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6 WYMAN TERRACE 6 Wyman Terrace (septic) B. A4 Commonwealth of Massachusetts Salem, Massachusetts System Pumping Record System Owner & Address: 00Tl7 Darren & Eleni Palm 9 F _ 7 o 9 6 Wyman Terrace OFyq<F Salem, MA 01970 E9< Location of system: Front yard Date of Pumping: October 07, 2013 Type of system: Septic Tank Gallons Pumped: 1500 gallons System pumped by: Service Pumping&Drain Co.,Inc. 5 Hallberg Park North Reading,MA 01864 License#: BHP-2012-0671,0670 License#: BHP-2013-0673,0672 Contents transferred to: South Essex Sewerage District Date,.Octoberi07,r2013- ; PumpingiTeclmicaJN This is PROPRIETARY and CONFIDENTIAL information that may be used only by the Board of Health for regulatory purposes Commonwealth of Massachusetts Salem, Massachusetts System Pumping Record System Owner& Address: Darren& Eleni Palm L 6 Wyman Terrace Salem, Ma 01970 @� Nov �8 zo» Location of system: Front Bp'1'OF Aq0 OF H SCM �lTy Date of Pumping: November 16, 2011 Type of system: Septic Tank Gallons Pumped: 1500 gallons System pumped by: '-Service Pumping& Drain Co.,Inc. �jFlallberg Park Reading,MA 01864 L1se#: P4P-2010-0358 `010-0357 C. 101ts transferred to: Fitchburg Treatment Plant Date: N6vember 16, 2011 Pumping Technician: BL This is PROPRIETARY and CONFIDENTIAL information that may be used only by the Board of Health for regulatory purposes Commonwealth of Massachusetts Salem, Massachusetts System Pumping Record System Owner & Address: U` T 4809 Darren &Eleni Palm 6 Wyman Terrace Salem, Ma 01970 Location of system: Front Date of Pumping: November 20, 2009 Type of system: Septic Gallons Pumped: 1500 gallons System pumped by: Service Pumping& Drain Co., Inc. 5 Hallberg Park North Reading, JVA 01864 License#: BHP 2009-0388 and BHP-2009-0387 Contents transferred to: Fitchburg Treatment Plant Date: NovemMer;2l; ffi° r Ptirri in Technician: PK 1 This is PROPRIETARY and CONFIDENTIAL information that may be used only by the Board of Health for regulatory purposes i , FAX COVER SHEET FLA-NTIC PAVING DATE: Ar'r� `l , 9� 61R JEFFERSONAVE. SALE-Ni, ,NIA 01974 4 Oi 1'.AGES:_l- Fo: 7� � loltil��ch/ FROM: CO\\UNJ2IEEiJLN^TS: r2ldn% Ei } /o KNOW r r QT Al-e- Yo55 i F3 e' Ilbz� CG3i51� �J�R{ OFY VV i 1-(Aavf k v dU APR-05-1999 12:49 BIOMARINE INC. 978 283 3374 P.01 Biomarine 16 EAST MAIN STREET, P.O. BOX 1153, GLOUCESTER, MA 0193111 53 TELEPHONE' (978)281-0222 FAX: (978)283.3374 CERTIFICATE OF ANALYSIS Darren Palm Report No.: 90032 Wyman Street February 01, 1999 Salem, MA 01970 Re: DRINKING WATER ANALYSIS WELL DE C RIP71ON: New well, 330 feet in depth. SAMPLING: Samples taken by Don Robinson on January 9, 1999. FINDINGS: Level Detected in DEP Analysis Parameter Four Water � Guideline* Date Total Coliform Counll100 ml 2 0 01,09199 Calcium Content (m9A) 9.25 150 01112 99 Chloride Content (mg/1) 29.3 250 01/12'99 Conductivity (pmhos/cm) 161 01/11199 Iron Content (mg/1) 0.13 0.3 01/19/98 Magnesium Content(mgrs) 1.72 - 01/12199 Manganese Content(mg/fl 0.09 105 07/19199 Nitrate Nitrogen Content (mg/l) 027 10 01/1 )99 pH Value 5.36(moderately alkaline) 7.0(neutral) 01/11/99 Sodium Content (mgd) 19 28 01/19/99 Hardness (Ca003,mg/1) 30.2(soft) METHODS: Analyses performed in accordance with Standard Methods for the Examination of Water'd Wastewater, 19th Edition, 1995. 'Guidelines are based on the maximum contaminant levels recommended by the Massachusetts Department of Environmental Protection for drinking water, Analyses performed by Massachusetts certified laboratories # MA026 & MA123. REMARKS: This sample was found to contain Coliform bacteria. Chlorination, flushing, and retesting is recommended. Manganese combines with oxygen from air to form a brownish-black precipitate and levels >0.05 may stain laundry and plumbing fixtures. Care should be taken when using chlorine bleach in the laundry as the reaction with the manganese may intensify staining. Non-chlorine bleach is preferred. This level may abate with continued usage and flushing of the well. The pH value is a measure of the acid or alkaline content of water. A pH of 5.5 to 9.0 is considered typical for natural waters with 6.5.8.5 preferred, 7 being neutral. Water should have a pH of greater than 6.5 to avoid r AFF'-O«'-15'x'3 16;47 PIONAPINE INC. 97E 26'7 ?74 F.O y Biof"rioc#rine 16 EAST MAIN STREET, FO. BOX 1153, GLOUCESTER, MA 01931-1153 TELEPHONE: (978)201-0222 FAX•. (VII)283.3374 CERTIFICATE OF ANALYSIS Mr. Darren Palm Report No.: 90552 Wyman Street March 31, 1999 Salem, MA 01970 RE: ANALYSIS OF DRINKING WATER FOR BACTERfOLOG{CAL QUALITY i WELL D SCRlPTION: In-use well, 330 feet in depth located at the above address. SAMPLIK: Sample taken by Don Robinson on March 29, 1999. iF NDINGS: Total Coliform Bacterial Count/100 ml . . . . . . . . . . 