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HomeMy WebLinkAboutMiscellaneous - 129 BERRY STREET 4/30/2018 i i 731" 3% No 0,0000-z WO-0,90WoV • i33als Aaa3e,kb�� 04/27/2010 09:41 6035779947 NORTHEAST WATER WELL PAGE 01/02 ., 9 Lab Num'ber: 113495 ashobanalyticalT ' r&978-496-3314, Fix;978486-3U1sRCdlunbcr with nil cormsporldence :7Cbsitc'lltiP:I/wNvw.N,%511EIblAtlniytirA%I,COM 29 King Sttrc,.t.J.,itilc4oti MA 01460 Client' Repartl)eite: 5/6/2010 Northeast Water Wells $0 RivEw Streot inffr6y,NH 03452 J Z� Ce_rtif ate of Anal sis Lot 1 yBeSt, North Andover MA Z Resialt MCL MRL int.e of Analysis Analyst )a er met.hod -Well S.qMpjt,d:4/29/polo 14-00:00 AM by Client Total Coliform BaM,MAl 1118 0 O/Absent 0 4/29/2010 1;30-00 PM n ..terla,lio()ML MP-5M927.2614 0.01 0.002 511/2010 M-MA11 118 Ar-schic,Total,MG/L SM 31138 # 0.9 5/11/20`10 M-MA1118 cAlnlum,MOIL EPA 200.7 $7.3 Not Spec 1 5/112010 M-MA1118 Copper,MGIL EPA 7003 No 1.3 0.01 Iron,MOIL FPA 700,7 0.22 0.3 0.01 511/2010 M�MA1118 Lead,MG/L SM 31138 NO 0.015 0.002 413012010 M-MA1118 Magnesium,MOIL EPA 200.7 2.2 Not Spec 1 511/201'0 M-MA1 118 Manganese,MG/i- EPA 200,7 0.02 0.05 0.005 5/1/2010 M-MAI 118 ND Not Spec 1 51112010 M-MAI 118 parasSikim,MOIL EPA 200.7 4.4 See Note 1 5/1/2010 WMA1 118 Sgdlum,MOIL EPA 200.7 4130/2010 M-MAl 118 Alk.allnity,MG/L SM 23208 72 Not Spec I M-MA'1118 Ammonia,MOIL SM 4500-NH3-D ND Not Spec 0.1 4130/2010 EPA 300.0 14.2 250 1 4/2912010 M-MA1 118 Chloride,MOIL 4/2912010 M-MA1118 Chlorine,Free Residual,MG/L SM 4500-CL-G ND Not$pcc 0.02 SM 2120 `l 118 Color Apparent,CU 8 5 15 1 4129/2010 M-MA285 NotSPec 1 4/2912010 M-MA1 118 CondudvilY,UMHOS/CM SM 2510B NO 4 0.1 412912010 M-MAI 118 Fluoride,MG/l, EPA 300.0 102 Not 2 51112010 M-MAI 118 Hardness,Total,MG/L SM 2340B tS4129/2010 M-MA1118 Nitrate as N,mG/L EPA 300.0 ND 110 0.05 Nitrite as N,MG/L EPA 300.0 NO 1 0.01 4129/2010 M-MA1 118 Odor,TON SM 21508 1 3 0 4129/2010 PN SM 4500-H-9 8.1 6.5-8.5 4/29/2010 M-MAI 118 PH,PH AT 25C NEG 4/2912010 PN Sediment,pas/neg NEG .1---- Sulfate,MG/1- EPA 300.0 20 250 1 4/2912010 M-MA1 118 134 500 1 51412010 M-MA1 118 Total Dissolved Solids,MGIL SM 2540C 412912010 M-MAI 118 EPA 180.1 2.6 Not.Spec 01 TurblditY,NTLI MCL=Maxlmurn Contaminant Level(EPA Limit),MRL MinimLl?-n Reporting Level Sodium Guidelines-Mass PO,EPA 250, #;e Result Exceeds Limit or Guideline ND=None Detected(<MRL), Background Bacteria Noted David L Knowltonrertiflad Page 1 of I 1.,q Massachusetts h orntory#MAI 118 Laboratory Director 04/19/2010 05:22 6035779947 NORTHEAST WATER WELL PAGE 01/04 Office or joater Iteaou,rues * Well egj2letion Report 23-ApR-10 l.4„50:54 Wj3)aL LOCATION 27555 3PS North: 42 ° 38,1341 GPS W00t: - 7,1.' 4.226, Addreris: Rerry street Lot: 1N-11 Property Owner/Client: One Hundred. Irourteen ',rrust Subdivision Name: Mailing Addreos: 51 Mount Joy Drive Citi./Town:North Andover City/Town, State:Tewkobury MA kggeasora Map: Assessors Lot #: ZN-A Permit Number:SHP-2010- Board of Heelth permit obtained: Y bate Issued: 04/06/203,0 0527 Work Performed propoaed use Drilling Method Overburden, Drilling Method Bedrock Now Well DomeatiC Mud Rotary Air Hammer. CASING From (It) To (ft) Type Thickness Diameter -00 -32.00 Steel 17# 6.00 SCREEN Prom (ft) To (ft) Type Slot Size Diameter WELL SEAL / FILTER PACK ABANDONMENT MATERIAL From (ft) To (ft) Material Description purpose .00 -32 Nat Svc material Fill WELL TRST DATA (ALL SECTIONS MANLATORY FOR PRODUCTION WELL§) Date Method Tiold Time