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I Town of Barnstable
• ELUMIUABM • Board of Health
�A 16;9. ���°' 200 Main Street
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Hyannis,MA 02601
Office: 508-862-4644 Susan G.Rask,&S.
FAX: 508-790-6304 Wayne Miller,M.D.
Sumner Kaufman M.S.P.H.
April 24, 2004
Mr. John Vo
Cape Cod Inn
447 Main Street
Hyannis, MA 02632
RE: Lifeguard Modification for the Swimming Pool
Dear Mr. Vo,
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 Cape Cod
Inn, 447 Main Street, 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" of fully certified
lifeguard at all times while the pool is open. We wish to make it clear that
this swimmer must be at the pool and cannot be observing from the desk
unless another swimmer is provided and physically present at the pool.
This swimmer must be certified in adult, child, and pediatric CPR by the
American Red Cross, American Heart Association or equivalent, be
familiar with lifesaving equipment and knowledgeable in first aid
procedures. (Minimum swimmer qualification requirements are enclosed).
(2) All qualified swimmers shall wear orange colored hats or orange colored
visors with the words "POOL STAFF" in 15 millimeter (5/8 inch) black
colored lettering on the front of the hats.
(3) The maximum capacity of the swimming pool is reduced to nineteen (19)
persons.
(4) You shall maintain a permanent record on a form prescribed by the Board
of Health listing each swimmer supervising the pool when it is in use.
(Sample of prescribed form is enclosed).
Q:WP:PoolModification
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(5) You shall submit a copy of the applicant's insurance policy naming the
Town as coinsured in the amount of$1,000,000.
(6) All other regulations contained in Chapter V, Minimum Standards for
Swimming Pools, must be strictly complied with.
(7) The qualified swimmer(s) must hold a current American Heart
Association, American Red Cross, or equivalent CPR certificates with
training in adult, child, and pediatric CPR.
(8) The swimming pool water must be tested for coliform bacteria at least
monthly by a certified laboratory.
Please be advised that if you exceed this capacity of 19 persons, your
modification will be invalid and you will be required to cease operation of the
pool.
This modification expires December 31, 2004. It will be your responsibility to
request a lifeguard modification approval each year.
Si ely,
ay a Mier M.D.
Ch man
BOARD OF HEALTH
TOWN OF BARNSTABLE
Q:WPToolModification
DATE:
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MAM ASTABLE
lRXC. BY
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o SCHED. DATE*
Board of-Rea—Ith
200 Main Street, xys
Office: 508-862-4644 Susan G.Rask,R.S.
FAX 508-790-6304 Sumner Kaufman,M.S.P.H.
Wayne A.Miller,M.D.
VARIANCE REQUEST FORM
LOCATION
Property Address: 441 -0
.Assessor's Map and,Parcel Number: _� _ Size of Lot:____._____-- _
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Wetlands Within 300 Pt. Yes Business Name:No Subdivision Name:
APPLICANT'S NAME-— �` (3 Phone S�d� 77 61-D
Did the owner of the property a�alhorize you represent.him or her? 'Yes �— No
PROPERTY OWNER'S NAME CONTACT PERSON
Name: Name:
Address:. Address:
Phone: - L l g Phone: -y -� ! !
VARIANCE FROM REGULATION r.astReg.) LEASON FOR VARIANCE(May attach if more space needed)
NATURE OF WORK: House Addition C1 001100 House Renovation M Repair of Failed Septic System C3
C'h cklist ('to be completed by office staff-person receiving variance request application)
Please submit copies in 4 separate completed sets.
Fore(4)copies of the completed variance request form
Four(4)copies of engineered plan submitted(e.g.septic syssatn plans)
_ Four(4)copies of labeled din=sional floor plans subrnided(e.g.house plans or restaurant kitchen plans)
Signed letter stating that the property owner authorized you to represent:hiirAer fur this request
Applicant understands that the abutters must be notified by certified mail at: least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only),
Full menu submitted(for grease trap variance requests only)
Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals '[same
owner'leasee orgy], outside dining variance renewals [same ownertleasee 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 w meeting date m
VARIANCE APPROVED Wayne A.Miller,M.D.Chairman
NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL ____ Susan G.Rask,R.S.
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Hyannis, KA 02601 ADDRESS S�17 tt}Ajtj 3,-- _1I x t.N}
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