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Miscellaneous - Lot 3 Berry Street 149
0412712010 09:41 6035779947 NORTHEAST WATER WELL 46 aslloba Analytical LLC Tcl: 979-486.331', fax; 978.486-3319 -------- Y 7. 29 K9nf• StrC01, Littlrtan MA 01460 - Websitc: ltltp;/1w Nw,NnsluibaAnFt1 ucn ,Com Client: Northeast Water Wells 50 River Street Jaffrey, NH 03452 Lot 3 Berry Orth Andover MA Parnm elelr Method Well Sampled: 412W--010 10:00:00 AM by Client Total Coliform BnrAcr12, /10OM1. MP-SM92228 Arsenic, Total, MOIL SM 31136 Calcium, MOIL EPA 200,7 Copper, MOIL EPA 200.7 iron, MOIL EPA 200,7 Lead, MG/L SM 31136 Magnesium, MOIL EPA 200,7 Manganese, MGIL- EPA 200.7 Potn%alum, MG/L EPA 2.00.7 Sodium, MOIL FPA 200.7 Alkalinity, MG/L SM 23208 Ammonia, MG/I- SM 4500-NH3-t) Cilloride, MGIL EPA 300,0 Chlorine, Free Residual, MOIL SM 4500 -Ci. -G Color Apparent, CU SM 21206 CondUetivity, UMHOSICM SM 25105 Fluoride, MG/1- EPA 300,0 Hardness, Total, MG/L SM 23408 Nitrate as N, MG/I- EPA 300.0 Nitrlte as N, MOIL EPA 300.0 Odor, TON SM 21508 pH, PH AT 2.5C SM 4500 -H -B Sediment, poglneg ....... . --"' Sulfate, MOIL EPA 300.0 Total Dissolved Sollds, MOIL SM 2540C Turbidity, NTU EPA 180,1 Certifics of Anal sis PAGE 02102 LabNumber: 113494 Use this nUll1bcr Will' t111 Con'csputt(ICncc ReportDate: 51612010 L p t - Result MCL MRL hate of Analysis Analyst 0 O/Absent 0 4129120101:30'00 PM M-MAI118 0.009 0,01 0,002 5/112010 M-MA1118 100 Not Spec 1 51112010 M-MA1118 ND 1.3 0.01 5/1/2010 M-MA1118 8 0.92 0.3 0,01 5/1/2010 M-MA1118 ND 0.015 0.002 4/3012010 M-MA1118 7,7 Not Spec 1 51112010 M-MA1118 0.03 0.05 0.005 511/2010 M-MA1118 2.9 Not Spec 1 511/2010 M-MAI118 13.6 See Note 1 5/1/2010 M-MAI118 106 Nat Spec 1 4/30/2010 M-MA1118 NO Not Spec 0.1 4/30/2010 M-MA1118 14.1 250 1 417.9/2010 M-MA1118 ND Not Spec 0.02 4/29/2010 M-MA1118 15 15 1 4/2912010 M-MA1118 790 Not Spec 1 4129/2.010 M-MA1118 ND 4 0.1 4/29/2010 M-MA1118 282 Not, Spec 2 511/2010 M-MA1118 ND 10 0.05 4/2912010 M-MA1118 ND 1 0.01 4/29/2010 M-MA1118 0 3 0 4/2912010 PN 7.6 6.5-8.5 4129/2010 M-MA1118 NEG ------ NEG 4/29/2010 PN 14.2 250 1 4/29/7010 M-MAI118 q 618 500 1 5/4/2010 M-MA1118 14 Not Spec 0.1 4/2912010 M-MAI118 MCL=Maximum Contaminant Level (EPA Limit), MRL = Minimum Reporting Level Sodium Guidelines- Mass 20, EPA 250, # = Result Exceeds Litnit or Guidcllne ND = Mone Detected (rMRL), " = Background Bacteria Noted M.wmachusetts Certiftd Lahorwory #MA1118 David L. Knowlton Laboratory Director Page 1 of 1 64/19/2616 65:22 6635779947 NORTHEAST WATER WELL �Offi.r_p of water Rcoourcea + Well CS0 Zenon Report f yPS North: 42° 38.117.1 G West: -71 4.,153' Address: 8er.ry St:,,o t I,ot: 3N -A SubdivisiQ.v Name: City/TOWn:North A. Rsaessora Map: WELL LOCATION PAGE 63/64 23 -APR -10 13:43:47 275648 Property Owner/Client: one Hundred. Fourteen Trust Mailing Address: 51 Mount Joy Drive CitY/Town, state:Tewksbury MA ASSessors Lot #: 3N -A Permit Number:BHP-2010- Board of 150alth POrmit obtained: y Date Isaued: 04/06/7.010 0529 Work Performed Proposed use Drillinct Method Overburden Drilling Method Bedrock New well DoMnSti.0 Mud Rotary Air Hemmer CAS ING -Prom (tt) To (£t) Type Thickness