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19 KELLEY ROAD res n��.�:� �rq �' N�.�+M.sr �E'�,�o�� 5�� �� Cp"��`f,�"�x �� 4��T 1 1-2 71-- Owe 10,7 IMPORTANT_ MESSAGE FOR DATE �J��-2 y"� 9 TIME /Q S OF q7 Q r --- PHONE ��Gf�6 Q�l' 4-3,9 AREA CODE NUMBER EXTENSION 0 FAX ❑ MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE Q 7 SIGNED FORM 4009 /���. MADE IN U.S.A. XXW Cc rn m un i cat ion Report \ W:WA: SALEM HEALTH AUGjBi5 x'99 07: 36 AM XiMM:X:A::kWWXWW tWt:k:l::l:#'.7 i tWYXWWW WY Y.k:k X:i:A AWWA'.e'.W XY WA C3, I:%'.XXX t:WW.W.XWXkWXt.W:WX kW1 t f:1:W Y'.W:WY i'.X WY::k W:kX MODE REMOTE TERMIMAL ID, START TIME TIME PAGES STATUS X Y. X ----- TN 9786879491 08/25 07: 35 AM 00: 48 1 G3 S Y' X X :k RESULT TRANSMISSION OK X W:k:t:kWWWXXl:Y:kWX:Y.XXX:X:YA tXX W.t:kXXi.WXWi�WA.KX I:X:R A::Y.XXiX1:1't'.k:M:kr I :t:t'.Xtt k:N M'.i'.:t:t AXX Y 4,c *A Y W::i:{:YI 4 i'..k AX:k gONDIT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax: (978)740-9705 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM WELL DRILLING/PUMP TESTING PERMIT Location: 19 Kelly Road Owner: Brett Emery Address P.O. Box 114, Swampscott, MA This license is granted in conformity with the Statutes and ordinances relating to Well Permits . Permit # : 3-99 Date : 08/24/99 (� HEAL 'H 'AGENT y. �t .rts 1 k Rn h UWk'�3'S $d 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM WELL DRILLING/PUMP TESTING PERMIT Location: 19 Kelly Road Owner: Brett Emery Address P.O. Box 114, Swampscott, MA This license is granted in conformity with the Statutes and ordinances relating to Well Permits. Permit #: 3-99 Date: 08/24/99 V HEAL•N. -AGENT :A r. Y f' -„ CHAFtL!E M. -iROLLI N'S.P CO �,'$'�'ac 9788 87949` P. CRARLE� Iva Ro�,LINS CO,,, NCO WELL DRILLING CONTRACTORS FAX Cover Sheet To: Mark Tolman City of Salem Board of Health FAX#: 978-740-9705 From: George W. Rollins AUG 81999 Charles M. Rollins Co., Inc. cmroFM HEALTH . 'i Subject: I am sending an application for Well Drilling and Pump Testing for 19 Kelly Road, Salem. It is not clear to us if there is a permit fee required. If required please notify us either by phone (978)887-2320 or by FAX (978)887-9491 . Thank you for your help. Sincerely, t` George W. Rollins 129 DEPOT ROAD, BOXFORD, MA 01921 508/887.2320 • FAx 508/887.9491 L _ n •:, ;CH'A R LrE-S y,M SRW LW1,WsTb=5,7788679491 AUG 04 x'90 08: 47 AM SALEM HEALTH +5087408705 Page 4 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970,3928 NINE NORTH STREET JOANNE SCOTT.MPH,R5,CHO Tal;(608)741.1900 HEALTH AGENT - FAX;(609)740.9705 Permit ff2 9 Date Application for Well Drilling and Pump Testing A permit is requestdcl to; drill a well instAll a pump `/�, other_ LOCATION: 9 Kt L�Y /fid• J{{t �. M LOt m `r' PO 8a. I/iF �w✓��+psccrr I'c1. 3Y9 — V3847 Owner �� Address A.... n seo, R7g-M7- zQ 3 2 Wel) Contractor 609-acts1 Sal c «rs Add. t� 9 pew d ' ��FORfl Tel. Pump C:untraclor SAM Q Acid. Tel. _ . co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 Q^nf� FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT January 10, 2002 Brett Emery 19 Kelley Road Salem, MA. 01970 Dear Mr. Emery: Our records at the Board of Health indicate that you have not obtained a Well Water Supply Certificate. The issuance of a Water Supply Certificate by the Board of Health shall certify that a private well may be used as a drinking