0 METHOD: Analysis performed by Massachusetts Certified Laboratory #MA026 in accordance with Standard Methods for the Examination of Water&Wastewater, 19th Edition, 1995, REMARKS: The bacteriological quality detected meet the requirements of Mass, Department of Environmental Protection's 310 CMR 22.00, "Drinking Water Regulations" for human consumption, John arletta/Lab Director JWds APF'-09-1999 12!49 E 3 t3MAR I NE INC. 978 283 3374 P.02 Biomarinq Report No. 90006 February 01, 1999 staining and corrosion problems. Slightly acidic water tends to dissolve metal and cement plumbing—releasing lead, copper, and zinc from pipes and fixtures, pH can be corrected with a neutralizing filter. (Neutralized water becomes harder,) The low pH value and softness detected indicates possible high corrosivity of this water which may cause premature plumbing failures and leach undesirable materials, such as lead and copper into the water. Approved 6y: J n Marietfa+tab Director i Pace i of 2 Ti ITAI P.02 fie, A APP-05 . 999, 12:.21 972 283 3374 P.81��;-� ,f HI�MgRINE INC. +/`4` •, iomarine 4a+) 16 EAST MAIN STREET, P.O. BOX 1153, GLOUCESTER, MA 019311153 '1 TELEPHONE: t97aj 231-2222 PAX; (976)283-3174 f 1 CERTIFICATE OF ANALYSIS Darien Palm Report No.: 90032 Wyman Street February 01, 1999 Salem,NA 01970 Re: ORiNKiNG WATER ANALYSIS t WELL )MIPT19N New wet',3301`set in depth. sAldPLq,JG: Samples taken by 0onRobirtson cri danuary 9, 1'399. FtNit1�$; I' LBuei Detected in Hf.PRnaigsis ,i' Parameter VpurtfJatPr Y GUide1 iine9=bate L;etas Co;Jorm Countt100 m! 2 _ 0 01/09199 Calcium Ccnleol(m4li 4.4'5 ISO 01112199 Chloride Con:erl (mry1) 293 250 01/1?J99 Conductivity (prhmcm)_ 161 _ 01/17194 ; ti Iron Content (n�'p 0.13 0.3 01119'96 N13gnesium Contest prf�) - 1.72 01112/99 h'a3yanese Gonietlt lmg+tt��- �� 0,09 0.05 -,. 01/19199 + Nitrate Nltro9en Content (mai) - _ 0.27 10 01/1W9 P `✓due _..- ._ 5.Sc tmoaera'.Vy aftafie) 70(neutrall 01/11/99 en Sodium Corlem (mgt) q 28 01/19/99 Hardness(CaG03,myth MErn s: Anaiyses performed in accordance with Standard Methods for tare Examination qt t f azar s Wastewater, 19th Edition, 1955 'Guidelmas are based on the maximum contaminant levels recommended by ` fhe Massachusetts Depa tment of Environmental Protection tot drinkinc water. Analyses performed by Massachusetts certified laboratories 9 MA026& MAI 23 REMARKS: This sample was found to coetafn Colifo tm bar. 4 a1"aicnt f us tn,*2nd retesting is i rcornmended. Manganese combines with oxygen trom air to form a bt4h-black precioitafe and levels >0.05 may stain laundry and plumbing fixtures. Care should be taken when using chlorine bleach in the l�;pdr as the reaction with the manganese may intensify staining. Non-chlorine bleach is preferred. This level may abate with continued usage and tiushfrw of the well._ - k l � ';y + the pH value is a measure of the acid or aikafine content of wafer. A"pH of 5.5 to 9.0 is considered typical for ;rte natural wafers with 6.5.8.5 preferred, 7 being neuiral. Wafer should have a off of greater than 6.5 to avoid ;1 Page i of 2 C 97S 263 3374 P.02 17 APP,—C15_?S99 12 49 EIurIAPIPIE INC. ` Aeport No90066 z t;r•�I�QyA�Rdrr, rI?*e,ttq'�K.,. CaU(Uarvdl, t999 ' ;w141 l i staining and corrosion problems. Slightly acidic water lends to dissolve metal and cement plumbing—releasing lead, copper, and zinc from pipes and fixtures. pH can be corrected with a neutralizing filter. (Neutralized water . becomes haide±.j The low off value and softness detected indicates possible high corrosivity of this water which.may cause premature plumbing,'a±tures and leach undesirable materials,such as lead and copper into the water. i Approved Bq: J n htt±ett.ao Directs: F a k w• ' Fage-I ct 2 TOTAL P.92 , l-APP,- 0 1599 S' • -.'"`---•_._.\..1 - _ ., - - i '� 16:47 �B:IO NAP!NE t 578 283 3374 P.Et1 daft a 16 EAST MAIN STREET, RO.SOX 1153, GLOUCESTER, MAA"01937.1153 TELEPHONF! (978)281;-0222 FAX: (97811283-3374 CERTIF{CA TE OF ANALYSIS Mr. Darren Palm Report No.: 90552 , Wyman Street March 31, 1999 ' Salem, MA 01970 F �RE:ANALYSIS OFbnlNKiNG WATER FOR 6ACTEP.{OLOGiCA�QUALITY 1 'y,fflUl1.01287 10: in-use well,330 feet in depth located at tete abode address. 3 f 'tNII: Sample taken by Dort Robinson on March 29, 1999. i EI-NNos: Tota? Cc frim 83cterial Count1140 ml . . . . • . . . . . Q td ricD: Analysis performed by Massachusetts Certified Laboratory 4MA026 in accordance ,with Standard Methods for the Examination of Water &Wastewater, 19th Edition, 1995: E jAr S: The bacteriological quality detected meet the requirements of Mass„Department of + Entkor>,mental Protection's 310 CMR 22.00, "Drinking Viater Regulations" for human consumption, n Jor,,n ta00alLab Director JM/ds It, `"1 a • r 4 -,.�;.�v,�-tiT � s�xhy�+.•sR"'•' 'r'*�1.�" `w.'r"iv m7e.. ) .V( µ...... w -�.. w...r —•..-r .1 -• ....-.._......