Diameter OU -3.1.00 Steel 17#) 6.00 SCREEN From (ft) To (ft) Type slot Size Diameter WELL SEAL / FILTER PACK I ABANDONMENT MATERIAL -From (t t) To (f t) Material Description Purpose .Do -31 Nat.i.ve Material Fi.l,l. WELL 'PEST DATA (ALL SECTIONS ,MANDATOXX FOR PROZUCTION WELLS) Date Method Yield Time Pumped Pumping Level Time to Recover Recovery (GPM) (hra & min) (Ft. BO$) (Hrs & Min) (Ft. BGS) 04/1.6/7.01.0 Air Brow with Drill Stem 5{x00 DD4:00 605.0000 024::00 57 STA'T'IC WA'T'ER LEVET., -(ALL WELLS) PERMANNNT PUMP (IF AVAILABLE) Date Depth Below Ground pump Description: Meaaured surface (ft) — - Type- zsatake Depth: 04/11/2010 57 Nominal Pum capacity: P P Y: Fioraepbwer: ADDITIONAL WELL INFO RMTiTION sevoloped:Yes FractuV6 Bnhancement:Ycs lisinfected:veo Well Seal Type:None 'otal Well Depth: 605.000 Depth to Bedrock: 18.100 ommnnts: WELL DRILLM S STATEMENT Driller: Shawn, Mackie Supervisor: Joseph. Haynes Rig #:762 Firm: Northeast WaL-e.r Wells, Inc. Registration #: 762 Date Complete:04/7.7/2010 OVETSURDEN From To Description Color. Comment Water Loss/Add Drill Drill (ft) (£t) — Zone of Fluid stem Drop Rate .00 .1.8.00 Ti7.l Yellowish Bxhwn, Yes Loss No Normal. f 04/19/2010 05:22 6035779947 NORTHEAST WATER WELL PAGE 04/04 AWNL . `.FFA offi.r..e of water R00ourcam Well Completion Report 23 -APR -10 1.3:43:47 f LIF.;L LOCATION 275648 WS North: 47. 36.1.7.7 ' tlP3 vo6st: -'71 4.1,5'; � Addregrj:Berry St..rec1= Lott 3N -A Property Owner/Client: One Hundred Fotartecn Trust SubdiviSion name: Availing ,Addreaa: 51 Mount Joy Drive City/TQW t:North nn.dovor City/Town, State_Tewksbury MA homasAora MAP! AsaeasorR Lot #2 3N -A permit Number:BMb-2010- hoard of Health pormit obtailned:Y Date Tasued: 04/06/207,0 0525 SSI)ROCK From To code Cm=ent Water Drill Extra Drill Must Loss/ # of (ft) (ft) Zone Stem Large Rate Stain ,Add of Frac er ft 00 25.00 Gabbro Yea No Yes Normal Nb Lents g 21;_nn Rn nn __ APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Buiidina Permit # ADDRESS/LOCATION OF PROPERTY:lLt W Qerr� si' Map Parcel Lot Number (%V BQr�•, S� SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE sTRUCTUQF •1 , 2al Permit Issued to: Address SIGNED CONSERVATION MIV41�5-yV�Y ��j/�c}P,�CTl6A/ L: Fite: Application for OC form revised Jan 2007 I IN ' r NUMBER COMMONWEALTH OF MASSACHUSETTS BHP -2010-0529 North Andover FEE a $135.00 4 Board of Health Northeast Water Wells --------------------- NAME — ---------------- BERRY STREET ADDRESS IS HEREBY GRANTED A PERMIT Well Construction Domestic Well This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires June 3022010 unless sooner suspended or revoked. ------------------------------ - - April 06, 2010 -----------------------i,�_----Q `�.�1,.