water supply. The following shall be submitted to the Board of Health to obtain a Water Supply Certificate: - copy of the well construction permit (B.O.H has a copy on file permit#3-99) - copy of the water well completion report (B.O H. has copy on file received 10/99) - copy of pumping test report (B.O.H. has copy on file) - copy of water quality report This mailing includes a well water supply certificate application and water quality testi-13 requirements. There is no fee for this certificate. Please call me at 978-741-1800 with any questions regarding this matter. Thank you. Sincerely, �� 7 Jeffrey Vaughan Sr. Sanitarian d a�u Department of Environmental Management/Division of Water Resources '�,yv.,F.•ft WELL COMPLETION REPORT ` WELL LOCATION GEOGRAPHIC DESCRIPTION Address lyr N S(E W of rIhIIloncrol. City/To ,�C(AIV 91, Well owner��--Y"1•,>'itu �• ` d• /r.snl AJuress_,Y-�n � N S CW Of lclrcleJ Board of Health p rmit obtained: . ye/s-, /: no—�- Intersect. w/ !dd? .WELL USE WELL DATA Domestic Public Industrial ❑ Total well depth I�A_�lQ/�ft. _ ,t Monitoring❑ Other. Depth to bedrock_ --/--�-_µ -tt. . Water-bearing.rocklunconsolidated.material: Method drilled j 1 An.. /'0.�:`n Description Date drilled - - _f'I%I•f7�'V (t-f�ft" tfC� Water-bearing zo'�n�e.�azs:�� - I CASING1) FromTo 1 ,90 Type . . 21 From Z'7 ! To Length R. Dla(.I.D.)— m. 3) From To - Length into bedrock ft. Gravel pack well;-. . . dia. Protective well seal: Screen. dia. Grout-0 Other14��. Sloe_length_from_to_ STATIC WATER LEVEL(all wells)" - , Stade water level below land surface ft. Date _ WELL TEST(production wells) - Drawdown-10-6t. after pumping 6r. min.atyLI Z gpm How measuredAt it eA Recovery It. after �z hr. I 2-_min. o LOG of FORMATIONS COMMENTS Materlali From To a I -Driller Firm Address. City/Town /1 J9� 'r d h IU�� �nl OCT 12 1999 CITY OF SALEM HEALTH DEPT. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)7400-9e705 Permit# Date Wells (To be completed at time of pump test.) Type of well Use Well Diameter Size of casing & t � I Depth to bedrock // �� Depth of casing into bedrock Was it seal tested ? yes (✓j no ( ) Date of testing 9— "30 — Ipq Depth of well �j 6 J Well ended in what material .9 B L t Depth to water Delivers Gallons per minute. Drawdown 30 !L— feet atter pumping V hours at J 1Gallons per minute. (Please sketch map o/well locution with ne down lines on reverse side ojthis form.) Completion date: 31 � Well contractor signature: - I � - Reg - # 6 S ----------------------------------------- -------------------- ---------------------------------- OCT 12 1999 in1r� CITY OF SAL-EM HEALTH DEPT. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 Permit# Date PUMPS ( To be completed before installation.) Name and size of pump: �OUI D5 3A Ft 1 P Type �U Q Iyl RS 113 Le Water pump delivers: GPM. Size of tank %, W X —2S'O Pipe material used in well: cast iron ( ) galvinized ( ) plastic (b O PS.t'• Circle one : Well pit 01 tless adaptor. Was sleeve used to protect pipe? yes ( ) no Well seal type: J34K,,e Date: ump installer signature: . PjL�� Reg.# Plumbing Inspector Wiring Inspector Board of Health Salem Board of Health 120 Washington Street 4'Floor Salem,MA.01970-3523 978-741-1800 fax 978-745-0343 ��Re •_ • d!x`. to ,I;.i Lv��„tS1,• 2 ���,�R_ !!i 4t ki I L NOT 1g, 1 �rfacseu# ansrmttala Y To: 6N7�/tlro Fax: From: Jeff Vaughan, Sr. Sanitarian Date: Re: X02 d/iTe /� �// Pages: (including cover) CC: ❑ Urgent ❑ For Review ❑ Please Comment 93/Please Reply ❑ Please Recycl IN ,sy, /G.