•:.. ..H.._... wTOTAL P.01 'opit APR-02-1999 16:47 RI D!iHP .INE INC. 978 283 .3374 xy :�e r Biomarine 16 EAST MAIN STREET, PA, BOX 1153, GLOUCESTER, MA 01931-1153 ( i TELEPHONE' (978)281-0222 FAX: (978)283.3374 CERTIFICATE OF ANALYSIS Mr. Darren Palm Report No.: 90552 Wyman Street March 31, 1999 Salem, MA 01970 RE: ANALYSIS OF DRINKING WATER FOR BACTERIOLOGICAL QUALITY WELL DESCRIPTION: In-use well, 330 feet in depth located at the above address. SAMPLING: Sample taken by Don Robinson on March 29, 1999. CIF NDINGS: Total Coliform Bacterial Count(100 ml . . . , . . . . . . ,0 METHOD: Analysis performed by Massachusetts Certified Laboratory 4MA026 in accordance with Standard Methods for the Examination of Water & Wastewater, 19th Edition, 1995. REMARKS: The bacteriological quality detected meet the requirements of Mass, Department of Environmental Protection's 310 CMR 22,00, "Drinking Water Regulations"for human consumption. John arletta/Lab Director J M/ds 167:arc-/Gc �u- /d'Ze-S - 0(,?qq APP-05-1999 12:49 BIOMARINE INC. 978 283 3374 P.01 Biomarine 16 EAST MAIN STREET, P.O. BOX 1153, GLOUCESTER, MA 01921-1153 TELEPHONE: (976)281-0222 FAX: (978)283.3374 CERTIFICATE OF ANALYSIS Darren Palm Report No.: 90032 Wyman Street February 01, 1999 Salem, MA 01970 Re: DRINKING WATER ANALYSIS WELL DUCAIPTION: New well,330 feet in depth. SAMPLING Samples taken by Don Robinson on January 9, 1999. FINDINGS: Leue) Detected in DEP —Analysis Parameter Your Water guideline" Date Total Coliform Count/100 m) 2 0 01/09/99 Calcium Content(mgil). 9,25 150 01/12/99 Chloride Content (mg/1) - 29.3 256 01112'99 Conductivity (Nmhos/cm) 161 01111/99 Iron Content (mg/1) 0.13 0.3 01119/98 Magnesium Content (mg11) 1.72 - 01/12/99 Manganese Content(mg/t) Us 0.05 01/19/99 Nitrate Nitrogen Content (mg/1) 0,27 10 01/12/99 pH Value 5.36(moderately alkaline) 7.0(neutral) 01111/99 Sodium Content (mgA) 19 28 01/19/99 Hardness(CaCO3,mgA) 30.2(soft) METHODS: Analyses performed in accordance with Standard Methods for the Examination of Water B Wastewater, 19th Edition, 1995. 'Guidelines are based on the maximum contaminant levels recommended by the Massachusetts Department of Environmental Protection for drinking water. Analyses performed by Massachusetts certified laboratories # MA026 & MA123, REMARKS: This sample was found to contain Coliform bacteria. Chlorination, flushing, and retesting is recommended. Manganese combines with oxygen from air to form a brownish-black precipitate and levels >0.05 may stain laundry and plumbing fixtures. Care should be taken when using chlorine bleach in the laundry as the reaction with the manganese may intensify staining. Non-chlorine bleach is preferred. This level may abate with continued usage and flushing of the well, The pH value is a measure of the acid or alkaline ybntent of water. A pH of 5.5 to 9.0 is considered typical for natural waters with 6,5.5.5 preferred, 7 being wutral. Water should have a pH of greater than 6.5 to avoid Page 1 of 2 RPR-02-1999 16:47 EI0r9RRINE INC. ££ 978 283 3374 P. Biomarine r 18 EAST MAIN STREET, P.O. SOX 1153, GLOUCESTEH, MA 01931-1-153 TELEPHONE: (978)281-0222 FAX: (978)283.3374 CERTIFICATE OF ANALYSIS Mr. Darren Palm Report No.: 90552 Wyman Street March 31, 1999 Salem, MA 01970 RE: ANALYSIS OF DRiNK1NG WATER FOR BACTERIOLOGICAL QUALITY WELL DESCRIPTfi N: {n-use well, 330 feet in depth located at the above address. SAMPLING: Sample taken by Don Robinson on March 29, 1999. iN IN : Total Coliform Bacterial Count/100 ml . . , , . . . . . . ,0 METHQD: Analysis performed by Massachusetts Certified Laboratory #MA026 in accordance with Standard Methods for the Examination of Water&Wastewater, 19th Edition, 1995, Efl MAR�s: The bacteriological quality detected meet the requirements of Mass. Department of Environmental Protection's 310 CMR 22,00, °Drinking Water Regulations"for human consumption. John arletta(Lab Director JM/ds � GFR-3<-1999 16:47 EIONRRINE INC. 978 283 3374 R.L:1 Bialm "' rine 18 EAST MAIN STREET, P.O. BOX 1153, GLOUCESTER, MA 01931-1153 TELEPHONE: (978) 281-0222 FAX: (978)283.3374 CERTIFICATE OF ANALYSIS Mr. Darren Palm Report No.: 90552 Wyman Street March 31, 1999 Salem, MA 01970 RE: ANALYSIS OF DRINKING WATER FOR BACTERIOLOGICAL QUALITY WELL DESCRIPTs N: in-use well, 330 feet in depth located at the above address. SAMPLING; Sample taken by Don Robinson on March 29, 1999. iN w : Total Coliform Bacterial Count/100 ml . . . . . . . . . . D ,METHOD: Analysis performed by Massachusetts Certified Laboratory #MA026 in accordance with Standard Methods for the Examination of Water&Wastewater, 19th Edition, 1995. REMARKS: The bacteriological quality detected meet the requirements of Mass, Department of Environmental Protection's 310 CMR 22,00, "Drinking Water Regulations" for human consumption. John arletta/Lab Director JM/ds vQ� L M1 mra 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 WATER QUALITY TESTING REQUIREMENTS FOR WELL USE PERMIT After the well has been completed and disinfected, and prior to using it as a drinking water supply, a water quality test shall be conducted. A water sample shall be collected either after purging three well volumes or following the stablization of the pH, temperature and specific conductance in the pumped well. The water sample to be tested shall be collected at the pump discharge or from a disinfected tap in the pump discharge line. In no event shall a water treatment device be installed prior to sampling. The water quality test, utilizing EPA approved methods for drinking water testing and not methods used for analyzing wastewater, shall be conducted by a certified laboratory and shall include analysis for the following parameters: A. Parameter Maximum Acceptable Limit Coliform bacteria 1/100 ml Nitrogen (nitrate) 10 mg/L Turbidity 1 turbidity unit Benzene 0.005 mg/L Carbon Tetrachloride 0.005 mg/L Para-dichlororobenzene 0.005 mg/L 1, 2 Dichloroethane 0.005 mg/L 1, 1 Dichloroethylene 0.007 mg/L 1,1,1, Trichloroethylene 0.20 mg/L Trichloroethylene 0.005 mg/L Vinyl chloride 0.002 mg/L B. Sodium Greater than 20 mg/L is of concern to persons on low sodium diets C. Indicator Parameters: Parameter Recommended Upper Limit Recommended Lower Limit Alkalinity 100 mg/L 30 mg/L Calcium 150 mg/L 50 mg/L Chloride 250 mg/L Color 15 Color Units Copper 1 mg/L ri HF'F,'-cr�-19'39 16�47 FIiJPIHS?