the?ecommeh''ded exposure time estab l sh''d--by the manufacturer,'interior teriiperature of the'tlevices`do-not exceed 100`de'gTees ' Fahrenheit:-Additional.Requiremenis For Stand-up Booths:`Physical barriers to protect cus- tomers from injury by touching o6breaking lamps, construction-of booth to withstahflhe stress and the impact of a falling person, access to the booth.of-rigid construction;doors open outwardly, handrails or non-slip floors provided. 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning.session with instructions for mandatory use, sanitized before each use using a sanitizing agent which . is registered by the USEPA which is specifically manufactured for use with protective eyewear. 4. OPERATORS : Trained and sufficiently knowledgeable in the correct operation--of tanning devices used at a facility including: the requirements of 105 CMR 1,23.000 and of 21 CFR 1040.20, proper use of USFDA Recommended Exposure Schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or in- creased skin sensitivity, skin type determination, recognition of injuries_from overexposure to UV radiation, manufacturer's procedures correct operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury; effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the 200-400 nanometer range; list-of operators. maintained and available; trained operator present all times during operating hours; -5. RECORDS: Written statement of warning as described in 105 CMR 123.003 (A) (1) handed to'each customer each time device is used which is signed.acknowledging that he/ she has read and has understood'the warning statement,prior written consent of a parent or legal guardian for persons 14 to 17 years of age, consent form and accompaniment by a 9 I guardian for persons under 14 ears of age, records kept for 12 months for parent or legal g a p y g p o each customer's total number of visits and tanning times, copies of license applicatiori'and license information. 6. INJURY REPORTS: Submitted to the Board and to the Department with a copy to the injured person or complainant. 7. SANITATION: Access to toilet and handwashing facilities, liquid soap provided, paper towels,provided; receptacle provided, safe supply of drinking water provided, towels provided, disinfection of toilet Jacilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary condition free from rubbish. ,�TME'Owti TOWN OF BARNSTABLE HEALTH DEPARTMENT TANNING FACILITY INSPECTION REPORT NAME �n���te'[�J �6i " DATE ADDRESS 44 .clf ��,� v TEL. NO. OPERATOR # of DEVICES PERMIT POSTED Regulations of 105 CMR 123.000: TANNING FACILITIES ITEMS 1. WARNING SIGNS 2. TANNING DEVICES 3. PROTECTIVE EYEWEAR 4. OPERATORS 5. RECORDS 6. INJURY REPORTS 7. SANITATION 8. Tanning facility does not claim or distribute promotional material that claims that the use of a tanning device is safe and free from risk. REMARKS: ti ()A si I �U PERSON INTERVIEWED INSPECTOR'S SIGNATURE -ye_,W :..w _, ;E`."¢i ' ^ 9 '7- "�s'a... ` " (`i * :C'!.7F' !`�f'Iy '. k'•.:.- n":�ii.,r+:wv 1. WARNING SIGN : Posted within three feet of each tanning device, readily legible, clearly visible, printed in white on a red background, letters at least 3/16 inch high, sign 8 1/2 inches wide by 11 inches long, contains all the information required by sections 1-6 of 105 CMR 123.003 (f). 2. TANNING DEVICES : Manufactured and certified to comply with the Code of Federal Regulations (21 CFR 1040.20), timer provided which does not exceed the manufacturer's recommended exposure time, records available of the recommended exposure time estab- lished by the manufacturer, interior temperature of the devices do not exceed,100 degrees Fahrenheit. Additional Requirements For Stand-up Booths: Physical barriers to protect cus- tomers from injury by touching or breaking lamps, construction of booth to withstand the stress and the impact of a falling person, access to the booth of rigid construction, doors open outwardly, handrails or non-slip floors provided. 3. PROTECTIVE EYEWEAR : Made available to customers before each tanning session with instructions for mandatory use, sanitized before each use using a sanitizing agent which is registered by the USEPA which is specifically manufactured for use with protective eyewear. 4. OPERATORS : Trained and sufficiently knowledgeable in the correct operation of tanning devices used at a facility including: the requirements of 105 CMR 123.000 and of 21 ti CFR 1040.20, proper use of USFDA Recommended Exposure Schedule, photosensitizing agents such as foods, cosmetics, and medications that may produce an abnormal or in- creased skin sensitivity, skin type determination, recognition of injuries from overexposure to UV radiation, manufacturer's procedures correct operation and maintenance of a tanning device, use of protective eyewear, emergency procedures in case of injury, effects of UV radiation, acute and chronic exposure, biological effects, and health risks, electromagnetic spectrum with photobiology and physics within the 200-400 nanometer range; list of operators maintained and available; trained operator present all times during operating hours. 5. RECORDS: Written statement of warning as described in 105 CMR 123.003 (A) (1) handed to each customer each time device is used which is signed acknowledging that he/ she has read and has understood the warning statement, prior written consent of a parent or legal guardian for persons 14 to 17 years of age, consent form and accompaniment by a parent or legal guardian for persons under 14 years of age, records kept for 12 months for each customer's total number of visits and tanning times, copies of license application and license information. 6. INJURY REPORTS: Submitted to the Board and to the Department with a copy to the injured person or complainant. 7. SANITATION: Access to toilet and handwashing facilities, liquid soap provided, paper towels provided, receptacle provided, safe supply of drinking water provided, towels provided, disinfection of toilet facilities, disinfection of surfaces in contact with customers, ventilation provided in each device, interior of facility maintained in good repair in a safe, clean sanitary condition free from rubbish. 1 , Town of Barnstable ' Regulatory Services CF tHE Tp� fig' o Thomas F. Geiler,Director s ST AB . = Public Health Division 9�A i639. ��� � Thomas McKean Director rFD MA't A 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,Chairman Fax: 508-790-6304 Paul J.Canniff,D.M.D. TANNING FACILITY PERMIT April 6, 2007 ' Permission is granted to: Barbara Niggel DBA: Willy's Gym Address: 865 Attucks Lane Hyannis,MA 02601 # of Booths or Beds: 1 Only at the following location: 865 Attucks Lane, Hyannis Remarks: The operator shall comply with all Regulations contained within MGL Chapter III, Section 207-214 APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS. TOWN OF BARNSTABLE BOARD OF HEALTH Thomas A. McKean Director of Public Health #1-TanningPermit.doc JACUZZI PERMIT FEE THE COMMONWEALTH OF MASSACHUSETTS $75.00 TOWN of......�� �TABLE .................................. ............................................ Board of Health This is to Certify that ..............T.Ha..W.QNAN'.$..RQAY...allOPP...................................................... NAME 180 FALMOUTH ROAD, HYANNIS ............................................................................................................................................................................ ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool At ......MgTHOD OF WATER TREATMENT: CHLORINE-AUTOMATICALLY FED. ........................................................................................................................................................... ............................................................................................................................................................................ ............................................................................................................................................................................ This permit is granted in conformity with Article VI of the Sanitary Code of The Commonwealth of Massachusetts, and expires ..............DECEIRER..31......!Kfi..................... unless sooner suspended or revoked. K.R. --Cli lii;iii6.............!........................................................SUta[fi ... "t... N Board JANUARYJ..............jq..q�� 8flifi-A. Grady of .............................. . ...................................... ..fl..$...................................... ............ROXhI.A.Murphy.. ................................ Health ................... ............. ... .............................. FORM S 1712_A.M.SULKIN.INC.•BOSTON (617)542-5858 .. .. ...... a STEAM ROOM NUMBER FEE 114 THE COMMONWEALTH OF MASSACHUSETTS $15.00 ...........TQWN............ of....PAM TABLE.................................. Board of Health This is to Certify that ......1!!E__XQMAN.'.S...BODY_ SH.OPP................................................................ .. .... ... -------- .... ...... ................................................ .,..11X16NN.IS..................................................... HAS BEEN GRANTED A LICENSE TO ENGAGE IN THE BUSINESS OR PRACTICE OF MASSAGE — GIVING OF VAPOR BATHS AT......................1.8.0...FALMOUTH...R0_AD.,...H.YA.NN.I.S................................................................................... This license is issued in conformity with the authority granted to the Board of Health, by Chapter 140, Section 51, of the General Laws, and amendments thereto, and is subject to the provisions of the Laws of the Commonwealth of Massachusetts relating thereto, and upon such terms and conditions, and to the rules and regulations in regard to the carrv, o R rf the oce t' n so licensed as adopted by the Board of Health, and expires ......DEMIR 10 unless sooner revoked. CHAPTER 140, GENERAL LAWS Sec. 52.,n *..... Members of the police department of --------------------------------- any town may enter and inspect any premises in ...................*----- that town, used for manicuring or massage or the giving of vapor baths. .............Sumn.a.Ra.*-RaS;-,-.Gha4mn.... Board Sec 53. Whoever violates any provision of Sec- ti � or any rule or regulation made under ............. Man.R..Grady,.RS.......................... of Lion 1� there of,eof, or prevents or hinders any mem- ber of a police force from exercising the authority ------------RalphA.-WrPhY.M.A. *1111,------------- Health conferred upon him by Section 52, shall be punished by a fine of not more than one hundred dollars, or by imprisonment for not more than six months, or ------------ . ............... ..... ...................... both. JA.NUAPIX..I.........19...9.6. OE;;z........I.................................... ------------ ...... ......................... FORM 107 HOBBS WARREN. INC. AGENT Y: INDOOR POOL PERMIT FEE THE COMMONWEALTH OF MASSACHUSETTS 61 TOWN . 75.00 .......... STABLE. .. of ......BARN .. Board of Health This is to Certify that .:.._.GF�j? $.USANGHES D�B(ArWOMAN'S•_BODY._SHOPP 15 5HYANNI S ..................... ................................•------..... ..._....... ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool At ..155..Attuck&.Lan,e,..Hyannis,.biA_................................................................................................ ...---•..............................................................•------•--------------....-------•................................................................... ...................................................................:.............................................•---------------•------..........•-•---•••.....•-----••-••• This permit is granted in conformity with Article VI of the Sanitary Code of The Commonwealth of Massachusetts, and expires DECEMBER 31,___1996 _ _ _ unless sooner suspended or revoked. --------------------------------------------•---------------••............-••----•-... Chairman.............. Board - --•-------------•......---•--........ of ; ...............................: Health (=;:7 By Gt..............•••---......................... FORM S 1712 A.M.SULKIN,INC.-BOSTON (617)542-5858 AGENT JACUZZI PERMIT FEE THE COMMONWEALTH OF MASSACHUSETTS 60 $75.00 __ TOWN........... ofBARNSTABLE Board of Health This is to Certify that .......Ia W.'-.5..BQDY,.SHQPP(CHESTER.AND SUSAN HUGHES.......... NAME r 155 ATTUCKS LANE, HYANNIS ADDRESS IS HEREBY GRANTED A PERMIT To Operate a Public, Semi-Public Swimming or Wading Pool 155 Attucks Lane, Hyannis MA 02601 At ---------------------------------------------•---•------•----••---•--•---_--------••---•-_-•••---- -- - - ------------------- ,,,,,,,,,,,,,,,,,,,,, EI.HQH.,OF„WATER TREATMENT: CHLORINE—AUTOMATICALLY FED. . - ... ...._ ............... ....--•---•..............•--........................-----•--................------...-•----------....----.......------------.....-------•------•--•-•-•.....•---•••-••••••-• This permit is granted in conformity with Article VI of the Sanitary Code of The Commonwealth of Massachusetts, and expires ............DECEMBER 31, 1996 unless sooner suspended or revoked. --..........••-•-•••••••-•-•••-••.••-••••••••-••••••........•••••••--••••••••-••.••••- ...-------�J1Sat�-Ca.- Ski :�:; }Slifli8fl•-•-•---•---... Board JANUARY 1, 19 96-• ........•$ii�R. .� .. of .••••. - Rafph-A:•11�lurptty,lVl:[r-----•-•------------------------- Health ................................................... ................................ B � ............... ............................ FORM S 1712 A.M.SULKIN,INC.-BOSTON (617)542-5858 AGENT -W'- - ."