§ 4 7;1 OtES �kr `*' r'' G t -T / lit2 So,o.e �GCST>bN� .9i✓Pi A l/ 9 '� C�Qrrl�{ xo Gv;7-71 TV.-r /719ti, fie v 9 /., c�L � /7 /1CT i i HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 740 9705 Feb 07 2002 6:04pm Last Fax Date Time Type Identification Duration Paces Result Feb 7 6:03pm Sent 19788879491 0:41 1 OK Result: OK - black and white fax Tv� -gym D �%9 _r•,� ay Int+ r-� a CITY OF SALEM BOARD OF HEALTH ,1�F:4s1. Salem, Massachusetts 01970 120 Washington Street 4" floor JOANNE SCOTT, MPH, RS. CHO Tel: (978) 741-1800 HEALTH AGENT Fax: (978)745 0343 Well Water Supply Certificate Application The issuance of a Water Supply Certificate by the Board of Health shall certify that the private well may be used as a drinking water supply. A Water Supply Certificate must be issued for the use of a private well prior to the issuance of an occupancy permit for an existing structure or prior to the issuan(;F: of a building permit for new construction which is to be served by the well. The following must be submitted to the Board of Health to obtain a Water Supply Certificate *copy of the Well Construction Permit *copy of the Water Well Completion Report as required by the DEM Office of Water Resources (313 CMR 3.00) 'copy of the Pumping Test Report *copy of the Water Quality Report ------------------------------------------------------------------------------------------------------------ Location of well: IKc I I r� Salem, MA. Owner of property: li e �j �i e- t-- - Tel. 177 - 7V9-- ZZ3 Owner's address: Date: t-L1 o z ------------------------------------------------------------------------------------------------------------ B.O.H. use only Permit # Biomarine 16 East Main Street,Gloucester, MA 01930 pro 101 r «iri Tel. 978.281.0222 Fax. 781.846.4698 biomarine@earthlink.net CITY CERTIFICATE OF ANALYSIS HEA OF SALEM HEAOF DEPT. Brett Emery Report No.: 21648 19 Kelly Road September 18, 2000 Salem,MA 01970 Re: ANALYSES OF DRINKING WATER QUALITY SOURE INFOIIIMAUON: In-use well, 10 months old, 305 feet deep, located at above address. SAMPLE Q0LLEQjjQ1j Samples taken by George-Rollins on August 18, 2000. FINDIN Total Coliform Count/100 ml 0 0 8/18/00 Alkalinity(mg/1)as CaCO3 112 100 8/21/00 Calcium Content(mgA) 119 150 8/31/00 Chloride Content(mgA) 197 250 8/21/00 Color(mgA) 5 5 8/21/00 Conductivity(pmhos/cm) 820 8/21/00 Copper(mg1l) <0.02 1.3 9/6/00 Fluoride Content(mg/l) 0.15 2.0 8/21/00 Iron Content(mgA) 0.29 0.3 8/31/00 Magnesium Content(mgA) 21 - 8/31/00 Manganese Content(mgA) 0.16 0.05 8/31/00 Nitrate Nitrogen Content(mg/1) <0.1 10.0 8/21/00 Nitrite Nitrogen Content(Mg/1) <0.05 1.00 8/21!00 Ammonia Nitrogen(mg/l) <0.05 0.1 8/22/00 Odor(mg/1) 4.0 <1.0 8/22/00 Orthophosphate(mgA) <0.2 0.04 8/21/00 pH(s.u.) 7.52(Slightly Alkaline) 6.5-8.5 8/21/00 Potassium(mg/l) 2.86 9/1/00 Sodium Content(mg/l) 19.3 28 8/31/00 Solids,Dissolved(TDS)(mg/I) 633 1 8/23/00 Sulfate Content(mgA) 38 250 8121/00 Total Suspended Solids(mgA) <1 1 8/22/00 Turbiditv (NTU)(mg/,) 236 0.05 8/21/00 Hardness(mgA)as CaCO3) 384(Very Hard) - calculation Rvznar Stability Index(mgA) 7.2(Slightly Scaling) Non-corrosive calculation :aliment None