�#E 114C. 9?8 283 3374 P.01 Biomcarine 16 EAST MAIN STREET, BO, BOX 1153, GLOUCESTER, MA 01931.1153 TELEPHONE: (978)2e1-0222 5A)S: (978)283-3374 CERTIFICATE OF ANALYSIS Mr. Darren Palm Report No.: 90552 Wyman Street March 31, 1999 Salem, MA 01970 RE: ANALYSIS OF DRINKING WATER FOR BACTERIOLOGICAL QUALITY WELL D SCRIPT1QN: In-use well, 330 feet in depth located at the above address. SAMPLING: Sample taken by Don Robinson on March 29, 1999. FINDINGS: Total Coliform Bacterial Count1100 ml . . . , . . , , , . 0 METHOD: Analysis performed by Massachusetts Certified Laboratory #MA026 in accordance with Standard Methods for the Examination of Water&.Wastewater, 19th Edition, 1995. REMARKS: The bacteriological quality detected meet the requirements of Mass, Department of Environmental Protection's 310 CMR 22.00, 'Drinking Water Regulations" for human consumption, John arietta/Lab Director JM/ds 9 oa;o aWk Ra. 3 m� 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 Application for Well Drilling and Pump Testing A permit is requested to: drill a well _; install a pump other LOCATION: 7E2 Lot # Owner n6RgEW fAdn# Address M 446w" eke Tel. 978- 7/4/. 837? Well Contractor _o,/ FoS:Nso,%/ Add. Tel. 978 - 777 • '`/6'✓8 Pump Contractor Add. Tel. ---------------------------------------------------------------------------------------------------------------------- h CITY OF SALEM HEALTH DEPARTMENT ` Nine North Street Salem,Massachusetts 01970 Parameter (con't. ) Recommended Upper Limit Recommended Lower Limit Hardness 200 mg/L 50 mg/L Iron 0.3 mg/L Magnesium relative scale Manganese 0.05 mg/L Nitrogen (ammonia) 0.1 mg/L 0.015 mg/L Nitrogen (nitrite) 1 mg/L Odor 3 Treshold odor number pH 8.5 8,5 Potassium Relative Scale Sediment Visual observation Sulfate 250 mg/L Total dissolved solids 500 mg/L Following a receipt of the water quality test results, the applicant shall submit a Water Quality Report to the Board which includes: 1.) a copy of the certified laboratory's test results 2.)the name of the individual who performed the sampling 3.)where in the system the water sample was obtained The Board reserves the right to require retesting of the above parameters, or testing for additional parameters when, in the opinion of the Board, it is necessary due to local conditions or for the protection of the public health, safety, and welfare. All costs and laboratory arrangements for the water testing are the responsibilty of the applicant. JS/sjk-10/2/97 ati mtpamm K Cyd 3 l' 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 4 Date Pumps ( To be completed before installation.) Name and size of pump: Type Water pump delivers: GPM. Size of tank Pipe material used in well: cast iron ( ) galvinized ( ) plastic (k< Circle one : Well pit or Pitless adaptor. Was sleeve used to protect pipe? yes ( ) no (✓f. Well seal type: Zvsu[.wieo , Date: Pump installer signature: Reg.# Plumbing Inspector Wiring Inspector Board of Health N n m ire 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 9 Date Wells ( To be completed at time of pump test.) Type of well Use Well Diameter Size of casing Depth to bedrock Depth of casing into bedrock Was it seal tested ? yes ( ) no ( j Date of testing Depth of well A -'ell ended in what material ? Depth to water Delivers Gallons per minute. Drawdown feet after pumping hours at Gallons per minute. (Please sketch map of well locoiiwi 111111 tie down lines on reverse.side of this/orm.) Completion date: Well contractor signature: Reg # --------------------------- -------------------------------------------------------------------------------------------- s - . . - _ .._. _..`....�. _�.�. ice.. cc�,o r .n♦ l/ ' APR 12 199.9 FAX COVER SHEET CITY OF SALEM HEALTH DEPT :�fia\ 11Ck' 15IV(, Ij \F __ S LFNI, :iLA01970 4OF13.X ` rte; 1;kk %&,-w FROIN is ('O:NLMFNTS: F1�iZL' dcc'_ /`/S ��S��S U /✓��/_4/.7 =T h 7t a QS ScX+w1 d s �T V r ' V -C Y t�A�vL rt+/y 7 7 APR-12-99 MON 08 :24 AM ATLANTIC PAVINGiINSUL. 508 745 2200 - P. 02 83 33�s F,0O aFF-us-z��. 