°` fown of Barnstable Department of Health, Safety, and Environmental Services Public Health Division F01"�A 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Health SEATING ANNUAL SEASONAL ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT G 49 FULL NAME OF APPLICANT 0 cjS -3;aQ IV NAME OF FOOD ES T ABLISI-HMENT S�ry�,- ADDRESS OF FOOD ESTABLISHMENT TELEPHONE NUMBER �` ` _f(9 00 TYPE OF ESTABLISHMENT: a� �� FOOD SERVICE RETAIL FOOD BED AND BREAKFAST CONT.BR. RES.KITCHEN MOBILE FOOD TOBACCO SALES �/ SOLE OWNER:- YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO STATE OF INCORPORATION M R FULL NAME AND HOME ADDRESS OF: �!r PRESIDENT &) ct S{�w �o.�l� Ci�c`e /�///�k�S � l( aZC `I�4 TREASURER Cfet4"— CLERK S M e— SIGNATURA OF APPLICANT RESTRICTIONS: HOME ADDRESS 5 n e f4S /9 by✓e HOME TELEPHONE# 3 0 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 th Massachusetts Deparment of Public Health(105 CMR 435.00) permit is hereby issued t CHESTER AND SUSAN HUGHES D/B/A WOMAN'S BODY SHOPP, THE corporation or individual for the operation of INDOOR POOL (Public,Semi-Public,or Special Purpose Pool) at 155 ATTUCKS LANE, HYANNIS address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31,1997 Susan G. Rask, R.S.,Chairman Board Brian R.Grady, R.S. of January 1,19 97 Ralph A. Murphy, M. D. Health i POST CONSPICUOUSLY By • AGENT rr THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE Board of Health Fee' $50.00 Permit To Operate A Swimming Pool In accordance with the provisions of Chapter 111,Section 127A of the General Laws,and Regulations established by th Massachusetts Deparment of Public Health(105 CMR 435.00)permit is hereby issued t CHESTER AND SUSAN HUGHES / DBA WOMAN'S BODY SHOPP, THE corporation or individual for the operation of WHIIILPOOL (Public,Semi-Public,or Special Purpose Pool at 155 ATTUCKS LANE, HYANNIS address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31, 1997 Susan G. Rask, R.S.,Chairman Board Brian R. Grady, R.S. of . January 1,19 97 Ralph A. Murphy, M. D. Health POST CONSPICUOUSLY B AGENT Y fl ,a ' r THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE SWUY"YUNG POOL INSPECTION REPORT TYPE OF POOL: PUEkLIC ❑ SEMI-PUBLIC?f SPECIAL PURPOSE ❑ POOL VOLUME!'�'_ GAL. MAX. BATHER LOAD NAME OF POOL ADDRESS rj OWNER ADDRESS 7Re lation 105 CMR 435.000 effective date: 0 8 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory. o .Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. _V 44.Sewage disposal �Location,structural stability,finish O6 Water circulation&filtration systems.Filter effluent flow meter reading. gpm.#of turnovers 6 Suitable automatic equipment for disinfection of pool water. 94 6 d p 11!TTT 0�6 02 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. _✓ 08 ets&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 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. 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. 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. Skimming Facilities.50%of recirculation drawn from surface of pool. 12 ine 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. 1 r} Walkways&Decks 4 ft.wide.Safe condition. �l4 adders,steps-one per 75 feet.Not less than 2 ladders. / 15 Diving equipment in safe condition. "V j,7�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.Signs posted Warning signs for special purpose pools. r 23 Lifeguard Nual.Swimmer ❑If lifeguard:proper credentials,proper suits and garments wom.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 �4 Safety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard. ;V2 05 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. _V/26' Waste&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water.. I/ 29 Chemical Standards. Frequency of Testing: POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 90 Free chlorine 1.0-3.0 ,0 CyanuricAcid 30-50,max 100 Comb.chlorine 0.0-0.2 Water temp. 78-84,spa<104 pH 7.2-7.8Vo" i _ 30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips 3l 32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. 32 pecial 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. COM NTS: q— ' j �YvPr�- i N o�z1' �4 L� o SIGNED: SIG DATE: O` y PERATOR oard of QHalth/Health Dept. Representative \V 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. OWNER: �uS�(t) Tom I oy PHONE: V`9 T POOL LOCATION ADDRESS: �Q Cl Li Ac— U b q POOL TYPE: (circle one) INDOOR POOL OUTDOOR POOL SPECIAL PURPOSE (i.e. hot tub) SKETCH: Please attach a legible detailed sketch with dimensions, depths and detailed pool volume calculations SIZE: Swimming area (>5' deep) 'a 7 y sq.ft. Non-Swimming area(<or=5') Ll 8 A sq.ft. MAXIMUM BATHER LOAD: Swimming area: 13,d' people. Non-Swimming area: 36 people Bather load calcs per 105 CMR 435.27: 15 s-q.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* Cualified Swimmer** *Attach certification copies **Applicant must file a separate request to the Board of Health with certification and insurance copies CERTIFIED POOL OPERATOR: ,yo y �, ,�µ z►ems c (attach copy of CPO certificate) DISINFECTION (type of chemical, method, capacity, etc. ) e I o r r e S. FILTRATION(type, size, etc) &t:;-0j 0 NUMBER OF MAIN DRAIN(S): / If>1, drain cover centers at least 3' apart? - . €n ADDITIONAL SYSTEM\DEVICE FOR ANTI-ENTRAPMENT: —i ANSI\ASME Al 12.19.8 COMPLIANT DRAIN COVERS? (unblockable drains exem 'if they are at least 18"X 23"or at least 29"diagonal measurement) SPECIAL NOTES: I DATE: SIGNED: *NOTE: You must file a separate application for each swimming\special purpose pool. Q;\POOLSTool Application 2009.doc BOUDREAU & BOUDREAU, LLP Attorneys at Law 396 NORTH STREET HYANNIS, MASSACHUSETTS 02601 Philip Michael Boudreau Telephone: (508)775-1085 Mark H. Boudreau Telefax: (508)771-0722 E-MAIL: mark -boudreaulaw.net December 7, 2009 Thomas McKeon, CHO Town of Barnstable Board of Health 200 Main Street K Hyannis, NIA 02601 RE: Women's Workout Company, Lifeguard Modification Dear Mr. McKeon:< As per our meeting at Town Hall a couple of weeks ago,., I represent Women's Workout Company in connection with the operation of its workout facility located at 865 Attuck's Lane in Hyannis. The principal of the business, Susan Taylor, had sold the business in 2006 but has recently taken it back from the buyer. The p-±rpose of this letter is to request that Women's Workout Company be allowed to employ "qualified _ swimmers at its pool in lieu of the requirement to employ fully certifies lifeguards. It is my understanding that the following conditions'must be complied with: (1) 'The pool must be supervised by a"qualified swimmer" at all times that the pool is` Open. The swimmer must be at the pool and not observing from the desk unless .another swimmer is provided and physically at the pool. This swimmer must be certified in adult CPR by the American Red Cross, America., Heart Association or equivalent, be familiar with lifesaving equipment and know'lQdgeable 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. F O r'=The maximum capacityof the.swimming pool is reduced to nineteen 0 9).persons. F (4) We shall maintain'a permanent record on a form prescribed by~:Ghe Board of . w v v:. Health listed each swimmer supervising the pool when it is in use. We shall post a form issued by the Board of Health at the pool site in a convenient location to be viewed by the Health Inspector any time inspections are conducted. (5) We shall submit a copy of the applicant's insurance policy naming the Town as a coinsured in.the amount of$1,000,000.00. (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 adult1CPR. (8) The swimming pool water must be tested for coli form bacteria at least monthly by a certified laboratory. It is our understanding that the modification, if issued, expires December 31, 2009. It will be our responsibility to ensure that we request a renewal of the variance from the lifeguard requirement each year prior to opening the pool. Kindly sign where indicated below it you are in agreement with the foregoing. Thank you for your kind attention to this matter. Sincerely, Mark H. Boudreau 'I) Thomas A. McKean, CHO of the Barnstable Health Department, do hereby indicate my agreement with the variance to the lifeguard requirement subject to the terms and conditions as noted herein. r isasA. McKean, CHO Barnstable Health Department , Pool is 752 sq. ft. with average depth of 4' 6" equals 25,400 gallons Job Specifications Pool Area 752 Pool Perimeter •!` 44 ft. 24 40 ft. 4 ft. Shallow Depth ; Deep Depth L - - Main Drain Cover Spa Area k.. ANSI Compliant Spa Perimeter CO o Face Tile Coping - Deck Area Deck Perimeter Finish 40 ft. Vinyl , Color Fixtures >r White X> LO Pool to Equip r "' 20� Spa to Equip 25 ft. 4 ft. Q 15 ft. Luzietti'S Heavenly Pools,lnc. Woman's Workout 955 Route 132 Suite B 865 Attucks Way Hyannis, MA 02601 508-771-4242 Hyannis, MA 02601 r Town of Barnstable • BARNST AB . • Board of Health 200 Main Street Hyannis,MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman M.S.P.H. June 18, 2003 Revised August 26,2003 Ms. Susan Taylor Woman's Body Shopp 155 Attuck's Lane Hyannis, MA 02601 RE: Lifeguard Modification for the Swimming Pool Dear Ms. Taylor, REMINDER: This modification expires December 31, 2003. It will continue to be your responsibility to request a modification to the lifeguard requirements in writing before opening the pool each year. We will allow you to employ "qualified swimmers," in lieu of the requirement to employ fully certified lifeguards, at your outdoor swimming pool located at the Woman's Body Shopp, 155 Attucks Lane, Hyannis, MA. This includes persons in your pool and includes all other persons within the pool enclosure. The followingconditions must be complied with: p (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. f Q:HEALTH/WP/PoolWomansBodyShopp L (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). (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 310 CMR 12.00, 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 CPR. (8) The swimming pool water must be tested for coliform bacteria at least monthly by a certified laboratory. You testified children and infants are not allowed to be present within the pool; thus, you suggested child and infant CPR certifications are not necessary. It will be your responsibility to ensure that no children or infants are allowed within the pool area at any time. This modification expires December 31, 2003. It will continue to be your responsibility to request a modification to the lifeguard requirements in writing before opening the pool each year. Sin ely your , ayn Miller M.D. Chair an BOARD OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP/Poo1WomansBodyShopp oF�toy, Town of Barnstable BAM STAB> Board of Health 9`�A �•� 200 Main Street rE0 MA'1 A Hyannis,MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Wayne Miller,M.D. Sumner Kaufinan,M.S.P.H. December 30,2003 Ms. Susan Taylor Woman's Workout Co. 155 Attuck's Lane Hyannis, MA 02601 �R�E�.�,'°L�ife>uarwd�M�odift,.chation,fo�r the4S�w�wrnmingPao`lu � YA,aµ ^�,, _, �r �Y,M ,,,_��_ Dear Ms. Taylor, REMINDER: This modification expires December 31, 2004. It will continue to be your responsibility to request a modification to the lifeguard requirements in writing before opening the pool each year. We will allow you to employ "qualified swimmers," in lieu of the requirement to employ fully certified lifeguards, at your outdoor swimming pool located at the Woman's Workout Company, 155 Attucks Lane, Hyannis, 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. Q:HEALTH/WP/PoolModificationWomansWorkoutCo. (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). (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 310 CMR 12.00, 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 CPR. (8) The swimming pool water must be tested for coliform bacteria at least monthly by a certified laboratory. You testified children and infants are not allowed to be present within the pool; thus, you suggested child and infant CPR certifications are not necessary. It will be your responsibility to ensure that no children or infants are allowed within the pool area at any time. This modification expires December 31, 2004. It will continue to be your responsibility to request a modification to the lifeguard requirements in writing before opening the pool each year. Sinc ly yours, W e filler M.D. Chairm n BOARD OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP/PoolModificationWomansWorkoutCo. 11-0 ONWEALTH OF MASSACHUSE.T TOWN OF BARNSTABLE �(�316 r SVVINM NGPOOLINSPECTIONREPORT t 0j%)o TYPE OF POOL: P BLIC ❑ SEMI-PUBLIC bG SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL 1Ar ADDRESS OWNER 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. 11� OBathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. 04.loewage disposal 05 Location,structural stability, finish Water circulation&filtration systems.Filter effluent flow ter reading ®® gpm.#of turnove 06 Suitable automatic equipment for disinfection of pool water. -A*06 CO2 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 Z08 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. V08 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. /V/A 08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. V09 Cross-connections.Potable water supplied through air gap. 0 �0 Skimming Facilities.50/o of recirculation drawn from surface of pool. V�l 2 Line with floats separates non-swimmer area from deeper water. i/I 2 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color. 14nikways&Decks 4 ft.wide. Safe condition. Ladders,steps-one per 75 feet.Not less than 2 ladders. Irving equipment in safe condition. 1Wool 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. A���23 2 Health Regs. Signs posted Warning signs for special purpose pools. (�Lifeguard JLI dual. Swimmer ❑If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhom provided.Qual.Swimmer:CPR trained, BOH appro(,ed.Limit bather load to 19 ❑Red or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire _v2/4 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. IX 5 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 Zublic.Operating instructions and emergency numbers posted. 