detectable 0 8/21/00 Massachusetts Certified Laboratories#MA026&MA123 Page 1 of 1 f Biomarine 16 East Main Street,Gloucester,MA 01930 Tel.978.281.0222 Fax.781.846.4698 biomarine@earthlink.net V E B 0 S VOLATILE ORGANIC CONTAMINANT REPORT CITY OF SRS�e11 of 2 REPORT NO.: 21648 BRETT EMERY 9/12/00 19 KELLY ROAD SALEM,MA 01970 Sample Description: In-use well, 10 months old,305 feet deep, located at above address. Sample Collection: Samples collected by George Rollins on August 18, 2000. LABORATORY ANALYTICAL INFORMATION: Lab Name: BIOMARINE/GLOUCESTER,MA Lab Cert#: MA026 Subcontracted? YES Lab Sample ID# 21648 Sub.Lab Name: GRANITE STATE ANALYTICAL/NH Sub.Lab Cert.#: M-NH003 Lab Sample ID# 0008-527-1 Compound(Regulated) Result Detection Analytical Date Limit Method Analyzed Benzene ND 0.5 524.2 08/25/2000 Carbon Tetrachloride ND 0.5 524.2 08/25/2000 1, 1-Dichloroeth lene ND 0.5 524.2 .08/25/2000 1,2-Dichloroethane ND 0.5 524.2 08/25/2000 para-Dichlorobenzene ND 0.5 524.2 08/25/2000 Trichloroethylene ND 0.5 524.2 08/25/2000 1,1,1-Trichloroethane ND 0.5 524.2 08/25/2000 Vinyl Chloride ND 0.5 524.2 08/25/2000 Monocblorobenzene ND "- 0.5 524.2 08/25/2000 o-Dichlorobenzene ND 0.5 524.2 08/25/2000 trans-l,2-dichloroeth lene ND 0.5 524.2 08/25/2000 cis-1,2-Dichloroeth lene ND 0.5 524.2 08/25/2000 1,2-Dichloro ro ane ND 0.5 524.2 08/25/2000 Eth ]benzene ND 0.5 524.2 08/25/2000 Styrene ND 0.5 524.2 08/25/2000 Tetrachloroethylene ND 0.5 524.2 08/25/2000 Toluene ND 0.5 524.2 08/25/2000 Xylenes total ND 0.5 524.2 08/25/2000 Dichloromethane ND 0.5 524.2 08/25/2000 1,2,4-Trichlorobenzene ND 0.5 524.2 08/25/2000 11,1,2-Trichloroethane ND 0.5 524.2 08/25/2000 � MMA 0.: 21648 G r) 7"..� 9/12100 Address: 19 KELLY ROAD Town: SALEM CITY 0.=OALEM VOC rrcnin ucr7'. Page 2 of 2 Compound(Unregulated) Result Detection Analytical Date Limit Method Anal zed Chloroform ND 0.5 524.2 08/25/2000 Bromodichlormethane ND 0.5 524.2 08/25/2000 Chlorodibromomethane ND 0.5 524.2 08/25/2000 Bromoform ND 0.5 524.2 08/25/2000 m-Dichlorobenzene ND _ 0.5 524.2 08/25/2000 Dibromomethane ND 0.5 524.2 08/25/2000 1,1-Dichloro ro ene ND 0.5 524.2 08/25/2000 I,I-Dichloroethane ND 0.5 524.2 08/25/2000 1,1,2,2-Tetrachloroethane ND 0.5 524.2 08/25/2000 1,3-Dichloro ro ane ND 0.5 524.2 08/25/2000 Chloromethane ND 0.5 524.2 08/25/2000 Bromomethane ND 0.5 524.2 08/25/2000 1,2,3-Trichloro ro ane ND 0.5 524.2 08/25/2000 1,1,1,2-Tetrachloroethane ND 0.5 524.2 08/25/2000 Chloroethane ND 0.5 524.2 08/25/2000 2,2-Dichloro ro ane ND 0.5 524.2 08/25/2000 o-Chlorotoluene ND 0.5 524.2 08/25/2000 Chlorotoluene ND 0.5 524.2 08/25/2000 Bromobenzene ND 0.5 524.2 08/25/2000 1,3-Dichloro ro ene ND 0.5 524.2 08/25/2000 1,2,4-Trimeth (benzene ND 0.5 524.2 08/25/2000 1,2,3-Trichlorobenzene ND 0.5 524.2 08/25/2000 n-Propylbenzene ND 0.5 524.2 08/25/2000 n-But ]benzene ND 0.5 524.2 08/25/2000 Naphthalene ND _ 0.5 524.2 08/25/2000 Hexachlombutadiene ND 0.5 524.2 08/25/2000 1,3,5-Trimeth lbenzene ND 0.5 524.2 08/25/2000 r)-Isot)rovvltoluene ND 0.5 524.2 08/25/2000 Isopropylbenzene ND 0.5 524.2 08/25/2000 Tert-but lbenzene ND 0.5 524.2 08/25/2000 Sec-but lbenzene ND 0.5 524.2 08/25/2000 Fluorotrichlormethane ND 0.5 524.2 08/25/2000 Dichlorodifluoromethane ND 0.5 524.2 08/25/2000 Bromochlormethane ND 0.5 524.2 08/25/2000 Methyl Tertiary Butyl Ether ND 0.5 524.2 08/25/2000 Biomarine Laboratory Director Signature and Date 9/12/00 wv�� t�M\r ■ rVA •V h t GR VV 1666 AGREEMENT made this . .5th . day of . . . .August . . . . . . . . . . . . . . . . .. 