�_------- --- -- Board of Health Chairman Board of Health 4723 �vN r`o'. •�Op� Y 1 � s p � Town of North Andover HEALTH DEPARTMENT CHECK #: /o/ DAP: .10/0 LOCATION:�1 H/0 NAME: ice'-CI7iJ/ tea, CONTRACTOR NAME: 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 Systems: ❑ Septic - Soil Testing $ ❑ Septic -Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ El Other: (Indicate) �'1' $ A Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHSIRS 978.688.9540 — Phone Public Health Director 978.688.8476 — FAX healthdept@townofnorthandover.com www.townoffiorthandover.com Well and/or Pump Application (Please print) DA✓�'� 1 ,�T>E�: LOCATION to Drill Well or install a pump: �D� ' ✓✓ V Licensed Well Contractor Name and Company Name: ��� Contact Phone Numbers: 01 Homeowner: 5 Address: Oa 4 '4" Contact Phone Numbers: -. BS-- 3.P0 -73J 7 C y� y WELLS (to be completed at time of pump test) Type of well: ® i© �d Use: 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: 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) Name & size of Pump: Type: Size of Tank: Pump delivers: GPM Pipe used in well: Cast Iron_ Galvanized Plastic i 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—I\bcurran\LOCALS—I\Temp\Well Application.doc BERR`/ S TRE... E T ................. '" .......... VARIABLE R/W 457'02'57"" _ ASSEW. MAP & LOT t 5'FRONT SETBACK 26' 706'x44 �1 \\,°R„EwRaP4SEfl - — �� .►MI , RRESIOE�ICE WELL ew mumom romm Tmw W KIM MY tvw TVEXSaM, MA 01976 tun d, ri Lo: Ju SEAli C -N 1 APPR-)VE� 1� T LOT 3 N - A 1.000 AC. --4,k561.6 S.F. 30` REAR SETS S63 47 Q6 E 206.31 NOTE _ - LOT 3 THIS PIAN CONIPARES TW PROPOSED MMIMUM HOUSE BERRY S T R E E T FOOTMINTASAMOVED BY THE CONSERVATION NORTH ANDOVER, MASS, COMMISSION TO THE AC- TUAL c _ 7� FOUNDATION PROJECT NC1 NAND 07 SCAB E� 1'=50' BUILT ON THIS LOT. DRAWN BYE PCG DATEi 2/11/10 CHECKED BY1 SC SHTi i OF, 1 C Town of North Andover RE: Applications for a permit to drill a well: Before a permit can be issued, you must have your contractor submit the following: 1. Submit to the Health Department a site plan showing the house and or lot footprint 2. Indicate any wetlands within 200 feet of the proposed location for the well 3. Indicate the well location 4. Submit a check for $135.00 with the application Note: All submittals must be drawn to scale. Please note that you may also be required to file with the Conservation Commission if wetlands are near to the proposed well, and to the Planning Board if you are located in the Watershed District. 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@millriverconsulting.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 Al 9T, -1-Ami L 4 : V-4.1 j" -11 o VY 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 for lots 2 a d erry St. ith 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.MILLRIVERCONSULTI_NG_.CO_M 4/3/2008 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 3 Berry Street Please schedule soil testing -----Original Message ----- From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent: Wednesday, April 02, 2008 3:55 PM To: DelleChiaie, Pamela Subject: Message from KMBT_600 SKMBT_600080402 14541.pdf 3226 F 9 Town of North Andover HEALTH DEPARTMENT ,ssACNUS CHECK #: DATE: �yIIA14 LOCATION: H/O NAME: CONTRACTOR NAME: 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.Sy stems: 42- 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 o�lM Office of COMMUNITY DEVELOPMENT AND SERVICES Qs HEALTH DEPARTMENT a p 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER. MASSACHUSETTS 01845 ��s $ALit1l5 Susan Y. Sawyer, REAS, RS Public Health Director APPLICATION FOR SOIL TESTS DATE: y pfd' 978.688.9540 - Phone 978.688.8476 - FAX healthdeotr)townofiiorthandover coni www.towiiofiiortliaiidover.com j MAP &PARCEL: 106rI� 3 ycj [,o f '. LOCATION OF SOIL TESTS: p 7_ OWNER: N12 k1 C V A/) Or, 4n iV Contact APPLICANT: lel A IVC Y j-) 006 HTO r,/ Contact #: ADDRESS: 1 Z 0Lp—P?