26 Waste&backwash water disposal properly discharged.No direct connection to sewer system4Saration tank provided for diatomaceous earth filter backwash water. &--"2 9 Chemical Standards. Frequency of Testing: POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 d 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. 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: C b � ,: SIGNED: SICD: DATE: b/5 OP ATOR oard of Health/Health Dept. Representative TOWN OF BARNSTABLE BOARD OF. HEALTH APPLICATION FOR A PERMIT TO OPERATE A SWIMMING POOL Application is hereby made for a permit to operate a public, semi-public, or priV to pool. This pool is to be operated according to the minimum standards for swimming pools set forth in Article VI iof the Sanitary Code of the Comotivaaltl,*af.Nissachusette. OWNER �' UJl J �C� I U✓ _. TEL. N0. ;rl�l_ - 1(q OQ LOCATION !"" Q dc-y LY C�Lt 1,kC - C pW01 aL 1 1 K$• TYPE OF POOLC\aao�f� S�PC,Qo, Ian LBNt3HT�WIDTN�1 VOLUME SKETCH (A detail plan must be filed with original application) SIZE% SWIMMING AREA -J GLJ t�o NON SWIMMING AREA5DiviNG AREA — O SOURCE OF WATER 76 DISPOSAL OF SEWAGE AND WASTEWATER d TYPE OF FINISH , /�_� SCUM GUTTER ��. `►' h, DECK: TYPE AND WIDTH<:70r�_�� a SKIMMERS% WEIR LENGTH TREATMENT SYSTEM Kind of filt ® etc. DISINFECTION METHOD; (Method, type, capscity, etc.) C / 0(7-A CHEMICAL TREATMENT (Feeders, egacity, guantitZ etc.) . REMARKS SIGNED DATE (Permits expire on Dec. 31) Cooperative Extension_ Deeds&Probate Bldg. PO Box 367 Barnstable MA 02630 Cement Painted;40'x 18'with 4'x B'steps Scale:118"=V-0" Job Specifications F—Handicap lift chair Pool Area O 52 ;::!::1:: 1: :1:X d.:4 Pool Perimeter R. s�rzil ,lij IIIB 24 ft. ........... ..... .. Shallow Depth ........... 316" UM I ....... ... ... ,,F2.3:1, 4 ft R . ........ Deep Depth......... ..... r q: W . ..... Spa Area j,i HBO V.1 Spa Perimeter ..................... jig- .......... log, gggw'�c.4 wwgp- P S .g ON-, ME MzSvp ME Face Tile •ill Concrete Dec h I• n drlac Coping snap k til 9 Deck Area Deck Perimeter Painted 40 ft. Color Fixtures White Pool to Equip Spa to Equip 24 ft. Heavenly Pools,Inc Womans Workout 24 Plant Road#4 Susan Taylor Hyannis,MA 02601 866 Affucks Lane May 13,2006 Hyannis,MA 02601 THONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBL C ElSEMI-P LIC ElSPECIAL PURPOSE ❑ POOL VOLUME`VI 6*L. MAX. BATHER LOAD NAME OF P02"OVW WCjW ADDRESS OWNER 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. _N 04.Sewage disposal ,Z05 Location,structural stability, finish Q 06 Water circulation&filtration systems.Filter effluent flow meter reading ua gpm.#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. 48 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. _V0 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 _\Z08 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. Aef"O�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. A/408 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. ,.Z09 Cross-connections.Potable water supplied through air gap. 10 Skimming Facilities.50%of recirculation drawn from surface of pool. V 12 Line with floats separates non-swimmer area from deeper water. �2 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color. _\,'13 Walkways&Decks 4 ft. wide. Safe condition. ✓14 Ladders,steps-one per 75 feet.Not less than 2 ladders. 4/ /,15 Diving equipment in safe condition. j, I7 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided. X1 Permit issued.Adequate maintenance and testing records. Records initialed by person making tests. k--"'22 Health Regs. Signs posted Warning signs for special purpose pools. _X,f f"'23 Lifeguard 9 Qua].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 �4 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. k X5 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. V 26 Waste&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter b wash 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 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 V-S 0 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips A_,e'3'1 &32 Water Clarity: Can see 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously. N)PW Special purpose pool diained&cieaned every 14 days minimum NO3 Thermostatic control provided for each SPR 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: SIGNED SIGNED: rr "- 1 t e LSL DATE: OPERATOR Board Health/H alth Deptl Representative 4 (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). (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 310 CMR 12.00, 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 CPR. (8) The swimming pool water must be tested for coliform bacteria at least monthly by a certified laboratory. You testified children and infants are not allowed to be present within the pool; thus, you suggested child and infant CPR certifications are not necessary. It will be your responsibility to ensure that no children or infants are allowed within the pool area at any time. This modification expires December 31, 2005. It will continue to be your responsibility to request a modification to the lifeguard requirements in writing before opening the pool each year. Since ely your , W/ ynVe -ill r M.D. Chair BOARD OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP/PoolModificationWomansWorkoutCo. Nv FtHETQ� Town of Barnstable BARNSTABLE. = Board of Health 200 Main Street rE0 MA'S A Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Paul Canniff,D.M.D. April 25, 2006 Susan Taylor Woman's Workout Company 865 Attuck's Lane Hyannis, MA 02601 RE: Woman's Workout Company, Lifeguard Modification for the Swimming Pool Dear Ms. Susan Taylor: 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 Woman's Workout Company, located at 865 Attuck's Lane, Hyannis, 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 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 Modif Womans Workout 2006.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 CPR. (8) The s wimming p ool w ater m ust b e t ested for coli f orm b acteria at I east 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, 2006. 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, CHO Town of Barnstable Public Health Division Attachment QAPOOLS\QUALIF.SWIMMER LETTERS\Pool Modif Womans Workout 2006.doc Town of Barnstable Board of Health 0 .• 200 Main Street A 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. January 25,2005 Ms. Susan Taylor Woman's Workout Co. 155 Attuck's Lane Hyannis, MA 02601 RE: Lifeguard Modification for the Swimming Pool Dear Ms. Taylor, REMINDER: T his m odification a xpires D ecember 31, 2005. 1 t will continue to bey our responsibility to request a modification to the lifeguard requirements in writing before opening the pool each year. We will allow you to employ "qualified swimmers," in lieu of the requirement to employ fully certified lifeguards, at your outdoor swimming pool located at the Woman's Workout Company, 155 Attucks Lane, Hyannis, 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. Q:HEALTH/WP/PoolModification Womans WorkoutCo. **MMONVv'EALTH OF MASSACHUSET� i 1 TOWN OF BARNSTABLE SWIIvM41NG POOL INSPECTION REPORT 000 TYPE OF POOL: PU LIC ❑ SEMI-PU LIC SPE, L PURPOSE ❑ P L VO AL. MAX. BAT R LOAD (� NAME OF POOL ADDRESS i OWNER ADDRESS 'TAS �ulation 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. X4.Sewage disposal V 05 Location,structural stability,finish 06 Water circulation&filtration systems.Filter effluent flow meter reading S®gpm.#of turnovers A/ 06 Suitable automatic equipment for disinfection of pool water. a06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. Z0 8 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 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. 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. 8 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. Cross-connections.Potable water supplied through air gap. 0 V10 Skimming Facilities.50%of recirculation drawn from surface of pool. 12 Line with floats separates non-swimmer area from deeper water. +Z12 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color. 13 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. 22 Health Regs. Signs posted Warning signs for special purpose pools. A 23 Lifeguard ual.Swimmer ❑If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided.Qual.Swimmer:CPR trained, BOH approdded.--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. 72,5 First aid equipment provided. First aid kit complete. tt 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&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. 9 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 1 pH 7.2-7.8 AV J- 30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips t AI 31 &32 Water Clarity: Can see 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously. NA 32 Special purpose pool drained&cleaned every 14 days minimum Thermostatic control provided for each SPR Thermostatic control only accessible to the pool operator. _ 34 POOL MUST BE CLOSED UNTIL IT MEETS..1:05_CMR 4 5.29 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 uritil the Health Inspector re-opens pool in writing. COMMENTS: -" U1664( 01"LnIt'- /D P—A A SIGNED: SIGNED: ATE: 10� ERATOR a o Health/H t De . epresentative �f 5 Health Complaints 02-May-06 Time: 2:22:00 PM Date: 4/19/2006 Complaint Number: 18762 Referred To: DONALD DESMARAIS Taken By: SHARON CROCKER Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS Business Name: WOMAN'S WORKOUT Number: 865 Street: ATTUCK LANE Village: HYANNIS Assessors Map_Parcel: Complaint Description: POOL WATER IS NASTY. THINGS ARE FLOWING AROUND IN IT. TOLD THEY CLEAN IT ONCE A WEEK AND IT'S JUST THE START OF THE WEEK. Actions Taken/Results: Unable to get there until Monday, May 1. DZM will do a full inspection of the pool on May 1, 2006 5/1/06-DZM inspected and due to the results officially"CLOSED"the pool. Owner was not on site and pool was not open at the time but due to my testing results and some documentation on file from Luzietti that DZM closed it. Pictures were taken. See inspection report. Investigation Date: 5/1/2006 Investigation Time: I 1 `0 V O COMMONWEALTH OF MASSACHUSET Dmull T J�D TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC SPECIAL PURPOSE ❑ POOL VOLUME: GAL MAX. BATHER LOA NAME OF POOL0tnAN!5U)0jkjADDRESS OWNER 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. 04.Sewage disposal /`� 6 L$ OS Location, structural stability,finish Q_ ',N ��(/ �� A-0I "/ Ot C" t+ A V/ L-/Q D 06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers 06 Suitable automatic equipment for disinfection of pool water. 06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. 711 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 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. 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. 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. 12 Line with floats separates non-swimmer area from deeper water. 12 Water depth markings on4de�ck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color. 13 Walkways&Decks 4 ft.wide. Safe condition. 14 Ladders,steps-one per 75 feet.Not less than 2 ladderr„ 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. 722 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, V24 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. 125 First aid equipment provided. First aid kit complete. 5 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. 29 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. COMME S• a C, A Yr� D •I11 ®D � ®� SIGNED: SIGNED: DkwlATE: OPERATOR oar( of Health/He gl Dept. .epresentativ J fo COMMONWEALTH OF MASSACHUSET* TOWN OF BARNSTABLE Y.__ . ' SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUB IC ❑ SE NI-PUBLIC ❑ SP CI PURPOSE ❑ POOL VOLUME: GAL. MAX. THER L n NAME OF POOL H (5 ADDRESS r OWNER 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. Y4.Sewage disposal 05 Location,structural stability,finish 6 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers 06 Suitable automatic equipment for disinfection of pool water. 06 CO2 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. AJ08 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-vortek drain provided 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. 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. �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. 0 $12 Line with floats separates non-swimmer area from deeper water. m AV6 V V 12 Water depth markings on deck and walls.Properly spaced.Boundary_ 1 pool floor and walls. SteU BCIeE$marked with contrasting color. D�6) V/ 13 Walkways&Decks 4 ft.wide. Safe condition. �� V 14 Ladders,steps-one per 75 feet.Not less than 2 ladders. N 11'15 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. 2 Health Regs. Signs posted Warning signs for special purpose pools. 3 LifeguardQual. Swimmer ❑If lifeguard:proper credential's,proper suits and garments wom.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 1/ 4 Safety Equipment.Ring buoys and rescue hook provided.Rescue tube and backboard w/straps at pools attended by lifeguard. Y5 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. V 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-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Q Free chlorine 1.0-3.0 Cyanuric Acid 30-50,max 100 Comb. chlorine 0.0-0.2 Wat9p temp. 78-84,spa<104 pH 7.2-7.8 J3 0 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable therm meter 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. 