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Home My WebLink AboutMiscellaneous - Lot 2 Berry Street4 ,LoRdh COMMONWEALTH OF MASSACHUSETTS North Andover { Board of Health tstNu$4� Northeast Water Wells ----------------------------------------------------------------------------------------------------------- NAME O� o BERRY STREET ----------------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A PERMIT Domestic Well NUMBER BHP -2010-0528 FEE This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires ---------------- July_06, 2010__-_ -_- _____unless sooner suspended or revoked. $135.00 ry April 06, 2010 - Board of c- - - Health �� --� r y--------- ------------------ ----------------- Board of Health Chairman • ORTx'722 H N � a • Town of North Andover HEALTH DEPARTMENT sScHU CHECK #: �.1,/ DATE: •��% LOCATION: .,� H/O NAME:G� CONTRACTOR NAME-4,-//,Z,Oa4 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 $ O TrashlSolid Waste Hauler $ ❑ Well Construction $ SEPTIC Sustems: ❑ 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 0 A 1 TOWN OF NORTH ANDOVER NONTp Office of COMMUNITY DEVELOPMENT AND SERVICES ap 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) LOCATION to Drill Well or install a pump DATE: 4ell zi Licensed Well Contractor Name and Company Name: Contact Phone Homeowner: Address: ;2- Contact Phone N WELLS (to be completed attimeof pump test) Type of well: /LOI Q Use: �l�J`�eS ' ` C C! 6 i Diameter of well: 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 of water: Delivers: Drawdown: feet after pumping:_ Date of Completion: PUMPS (To be filled in before installation) Name & size of Pump: Size of Pipe used in well: Sleeve used to protect pipe? Date: Cast Iron Yes Date water analysis report submitted to Health Department: 7--f 9337 GPM for: (how long) hours at: GPM Signature of Well Contractor Type: Pump delivers: GPM Galvanized Plastic No Type of well seal: Signature of Pump Installer Plumbing Wiring Inspector Health Department Representative C:\Documents and Settings\pdellech\My Documents\COMMERCIAL PERMITS\Permit\Permit Applications\Well Application.doc zwo QA Oa 27' r- 00 EASEMENT} FRaNI ROPOSED `' , ESWENCE 1� t DRIVE l r ASSESS. MAP & LOT ft 1060-74 OW?"/#J"-lCAMT+ an "UNDmw FOURTEEN must 33 MOUNT .a y ORM T1IMMJRY. MA 03976 t — ,,\WEL st L -r t*3 CO JP to UP cp Ta 1 1� 1.000 AC. -- X43,562.50 S.F. 30' REAR SETBK g_ -"--- S63'47'06"E THIS PLAN COMPARES THE LOT _ PRaPOSM w►xDAUM HOUSE 2 FOOTPRINT AS APPROVED BERRY STREET BY ITE CONSMATION COW-YS3IONTOTHE AC- NORTH ANDOVER, MASS, TUAL. HOUSE FOUNDATION THAT IsTHIS LOT. D TO BE BUILT ON THIS DoPROJECT NOl NAND 07 SCALE, 1'=50' DRAWN BY, PCG CHECKED BYl SC DATEi 2/11/10 SHTi 1 OF, i 04/19/2010 05:27 6035779947 NORTHEAST WATER WELL a.S110ba. .t nalytical, SLC Tol: 978-486-z 11(, PDX: 978-48(1-3319 29 ICint; Shrct, Lilalclon MA 0146() Wchsitc i,trpa'www,NashnhnAnaiyticni,crnn Client: Northeast Water Wells 50 River Street Jaffrey, NH 03452 Certifir,:a;te of Analysis Andover MA Method Result MCt, Samptod.' 411512010 1:30.