1a;y9 sloNa�:tr.e INC. 7e APR 12 1999 CITY OF SALEM Giomarine HEALTH DEPT. 16 EAST MAN STREET, P.0' 80X 1153, 3LOUCESTER, PAA 01991 1193 TELEPHONE: t97a) 291-0222 PAX: (976)283.1374 CERTIFICATE OF ANALYSIS Darren Palm Report No.: 90032 Wyman Street February 01, 1999 Salem, MA 01970 Re: DRINKING WATER ANALYSIS WELL OE IPTION: New wail, 330 feet in depth. SAMPLING: Samples taken by Doh Robinson on January 9, 1999. FINDING Level Detected in DEP Rnalysis� Parameter VourWater Guideline" Date To(al Coliform CounUtoo ml 2 0 01/09/99 {1 Calcium Content (mg.4) rn 9.25 150 01/12 g99 Chloride Conten) (mg/1) 29.3 250 01/12'99 ConduclMly (pmhos/cm) 161 01111199 Iron Content (mg/) 0.13 0.3 01/19/98 Magnesium Content (mgr) 1.72 01112/99 Manganese Conlent(mgr)) 0,09 0.05 01/19;99 Nitrate-Nltrogsn Content-(mg ) 0.27 10 0111299 pHVafu6 5.36(moderately alWine) 7,0(neulral) 01/11i99 J Sodium Conten (mgt) 19 28 01/19/9-9_ .JI1 Hardness (CaC00,mgP,) — 30.2(soft) — ETH s-. Analyses performed In accordance with Standard Methods for the Examination of Water s Wastalvater, 19th EdiU`on, 1995. 'Guidelines are based on the maximum Contammanl levelsr ecom `� tacllnn toidrrnkln water _"_ ------ � LFtorrli bacteria-7Chlorrnatiol, ffusMng=and retesting" s_ Manganese combines with oxygen from air to form a brownish-black precipitate and Icvcl3 >0.05 may alai laundry and plumbing fixtures. Care should be taken when using Chlorine bleach in the laundry as the reaction with the manganese may intensify staining. Non"chlorfne bleach Is preferred. This level may abate with continued usage and flushing of the well, The pH value is a measure of the acid or alkaline content of water. A pH of 5.5 to 9.0 is considered rypicai fcr natural waters with 6.5-A S nPafCrrPH 7 hath„ «Abd.- 6_.. r L_.._ - i .. . . AF�c-12-99 MON 08 :25 AM ATLANTIC PAWING/INSUL. 508 745 2200 - P. 03 AF'R-02-1999 16:47 H I OMAR I NE I NC. APR 12 1999 y7,`, 29 7"- 4 F-0 CITY OF SALEM r n HEALTH DEPT. BloMarine j 16 EAS7 MAIN STREET 1 R 9 aO FA%53,(976)GLOUCESTER.283 3374MA 01931•1 153 TELEPHONE: ( 1 CERTIFICATE OF ANALYSIS Report No.'. 90552 Mr. Darren Palm March 31, 1999 Wyman Street Salem,MA 01970 RE: ANALYSIS OF DRINKING WATER FOR BACTERIOLOGICAL QUALITY EL S IP71 ; In use well, 330 feet in depth located at the above address. SAMPLIN ; Sample taken by Don Robinson on March 29, 1999. INN : Total Coliform Bacterial Count/100 ml . . . , • • • . 0 MEIHD ; Analysis performed by Massachusetts Certified Laboratory 4MA026 in accordance with Standard Methods for the Examination of Water &Wastewater, 19th Edition, 1995, PE�iA : The bacteriological quality detected meet the requirements of Mass. Department o` Environmental Protection's 310 CMR 22,00, "Drinking Water Regulations" for human consumption. � - K= John arleria'Lab Director JM/ds RPR-12-99 MON 08 :26 RM ATLANTIC PAVING/INSUL. 508 745 2200 P. 04 MFP,-vJ5-1'335 1"c' 49 EI.ar1AA.INE INC. 978 283 3374 P.02 Report No,: 90066 February P+, 999 staining and corrosion problems. Slightly acidic vraler lends to disso!ve metal and cement plumbing—reieesing lead, copper, and zinc from pipes and fixtures. pH can be corrected with a neutralizing filter. (Neutralized water becomes harder.) The low pH value and softness detected indicates possible high corrosivity of this water which may cause premature plumbing failures and leach undesirable materials, such as lead and copper into the waler. Approved 6y: `-- J 'n 61ar1eualLab�irEcla P? of 2 iv CLno� .tre-V e-L�_)-Qe4 �e� l-G Plcw�_S— v�cQ 4r N_ 1M o�e_—�ata2 __/��`�8-- -f an_f4_� t A�k_sem r.Fe«,_ ..B��'er�o f r�•e/ _s . _ _ — �----- Sys-- ra__2Hs��s ;ah _ ��Ih_ �.�U—..J-1:1_S��_I QG��ICCo✓U�✓t_c�_ e _{S/Q�—✓�G G�a/_iON_r�<----'- ---� I:. 1• I HANCOCK Engineering Associates 235 Newbury Street Danvers,MA 01923 #5969 (978)777-3050 Bay ax (978)774-7816 B November 17, 1998 w IIl6l6 Bolton, MA 978)779-6767 Salem Board of Health NOV 19 1998 Boston,MA 9 North StreetCITY OF SALEM (617)350-7906 Salem, MA 01970 HEALTH DEPT. Attn: Mark Tollman Re: Subsurface Sewage Disposal System 6 Wyman Terrace Dear Mr. Tollman: I hereby certify that the subject system was installed as shown on the enclosed as-built plan and complies with 310 CMR 15.000. Please note that the issuance of a Certificate of Compliance shall not be construed as a guarantee that the system will function as designed. Please call if you have any questions. i Very1ruly yours, HAC E INEERIN SSOCIATES I' �o�t CH OF �fx A®� VACLAV V.\�' o. N V�clav V. Talacko, P.E TALACKO#34026 PrincipalCivil PO�F�IsrE . Enclosure VVT/cro cc: Darren Palm File #5969 Division of Hancock Survey Associates,Inc. SUBSURFACE SEWAGE DISPOSAL SYSTEM HANCOCK Hancock Project No. 5969 As-built Grades Component Invert Darren Palm ............................................................................................................i.............................................................................. Elevation 6 Wyman Terrace, Salem, MA ..................................... Building outlet148.08 ...........................................................................................................:......................................:...................................... ...........................................................................!...................................... As-built survey by: Jim Scanlan Septic Tank inlet147.71 Date of survey: 10-Nov-98 ....................................................................._..............................:......................................:...................................... outlet 147.38 ............................................................................ Bull Run ve147.26 .................... Distribution Box-1 inlet .............................................................._..._........_..... ,.........146:66_......e ............................ .......................... ... ..... outlet 1 146.48 ...... ......................................................................................................................................................... outlet 2 : 146.48 ......................................................................................................_............................................................................. outlet 3146.48 ............................................................................................................... ......... outlet 4146.47 ...........................................................................................................:............................................................................. Soil Absorption_System.....................................................................`_. ....................................... Line._...-P_ .q.in................................................................_i......._146.40 ............................................................. Line2-be in 146.39 _...._................... .......................................................................i....................................................._...................... Line 3 ..begin.....:............................. 146.41 ............................. .................;..... Line 4-begin.................................................................:........146.42 Line 1 -end 146.18 ................................;...................................... Line 2-end 146.19 ...................................................................................................-......:............................................................................. Line 3-end 146.21 ........ne.. 4........ ..-......end...........................................................................................146....................21.........,.........i .............................. Li ............................................................................................................:............................................................................. ........................................................................................................................................................................................ DistributionBox-2 AS-built Ties ...........................................................................................:............_...................... inlet144.34 Structure A B .........................................................................................................:......................................:....................................... .................................................................._j................................................................... outlet 1144.16 i ..................................................._......................................................,......................................;....................................... outlet 2 144.16.............................................. Septic Tank inlet............;........._20.5'..........:......._51.5'........ .... . outlet 3 144.16 ° Septic Tank-outlet 's 15A' 60.0' .................. ....................................................... , ....... . ..... ... .... outlet 4 144.17 Bull Run Valve 18.0' 71.0' ......................_..................................................................................;......................................;...................................... ................................I--....... . . .. .....................:...............8.............................................. Distribution Box- 1 27.0' 81.5' ............................................................................................................................................................... ...................................................................i.................................................................... Soil Absorption System-2 Distribution Box-2 40.8' 40.3' ..... ..... .................................. .. . Line._..'._begin..........................................._....................;........_144.:10........`. SAS corner 1 23.0' 77.0 . . ................................ ........................................................................................................;............................... Line 2-begin............................................_............................