`I ENGINEER: CHR 15-1A IJS eA)t Sc 26 / Contact #: %F - 373-0-31 CERTIFIED SOIL EVALUATOR: --rp, PFI C /4 1 L=7 —7 1 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 11 THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) A 8.5"x 11 "Plot nlan & Location of Testing tnlease indicate test nit sates 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. ➢ FulI 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 Conunission Approval Bate: Signature of Conservation Agent: Date back to Health Department: (stamp in): 4 $ � su;e n` -3 V �7 i o P :yt y 3n �_: o o Ztam f 8 yE - � Cx.7op€ a W i 4U �• s Q P4�D � W` 7 ° o Z g g t • - ^; �`',`h - Ya a � a a�,rdh ter., {�+..:.,�— X15 V W iedi+ B$ 3 54 BERRY STREET W 7'da U fill 4 iiee Jncn,. o , M NN �.. . f v€oa5y3 YE °� t ItECEPAD l v/ TOWN OF NOR 11/bl`�i��O�`� �� APR 0 2 2008 Off c Of ���' MIVIUNI T Y ])ENr � MViEcN'T � J) SES R�r><CES HEALTH DEPARTMIENT .20S11ITE 2-36NORTH ANDOVER 1600 TRE.El; BUILDI` ISSION NO:T H A�DOVEt:, MASSACHUSETTS 01845CON$ERVA?ION COMM Susan V. Sawyer, RE [IS, IES 978.688.9-540 - Phone Public Health Director 978.688.8476 _ FAX .APPLICATION FOR SOIL TEST'S _ BATE: MAP & PARC : _ t GG LOCATION OF SOIL TESTS: EDWIJEIZ: flf A. C` 14 OG -RT -1) k/ Contact #: C %a ( �; e-- APPLICANT: APPLICANT: IV P A(C 1-1()(. F- To V, Contact #: ADDRESS: I %• �� �' `.1 C l �' ENGINEER: C0 1 ITA I"Is & tuS� ;�� r. Contact #: 5j U CERTIFIED SOIL EVALUATOR: -- —f iLLV y r6 Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: / Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No !/ THE FOLLOWING MUST BE INCLUDED WITH THIS FORM A goof of land ownership (Tax bill, or Ietter from owner permitting test) A 8. S"x II" Prof Platt & Lacafio I of Testing t DleaSe indicate test pit sites ort tltenIa A Fee of $125.00 per lent for new construction. This coversthe minimum two deep holes and two percolation tests required for each disposal area. Fee of 5,360.00 per lot for rcatairs or uBrserE�s GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. A Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. A At least two deep holes and two percolation tests are required for each septic system disposal area. A Repairs require at least two deep holes and at least one percolation test, at the discretion of the SOH representative. A Full payment will be required for all additional tests within two weeks of testing. A Within 45 days of testing, a scaled plan (no smaller than I" -I00') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). A Within 60 days of testing soil evaluation forms shall be srtbrnitted. Please Do Not Write Below This Line NA. Comverilation Conwdssion Approval Date:_ 'l -7 / 0 Signature of CoMervadon Agent Date hack to Health Department: (stamp in): �a ala YR QEa 7,-1 x 0 :5 0 C"t: uZ E lz ,Lj,qgjs get h RII z"t T Ll ep BERRY STREET '`� `$ p; 1k in ht Na