19.9.9 ., by and between: CHARLES M. ROLLINyCO., INC., of Boxford, Mass. hereinafter called the CO� ' ` ' cJ And Brett Emer ted l M Emery Construction . . . of ` -� v\ r,o, .sgx.114 . . . . . . . . . . . . . . . . . St. �'EB 05 ?r' ; U_ , Swampscott, .MA. .01907. . . . . . . . . . . . . . Cellular Phone ifty(7 1:-1389.-4388 O the owner of the premises below described and hereinafter called the OWNER. I ILEAL rl isEhT. THE CONTRACTOR AGREES: 1. To put down as near as possible, a . . . .6.. . . . . . . . well on the premises of the owner at . . . . . . . . . . . . . . 19 Kelly Road, Salem, MA 2. To furnish the needed casing from the point where drilling commenced, also labor and equipment necessary to do this work. 3. To start the well with an (8) eight inch hole in the rock and insert a (6) six inch casing into the rock as for as necessary, to shut off surface water, sand, or other foreign substance. THE OWNER AGREES: 1 ." To furnish to the Contractor free access to the premises and the necessary space to carry on the work. 2. To pay the Contractor for work as follows: (a) . . .$.10.. . . . . . . Dollars and . . . .00 . . . . . . . cents per foot of drilling done. (b) . . .$8.. . . . . . . . Dollars and . . . .00 . . . . .. . cents per foot for . . . . .6" . . . . pipe used to pipe well. (c) Payments shall be made at the following times: . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . .$500,00 ,in .advagGe, .balance .due ,Wbg4.d,' illAAg is, finis.sled,.. . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. . . . . . . . . (d) Upon the default of any payment due, then the total shall become due and payable together with in- terest at the legal rate and reasonable attorney's fees, court costs and expense of collection. (e) To pay the sum of 11/2% per month interest on the unpaid balance of said account after 60 days from billing. 3. To warrant that he is the owner of the premises upon which the Contractor is to drill, said premises being described above and that he will indemnify the Contractor from any and all damages sustained by the Con- tract if the OWNER does not hove good and sufficient title. 4. That the Contractor shall have the right in his discretion, to cut, trim and remove any trees, bushes, shrubs or landscaping on the premises so as to provide the Contractor proper access to the premises to do all neces- sary to carry on said work. 5. That the Contractor has not guaranteed expressly or impliedly, that he shall provide water or a specific quantity or quality of water. And the fact that the Contractor has drilled other Wells in this area, shall not be deemed to be a guarantee or warranty or any grounds for reliance by the Owner, as to the existence of water below .his premises. The Owner agrees to pay the Contractor, even if the yield of water is inadequate or the well is dry. BOTH PARTIES AGREE: To locate the well at a point mutually agreed upon: 1. The well shall be drilled to o depth, to at least allow the Contractor to set the . . . . . .6' . pipe. 2. Then the well not to be drilled to a depth greater than . . . . . . . . . . feet unless mutually agreed upon; if, in case of accident or unforeseen difficulty, the Contractor cannot finish the well, said Contractor to have the privilege of drilling another hole. 3. The Contractor will not be responsible for any damage to underground pipes, conveyors, conductors, or any- thing placed in the ground and not visible on the surface. 