_144:11............................................... SAS corner 2 34.5' 43.2' ...... ....................................................................:....................................;............................... Line 3-begin............................_....................................;........_144.12....... . SAS corner 3 . Line4-begin...........................................................................144.10.............................................. SAS corner.......... 4...................................._42.:x...........:......._86.x......... Line 1 -end143.92 SAS corner 5 42.5' 35.5' ...............................................................i..................................... ...................................... ...................................................................i....................................i............................... Line 2-end 143.92 SAS corner 6 77.0' 25.0' --......................................................................................_......._........,-.................................... ...........................__........._...._...._......,............................................................ .... .... Line 3-end 143.94 SAS corner 7 85.0' 44.0' ..........................................................................................................:............................................................................. ......................................................;.................................................................... Line 4-end 143.93 SAS corner 8 55.5' 51.0' i NOTE. i. MAP 2, LOT .35 MIS PLAN NOT TO BE USED FOR TITLE INSURANCE PURPOSES, NOR FOR R1 RESIDENTIAL ONE FAMIL Y RECONSTRUCTION OF BOUNDARY LINES. REAMM L.C.CER T. 66093 Li L.C.C. 7159B Ci �i O 2 a lr lr I �o8os C/�p,, o-eAx I F� I BULL RvN 4 vALVE ��ti / ry 0 Sas 1 0 t5oo JQ• '� � sePT�� trW K ®3 o loot To 5A5 5A5 z 2 ay ~WELL.. eb 55 CONCRETE SO 7� D Oox z FOUNDA TION SAO a� 16 v e�¢ ylb- '70• , o �p N _ T V9 'yAN4�Nc N/F BU, NCy 5EWAGe D15P05AL 5Y5TEM AS-BUILT to WIMAN TERRACE I O�FpSALEM, MA �o VA/ CLA� . `s9oT PREPARED FOR DARREN PALM #3 26 �r � i , > e SCALE.- 1" = 40' NoVEASER II, 1998 0 20 40 80 160 HSAHANCOCK SURVEY ASSOCIATES, INC. 135 NEWBURY STREET; DANVERS, MASSACHUSETTS 01913 VOICE 978-777-3050 FAX 978-774-7816 CHECKED BY.• VXG NOV 19 1998 HEALTH DEPT.. NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 1-QR City........ of)...............Salem ............................................... This is to Certify that .William_M.-:-Liaskey-------Linskex-_Constructions- Inc-:-- --- NAME 47 Jefferson_Avenues Salem-s--MA_01970 ................................................... ........................ ADDRESS IS HEREBY GRANTED A LICENSE For .....6--.YIYman-_Terrace-s---1)afYeapalm posal System Construction Permit. This license is granted in conformity with the Statutes and ordinances relatinl- thereto, and expires._---------- ---.---_-------------- unless sooner suspended or revoked. ................ -- - - ....-......................... ..... ................ -- ----------------- -- -- ---- -------- -- -------- --------------- -.- -------- . ....__.October-20,-.--.--.------..---19--9.8 ... ... MPH.,.RS.,CH0----- --------- ... -------- _ ---------------- - ---------- - FORM 433 HOBBS & WARREN, INC. HEALTH AGENT No. FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, Salem , MA. APPLICATION I''®R MSR®SAI. SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construc%X Repair( ) Upgrade( ) Abandon( ) - ❑Complete System O Individual Components Location 6 wyman Terrace Owner's Name Darren Palm Map/Parcel# 2 #35 Address 7 Read Street Lot# #35 Telephone# 745-1852 Installer's Name William M. Linskey Designer's Name Hancock Survey Associates Address 47 Jefferson Ave Salem Mass 01970 1 Ad235 Newbury Street. Danyers.MA 01923 dress Telephone# 744-2700 Telephone# 777_3050 Type of Building Single Family Dwe 1 1 i n g_ Lot Size 19, 10S sq.ft. Dwelling-No.of Bedrooms 4 Garbage grinder (N)D Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 440 gpd Calculated design now 440 Design flow provided 440 gpd Plan:.Date-11/15/96 Number of sheets 1 Revision Date Title Description of Soil(s) coo�rl plan Soil Evaluator Form No. Name of Soil Evaluator James Scanlan Date of Evaluation 1118/96 DESCRIPTION OF REPAIRS OR ALTERATIONS New Construction The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections No. COMMONWEALTH OF MASSAC14lJSETTS FEE _ Board of Health, Salem , MA. CERTIFICATE Of COMPLIANCE .