-00 PM by Client Total Coliform Bacterla, /IOOML MF-SM9222B Arsenlc, Total, MG/I, SM 31138 Calcium, MG/I. EPA 200.7 Copper, MG/L EPA 200.7 Iron, MG/L EPA 200.7 bead, MG/l- SM 3113R Maqneslum, MG/L EPA 200.7 Manganese, MG/L EPA 200.7 POMSSIUm, MG/L EPA 200.7 Sodium, MG/L EPA 200.7 Alkalinity, MG/L SM 232013 Ammonia, MG/L SM 4500-NH3-0 Chloride, MG/L EPA 300.0 Chlorine, Free Rpsidual, MG/L SM 4500-0I,G Color Apparent, CU SM 21208 Conductivity, UMHOS/CM SM 25106 Fluoride, MG/L EPA 300.0 Wardnpss, Total, MG/L SM 23408 Nitrate as N, MG/L EPA 300.0 Nitrite as N. MG/L EPA 300.0 Odor, TON SM 21508 pH, PH AT 25C SM 4500-H-13 Sediment, pos/neg ---- ____------ Sulfate, MG/L EPA 300.0 Total Dissolved Solids, MG/L SM 25400 Turbidity, NTU EPA 180.1 PAGE 01/01 LabNumber: 113234 Use this number with all corres ondcnce Reportbate: 4/21/2010 LG �r�r MRI. Date of Analysis Analyst 0 O/Absent 0 4/15/2010 3:00;00 PM M-MA1118 0.004 0,01 0,002 4/17/2010 M-MA1118 20.4 Not Spec 1 4/15/2010 M-MAI118 ND 13 0.01 4/15/2010 M-MAI118 ND 0.3 0,01 41/15/2010 M-MAI118 ND 0.015 0.002 4/16/2010 M-MA111s 2.9 Not Spec 1 4/15/2010 M-MA1118 0,03 0.05 0,005 4/15/2010 M-MA1118 ND Not Spec 1 4/15/2010 M -MAI I18 9 See Nate 1 4/15/2010 M-MAI118 74 Not Spec 1 4/16/2010 M-MAI118 NO Not Spec 0.1 4/15/2010 M-MA1116 2.1 250 1 4/15/2010 M-MA1118 ND Not Spec 0.02 4/15/2010 M-MA1118 NO 15 0 4/15/7.010 M-MAI118 ISO Not Spec 1 4/15/2010 M -MA 1118 0.2 4 0.1 4/15/2010 M-MAI118 63 Not Spec 2. 4/15/2010 M=MA1118 NO 10 0.05 4/15/2010 M-MA1118 NO 1 0.01 4/15/2010 M-MA1118 1 3 0 4/15/2010 PN 8.1 6.6-8.5 NA 4/15/2010 M-MA1118 NEG ------ NEG 4,11512010 PN 9.4 250 1 4/15/2010 M-MAI118 110 500 1 4/21/2.010 M-MA1118 0.25 Not Spec 0.1 4/1512010 M-MAI118 MCL=Maximum Contaminant Level (EPA Limit), MRL = Minimum Reportlnq Level Sodium Guidelines- Mass 20, EPA 2,50, # = Result Exceeds Limit or (17ulde.line NO = None Detected (<MRL), • = l3ackground Bacteria Noted M2r'.%achUSetts Certified Laboratory #MA1118 David L. Knowlton Laboratory Director Page 1 of 1 04/1212010 11:35 6035779947 NORTHEAST WATER WELL PAGE 01103 o C_ ` ont,lel W Y"LtV 4t - TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STR1✓E7; BUIELDING 20; SUITE 2-36 NORTH ANDOVER. MASSACHUSETTS 01845 Susan Y. Sawyer, UH'S/RS 978,688-9540 — phone Public Health Director 978.688.8476 — FAX health ftt cowrlofn -thy- -ar�dover.com r www.townofnorthandover-corn Well and/_or P_ u_=12 A,imbeation (Please print) LOCATION to Drill Well or install a pump: Licensed Well Contractor Name and Company Name:Crfa /`jp�9c S'% LlJ r t'rt'%�--.S ContAct Phone umbers: Homeowner; �7` � +�f � � Q �//,, Address:/�'/Ga•-z_ �.,�� •,J s .elft✓!(�.? Contact Phone Numbers: WELLS (to be completed attimeof pump test) j Type of well: l Q• Use:_J,_/ Diameter of well: — Sirs of Casing: Depth of bedrock: / r Depth of easing into bedrock: ZZ Seal been tested? Yee (514/ No( ) nate off r-st. IfIlev Depth of well: , ._..___ Water -hearing rock: 'F Dcpth of water:. - � Delivers: GPM far:A/6__ . r / (how long) Drawdown:_ feet after pumping� GPM Date of Completlon: Sign 16, r4lorWeII Cantrex, PUMPS (To be filled in before Installation) �^ � Name & sire of Pump: Type: Sire of Tank: �� //"7 __-- Pump delivers: GPM .. Pipe used in well:_ Cast Iron,,,,,_ Galvanized1/ „ Plastic Sleeve used to protect pipe? Yes Noz Type of well seal: ` ! Signata e OfTlirmp installer onto wnttr analysis report submitted to Health Department:. L Plumbing Wiring ):ispector Hcnitb Department Representative C:1Doeuments and SettingrlpdellechlMy Documcnts�COMMERCIAL PERMJTSIpennit\Permit Applications1We11 Application.doc 04/12/2010 11:35 6035779947 NORTHEAST WATER WELL PAGE 02/03 Office of Water Resovgves Well CMletion Report 3Ps North: 42 ° 3A,;1.23' C=PS West: -71° 4.1881 Address:Iicrry (3t,reeL- Lot; 2N -A Subdivision Name: City/tOWn:North Andover Nor]: Performed WELL LOCATION Assessors Map: Assessors Lot #: 2N -A 21. -APR -10 1.5:57:24 Permit Number: bhp-2olo- Date Issued: 0528 Board of Health04/06/201.0 pez��mlt obtained: Y 2752'75 New We]1 Drilling Method overburden Drilli Method Bedrock Mud.fiotary M.r Hammer CASING )From (ft) To (ft) Type Thickness Diameter 00 -32.00 Steel. 