4. And provided further, that the Contractor shall be payed for all labor, materials furnished, and expenses incurred up to such time. There is no other agreement between the parties except as herein contained. IN WITNESS WHEREOF, we have hereunto put our hands and seals this day and year first above written. . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . W F LL DRILL INC, CONTRACTORS � , • p; 129 Depot Road Boxford,MA 01921 9/2/1999 5192 978/887.2320 • Fax 978/887-9491 Emery Construction Co. �c 05 Brett Emery P.O. Box 114 CI TY OF SALEM Swampscott,MA 01907 ru Location: 19 Kelly Road, Salem,MA I To Drilling 6" Well 305 feet @ $10.00 per foot 3,050.00 36 feet of 6" Pipe @ $8.00 per foot 288.00T Water Analysis 265.00 I Received on account 8-10-99 check 43329 -1,000.00 RECORD OF WELL: DRILLED.........................................3 05' TOROCK............................:............11 1/2' PIPESET..........................................36' WATER LEVEL...............................54' GPM................................................. 5.2 FINISHED..........................8-31-99 SUBTOTAL 2,603.00 5% Sales Tax on stock. 14.40 TOTiAL $2,617.40 TERMS: DUE UPON RECEIPT. A SERVICE CHARGE OF f'/z% PER MONTH WILL BE ADDED TO ALL UNPAID BALANCES AFTER 30 DAYS. CHARLES M. ROLLINS CO., INC. 129 DEPOT ROAD, BOXFORD, MA 01921 • 978/887-2320 • FAX 978/887-9491 /7f//Lor G/Gee./✓ _ .!S/'-Grl Liter oti� /5-/ /illy 9,9V '6,79 6/170 �o / �-�9,:-7– �S— I&e S7- /�•G:�� � G-� 101 SI'�rr� �'y,�y�.., �oF u,/���/\ 6"/9S/ iNS7-V/sem,{/ L,..'T7fcUT /S. D./�. �ul>.-T d2 �L.ua�v ✓S.eJ rre l�1✓L( 77 'T i vc i_�[J Y��Q �•-OL y/' �d'T O•�/YULi..� Tr.l se ��x-.�1� 9 ✓I�ea;.cg/ C/f�C`t 371c �L�z„r,� ���-e_ ���01: TiYc f�. p./� / /SCo�; ,G�jT A.-� e� . �T f✓.�:^-c ;,74fi[G AG✓c-l/ /7 4-_-Ce, .`/Z, STs TP+/ T/ fk /ve , //0 /tom r SHL'®5 /42 A l.-t�l f.y�7z.1 .S�� °��i. w/1✓C // _e;.,T-9-�Zf Ter' -.,;-� i..�s7� �G,9 C---t/- ��-o�. 7'� >T.t�.n,✓cg � (fli JAN. 8.2002 3:01PM - N0.955 P.1/5 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF El' MONMENTAL PROTECTION Metropolitan Boston :Northeast Regional OMCe r JI(// HOS DLIRAND 'JANE SWIFT 1�/, 9ectUazP Govemor � LAUREN A.L189 : Cornmiaaocer . 1 NERO FACSIMILE TRANSMITTAL FORM ' DATE TO : o a^^k "12 Company: Coatact 'Name: Phone: FAX ' PHONE # ( ) COMPANY PHONE FROM: DRP Divi9ion: DEP HERO - _.. Contact Name; phone. COMMENTS : TRANSMITTAL FORM plus pages) To report transaiesion problems, cal ike' 4t (978.) 661-7714 Fax'Number for NERO - (978) 66177625 . TW lbfa�Meeh..efhhle leoleva�m WmntMdBn�o.rADA Cewdlneter at(617)0746611 . Zak Lowe69L Mmincan,MA 01887 .h m(07a)eO01-TW I FG( 078 )ee1-7678 P .TfDB(976)061.7878 j,JRN. 8.2002ML3:01PMS9 pM < ^�NO955 P.2/5 p- bl g0�Y) r� January 7, 2002 Mr.David Ferris Ma.Dept,of Lnviroptnental Protection 978 661.7600/76151=AX Dear Mr. Ferris: I've resided at 33 Cedarview St—map 21,lot 24—(a.k.a. 15 Kelley Rd), Salem, since 1980. Cedarview St is an unpaved legal street and fire lane connecting Intervale Rd with Cedarview