Pumped Pumping Level Time to Recover Recovery (GPM) (hr s & min) (Ft. HOS) (Hra & Min) (Ft. BGS) 04/19/201.0 Air F3.l,ow with brill Stem ls.0000 002;00 385.0000 001:00 40 STATIC NATER L.9VZL (ALL WELLS) PERMANENT PUMP (IF AVAILABLE) Date Depth Below Ground PUMP Description- Mea,sured Surfaco (ft) Type: Intake Depth: 04/1.9/2010 !40 Nominal Pump Capacity: Horsepower: WELL DRILLER'S STATEMENT ADDITIONAL WSLL INFORMATION Driller: shaven Mackie )eveloped: No Tractus., Enbancement:No Supervisor: Joseph Haynes Rig #: 182 )isinfectad: yop Wall Seal Type:Nope Firm: Northeast water Wells, Inc. ,otal Well Depth: 385.000 Depth to Bedrock: 1B.000 Registration #: 762 bate Complete:04/1,9/2010 iamthonts: oyEADURDEN From To Description color Comment water Loss/Add Drill Drill (ft) Zone of Fluid Stem Drop Rate .00 3.00 A.r-tifici,al, Fi-1.7. Brown No N/A No Normal. 3.00 18.00 Ti11. Yellowish Blown No Loss Normal 04/19/2010 05:22 6035779947 NORTHEAST WATER WELL PAGE 02/04 M��rerr)�g6r.tt.a ofeice Of XQb6s 1.2e801]„rcca OOeI� rO} Etio; Report 23-APR-10 14:50:54 `- WELL LOCATION 275655 :4P$ NOrtb.: 42 38. 1,341 GPS West: --71 4.226' Address: 2c.r..ry Street Lot! IN-A Property owner/Client: one Hundred Pourteen Trust Subdivision Name_ MAiling Address: 51 Mount Joy Drive City/Town:North Andover. City/Town„ State.-Tewksbury MA 9sonasoto Map: Aseenaors Lot #: 1N-A Permit Number:BRP-201,0- Soard of Raalth permit obtained: Y Date Issued_ 04/06/2010 0527 $1JDROC� From To Code Comment hater Drill Extra Drill Rust Loss/ # of (ft) (ft) Zone stem Large Rate stain Add of Frac per ft 1.8.00 24,00 Granite Yes No Yes Normal No Loee 7 24.00 75.00 Gabbro 1\10 No No Normal No N/A 1. 75.00 110.00 Amphibolite No Np No Fast No N/.A I 110-00 2.1.0-00 Granite No NO No Norma..l NO N/A 1 210.00 305.00 Granite No No No Normal No N/A 7, 305.00 310.00 Gneir,3 No No NO Fast No N/A 2 370.00 385.00 Amphi.bol.itc Yea No No Fast No Add 3 TOlNN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete 11 items on this page LOCATIONJ. � . PRflPERT OiER -_ S x t . not MAP�lO PARCEL ZONING DjSTRICT 1- - I�storic33astrict yeso s•_ Macfai.he Shop Vill'age... yes.:. no TYPE OF IMPROVEMENT PROPOSED USE Resid Non- Residential N�Buildin One familTwo or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other TT londplair /�tlands Watershed��srac F DESCRIPTION OF WORK TO BE PERFORMED: C5I � Identification Please Type or Print Clearly) OWNER: Name: [ l `u -�- 0 -C Phone: Address: 1 (`'l�-, SOL -DC. l C S-� C� lQ4) OTCTfl1art�e �` 1 I♦ k. f , 1 LIfieSS ' ~ s t� tc ; peT�tsor'sx�r�srrtcnr� er�se �- - rHorramproverrent �cerase - b4 Each .Date a'F 4 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ��. Sr�f,', FEE: Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to th guarantji fund S, nature of A ent/Owner , 9 g � Signature,of contractor ' Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 'qce or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording e building application iit Revised 2008 r ` NUMBER M¢Rto, COMMONWEALTH OF MASSACHUSETTS BHP-2010-0527 North Andover FEE $135.00 • _; - { Board of Health Northeast Water Wells --- ------------------------------- ---- NAME ---------------------------------------- ----- Lot 1 N BerryStreet ------------------------------------------- ---ADDRESS IS HEREBY GRANTED A PERMIT Well Construction Rotary Domestic Well This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires ----------------July-06-,--20-1-0----------------unless sooner suspended or revoked. --------------- ------------- --- April 06, 2010 (( Board of -------------- L - - -------------- Health ----------------------------------------------------------------- ----------------------------------------------------------------- Board of Health Chairman f 'x A 7 • Town of North Andover `�'•�;, HEALTH DEPARTMENT ,SSACNustt A / CHECK#: DATE: LOCATION: H/O NAME: z.,,� 6v CONTRACTOR NAM . Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Tras4lSolid Waste Hauler, r $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer ' TOWN OF NORTH ANDOVER t Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT :}•'�_ {' 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdept@townofnorthandover.com www.townofnorthandover.com Well and/or Pump Application (Please print) DATE• 3 3d // LOCATION to Drill Well or install a pump: Licensed Well Contractor Name and Company Name: Contact fhone Numbers: Homeowner: /K S / O/a�I y ,®r 1 Address: a Contact Phone Numbers: Jao'933 7 WELLS(to be completed at time of pump test) Type of well:' e/4'�-T/ Use: Diameter of well: Size of Casing: Depth of bedrock: Depth of casing into bedrock: Seal been tested? Yes( ) No( ) Depth of well: f Depth of water: De (� v long) Drawdown: fee — GPM Date of Completion: Signature of Well Contractor PUMPS(To be filled in before installation) Name&size of Pump: Type: 000 Size of Tank: Pump delivers: GPM Pipe used in well: Cast Iron_ Galvanized Plastic l Sleeve used to protect pipe? Yes No Type of well seal: Date: Signature of Pump Installer Date water analysis report submitted to Health Department: Plumbing Wiring Inspector Health Department Representative C:\DOCUMB—l\bcurran\LOCALS—I\Temp\Well Application.doc TOWN OF NORTH ANDOVER t Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 a,�cwss NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdept@townofnorthandover.com ,townofnorthandover.com www.townofnorthandover.com Well and/or Pump Application (Please print) DATE• 3 3a // LOCATION to Drill Well or install a pump: Licensed Well Contractor Name and Company Name: Contact fhone Numbers: Homeowner: 4" Address: �p-57 Contact Phone Numbers: WELLS(to be completed at time of pump test) Type ofwell: -1 �'Te Use: oF. f i, Diameter of well: /p Size of Casing: Depth of bedrock: Depth of casing into bedrock: Seal been tested? Yes( ) No( ) Date of test: Depth of well: Water-bearing rock:- Depth ock:Depth of water: Delivers: GPM for. (how long) Drawdown: feet after pumping: hours at: GPM Date of Completion: Signature of Well Contractor PUMPS(To be filled in before installation) — J Name&size of Pump: Type: Size of Tank: Pump delivers: GPM Pipe used in well: Cast Iron_ Galvanized Plastic l Sleeve used to protect pipe? Yes No Type of well seal: Date: Signature of Pump Installer Date water analysis report submitted to Health Department: Plumbing Wiring Inspector Health Department Representative C:\DOCUME—l\bcurran\LOCALS—I\Temp\Well Application.doc ASSESS. MAP & LOT 0: 106[-75 (� 37.11 9 Tae+ Tmw Si MOUNT Jay. MA M076 T ` �,`� N� 27 DRIVE 271 RESIDENCE ? 181 WELL L B w LOT 1N — A o 6091 rn N 1 . 900 AC. `' " m m; co �- �-` 82,814.20 S.F. 30' REAR SET8K NOTE THIS PLM COMPARES THE PROPOSM�DAUMLOT _ 1 FOOTPR§ff As APPROVED BERRY S T R E E T SY THE CONSERVATION COWISSM TO 7Flt AC- NORTH ANDOVER, MASS. TUAL HOUSE FOUNDATIM THAT 18 PROPOSED TO BE BUMT ON THIS IAT. PROJECT NO, NAND 07 SCALE, 1'=50` DRAWN BY, PCG DATE,2111110 CHECKED BY, SC SHT+ I OF, 1