2 Special purpose pool drained&cleaned every 14 days minimum V 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: ft P0011— SIGNED: SIGNED: ® D 7 o� OPERATOR oard of Health/Healt D t. RepreOntative T1�MMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE ,t SWUVRvIING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC LV SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL \ S ADDRESS OWNER 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. \,""04.Sewage disposal ✓05 Location,structural stability,finish \e'156'Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers 06 Suitable automatic equipment for disinfection of pool water. /A4-106 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. a/ 08 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. \/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 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. 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. 148 Special purpose.pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. V09 Cross-connections.Potable water supplied through air gap. "**"10 Skimming Facilities.50%of recirculation drawn from surface of pool. ,,�p� 1Y112� Line with floats separates non-swimmer area from deeper water. "j0f'X0()'rrj y J&1 r4 7 p ulc �(1JEON Nl 12 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. 13 Walkways&Decks 4 ft.wide.Safe condition. 1 14 Ladders,steps-one per 75 feet.Not less than 2 ladders. (tt l5 Diving equipment in safe condition. 7 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.Signs posted Warning signs for special purpose pools. tia 23 Lifeguard ual.Swimmer ❑If lifegguaar :proper credentials,proper suits and garments wom.Whistle&bullhorn provided.Qual.Swimmer:CPR trained, BOH approved.Limit bather load to 19 L'1'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. 25 First aid equipment provided.First aid kit complete. 1-1Z25 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. _V/26 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-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 ] Free chlorine 1.0-3.0 0 CyanuricAcid 30-50,max 100 Comb.chlorine 0.0-0.2 Watery 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 V 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: ASIGNS SIGNED:P DATE: 6ftRATOR Board of Healt /Health Pept. Representative OCOMMONWEALn4OFMASSACHUSETTO TOWN OF BARNSTABLE SWRANI NG POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLICP�_SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL ADDRESS OWNER 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. _ 04.Sewage disposal 05 Location,structural stability,finish _ 06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers _ 06 Suitable automatic equipment for disinfection of pool water. 06 CO2 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 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. 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. 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. k<- 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 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. L/T2 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 • 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. _ 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 to&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. 29 VChemical Standards. Frequency of Testing: POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 i 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 IJ�.31&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. P_ 32 Special purpose pool drained&cleaned every 14 days minimum rmostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. 3 0 L 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., e pool shall remain closed until the Health Inspector re-opens pool in writing. COMMENTS: G SIGNED: SI ED: DATE: OPERATOR and LofHealth/Health Dept. Representative - T*MMONWEALTH OF MASSACH"USETTS.,• TOWN OF BARNSTABLE SVIM IING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL /��i J�-- ADDRESS OWNER ADDRESS R 'on 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. V�O3. hhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. age disposal ocation,structural stability, finish V 06 er circulation&filtration systems.Filter effluent flow meter reading �C/ gpm.#of turnovers 06 Suitable automatic equipment for disinfection of pool water. tts equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. _108 &Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. 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, At least one anti-vortex drain provided 8 Ea ystem outlet protected against user entrapment by anti-vortex cover or by other means.Minimum of 2 suction outlets provided for each pump,properly cited 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. fV '08 pecial purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. 09,Cross-connections.Potable water supplied through air gap. 10100 Skimming Facilities.50%of recirculation drawn from surface of pool. V 12 Line with floats separates non-swimmer area from deeper water. z2 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color. 13 Walkways&Decks 4 ft.wide. Safe condition. R 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. (22�eea,lth _rmit issued..Adequate maintenance and testing records. Records initialed by person making tests.Regs. Signs posted Warning signs for special purpose pools. 23 Lifeguard Qual. Swimmer ❑If lifeguard:proper credentials,proper suits and garments wom.Whistle&bullhorn provided.Qual.Swimmer:CPR trained, H appro ed.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. �L5 st aid equipment provided. First aid kit complete. Zp�-_blic. ergency Communication system at the pool and in working order.Emergency communication device in unlocked area and available at all times to staff and the Operating instructions and emergency numbers posted. vwste&backwash water disposal properly discharged.No direct connection to sewer system.Separation provided for diatomaceous earth filter backwash water. _ 29 Chemical Standards. Frequency of Testing: ','jr' 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 IZ13'0 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips 4 ' 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: C�c SIGNED: SIGN DATE: )0 RAT BoaAV: ealth Dept. Representative - I T*MMONWEALTH OF MASSACHUSETTS y* TOWN OF BARNSTABLE SWMD IING POOLINSPECTION REPORT g�O TYPE OF POOL: PU IC ❑ SEMI-PUBLIC SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL ADDRESS /l9 , OWNER I ADDRESS Reg on 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. _ Od,,Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. 1=/ 04.�ev✓age disposal 05 Location,structural stability, finisht(/� �06 ate,circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers (/ O V06CO2 06 Suitable automatic equipment for disinfection of pool water. 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. L� 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 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 ocated 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. Vpecial purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. 9 ss-connections.Potable water supplied through air gap. 10 S imming Facilities.50%of recirculation drawn from surface of pool. 12 Line with floats separates non-swimmer area from deeper water. q 12 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls. Step edges marked with contrasting color. V alkways&Decks 4 ft.wide. Safe condition. dders,steps-one per 75 feet.Not less than 2 ladders. X �I 15• ing equipment in safe condition. N . 17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided. Aeo-<Permit issued.Adequate maintenance and testing records. Records initialed by person making tests. 1'/4ealth Regs. Signs posted Warning signs for special purpose pools. 2'3 Lifeguard KQual. Swimmer ❑If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhom provided.Qual.Swimmer:CPR trained, 7afety proved.Limit bather load to 19 ❑Red or orange bathing suit with proper lettering for lifeguard W4411 rQualified Swimmer attire _ 24quipment.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. 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: �'J,— r POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Free chlorine 1.0-3.0 CyanuricAcid 30-50,max 100 Comb. chlorine 0.0-0.2 Water t 78-84, spa<104 pH 7.2'-.7.8 3 ater 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. Special purpose pool drained&cleaned every 14 days minimum 33 Thermostatic control provided for each SPR 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: 14) OGJ SIGNED: � SIGNS DATE: OPERATOR Board of Health/Health pt. Representative r THOMMONWEALTH OF MASSACHUSETT ' 1 TOWN OF BARNSTABLE aura 0 5 2003 SWIMMING POOL INSPECTION REPORT TYPE OF POOL. PUBLIC,❑ SEMI-PUBLI SPECIAL PURPOSE❑ POOL VOLUM AL. MAX.BATHER LOAD NAME OF POOL ADDRESS C' OWNER ADDRESS Regu�n 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. _033.. Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. _y04. wage disposal Location,structural stabili finishp 06 Water circulation&filtration systems.Filter effluent flow meter reading in. of turnovers y_oc� }_06 Suitable automatic equipment for disinfection of pool water. / 6 CO2 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 antivortex drain provided Y 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 V 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. A/M8 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. L,0 99 Cross-connections.Potable water supplied through air gap. L-10 Skimming Facilities.50%of recirculation drawn from surface of pool. *42 Line with floats separates non-swimmer area from deeper water. Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. V 1 L 3 Walkways&Decks 4 ft.wide.Safe condition. / -� c� �, I _✓1314 Ladders,steps-one per 75 feet.Not less than 2 ladders. N 5 iving equipment in safe condition. Pool supervision provided. CPO w/proper training.On staff or on contract,Documentation provided. y 21 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. 22 Health Rep.Signs posted Warning signs for special purpose pools. _3 Lifeguard ❑ Qual.Swimmer V If lifeguard:prop J Whi le& ul om provided. Qual.Swimmer:CPR trained, BOH approved.Limit bather load to 19 ,U&'V S t/�Q r�r���y �►�!/t credentials,proper suits and g ems wQr � �� 24 Safety Equipment.Ring �First q 255First aid equipment providedd 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. V 26 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- in I �— Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Free chlorine 1.0-3.0 rb C anuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water tern . 78-84,spa<104 vH 7.2-7.8 --Li 30 Water testing equipment.DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips r&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. Nh2 Special purpose pool drained&cleaned every 14 days minimum `!33 ermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. 3✓ 4 POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If the pool is closed by a Health g Inspector or other agent ofthe B.O.H., P the pool shall remain closed until the Health Inspector re-opens pool In writing. COMMENTS: 0 SIGNED: SIGNS • DATE: OPERATOR Board o ealth/Health Dept.Representative THFOMMONWEALTH OF MASSACHUSETTS • TOWN of BARNSTABLE HEALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT POOL CAPACITY - gal. NMS U �S' DATE IA Q ADDRESS �0 �YYI t�� k4�gw,J' TEL. NO. OPERATOR MAX. BATHING LOAD_ % PERMIT POSTED UPS Regulations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD, 12. STRUCTURE, 14. ONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21. LADDERS. These items approved on t construction plan are of permanent nature and need not be checked at each inspection. 3, LTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted, _ .t GUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. TY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft, water surface. 6. T AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local olice, state police, fire dept., and several available physicians. Telephone available (not pay station). 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructionk and light color. One shower and one toilet Zup 40 bathers (min. 2 ea.), hot and cold water, soap provided, one wash bowl per 60 bathers. No common s, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and ket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. _ 99 CLOSURE: Operator to close pool when water does not meet the requirements of this code. !r' 10. IT - RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required, V1. 15CIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every ours, Max, filtration rate 2-3 gal. per min, per sq. ft. filter. Disinfection equipment finely adjustable. 19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). � . IVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or racks, non slip surface. Not over 10 ft. above water level and at least 13 ft, unobstructed head room. ZT23- ER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. TERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. _25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total alkalinity 50 to 150 ppm. TESTING EQUIPMENT: Testi.ig equipment provided, in good repair and complete with fresh reagents. d27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. WADING POOLS: Quality of the water shall be the same as swimming pools: Turnover 4 hours or less. REMARKS: 67 4 Q41( . PERSON IN RVIEWED 0 SANITARIAN THI&MMONWEALTH OF MASSACHUSETTS• i N f BARNSTABLE UM�J",� O SW POOL INSPECTION REPORT HEALTH DEPARTMENT POOL CAPACITY - gal. NAME hy Wf> DATE ADDRESS TEL. NO. OPERATOR MAX. BATHING LOAD PERMIT POSTED Reguiations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD. 12. STRUCTURE, 14. :ONS"RUCTION, 15. TNLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20, WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. _ 6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local police, state police, fire dept., and several available physicians. Telephone available (not pay station). 