Rd. Hydrants are located at both ends of Cedarview St. In the past few days my abutter's(Emery Construction Co., 19 Kelley Rd—lot 236) septic system tank delivered Sept 10, 1999,without Board of Health permit--apparently failed, necessitating the excavation of a drainage ditch along our property line. Excavation commenced about 7 am Sat,Dec 5. The septic tank is within 15 ft of a water well drilled Aug 30-31, 1999 —also without Board permit but with Board knowledge. The Board would not divulge test results for the well(located about 10 ft from my property). Emery's building permit-0336- 1999, May 25, 1999—specifies"public sewage disposal"and"public water supply". The building permit was also issued in knowing(by all routing slip signatories)violation of Cedarview St Subdivision Plan#278,recorded 7-12-1988,which created this lot,stipulating street, sewer, and hydrant construction/installation. The Clerk's Office has no record of any variance. I was the only person from the vicinity to attend the joint pole placement hearing. I futilely objected to its placement in the intersection of Kelley Rd and Cedarview St, blocking access by fine trucks and installation of a hydrant. I documented the fraudulence of the building permit to the phone and electrie companies'Rights of Way Mgr,who was subsequently told by retired Salem Building Inspector Daniel Mansur(lot 119, across the street from Emery)"We'll be building in the street." As I delivered a copy of the Subdivision Plan to a resident on Intervalc Rd,Mr Emery ran up up,publicly threatening my life. Police don't respond; their complicity has frightened all other abutters into passivity. In November, 1999,1 was shot at repeatedly by Emery after I'd contacted the Board of Health for well test results---which they had not conducted. Police didn't respond to a Jan 27,2001,fire at Emery's. Verizon Rights of Way Mgr, Terrence P.Dolan:"It happens all the time." Yours truly, Aaron Green 978 741.0778 JFJRN. 8.2002M[ 3:02PM40 PM N0.955 P.3i5 P-02 9011 � SG 84 8z 9G q-q 9� `� C� A�D , 1 It k ea' Wlo� roE of l' ro 1' R IR RAO - M 1 � aorroP �' �oFfr. � o a O JOHN J. 95 s° RADu )�A 76EP------' 'l, e6 !' W\ 76 PROP /2'. oPw ORIUf� RY WAt(rt XRuR C 90 fo1N AAJ(JA ,d 74 7" 70 8B �x�sr stove BQ 2[7 tafu 8z .w / N MARW AIA11 M / derail of / Subdivision Plan/Cedarview Street approved 7-748,recorded 7-12-88 #278 G07 3 Salem Planning Board , JaJAN. B.2002 m1 3:02PM42 Pm NO.955 P.4i5 p• ez City of Salem Ward i yyJ P7 -Z� APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT•Applicant to complete all items in Sections:I, it,Jp,IV, and IX. IQ IYi 1� ____ Z 201$TIYCT I, a iIOCATIONI 1 LOCATION {w°� "T I AND CSD r✓rc'.T OF BETWEEN T coast 3lneir BUILDING woasea7cn LOT—SLOCll s�iE --�--� woDlvlslDn 1). TYPE AND COST OF BUILDING •All applicants complole Pans A•D A. TYPE OF IMPROVEMENT D. PROPOSED USE•FOIt"DEMOLITION'•USE MOST RECENT USE Nor,naldanael 1 nwoa.w 1 Na+DYaglns IB Q AmYinnenl,oGaN4•ar 2 � Add11bn1A nJGOMlal,OAlc,MINN,of nP• 17 D1le la edy is ❑ cnnXl.d(ar re10de leallfp YN16.adad. on„,n Pan O,171 i7 TnD of mare IW'11•Enloe nu,naa, —� 20 O Indllalral ' 2 13 •ne,eten(sea 7 aaaral al unu_....__......_..-----.-___. 