1.71f 6.00 SCREEN From (ft) To (ft) Type Slot size Diameter WELL SEAL FILM PACK / ABANDONMENT MATERIAL From (ft) ''o (ft) Material Deneript,ion Purpose . .00 -32 Nat.Lve Material. Fi1.7 WELL TEST DATA __(,ALL SECTIONS MANDATORY FOR PRODUCTIONWELLS) Date Method Yield Time Pumped Pumping Level Time to 17ecover AL4covery (GPM) ()ars & min) (Ft. BGS) Mrs & Min) (Ft. BGS) 04/09/701.0 Air Slow wi.t.h. Orill. Stam 5,01)00 002:00 265,0000 001:30 40 STATIC WATER LEVET, (ALL ?ELLS) PERMANENT PUMP (IF AVAILABLE) :date Depth Below Ground Pump Descrl,ption: t/2 7LI Measured Surface (£t) pM Type: 2 Wire (onn) anL- Speed Submoa'sible Intake Depth: 200.0000 04/09/20].0 4.0 Nominal Pump Capacity: 7.0000 Horsepower: .5000 ADDITIONAL WELL INFORMATION Comments )evnlopad:No Vracturn Enhaneement:NO )in9,nfected: Y,C. C, Well Seal. TypS:Non.e "otal Well Depth: 265.000 Depth to Bedrock: 15.700 From To Description Color (:fit) (ft) .00 3.00 A.rti.fiCi ll. Fil.1 Dark Gray 3.00 15.00 Till. Reddj.Sh Brm,n Comment Water Loan/Add Drill Drill Zone of Fluid Stem Drop Rate Nd N/A No Normal. Ycs Loss No Slow 04/12/2010 11:35 6035779947 NORTHEAST WATER WELL • r�•. .,._n..R.rR, Offi4i-9- of Plater Kesources Well CcWetion Report ,S Northt 1.2 38,1231 (SPS west: -71. 4.188, AddrAfln: Berry StrecL Lot: 2N -A SubdIvicion Name: City/Town2North Andover Prom To Code (f t) (ft) 15.U0 .18.00 C.,ran1Le 1.8.00 80.00 Gr,an.itc so -Do 145.00 GnI- i. 1.45.00 21.0.00 Amphibolite 21o.00 265.ao Rhygl.ite WE'LL LOCATION PAGE 03/03 21 -APR -10 15:57:24 275275 ,Assessors kap: .A.ssesgors Lot #: 2N -A Permit Number: bhp -2010 - Date Isoued: 0529 iloard of Health permit obtained: 04/06/2010 y Comment Water Zone Drill, Stem Extra Large Drill Rata Must Stain Loon/ Add of # of. >rrac or f Yes No Yes rant yes LOSS 8 No No No S1, our No N/A 1 Yes No No FA.r;t No Add, 2 No No No Normaj No N/A 1. No No No Normal, No N/A 1. Page 1 of 2 DelleChiaie, Pamela From: Isaac Rowe [irowe@millriverconsulting.com] Sent: Monday, July 14, 2008 4:28 PM To: Daniel Ottenheimer; Grant, Michele; irowe@miliriverconsulting.com; Marianne Peters; DelleChiaie, Pamela; Randy Burley; Sawyer, Susan Subject: Soil Testing Results - Berry St Lots 2 & 3 Susan, Please find attached the soil testing results for Berry St lots 2 & 3. Tony Capachietti should be submitting the official soil testing forms to your office soon. Please let me know if you have any questions. Thank you, Isaac Isaac M. Rowe, R.S. Project Manager Mill River Consulting 2 Blackburn Center 7/15/2008 Page 1 of 1 DelleChiaie, Pamela From: Marianne Peters [mpeters@millriverconsulting.com] Sent: Thursday, April 03, 2008 9:48 AM To: irowe@millriverconsulting.com; 'Daniel Ottenheimer'; dobrzut@millriverconsulting.com; Grant, Michele; DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan Subject: Soil Testing for Lots 2 and 3/Berry St sched for 4/16 @ 9:00 Soil Eval f& r lots 2 nd Berry St. th Christiansen & Sergi scheduled for 4/16 at 9:00. MARIANNE PETERS OFFICE MANAGER MILL RIVER CONSULTING 2 BLACKBURN CENTER GLOUCESTER, MA O 1930 978-282-0014 PH 978-282-0012 FX WWW.MILLRIVERCONSULTING.COM 4/3/2008 f DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, April 02, 2008 3:00 PM To: Daniel Ottenheimer (E-mail); Marianne Peters (E-mail); Randy Burley (E-mail) Cc: Wedge, Donna Subject: Lot 2 Berry Street Please schedule soil testing. -----Original Message ----- From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent: Wednesday, April 02, 2008 3:54 PM To: DelleChiaie, Pamela Subject: Message from KMBT_600 CNN SKMBT_600080402 14540.pdf NO TM ,� •. J 322 Aim �•`o'�•�°c h ,• 9 • . Town of North Andover ' '-...... � HEALTH DEPARTMENT ,SSACNUStt CHECK #: DATE: O$ LOCATION: H/O NAME: �,, CONTRACTOR NAME: a 9/-S- Type �S 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 $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Sustems: G11 Septic - Soil Testing $ O� 6- 0 ❑ Septic - Design Approva 1 $ ❑ 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 N°RT►1 Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 100 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 'gsAc,M,SEc Susan Y. Sawyer, RENS, RS Public Health Director 978.688.9540 - Phone 978.688.8476 - FAX healthdeptAtownofnorthandover.com www.townofnorthandover.com APPLICATION FOR SOIL TESTS 38 DATE: Y D8- MAP & PARCEL: /t? 6.b 13/ 1'f Z LOCATION OF SOIL TESTS: 1197; OWNER: Niq ki GV 14-a UG 4 n k Contact #: q APPLICANT: NQ -"Cy H 006 H TD >;/ Contact #: ADDRESS: P- `I S7-ieF&-7— ENGINEER: LHR 15771'11JS 4FA) s Sf k'6 l Contact #: C( 7F 3 73 -0 3 / P CERTIFIED SOIL EVALUATOR: I D u q C A M C N 1 C1 1 I Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: V Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ & S"x 11 "Plot plan & Location of Testing- (please indicate test pit sites on the plan) ➢ Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $360.00 per lot for repairs or un¢rades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: Signature of Conservation Agent: Date back to Health Department: (stamp in): \a 5 �p i jH 4 a F -!4 a x o 3f y� 7��tie 2 x W y 22A: air : G zp NhE I gl Y Zia r Y y�rl1NS�� 3 ?� QI.44 ,x �` P jiiC A 51 I$e �i any QII 9 R BERRY STREET l g' YYYY `M PHI I , z Ci ti ggC„ !3l Qa9 `1115 Y �eY La 3 �SE }o2 88 11YY J. Q ' ng�n•e�p a �_ RECEIVE® 10 TOWN OF NORTH ANDOVER APR 0 2 2008re+ .o:ra*a Ofifiee of COMMUNITY DEVELOPMENT AND SERVICES NORTH ANDOVER HEALTH DEPARTMENT K CONSERVATION COMMISSION 1,600 OSGOOD S'T'REET; BUILDING 24; SUITE 2-36 • # a NORTH ANDOVER, MASSACHUSETTS 01845 �4SSN�S Susan Y. Sawyer, REBS, IIS 978.688.9540 — Phone Public Health (Director 978.688.8476 — FAX healthdeptntownofnorthandover.com www, townofnorthan doves. com APPLICATION FOR SOIL TESTS DATE: „T�r `� ee- MAP & PARC L: LOCATION OF SOIL TESTS: OWNER: Contact #: APPLICANT: i°` P -NC y1yf.�Gl--17 Z7 �/ Contact #: ADDRESS: 66P-9-1 S% !k qqt E3� 4p1 5 S 2YT � i @ �.= Z Cw�) z W y „a AEAii Z1, Ji 1 ua�RR� �� :z cK c x" �i'R OQ��gg s ;y R S'e � EZ� �R a w v,E ; a 25 art filljN U i'�ai r<�_ M • 7 T 2 £yg �I s�iq G BERRY STREET m,n H[IiK ,ervrzf dm �"tl Inay „maR Y << N WIN 5 ilil2 "\ �^ B 4zxEaEYYa Page 1 of 1 DelleChiaie, Pamela From: Marianne Peters [mpeters@millriverconsulting.com] Sent: Wednesday, April 16, 2008 10:07 AM To: 'Daniel Ottenheimer'; dobrzut@millriverconsulting.com; Grant, Michele; DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan Subject: Berry Street will be rescheduled; backhoe didn't show The 2 lots for Berry Street will be rescheduled; the backhoe operator did not show this a.m. for the testing. Will be in touch w/new date and time once we reschedule. MARIANNE PETERS OFFICE MANAGER MILL RIVER CONSULTING 2 BLACKBURN CENTER GLOUCESTER, MA O 1930 978-282-0014 PH 978-282-0012 FX WWW.MILL_RIVERCONS.ULTING.COM 4/16/2008