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructions and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold water, soap provided, one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. _10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. _13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max. filtration rate 2-3 gal. per min. per sq. ft. filter. Disinfection equipment finely adjustable. _19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) .25 ft. intervals (deep end). 22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft, unobstructed head room. _23. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. 24. BACTERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. Quality shall meet the USPHS drinking water standards. Untreated water not over 2400 MPN Coliform. 25. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total alkalinity 50 to 150 ppm. _26. TESTING EQUIPMENT: Testi.Lg equipment provided, in good repair and complete with fresh reagents. 27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. _32. WADING POOLS: Quality of the water shall be the same as JJswimming pools. Turnover,4 ho rs or less. RM-RKS: Poo bT7 .hfi V - 7) S fesrA��,s v I -� go,-W4 �'� �aayras-z-n fdlii C1 PER ON INTERVIEWED SANITARIAN TH MONWEALTH OF MASSA-CHUSE.TTS " JA ra 6 TOWN of BlaRNSTABLECAM O7� po �) fo�b HEALTH DEPARTMENT SWIMMING POOL INSPECTION REPORT POOL CAPACITY - gal. NAME '-fpe- ko� S�Opf /_1 7 DATE ADDRESS GE2TEL. NO. OPERATOR MAX. BATHING LOAD PERMIT POSTED Reguiations of the Massachusetts Sanitary Code: Article VI-"Minimum Standards for Swimming Pools". ITEMS: 1. DEFINITIONS, 2. PLAN APPROVAL, 8. SEWERAGE, 11. BATHER LOAD. 12. STRUCTURE, 14. 0ONSTRUCTION, 15. TNLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21. LADDERS. These items approved on the construction plan are of permanent nature and need not be checked at each inspection. 3. HEALTH: No employee sick, bathers take showers, clean bathing suits, sick or infected bathers not allowed, spitting prohibited, no glass or dangerous objects. Health and Shower signs posted. 4. LIFEGUARDS: No unsupervised swimming. Trained lifeguards in attendance according to Health Dept. ruling. 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2000 sq. ft. water surface. _ 6. FIRST AID: Red Cross first aid kit (24 unit or equivalent), emergency telephone numbers posted, local police, state police, fire dept., and several available physicians. Telephone available (not pay station). 7. BATHHOUSE: Separate dressing and sanitary facilittes for each sex, adjacent to pool, adequate, well lighted, drained, ventilated, impervious constructions and light color. One shower and one toilet per 40 bathers (min. 2 ea.), hot and cold water, soap provided. one wash bowl per 60 bathers. No common cups, towels, combs or brushes. Emergency room provided for sick or injured bathers, with cot and . blanket. Foot showers (if required). Pool adequately enclosed Approved drinking water facilities. 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. _10. PERMIT - RECORDS: Permit posted. Written records available of daily operation of the pool, including attendance, water tests, chemicals used, hours of operation, backwashing and other information required. _13. RECIRCULATION - FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours, Max, filtration rate 2-3 gal, per min, per sq. ft. filter. Disinfection equipment finely adjustable. _19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end) 25 ft. intervals (deep end). 22. DIVING BOARDS: Rigidly constructed, properly anchored, braced for heaviest load, sound, no splinters or cracks, non slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. _23. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. 4. BACTERIOLOGICAL QUALITY: Health Dept. shall cause water samples to be analyzed as considered necessary. Quality shall meet the USPHS drinking water standards. Untreated water not over 2460 MPN Coliform. CHEMICAL STANDARDS: Treated with chlorine or other effective method. Tests taken daily or more often as required by Health Dept. Chlorine combined 0.0 to 0.2; Free chlorine 1 to 3, pH 7.2 to 7.8, total alkalinity 50 to 150 ppm. 26. TESTING EQUIPMENT: Testi.:g equipment provided, in good repair and coinplece with fresh reagents. _27. WATER CLARITY: A 6 inch black disc at bottom of deepest part of pool visable at 10 yards away. _32. WADING POOLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. 6 2 s� o REMARKS: .-, a C o J-r) /P0 i to/ Qtotp va1 / PE064 VftRfiEwE5 S A N Il A IAN .1 THEOMMONWEALTH OF MASSACHUSETO H TOWN OF BARNSTABLE � q^ ✓�5�S�` dP-Wc &" OARD OF HEALTH 0,P_ �� �. 4 p,ar`at�a�S SWIMMING POOL INSPECTION REPORT Name 1 I " V® �15 � Date Z 2 Address t' 1"'G (S Lan, Tel. No. _77 MOOD _ Operator ISM' l�l 4�IAOV�CC) Max. Bathing Load Permit Posted Regulations of the Massachusetts Sanitary Code: Title 2 "Minimum Standards for Swimming Pools". Items: 1.DEFINITIONS,2.PLAN APPROVAL,8.SEWAGE, 11.BATHER LOAD, 12.STRUCTURE, 14.CONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21.LADDERS.These items approved on the construction plan are of permanent nature and need not be checked at each inspection. ❑ 3. HEALTH: No employee sick,bathers take showers,clean bathing suits,sick or infected bathers not allowed,spitting prohibited, no glass or dangerous objects. Health and shower signs posted. ❑ 4. LIFEGUARDS: Trained lifeguards in attendance according to Health Department ruling. ❑ 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2,000 sq. ft. water surface. ❑ 6. FIRST AID: Red Cross first aid kit(24 unit or equivalent),emergency telephone numbers posted,local police, state police, fire dept., and several available physicians. Telephone available within 100 ft. (not a pay station). ❑ 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex,adjacent to pool,adequate,well lighted,drained,ventilated, impervious construction and light color.One shower and one toilet per 40 Bathers(min.2 ea.),hot and cold water,soap provided, one wash bowl per 60 bathers.No common cups,towels,combs or brushes.Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). POOL ADEQUATELY ENCLOSED. Approved drinking water facilities. ❑ 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. ❑ 10. PERMIT-RECORDS: Permit Posted.Written records available of daily operation of the pool,including attendance,water tests, chemicals used, hours of operation, backwashing and other information required. ❑ 13. RECIRCULATION-FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours. Max.filtration rate 2-3 gal.per min.per sq.ft.filter.High rate filters-max. 15 gal/min/sq.ft.Disinfection equipment finely adjusted. ❑ 19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals(shallow end) 25 ft. intervals(deep end). ❑ 22. DIVING BOARDS: Rigidly constructed,properly anchored,braced for heaviest load,sound,no splinters or cracks,non-slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. ❑ 23. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. ❑ 24. BACTERIOLOGICAL QUALITY: Health Department shall cause water samples to be analyzed as considered necessary. X25. CHEMICAL STANDARDS: Treated with chlorine or other effective method.Tests taken 4 times daily as required by Health D� � .0- 3Q; ph 7.2- 7.8 Totalalkalinity 50- 150 ppm. El 26. DPD test kit provided, in Pboa repair and complete with fresh reagents. ❑ 27. WATER CLARITY: A 6-inch black disc at bottom of deepest part of pool visible at 10 yards away. ❑ 30. WADIINNG POOLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less. REMARKS: P5 W'UI U 1•6 0 I II J /M DAM' v -A 53 , 5 On�� ce- t'2/i2'9� l 2//Y117� ►2�/ �•�/ 1 z t < 1 Person Interviewed / Sanitaria 6 THE41MMONWEALTH OF MASSACHUSET TOWN OF BARNSTABLE BOARD OF HEALTH vi �1 yC�.�POOL INSPECTION REPORT Wo Name mo ID 8QPff, Date Address 06)c,�o V Tel. No. Operator Max. Bathing Load Permit Posted Regulations of the Massachusetts Sanitary Code: Title 2 "Minimum Standards for Swimming Pools". Items: 1.DEFINITIONS,2.PLAN APPROVAL,8.SEWAGE, 11.BATHER LOAD, 12.STRUCTURE,14.CONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21.LADDERS.These items approved on the construction plan are of permanent nature and need not be checked at each inspection. ❑ 3. HEALTH: No employee sick,bathers take showers,clean bathing suits,sick or infected bathers not allowed,spitting prohibited, no glass or dangerous objects. Health and shower signs posted. ❑ 4. LIFEGUARDS: Trained lifeguards in attendance according to Health Department ruling. ❑ 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2,000 sq. ft. water surface. ❑ 6. FIRST AID: Red Cross first aid kit(24 unit or equivalent), emergency telephone numbers posted, local police,state police, fire dept., and several available physicians. Telephone available within 100 ft. (not a pay station). ❑ 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex,adjacent to pool,adequate,well lighted,drained,ventilated, impervious construction and light color.One shower and one toilet per 40 Bathers(min.2 ea.),hot and cold water,soap provided, one wash bowl per 60 bathers.No common cups,towels,combs or brushes.Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). POOL ADEQUATELY ENCLOSED. Approved drinking water facilities. ❑ 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. ❑ 10. PERMIT-RECORDS: Permit Posted.Written records available of daily operation of the pool,including attendance,water tests, chemicals used, hours of operation, backwashing and other information required. ❑ 13. RECIRCULATION-FILTRATION: Purification system capable of maintaining quality of water,turnover every 8 hours. Max.filtration rate 2-3 gal.per min.per sq.ft.filter.High rate filters-max. 15 gal/min/sq.ft.Disinfection equipment finely adjusted. ❑ 19. DEPTH MARKINGS: Marked on deck and walls at one foot intervals (shallow end)25 ft. intervals (deep end). ❑ 22. DIVING BOARDS: Rigidly constructed,properly anchored,braced for heaviest load,sound,no splinters or cracks,non-slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. ❑ 23. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. ❑ 24. BACTERIOLOGICAL QUALITY: Health Department shall cause water samples to be analyzed as considered necessary. ❑ 25. CHEMICAL STANDARDS: Treated with chlorine or other effective method.Tests taken 4 times daily as required by Health Department. Free chlorine 1.0-3.0; ph 7.2-7.8 Total alkalinity 50- 150 ppm. ❑ 26. TESTING EQUIPMENT: DPD test kit provided, in good repair and complete with fresh reagents. ❑ 27. WATER CLARITY: A 6-inch black disc at bottom of deepest part of pool visible at 10 yards away. El30. WAD N OLS: Quality o the water shall be the sam &Smmmng pools. Tur over 4 hours o less. REMARKS: booi son Interviewed ngVa ia r e THAMMONWEALTH OF MASSACHUSET �J V TOWN OF BARNSTABLE BOARD OF HEALTH SWIMMING POOL INSPECTION REPORT MName O6 Date v (_�Iq L� Address 4 L Tel. No. Operator Max. Bathing Load Permit Posted Regulations of the Massachusetts Sanitary Code: Title 2 "Minimum Standards for Swimming Pools". Items: 1.DEFINITIONS,2.PLAN APPROVAL,8.SEWAGE, 11.BATHER LOAD, 12.STRUCTURE, 14.CONSTRUCTION, 15. INLETS AND OUTLETS, 16. CROSS CONNECTIONS, 17. SKIMMERS, 18. DIMENSIONS, 20. WALKWAYS and 21.LADDERS.These items approved on the construction plan are of permanent nature and need not be checked at each inspection. ❑ 3. HEALTH: No employee sick,bathers take showers,clean bathing suits,sick or infected bathers not allowed,spitting prohibited, no glass or dangerous objects. Health and shower signs posted. ❑ 4. LIFEGUARDS: Trained lifeguards in attendance according to Health Department ruling. ❑ 5. SAFETY: One shepards crook and one ring buoy with adequate rope for each 2,000 sq. ft. water surface. ❑ 6. FIRST AID: Red Cross first aid kit(24 unit or equivalent), emergency telephone numbers posted, local police,state police, fire dept., and several available physicians. Telephone available within 100 ft. (not a pay station). ❑ 7. BATHHOUSE: Separate dressing and sanitary facilities for each sex,adjacent to pool,adequate,well lighted,drained,ventilated, impervious construction and light color.One shower and one toilet per 40 Bathers(min.2 ea.),hot and cold water,soap provided, one wash bowl per 60 bathers.No common cups,towels,combs or brushes.Emergency room provided for sick or injured bathers, with cot and blanket. Foot showers (if required). POOL ADEQUATELY ENCLOSED. Approved drinking water facilities. ❑ 9. CLOSURE: Operator to close pool when water does not meet the requirements of this code. ❑ 10. PERMIT-RECORDS: Permit Posted.Written records available of daily operation of the pool,including attendance,water tests, chemicals used, hours of operation, backwashing and other information required. ❑ 13. RECIRCULATION-FILTRATION: Purification system capable of maintaining quality of water, turnover every 8 hours. Max.filtration rate 2-3 gal.per min.per sq.ft.filter.High rate filters-max. 15 gal/min/sq.ft.Disinfection equipment finely adjusted. ❑ 19. DEPTH-MARKINGS: Marked on deck and walls at one foot intervals (shal'uow end)25 ft. intervals(deep end). ❑ 22. DIVING BOARDS: Rigidly constructed,properly anchored,braced for heaviest load,sound,no splinters or cracks,non-slip surface. Not over 10 ft. above water level and at least 13 ft. unobstructed head room. ❑ 23. WATER SOURCE: Water used in any swimming pool shall be from a source approved by the Health Department. 24. BACTERIOLOGICAL QUALITY: Health Department shall cause water samples to be analyzed as considered necessary. ❑ 25. CHEMICAL STANDARDS: Treated with chlorine or other effective method.Tests taken 4 times daily as required by Health Department. Free chlorine 1.0-3.0; ph 7.2-7.8 Total alkalinity,50- 150 ppm. ❑ 26. TESTING EQUIPMENT: DPD test kit provided, in good repair and complete with fresh reagents. ❑ 27. WATER CLARITY: A 6-inch black disc at bottom of deepest part of pool visible at 10 yards away. ❑ 30. WADING COLS: Quality of the water shall be the same as swimming pools. Turnover 4 hours or less REMAR LIWMAA + son I rviewed Sargia-rikn OMMONWEALTH OF MASSACHUSET'1� TOWN OF BARNSTABLE SWIMNIING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC❑ SEMI-PUBLIC PECIAL PURPOSE POOL VOLUME: GAL. MAX.BATHER LOAD NAME OF POOL S ADD SS OWNER 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. 0. Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. 04. Sewage disposal �Gt/b S-6'4_q/" ✓OS Location,structural stability,finish / �06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#ofturnovers /v/'A Y j r ✓06 Suitable automatic equipment for disinfection of pool water. 6 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. V 08 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. \-/O 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 antivortex drain provided VIO 8 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. _V 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 unto repairs are made. 08 Special purpose pool&wading pools equipped with emergency shut-offpump switc 169ble and prominently marked. S ��r � , , �/0/� j0 �9 Cross-connections.Potable water supplied through air gap. / ��t V1_0 Skimming Facilities.50%of recirculation drawn from surface of pool. V12 Line with floats separates non-swimmer area from deeper water. 19vo [ WS-t fJ ie— 1 G AS Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. `-f33 Walkways&Decks 4 ft.wide.Safe condition. V 14 Ladders,steps-one per 75 feet.Not less than 2 ladders. /V�15 Diving equipment in safe condition. /^® Pool supervision provided. CPO w/proper training. staff r on contract,Documentation provided. �04-w 1 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. 1 22 Health Regs.Signs posted Warning signs for special purpose pools. X23 Lifeguard ❑ Qual.Swimmer If lifeguard:proper credentials, roper suits and garments worn.Whistle&bullhorn provided. Qual.Swimmer:CPR trained, BOH approved.Limit bath load to 19 S`� �G3 CP 24 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. aC.G2AJ'0,,1 P01km ` _ l 5 First aid equipment provided. First aid kit complete. �d � �,,r r [�v�•edf [to �Opt/�U•e ptd4 4 f—tr( �9 t'0 . _)�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&backwash water disposal properly discharged. No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash 7�— water. Q (�! /� Ade ` 29 Chemical Standards. Frequency of TestingtY�^'j Y :1�X� d POOL SIDE READINGS IN PARTS VtR MILLION-ppm 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 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 poo=teAstnp,- ( "�'c's✓[�/'v _/31&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. /� /clo C� V 3 �2 Special purpose pool drained&cleaned every 14 days minimum IXA-GV'"la.R.w�C✓r � f� V3'3 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.Ifthe pool is closed by a Health Inspector or other agent ofthe B.O.H., the pool shall remain closed until theHealth Inspector re-opens pool in writing. / COMMENTS: 'DO v x z( v `6.1`G �Wvr` G � c�i.tfv•-a.,,�.�- � /J Y�'DI/%rJ a,(J� �W! /�_ 'G� �\V 6�' !�[vi !i! / VNK `"`�f'— e / Pv Fool Q^m SIGNED AA� �� SIGNED: DATE: II OPERATOR oazd of Heal ealth ept.Representative �a�s C/�c�G` —�e�t.-�S 2 y, ©8, Z 3, z.- f j4rt/ A OMMONWEALTH OF MASSACHUSETA jTOWN OF BARNSTABLE SWBMvHNG POOL INSPECTION REPORT TYPE OF POOL: PUBLIC❑ SEMI-PUBLI SPECIAL PURPOSE❑ POOL VOLUME: "IS-k GAL. MAX.BATHER LOAD NAME OF POOL I&J QIA&AA,-# ADDRESS OWNER ,Y— S yv✓� ADDRESS Regulation 105 CMR 435.000 effective date:2/20/08 The items marked below with an"X"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. 04. Sewage disposal _Location,structural stability,finish V066 Water circulation&filtration systems.Filter effluent flow meter reading rgpm.#of turnovers �_ 6 Suitable automatic equipment for disinfection of pool water. �✓t 4"J /0 06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. Inlets&Outlets-Inlets located to produce uniform circulation.Over rim fill spout 6"above max.water level.Properly shielded&located. 08 Main dr ' on out.1 le protective covers/grates.Cannot be removed w/o use of tools.Open area does not provide entrapment of fingers,toes, etc. t least ei antivortex drain provide 1/r 8 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. %,"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. 'Alko8 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. // �9 Cross-connections.Potable water supplied through air gap. Q F r J W � I N$ 0` 010 1 jc(7A-e— V10 Skimming Facilities.50%of recirculation drawn from surface of pool. Z fLine with floats separates non-swimmer area from deeper water. �l/C'! (n.Crtn—S(, N VA VV W CA_+ ,S g—v10 �l 2 Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. fWalkways&Decks 4 ft.wide.Safe condition. � 14 Ladders,steps-one per 75 feet.Not less than 2 ladders. -Alk 15 Diving equipment in safe condition. / � `- 77 Pool supervision provided. CPO w/proper training.On staff or on contract,Documentation provided. �/{a ���' h vS* 21 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. " 22 Health Regs.Signs posted Warning signs for special purpose pools. V 23 Lifeguard ❑ Qual.Swimmer If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided. Qual.Swimmer:CPR trained, BOH approved.Limit bathe oad to 19 40 W-k- S-v 10 Y 2 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. � Gi/ p rgeSq* �a(C V"y0) ✓244 T55 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. @ AA_a,i, 26 Waste&backwash water disposal properly discharged. No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. 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 s C anuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water tern . ` ' 78-84,spa<104 pH 7.2-7.8 z 300 Water testing equipment.DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips "-3ff1&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. �44 Special purpose pool drained&cleaned every 14 days minimum 41013 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: SIGNED: ( SIGNED: ` �1,. DATE: PERATOR Board of Health/HeA r Dept.Representative - THE COMMONWEALTH OF MASSACHUSETTS 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 WILLY'S GYM WEST corporation or individual for the operation of INDOOR POOL (Public,Semi-Public,or Special Purpose Pool) at 865 ATTUCKS LANE HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. This permit is valid until December 31, 2008 Wayne Miller, M.D., Chairman Board Paul J. Canniff, D.M.D. of January 1, 2008 Junichi Sawayanagi Health POST CONSPICUOUSLY B Y Thomas A. McKean RS,CHO, Health Agent 0 � � 5 � THE COMMONWEALTH OF MASSACHUSETTS U > TOWN OF BARNSTABLE C Fee: > Q >' Board of Health $75.00 Obi 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 SUSAN TAYLOR D/B/A WOMAN'S WORKOUT CO. corporation or individual for the operation of INDOOR POOL (Public,Semi-Public,or Special Purpose Pool) at 155 ATTUCKS LANE HYANNIS, MA address Method of water treatment is chlorine-automatically fed Bathing load not to exceed bathers. HET COUNT 10/10/00 This permit is valid until December 31, 2003 Susan G. Rask, R. S., Chairman Board Ralph A. Murphy, M.D. of January 1, 2003 Sumner Kaufman, M.S.P.H. Health POST CONSPICUOUSLY By c � Thomas A. McKean RS,CHO, Health Agent THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT peo 6 TYPE OF POOL: PUBLIC❑ SEMI-PUBLIC SPECIAL PURPOSE❑ POOL VOLUME: GALLON: t MAX BATHER LOAD: NAME OF POOL 'ktJoM P_,j V)Os t' ADDRESS IAS- 4441ICkIr OWNER ADDRESS Regulation 105 CMR 435.000 effective date:2/20/98 the items marked with an"X"indicate the violated provisions. Items marked with a check are satisfactory. 003.Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool. Gate self-latching 4 ft.above ground. v 04.Sewage disposal. TOW O 0 t/ Location,structural stability,finish. `l 60 v 6.Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers. d' Al M M�Atl�lvr� ) V1106.Suitable automatic equipment for disinfection of pool water. �p J / .CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. J _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. i/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. 08.Suction outlet covers in place,unbroken and secure and cannot be removed except w%use of tools.Close pool immediately if outlet covers are missing,broken, loose or can be removed w/o tools until repairs are made. t8.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.. Xo.Skimming Facilities.50%of recirculation drawn from surface of pool. / �/ 12.Line with floats separates non-swimmer area from deeper water. '4,r'�'n b�j rwm,V10 r 1^ Q-10 7/ 2.Water depth markings on deck and walls. Properly spaced.Boundary line on pool floor and walls.)Step edges marked with contrasting color. niv J �j ✓ 13.Walkways&Decks 4 ft.wide. Safe condition. (N+e! 4/ri Gvt",la (pivw�a�/O�pJ�( C �Q N/a/(f; � ��"' �`� �u�l� rr-' f\ l 14.Ladders,steps-one per 75 feet.Not less than 2 ladders. .Diving equipment in safe condition. 9/ i71' 7.Pool supervision provided.CPO w/proper training. On staff or on contract,Documentation provided. Lzl)t�l ✓ 1.Permit issued. Adequate maintenance and testing records.Records initilialed by person making test. f/2 .Health Regulations Signs posted Warning Signs for special purpose pools. 23.Lifeguard Qual`ed Swimmer ❑I ifeguard:proper credentials,proper suits and garments worn. Whistle&bullhorn provided.Qualified Swimmer; J CPR trained, .O.H approved.Limit bather load to 19 ❑Redor orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire. 4.Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools attended by lifeguard. .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. 177iwPl�L . 6. aste&backwash water disposal properly discharged.No direct connection to sewer system. Separation tank provided for diatomaceous earth filter backwash water. Chemical Standards. Frequency of Testing POOL SIDE READINGS IN PARTS PER MILLION-.ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 ®U Free chlorine 1.0-3.0 Cyanuric Acid 30-50,max 100 Combination chlorine 0.0-0.2 Q s a. Wat Temperature 78=84,spa<104 pH 7.2-7.8 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose polls.No test strips. _31&32.Water Clarity:Can see 6"black disk at bottom of pool. Water.clarity maintained.Filtration operating continuously. 2.Special purpose poll drained&cleaned every 14 days minimum. If 33.Thermostatic control provided for each SPR Thermostatic control only accessible to the pool operator. 34.POOL MUST BE CLOSED UNTIL IT MEETS 105 CMR 435.29 THROUGH 435.31.If pool is closed by a Health Inspector or other agent of the B.O.H., the poll shall remain closed until the Health Inspector re-opens pool in writing. COMMENTS: �— � v 01 1 i Q nCf I � SIGNED: SIGNED: k1 DATE: OP TOR Board of H'% earth Dept.Representative 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. OWNER: `N alymi S Ulu c1AaLr C PHONE: !A "o/11-t(on C� POOL LOCATION ADDRESS: � C�� POOL TYPE: (circle one) NDOOR PO O OUTDOOR POOL SPECIAL PURPOSE(ie. hot tub) SKETCH: Please attach a legible detailed sketch with dimensions, depths and detailed pool volume calculations SIZE: Swimming area(>5' deep) 3S_ sq.ft. Non-Swimming area (< or= 5') sq.ft. MAXIMUM BATHER LOAD: Swimming area: 16 people. Non-Swimming area: -2(o people Bather load calcs per 105 CMR 435.27: 15 sq.ft. of surface area per Iperson 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* ualified Swimmer* *Attach certification copies **Applicant must file a separate request to the Board of Health with certification and insurance copies CERTIFIED POOL OPERATOR: t rY1r�` k�, �4-1t. a (attach copy of CPO certificate) DIISINFECTION (type of chemical, method, capacity, etc. ) S1 A'C i ��C L._.�-/i taxes . c` C Al t C om` .,_ q C-6 FILTRATION (type, size, etc) on Ck iti 1-�e, 'Fa-t-e_ C'e-_ enn- . NUMBER OF MAIN DRAIN(S): If>1, drain cover centers at least 3' apart? .; f y ADDITIONAL SYSTEM\DEVICE FOR ANTI-ENTRAPMENT: 72 ANSI\ASME Al 12.19.8 COMPLIANT RAIN COVERS? (unblockable drains exempt if r they are at least 18"X 23" or at lea 29" iagonal measurement) SPECIAL NOTES: ' INCOMPLETE APPLICATIONS WILL NOT BE ISSUED A PERMIT DATE: I "1 Gl SIGNED: *NOTE: You must file a separate application for each swimming\ ecial purpose pool. Q:\Application FormsT001,APPLICATION2009.doc THE COMMONWEALTH OF MASSAC1 USETTS TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC X-SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL j o, ADDRESS �i - t •5 _ 4 OWNER ADDRESS Regulation 105 CMR 435.000 effective date:2/20/98 The items marked below with an'A"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 fXabovegrounel V :Sewage disposal 0 ocation,structural stability,finish � 06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers Suitable automatic equipment for disinfection of pool water. j 1J" _ 06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. � a 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 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 located and plumbed. 8 S Efion 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. Cross-connections.Potable water supplied through air gap. 0 Sk'mming Facilities.50%of recirculation drawn from surface of pool. 2 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. 133 Walkways&Decks 4 ft.wide.Safe condition. 1/l4 Ladders,steps-one per 75 feet.Not less than 2 ladders. y " Diving equipment in safe condition. 17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided. 21 rmit issued.Adequate maintenance and testing records.Records initialed by person making tests. V2 ealh Regs.Signs posted Warning signs for special purpose pools. 2 23 Lifeguard Aual.Swimmer ❑If lifeguard:proper credentials,proper suits and garments wom.Whistle&bullhorn provided.Qual.Swimmer:CPR trained, BAH approved.Limit bather load to 19 El 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. /25Emergency r§t aid equipment provided.First aid kit complete. 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. 