21 Q Par2eW garage I 1e, ❑.T,,od.,leW.rrolel.of dormilaly' 32 O Ss.leas"'W"•rapa W'se a I] RCOaa reosCamnl ENaf nwnia oluNrs....,.........w• 2.3 a Nwond.halDNMaI E r-Jn 5 (J wrsJ,ei@muneamhresAendel.anw,nanlW 1d �� 2e, Q OdiCD:Dinh,Drolnnsiaral Of unit$m bulldog a Pan d. fit ❑ 25 Q Public uUlpy r a ClMwAnq(felYallpe is ❑ Girvan 28 O $clred,iDraM•DlFer edlfdlblNl 70 roaMnlen only 17 ❑ OUef•SeacM�� 27 [3 Syif5jerw i,2. 1u. I 20 C] T g.OWNEflSNIP 29 Q alrr•sdadrr --- ---•�— a ® PA"16 nMNWlDI.CWWG'arl,—plal'n IM1Alllbn.00.1 I i9 [� P.rD1a tfedeN.5lala.rr bent gpaallmaM 010114" us0 al bsBdYlga.e.g..Iced P•OQW W a ABM. torch molal Mallet,5M M l000d isle MIn V st ee"jW.d IlMowery edlml.College, C.COST _ maUlbo illaP lauM7 Wddaag feeda7af.eldllenWyrgllaal I r � "m mw-W adod,p.M,lna age Id MPio 6 store,swill ala is Der o Iavased Duddlao .. .'.s'+-•,•~ ' Q a./ -- 5 M Ind,eW1 dNL n w DI*.WAW*wadlna DD�no cha^Vad• 1o. cast of tMorar•,renl _ .,�••,••��. I - 70 be inrlauhiftaboadwf list IncrrEed N ; 1 is Sao aaJl� .-aQ b. plumbing O�!V Y do Q Nealira,W meilbnalp �' .d•: �P d. Of,Iel►A1o,91C.1...... .63, WD 11.TOTAL COST OF 11AMOVEMENT III• comate 0 CRAB d B MRIs others F BUin ILDING For new buildings and addtllons,complete Pans t=•L;domolil n, p, TYPE OP SEWAGE019POSAL L TYPE OFMECHANWAL E. PRINCIPAL TYPE OF PTaME f. PRNCNAI.TYPE OF NCATWIi fUFl m R Ip Dd Public of offs comWny wig mac to ca^Dsl it Mala"P.te bUrkna) 25 0. ndhlDnln07. 3013 al Q PA,.a(molt Mr-K elal A 21 ©.VAfodh"N" bB Q Oi , 0vn 45MIw 22 fl•Ji SY"�a ool 97 Q ElectrlsM µ T.V OF WA-MR SUPPLY Ww POP by an.M,aW, 32 D nairlacadl;wcnIa ae ❑ COW s2 pltlb WPNala varrlPny, aD a yea• e,7 � N 34 0 OYer•sPwim 39 ❑ Othef•Somer y O PAwale(well F1a1y^) AMO., GAW/v lS- A;01�y � ��Nig� /+�ANSv2 Lr 1llG.y A/i Is °i 3. 1peT2 rp -� ,p C / \�`.y N/ �e � O. '- .. 5�- 0 © - 6400 ^ /�♦� ��//a •9�, e O / �'�� I; .-. ` ? �rF'�i:�♦\ O'J 9 e$ F� �`�i�/ .�\�za fi e3To 0 n 8262 N71 15140 CIO �4 V1 '15 oz24" p B, 40 1p0 ONO ' 49 , ��°' ~ oo '• �Oo �.yo + + 10 e6617 0 040 e° �a. n 4 O d Y4,TI� ' It,het ^ ♦.y ti0 \a0 n �Fy_. am16i o c �qOR f 1tllJ5 •/"c C. Ito,31 w + pqr 0 L7 34 ST N 46.8 47.310 a �� ° ti .oe� 00 4 `0\�R 026 Q s 14tIH13 y b- ass uo,r X00 Vq a V 4 i •* KELLEY RO,O ID .D , , 321 J •J �,�fp q7'p C•S (V� 7.43 Q 3 �5 10 90q 20 9p122 *438 pP.8f1 •� `��P \�`� 0 \bay a m '0yy Q O� egerg IP N "✓ Y /443 \`� \ �n ye ' ti 7 O000+ `ee ' ¢ pyo .• •s q AVE- a 6sa Q00 p'r�� 0 000 ♦�36 °e �, ,to a1 •r P2°v/ qsF =5T '' +o ' 30� 7640 C,9 peO \ti 09 O 186 FILE/C. D. COP BUILDING CITY OF SALEM SALEM, MASSACHUSETTS 01970 PERMIT ��'emNs DATE MAY D5 19 319 PERMIT NO. APPLICANT EMERY CONSTRUCTION ADDRESS Po`BOD 114 1871 (NO.) (STREET) (CONTR'S LICENSE) CITU SWAMPSCOTT STATEM) 1` 0 TEL.NO. 761-592-08391-592-0839 _ZIP CODE 21 PERMIT TO NEW BUILDING (_) STORY LINE FAMILY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING _ AT(LOCATION) � 019 KELLEY ROAD DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION 'SAF' `'1 LOT 21`-"r' BLOCK SIZE— SUBDIVISION SCI. F BUILDING IS TO BE FT.WIDE BY FT.LONG BV FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: NEW SINGLE FAMILY DWELLING F'ER I^LANS SUBMI TED. MODULAR HOME. ;. T. S. AREA OR ESTIMATED COST 4 63, 11410 FEE PERMIT "83' 41'1 VOLUME (CUBIpSOUARE FEET) OWNER KARTSLIUN IS .J'OHN BUILDING DEPT. ADDRESS c 'NORTH HILL DRIVE BY T J. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS CERTIF)_C�jT'E, OF OCCUPANCY issue d3 . Permit #: City of Salem Building Dept.