226 Waste&backwash water disposal properly discharged.No direct connection to sewer system.Separation tank provided for diatomaceous earth filter backwash water. v 29 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 o Cyanuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water temp. 78-84,spa<104 pH 7.2-7.8 a _ 30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips _Ve31&32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained.Filtration operating continuously. / e 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: ck rao 6,� rl SIGNED: SIGN DATE: Cy OP E Al R Board of Health/Health Dept. Representative 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. OWNER: V x 'S k k)O(Lo A cu PHONE: POOL LOCATION ADDRESS: sva}bcjc5 POOL TYPE: (circle one) 00 'POOL—_)OUTDOOR POOL SPECIAL PURPOSE (ie. hot tub) SKETCH: Please attach a le ig ble detailed sketch with dimensions, depths and detailed pool volume calculations SIZE: Swimming area(>5' deep). J .5 _sq.ft. Non-Swimming area(<or MAXIMUM BATHER LOAD: Swimming area: 18 people. Non-Swimming area: Ito 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* Qu la ified Swimmer* *Attach certification copies **Applicant must file a separate request to the Board of Health with certification and insurance copies CERTIFIED POOL OPERATOR: --J;` , j-,�_. t lA-Lte, �Lj nattach copy of CPO certificate) �1 DISINFECTION (type of chemical, method, capacity, etc. i=hY/u �k. J r^() (I)t 3 -e., I Im GJC1_T+'-3 C) CL C4.LL XY1/A h r C Y I`V L` 0! L ? 6 - .. FILTRATION (type, size, etc) Sc,, ,A r--jj 4,Z ►rcl,1�� c g 8 NUMBER OF MAIN DRAIN(S): If>1, drain cover centers at least 3' apart? ADDITIONAL SYSTEM\DEVICE FOR ANTI-ENTRAPMENT: ANSRASME Al12.19.8 COMPLIA T DRAIN COVERS? (unblockable drains exempt if they are at least 18"X 2 3" or at leaE,29" diagonal measurement) SPECIAL NOTES: INCOMPLETE APPLICATIONS WILL NOT BE ISSUED A PERMIT DATE: SIGNED: *NOTE: You must file a separate application for each swimlg\ pecial purpose pool. Q:\Application FormsTOOL APPLICATION2009.doc II ' rC 9CONWONWEALTHO'FMASSACHUSETTO �. TOWN OF BARNSTABLE SWIMNIING POOL INSPECTION REPORT 2?1 Ud G TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD NAME OF POOL Wr' ADDRESS OWNER ADDRESS Regulation]OS CMR 435.00 a ective ate:2/20/98 The items marked below with an"X"indicate the violated provisions.Items marked with a check are satisfactory. 3.Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. 4..Sewage disposal 7/ 05 Location,structural stability,finish C' f 06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnover �lq iN �K1Z /6 Suitable automatic equipment for disinfection of pool water. 5h [ ,� 4,r-4Cll �ry �;li ✓��►f 0 / ]1)�06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Idequat,ventilation. �8 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 pr tective covers/grates.Cannot be removed w/o use of tools.Open area does not provide en pment of fingers,toes, etc...At least one anti-vortex drain provided �ptuf�C v��y _ 08 Each system outlet protected against user entrapment by anti-vortex cover orl by other means.Minimum of 2 suction outlets�vided for each pump,propatly/ y located and plumbed. 0 J/;"Y 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. C 08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. �v � _ 09 Cross-connections.Potable water supplied through air gap. 'ZI 0 Skimming Facilities.50%of recirculation drawn from surface of pool. , &/12 Line with floats separates non-swimmer area from deeper water. _L '2 Water 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. •' /I4 Ladders,steps-one per 75 feet.Not less than 2 ladders. N /15' Diving equipment in safe condition. n 9/ 17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided. /� v ✓ 2��1 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. (� V 22 Health Regs.Signs posted Warning signs for special purpose pools. V 23 Lifeguard ❑ ual.Swimmer~ If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided.Qual.Swimmer:CPR trained, BOH approved.Lt er 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/ raps at pools attended by lifeguard. �5 First aid equipment provided.First aid kit complete. [�A l_n � �v��� �& r �QX,�/� S I Js� v �ll ,/ 25 Emergency Communication system at the pool and in working order.Emergency communication device in unlocked'area and ava9lable at all times to staff and the public.Operating instructions and emergency numbers posted. v�26 Waste&backwash water disposal properly discharged.No direct connection to sewer system.Se rat' n 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 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 i_ rtWater 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. NLh4 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: ✓ �AlflI 1` - 3 )l Lc' '9 ,t 'rA C "Val'e_q r SZ4 e n t d' C"411. SIGNE'1�rSIGNED: w� — DATE: zzasl a OPERATO of Health/Health Dept. Representative DEC.19.2008 3 32PM BAjRN ITABLE BOARD OF HEALTH is NO.840 P.2i2 Willlc5 APPLICATION FOR A F RMIT TO OPERATE A SWIMMING FOOL 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. / /fM�'OWNER: � I ` b PHONE:10& /1 t(� 15'r 011L/ RES � POOL LOCATION AD ! . POOL TYPE: (circle on4,MOOR POO 0 DOOR POOL SPECIAL PURPOSE(ie,hot tub) SKETCH: please attach a legible detailed sketch with dimensions,depths and detailed pool volume calculations sI7.E: Swimming area(>5' deep) ' sq.ft. Nan-Swimming area(<or=5') sq.ft. MAXIMUM BATHER LOAD: Swimming area: people. Non-Swimming area: people Bather load talcs per.105 CMR 435,27: 15 sq.R. of surface area per person for non-swimming area 20 sq.R. 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 **Applicant must file a separate request to the Board of Health with certification and insurance copies CERTIFIED POOL OPERATOR: attach copy of CPO certificate) DISINFECTION(type of chemical,method, capacity, etc. ) FILTRATION(type, size, etc) NUM13ER OF MAIN DRAIN(S): If>1, drain cover centers at least 3' apart? ADDITIONAL SYSTEWDEVICE FOR ANTI-ENTA-4P1,IENT: ANSPASME Al12.19.8 COMPLIANT DRAIN COVERS? [, (unblockable drains exempt if they are at least 18"X 23"or at leag 29"diagonal measurent) SPECIAL NOTES: PAO DATE: ILI A A 9, •SIGNED: *NOTE: You must file a separate application for eachswimming\special purpose oo Q;\PO0LS\Poo1 Application 2009.doc VL F`HE r°�ti Town of Barnstable o� ABA, * Board of Health 9 MASS. g �.e 1639. 200 Main Street lFp MA'I A Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi August 5, 2008 Paige Richardson, Manager Willy's Gym 865 Attucks Way Hyannis, MA 02601 RE: Willy's Gym, Lifeguard Modification for the Swimming Pool Dear Ms. Richardson: 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 Willy's Gym, located at 865 Attucks Way, Hyannis, 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 Willy's Gym 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, CH Town of Barnstable Public Health Division Attachment QAPOOLS\QUALIF.SWIMMER LETTERS\Pool Modift Willy's Gym w SwimTest 2008.doc Of e✓t wl�o� -���"��� f COMMONWEALTH OF MASSACHUSETT `�D TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT A pd0 TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC SPECIAL PURPOSE El POOL VOLUME: Y GAL. MAX. BATHER LOAD NAME OF POOL I Lj J.ILj OL ADDRESS t F! OWNER 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. ,/1"03.Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. y//�04.Sewage disposal iiiI 05 Location,structural stability,finish l 06 Water circulation&filtration systems.Filter effluent flow meter reading gpm.#of turnovers�M rI1 � 3ctDh tJ V06 Suitable automatic equipment for disinfection of pool water. ` J/ 06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. _L/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 v 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. 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 p� or can be removed w/o tools until repairs are made. f�L4 08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. _LZ-09 Cross-connections.Potable water supplied through air gap. 47,.-10 Skimming Facilities.50%of recirculation drawn from surface of pool. IZI 22 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. �3 Walkways&Decks 4 ft.wide.Safe condition. 14 Ladders,steps-one per 75 feet.Not less than 2 ladders. NLAA 15 Diving equipment in safe condition. 17 Pool supervision provided.CPO w/proper training.On staff or on contrac Documentation pro 'ded. 21 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. �22 Health Regs.Signs posted Warning signs for special purpose pools. 23 Lifeguard Qual.Swimmer If lifeguard:proper cred8ntials,proper suits and garments wom.Whistle&bullhorn provided.Qual.Swimmer:CPR trained, BOH approv. Limit oad 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(P orking order.Emergency uw Q t/AS� 4/25 Emergency Communication system at the pool and in``wcy 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 s2J. eparation tank provided for diatomaceous earth filter backwash water. _ 29 Chemical Standards. Frequency of Testing: I .1Mv POOL SIDE READINGS IN PARTS PER MILLION-ppm Bromine 2.0-6.0 Total chlorine Alkalinity 60-150 Free chlorine 1.0-3.0 10 Cyanuric Acid 30-50,max 100 Comb.chlorine 0.0-0.2 Water temp. 78-84,spa<104 pH 7.2-7.8 ,0—'7 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. 632 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: n o oJ r` ,^ ,Zdi1 0 1Oprm, , i N ce O'c U p' 1 A O U pr C(-dE n I y unhid t ji 1 �P 4 O N1 , SIGN :_ SIGNED: Vv* — DATE: w rd of Health/Health Dept. Representative 4*,COMMONWEA1_THOFMASSACHU1E%TT D� TOWN OF BARNSTABLE j SWIMMING POOL INSPECTION REPORT 0 TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC SPECIAL PURPOSE ❑ POOL VOLUME GAL. MAX. BATHER LOAD NAME OF POOL W,9 ADDRESS �zR OWNER 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. V1,03.Bathhouse and sanitary facilities adequate lighting,ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. v 04.Sewage disposal _V05 Location,structural stability, finish L/90(6 Water circulation&filtration systems.Filter effluent flow meter reading _gpm.#of turnovers(%( ? ,f :Y06 Suitable automatic equipment for disinfection of pool water. Nh6 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. J_,,-bB 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 _✓68 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. #08 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. __t_,-119 Cross-connections.Potable water supplied through air gap. i/110 Skimming Facilities.50%of recirculation drawn from surface of pool. �/2 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 Walkways&Decks 4 ft.wide. Safe condition. 14 Ladders,steps-one per 75 feet.Not less than 2 ladders. 6u 15 Diving equipment in safe condition. �17 Pool supervision provided.CPO w/proper training.On staff or on contract,Documentation provided.k_o- ` lerPa,� `ter V 21 Permit issued.Adequate maintenance and testing records. Records initialed by person making tests. V/ 22 Health Regs. Signs posted Warning signs for special purpose pools. 't 23 Lifeguard ❑ tGI Qua].Swimmer f lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhorn provided.Qua].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. t/ 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. _1,�r/26 Waste&backwash water disposal properly discharged.No direct connection to sewer system.S a at ion 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 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 72 j./30 Water testing equipment DPD kit provided for chlorine&bromine.Unbreakable thermometer for special purpose pools.No test strips i0 31 &32 Water Clarity:Can see 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously. li i19 32 Special purpose pool drained&cleaned every 14 days minimum ful&33 Thermostatic control provided for each SPP.Thermostatic control only accessible to the pool operator. N 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: wf ML 4/ U t t dV l1►1L9 v © Ui/" -�� � I�l 001 I vt' � ln)�tr� v e I• I //zSIGNED• IGNED: \ t/ i r DATE: 40P, OP RATOR U4 of Health/Health t. Representative r TM# DATE: 0 1 J 7 { FEE: # BARNSTABIb. + MM& 1639. 1%�� REC. BY�`��� Town of Barnstable SCHED. DATE: PC)/-/ Board of Health a,� aka 0/ 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 2&5 AHLt.GkS Lck,-?e. 4t ox trl n i S, f1A R— 02-Co-0 I Assessor's Map and Parcel Number: Size of Lott '" ``5 —7,5-- 0 Wetlands Within 300 Ft. Yes Business Name: Will u is W,14 No Subdivision Name: TP o"'A j -41 APPLICANT'S NAME: Phone 5 ��`j/ - /LQ5?`ia •` Did the owner of the property authorize you to represent him or her? Yes 1.— No c2 .; PROPERTY OWNER'S NAME CONTACT PERSON _ '%r ..I Name: &rba4a. Al/iw/ Name:jeSS—i,EA,• Address: AGES Gan-s✓ �t,d✓Inl S .i�14 Address: kLt /rl Phone: 50'6 f7'7l - l h 00 Phone: SO q17 l 'l °0 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANC/E•I(May attach if more space n ded) CL�l�T7 eN S(�i%✓N Y'V12r S J�d`1i`CCn�5 W(1✓(�G%a-'}- � p� its i� NATURE OF WORK: House Addition ❑❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System ❑ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form C� " _ 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 (forTitle 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. Wayne Miller,Chairman NOT APPROVED Paul J.Canniff,D.M.D. REASON FOR DISAPPROVAL C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK1\VARIREQ.D0C TOWN OF BARNSTABLE BOARD OF HEALTH ' 1 APPLICATION FOR A PERMIT TO OPERATE A SWIMMING POOL Ap-p-l-i-ra-tio-n—i hereby reb permit y made for a to operate a pu c, eem -pu i p - - o t be .g,ggg gd arr rdina to the minimum at ndwd-yiox-®�icra��r+g poo n _ pools set forth in Article VI of the Sanitary Cbde of the CommonWealt�t 'o Maasac usetts. `C AP-, - r' e� TEL i M 5®6 e- 7 71 l OWNER f _ LOCATION �� /&u 6,V- TYPE OF POOL LENGHT _ WIDTH _VOLdJME SKETCH (A detail plan must be filed with original application) SIZE: SWIMMING AREA ��NON SWIMMING AREA DIVING AREA SOURCE OF WATER j6wlj DISPOSAL OF SEWAGE AND WASTE WATER . l� TYPE OF FINISH SCUM GUTTER 0 G Gail DECK: TYPE AND WIDTH SKIMMERSt WEIR LENGTH O TREATMENT,SYSTEM Kind of filters etc. 1. - DISINFECTION METHflD (Method, type, capacity etc.) EMI CAL TREATMENT Feeders, ca acit , uantit etc. REMARKS N n SIGNED _ cv )ATE (Permits expire n Dec: 31) COMMONWEALTH OF MASSACHUSETO TOWN OF BARNSTABLE CwM P SWIMMING POOL INSPECTION REPORT p^ TYPE OF POOL: PUBLIC ❑ SEMI-PUBLIC K SPECIAL PURPOSE ❑ POOL VOLUME: GAL. MAX. BATHER LOAD I NAME OF POOL ADDRESS OWNER 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. 04.Sewage disposal {05 Location,structural stability, finish (1100 / 5{I f LM� �/ Water circulation&filtration systems.Filter effluent flow meter reading 73— gpm.#of turnovers Y/06 06 Suitable automatic equipment for disinfection of pool water. 06 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. 08 Inlets&Outlets-Inlets located to produce uniform circulation.Over rim Fdl 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 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. 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. 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. 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 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. t / (� ail !� 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. Signs posted Warning signs for special purpose pools. 23 Lifeguard ❑Qua]. Swimmer ❑If lifeguard:proper credentials,proper suits and garments worn.Whistle&bullhom provided.Qual.Swimmer:CPR trained, BOH approved.Limit bather load to 19 ?O Red or orange bathing suit with proper lettering for lifeguard ❑Yellow Qualified Swimmer attire 24 Safety Equipment.Ring buoys and rescue hoo3c provided.Rescue tube and backboard w/straps at pools attended by lifeguard. 25 First aid equipment provided. First aid kit a mplete. 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&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: �1 Q D "1 x Cv` ? Op�� POOL SIDE READINGS IN PARTS PER MILLION.-ppm J Bromine 2.0-6.0 Total chlorine Alkalinity 6150 -A M a Free chlorine 1.0-3.0 Cyanuric Acid 30-50,max 100 Comb. chlorine 0.2 Water temp. 78-84,spa<104 pH 7.2-7.8 _ 30 Water testing equipme P�kftpr ided for chlorine&bromine.Unbreakable`thermometer for special purpose pools.No test strips cG� 3 &32 Vnater Clarity:Can ee 6"black disk at bottom of pool.Water clarity maintained. Filtration operating continuously. �1°1nes R►'t �va� X MA? 0rae'd, 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,H_ealh Inspector or other agent of the B.O.H., the pool shall remain closed until the Health Inspector re-opens pool in writing. 4 COMMENTS: CID - ILA 16JCA SJ G60 nilIN, u o.' it - e L1 1 J / ✓ r I/ Q. I I�I+ i � c't�.t7-� et ,� n 1 rr IC e YV S r, r-( amp o f U15107 .SIGNED: A ze SIGNED: �. DATE: N OPER O oard of Health/Health Dept. Representative 06/24/2007 01:16 5082400739 WWWCC EASTHAM MA PAGE 02 4730 State Mighway 6 Eastham,MA 02651 p,508-255-6310 fax,5o8-240-07P winy9s Gym. June 25,2007 Town of Barnstable,Board of Ii.ealth 200.Main 5t. Hyannis MA. 02601 Dear Sharon: Willy-Gym in Hyannis temporally closed their pool,from June 11,2007 through June 25",2007. On Tune 1.8,h,2007,Wi.11y's Gym reopened the pool and sent a water sample to Fnvirotech Lab. Please contact Willy's if there are any further steps need to be taken.- Sincerely, Kristen Miller Aquatics Director.Willy's Gytn 06/24/2007 01:16 5082400739 WWWCC EASTHAM MA PAGE 03 4 ENVIR0TFCH LABORATORIES, INC. MA, CERT. NO.: M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich.MA 02.563 (508)888-6460 1-800-339-646O FAX(508)888-6446 � Atiucks Lane Client Narrxe WillY.r/HyaRnic .L ocatio Address 865 Attucks Lane Hyannis,MA Hyannls,MA 02601 Sample Date 06/18/07 Collected By Kris Miner Sample Time NA Sample Type swimming Water Data Received 05118/07 Lab Order Number Ps-70482 . ,.:-::�..,,-...,. ��y..�{yyy��,�,�:.... ..,�i.,...;:��,y 9,y�1y •.,. �)a�:.., fC{:nLi<;i��e.�,rt1 tl'.r?"':i"��'�p�., .�i�'i'�:1�.�.,-v`i':�'.;f..,.:�,1 :�.:.;�.1„�'�da.G' ..e:.pi"•�ldc��'., t:^.� Analysis Requested L nits Recomm ended •y. -' � � 1 Limih Analvsis Restdr Mrtltnd Date Analyzed Analvzed By Total Colifonn /100 ml 2 0 9222 B 6/18/2007 PS Standard Plate Count /1 ml 200 NA 9215 B 611612007 R _.. O07 IRS Pseudomonas Aeruginosa 1100 ml 1 NA 9213 E 6118 Comments: yes-Water is suitable fvr ' fforpammeters tested. - pate --- R ald ari t aboratoty Director BRL=Below Rrponable Limits Page 1 of 1 117ps,-Attached COMMONWEALTH OF MASSACHUSEI TOWN OF BARNSTABLE SWIMMING POOL INSPECTION REPORT TYPE OF POOL: PUBLIC 211 SEMI- LIC❑ _SPFQI PURPOSE❑ POOL ER L b NAME OF POOL ADDRESS OWNER ADDRESS Re 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. .703. Bathhouse and sanitary facilities adequate lighting.ventilation:sanitary condition.Adequate enclosure around pool.Gate self-latching 4 ft.above ground. _Z04. Sewage disposal YO5 Location,structural stability,finish � 6 Water circulation&filtration systems.Filter effluent flow meter reading u Rpm.#of turnovers 06 Suitable automatic equipment for disinfection of pool water. 6 CO2 equipment for pH control CO2 cylinders anchored Inaccessible to public Adequate ventilation. 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 antivortex drain provided 8 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. V08 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. 8 Special purpose pool&wading pools equipped with emergency shut-off pump switch.Accessible and prominently marked. �9 Cross-connections.Potable water supplied through air gap. �Z0 Skimming Facilities.50%of recirculation drawn from surface of pool. 2 Line with floats separates non-swimmer area from deeper water. Water depth markings on deck and walls.Properly spaced.Boundary line on pool floor and walls.Step edges marked with contrasting color. 414 Walkways&Decks 4 ft.wide.Safe condition. Ladders,steps one per 75 feet.Not less than 2 ladders. Diving equipment in safe condition. 11 17 Pool supervision provided. CPO w/proper training.On staff or on contract,Documentation provided. P221 Permit issued.Adequate maintenance and testing records.Records initialed by person making tests. Health Regs.Signs posted Warning signs for special purpose pools. V23 Lifeguard ❑ Qual.Swimmer ❑ If lifeguard:proper credentials,proper suits and garments wom.Whistle&bullhorn provided. Qual.Swimmer:CPR trained, BOH approved.Limit bather load to 19 24 Safety Equipment.Ring buoys and rescue hook provided. Rescue tube and backboard w/straps at pools a�ten b lif ar . First aid equipment provided. First aid kit complete. / '(J jpig C (/1..�✓� �" Y 25 Emergency Communication system at the pool and in working order. er comrn nicatio devic in oc d a and available at all times to staff and the / public.Operating instructions and emergency numbers posted. oft=e I / r ? PIP 26 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- m 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 Water 78-84,spa<104 H 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. 2 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 ofthe B.O.H., the pool shall remain closed until the Health Inspector re-opens pool in writing. COMMENTS: -f , ,i MAI SIGNED: SIGNED: ,� OPE TO -oara o Healil Dept. ep sentative 5 , - � ?'a .A+;• MY���a..4 Yee t �" • •. �4`,,,.; SAY.� 'l c!!ia�`44� M I lu�-s��. ����'�« ra_ny �, "'� ... a, '�ja'�Y�}l • - ,s.., �.� TS�6tl,"r'°.4*�r q .4:f ..'..� .FSi - yy 9 Y al 1 7- s - ram- ` s •- .n- �. a.4 f .. II t I - .'�.-- -�...:- r tee. _ � .� _ �� _ ,.�'�. i � b� �.��� ss •; �. 00 ol .. '•. .v 4 Yv'V9 }R '! �� A. r Y�1Ff�w�� M'4� ,.. a v sa v u - � v 1 m•cM.+;.^�?i't ! �r� L� r 5 `'��`+°"4r .�->."'��}„ �ry 4 � .. t�,.;. I Md. * Y yMsr;�F4 �V h tR- n. _ �' Y Z' ...• _ f ty♦'. .�s �� 1 '�'rs�,£aJFs'�ti "",� X'"�y`t4" 4 Y� � " ! � !. 'y....3Yy.,"±tl.,� ti'1�.•<� � M4. 1 ): e t ,� � 4cr`Zb+' }�` . t '+fi' �� �. , w .. e$ istM•'h r tt4t}���i �,�s �` M, � � t e'4 E"�''� �� ` ., i .. o � ;r� ] s,aw�#°.Ys' `.4�••'t^r.. ti, "f` 7U. ' _ • "'�, *r .�'�` s�}�c.: � �' ^,�'^, � ��a,aka _ I�its km a; n���� 4� �; , w. i6 k A u t � t '�o �`i e 2� ,fir w •y _ . +'�li, 5"`..c. �.'•�y; r�'a'.71SR.a?'.. *r{'�.ie�ef•• "1r.' ;y, � � - ' . is � .. 6 :' `�•• ±: I , f - f, ? Ned -• •' ♦ .•f.�"'rtYl o a KEY iv*4n �, a PROPOSED FINISH GRADE 55.0 i x 0 M PROPOSED TREE LOCATION .__�,• o • e c (9) 2" CALIPER TREES PROVIDED 4 LOCATED T WITHIN IN 40 S.F. SOIL PLOT _ • - ;. i - •I' �32 E A)% O V° It r a as OF PETER � . , � SULLIVAN tyt 9G 9 H LOCATION MAP a..2W74 - 1 HYANNIS QUADRANGLE ' SCALE: 1: 25,000 �� sue • �. PROJECT LOCATION: LOT B 8 16.95 #155 ATTUCKS WAY G HYANNIS, MASS., 02601 58.8 # LEGAL DESCRIPTION: ASSESSORS MAP 294 SIZE PLAN 60 �- PARCEL 79 EDGE OF CLEARING AT 62 ZONING: INDUSTRIAL 464.t \0 o LOT B - #1 55' ATTUCKS WAY ' x 6 9. 2 USE: RECREATIONAL FITNESS CENTER \ y LOT SIZE: 106,073 S. F. t HYANNIS, MASS. \ � _ 9.7 2.44 ACRES f UPLAND AREA FROM DELINEATED WETLAND BOUNDARY - PLAN BOOK 370 FOR ( PAGE 1 BUILDING SIZE: 12,750 S. F. o THE WOMAN'S BODY SHOPP, LOT B57.8 °< NUMBER OF rLOORS: U E 0id3 S. F. f t (UPLAND) I I�o y - BUILDING COVERAGE: 12% . , I 244 ACRES f (UPLAND) s ,, SCALE. 1 20 AUGUST 15, 1995 TO WETLAND DELINEATION LINE s 1 �' TOTAL LOT COVERAGE: 37% F BAXTER & NYE, INC.' PARKING SPACES PROVIDED: 71 812 MAIN STREET \ OS 56.7 OSTERVILLE, MASS., 02655 57. \' \\ 7.9 SEWER MANHOLE (508)-428-9131 x 59.0OWNER: L. PAUL LORUSSO I P. 0. BOX 1776 j' HYANNIS MASS., 02601 (508)-775-3716 j QUESTIONS REGARDING THIS PLAN SHOULD BE DIRECTED TO: \ 56 j SUSAN & CHESTER HUGHES /� `�° 6 7 D/B/A THE WOMAN'S BODY SHOP \ C/O PATRICK M. BUTLER \ P. 0. BOX 1630 x 57.8 •to o HYANNIS, MASS., 02601 CATCH easlN + S \ (508)-790-5407 ACE \ 55.0 I SITE WITHIN GROUNDWATER PROTECTION OVERLAY DISTRICT SITE WITHIN FLOOD ZONE C O x 55.5 O � x58.7 18` _ 1 FIRM COMMUNITY PANEL No. 25001 0005C O \ \ REVISED: 'AUGUST 19, 1985 SITE WILL CONNECT TO TOWN SEWER LINE LOCATED IN ATTUCKS ROAD JULY 12, 1995 LETTER FROM \ TOWN ENGINEER INDICATES THERE IS ADEQUATE CAPACITY 60LO + o { IN THE COLLECTION SYSTEM AND TREATMENT PLANT TO DEAL WITH THE ANTICIPATED FLOW. x 55.1 24' 4 -- 20' TYPICAL \ 9 i U a x 54.2 55.8 53.6 62 I x 55.1 C x 53.8 '8 moo, Go 1 {{ x 59. 1 a � ' I 7 SPACES t � o_ i y I 64 63' x 65:,1 ` j � � i Q � � 53. TBM 0 TRAVERSE STAKE ELEVATION = 64.48' 3.9 N OD EXIST NG THE LINE x 53.3 ¢ ►a o 6 0 STONE PARKING THIS AREA w x 65.3 - _ ^a � '. 1 / FLOW d . O 58.1 N N \ ` ER41UUS COVERAGE ��# ca O _ _�_._ _ -- - - -- -- - -- ---- - - - - - - - vi o �T 52.7 w_ k ¢ o Q 00 60 / mod`_ ZO Q V1_ 2 56 t\ � � � I � t U N 520 5$ \ 54 50 a� 7 SPACES o EDGE OF POND` 3-30-95 5E ' ; I 63' 9-52.0 1 \ 54 50 0 k POLE 52 ! 51. S2 ROOF RUNOFF x 52 28 64.2 I t \ 6'x 6' LP W/3' STN E - 50 \ 52 9pLLj U • a 48 �� 1 x 593 i cc - 46 1 \ ` 52.2 4 4- i 54 0 4-2 3.7 \ E 38 ,`O� 52 an i \ I 56 oo z 51.0 x 51.5 oa 3 34 �` ` , O=' 00� p`'' x 51.0 3 '� 45�,8 o ` \ \ 58 m ` J �2> s, ! by/4 X 6' CP 3 ` I s x 82.0 1 1 { , 0.0 32 � 3p p p� s . 5.3 \ y>Q' . . 2p, \ ` ` sewer valve A-5 31. , 1 56 . J x 50. 9 3 _ `` , i x 57.3 00 5u S0 x 50.1 1 , 2 S 58.3 Qw \ 9 49.8 m V i C� leach pit. cover 3115 56 x 50.0 5 8 2 5 CATCH BASIN � i x i 6� � 1 � � ' j 3.2 _ Nv ry }. cg o 49.8 _I f . o , o ^ry n l � o 2 0 ! r I o 5, O x 49.4 l A i y - �:, D j ! _ -._ _ -- - uv z .-9 . � � LL TBM a HYDRANT i x 62. I r oo f ' 8 x m Z 0.4 ��1 ` �2 #573 SPINDLE - ; x 4.4 0 _ C f i p � O EL = 52.62' m ' r ROOF RUNOFF 00, I 1 S c m , I 6 6 W/2 STN 7.0 Q x 49.7 Q p 5 I ' 1.9 \ x 7. 'G \ o _ A-2 I \ w o o I I 100 '� I r I x' 49.4 50.7 t W o 0 i { S 'S1 L7 i x 42.0 \ \� 1 8547' 0 I` -i4 6 r t x 48.4 50.7 35 x(48.2 50 r4' A-1 \ x •4 x 45.5 ho 38 i -__ -x 48.0 TOP OF CAP 0 TEST WELL A .2 ELEVA11ON = 51.4' N 40 ; PLAN BOOK 370 i 1/ PAGE 1 4 LOT C 4 i x 45.6 x 46.7 44 4.6 s GRAPHIC r,SCAL� _: _ o.pp, 4s:o 20 0 10 20 40 80 mllmjj OFFSET F 100' pELtNEATjON BY KR8 LINE OF OBSE FLAGS ARNICLE, WE RVED HIGH `- ( IN FEET ) A-1 THROUGH�6OSETCIEN77ST TER MARK 1 inch = 20 ft~ APRIL 95050 (SITE03.DWG) 1 5. 9950 EAST, INC. too 00 P 1 54 u4uu 11 aw 11 U11 a I U,I I I I I I J" 1Y_ -2 Clr ------- PROM DATA -vey prepared 11ii plan was t oni a pro eity e 17111 Oil s p sui Not Anfo ation aken fr 'b`�Baxter.,&: yd'I 6.� 'n' dated 4/4/95 y 0 ie The Wotriert's Body�Shopp No rs: 6 4- C en e u ff' : Addr ss� 180 Falmouth Road yannis' MA B At uck I 1pe i ce Park Hyannis Property.Addre§s: s Lane Ind, ndei t Lot 07�494 SV (2.46A.cres Assessors' .294 e Map,,' Pare 1: 79 Flood Zone Class.. C 01111 D strict: nd Ig I usirial OU O nd Watet.Prote'ctioii Overlay District (GP) : ot G min.. Area 90,000 SF1 200 Lot Width Min. Min Lot'Frontagiz, 20' Front''Setback 60' et -Re 'Setback. 30' Side S back 30 ar Min. Welland Buff6r, . 100' ng Btiffer., 01�_51: L "IV Parki .001 Front 50 Sides,&R 30' ear 01 Heig it 3 Max.;Building I Maxim-tan Lot Covera e (Structures) 25% of Lot Area tal 9 50%-of Lot Area Maximum To mperv'.,iis.,(,,�overage Proposed Building Us'es (4 1 Fitn6ss/Recreation i 1,010 SF V P��K 2.' Rental/ Commercial, 990 SF Building tSize: 60' x 100' (Two Fl()ors),= 12,200 Sl," Gross Buildin' Site Covera e 9 6500 SF+/- == 6% ofTotal Lot Area Parking & WAwa Site Covetage 25,361 SF41- P Y T tal li p rvious Site C 31,861 SF :`30% of Total Area 0 70L spaces T )tal Parking Provided: Tree-Requirements .1 tree of inin 2" caliper per 8 spaces' 10+/- 0 /1 r-A a rti Vj; .4� ye 6-L 5-^P-i rJ 3 0 W Op e omen s Th BO' dy,�',Sh L t, B Attuck: lane 0 LAN Indep' endence P .. .............. ai-, 2. yann is MA S Pi onceptua ite 'an , enuc F io & Peel _ AIA rchitects . , t MA Sc' ale 923 ,M 'a,in,::St. ,� Yarmoothpor, 54 ,_ h .. .., „ ,. x., ,; ,- .. ,. <.,} , , : ,.; %,, ,, ,.. ., ., _ �,�� f° ., ,, �.. , ., . . ,. , - ,,,_ .: ,,. 4 . , .. .;', ,,, ,. �., �,. �, ,. ., ., _. �;:. x: .. ,, _ : ;, �.. ,. ., � �. �. . .: �. .. ,, ,, ;, .. , ,. .. .. •. ., ,, ,. .; _.< �: , , ._ ,. ,. .. ,.. r ,.. . . ,r: . .- s .; „� .. t �: , .r ,, . . ,:., ,._, �. v, y , .. � ,_. ., , , .. . . . , ', .,. °. ,. ,, . ; .. 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