- Description of Work: LI Individual Component(s) X2 Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed (KX Repaired ( ),Upgraded ( ),Abandoned ( ) by: William M. Linskey Linskey Construction Inc at 6 Wyman Terrace Salem Mass 01970 has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated . Approved Design Flow 440 (gpd) Installer William M Linskey Linskey_ConCon trurtinn Inc 47 Tpffprcon Ave, Salam Macs 01970 Designer: Hancock Survey Acanriatac Inspector: Sanitarian. Mark Tolman Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, Salem , MA. DISPOSAL SYSTEM CONSTRUCTI®N PERMIT Permission is hereby granted to; ConstructXX) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system t. at 6 Wyman Terrace as described in the application for Disposal System Construction Permit No. , dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/98 A.M.sulkin Co.Boston,MA Date Board of Health No. ,(� *� ��',pp pp MASSACHUSETTS(�gqq 7(' FEE ' C®MM®N WV 1C A LT14 ®F MAS.91�'l.ilt'lJ ETTS Board of Health, Salem ,MA. APPLICATION F®I, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to ConstrucoM Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location 6 wyman Terrace Owner's Name Darren Palm Map/Parcel# 2 #35 Address 7 Read Street Lot# #35 Telephone# 745-1852 Installer's Name William M. Linskey Designer's Name Hancock Survey Associates Address 47 Jefferson Ave Salem Mass 01 70 Address 235 Newbury Telephone# 744-2700 Telephone# 777-3050 Type of Building Single Family Dwelling Lot Size '19, 1r5 sq.ft. Dwelling-No.of Bedrooms 4 Garbage grinder (N)D Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) 440 gpd Calculated design flow 440 Design flow provided 440 gpd Plan: Date 11/15/96 Number of sheets 1 Revision Date Title Description of Soil(s) See atached nl an, Soil Evaluator Form No. Name of Soil Evaluator James Scanlan Date of Evaluation 11/8196 DESCRIPTION OF REPAIRS OR ALTERATIONS New Construction The undersigned agrees to install the abov described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to place the cyst Aeration until a Certificate of Compliance has been issued by the Board of Health. Signed�Qf " �a Date 4z -c,- Inspections /Inspections Na. FEE COMMON 1M�$JJII Of MASSACHUSETTS 9'V Board of Health, Salem , MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) )M Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed =Repaired ( ),Upgraded ( ),Abandoned ( ) by: William M. Linskey Linskey Construction, Inc, at 6 Wyman Terrace Salem, Mass 01970 has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated . Approved Design Flow 440 (gpd) Installer William M Linskey Linskey Construction Ins 47 Ipffercnn Ave Salem Mass 01 970 Designer: Hancock Survay Acenriat-ec Inspector: Sanitarian, Mark Tolman Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No, FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, Salem , MA. ➢ISR®SAI. SYSTEM CONSTRUCTION PERMIT Permission is herebygranted to; ConstructXX) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at 6 Wyman Terrace as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5196 A.M.Sulkin Co.Boston,MA Date Board of Health No. FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, Salem , MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construcd(.Yl Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location g Wyman Terrace Owner's Name Darren Palm Map/Parcel# 2 #35 Address 7 Read Street Lot# x/35 Telephone# 745-1852 Installer's Name William M. Linskey Designer's Name Hancock Survey Associates , Address 47 Jefferson Ave, Salem, Mass 01970 Address 235 Newbury Street Danvers MA 01923 Telephone# 744-2700 Telephone# 777-3050 Type of Building Single Family Dwelling Lot Size 353655 sq.ft. , Dwelling-No.of Bedrooms 4 Garbage grinder (N)) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) s 440 gpd Calculated design flow 440 Design flow provided 440 gpd r Plan: Date—,-11/15/96 Number of sheets 1 Revision Date Title Description of Soil(s) See atached plan. Soil Evaluator Form.N`o. Name of Soil Evaluator James Scanlan Date of Evaluation 11/8/96 `DESCRIPTIONOFREPAIRS ORALTERATIONS New Construction t , The and signed agrees to install the abov described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further age to o place the syst Aeration until a Certificate of Compliance has been issued by the Board oLHealth. Signed Date Inspections No. COMMONWEALTH OF MASSACHUSETTS FEE Board of Health, Salem MA. CERTIFICATE Of COMPLIANCE Description of Work: O Individual Component(s) 19 Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed (X�Repaired ( ),Upgraded ( ),Abandoned ( by: William M. Linskey Linskey Construction, Inc, at 6 Wyman Terrace Salem, Masa 01970 has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow 440 (gpd) Installer William M. Linskey Linskey Construction, Inc, 47 Jefferson Ave, Salem, Mass 01970 Designer: Hancock Hngvey Associates Inspector: Sanitarian, Mark Tolman Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, Salem MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is herebygranted to; Constructp Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at 6 Wyman Terrace as described in the application for Disposal System Construction Permit No.' Y i dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Farm 1265 Rev.5/96 A.M.sulkm co.Boston,MA Date Board of Health Linsley Construction,Inc. GENERAL CONTRACTORS • ENGINEERS UNDERGROUND UTILITIES • EXCAVATION • HEAVY EQUIPMENT RENTAL P.O. BOX 4507,SALEM, MASSACHUSETTS 01970 (508)744-2700 24 HOUR EMERGENCY NUMBER(508)745-3656 FAX(508) 745-3443 Y October 14, 1998 OCT 1Sby ,l Mr. Mark Tolman CITY OF SALc.;41 City of Salem HEALTH DEPT. Board of Health 9 North Street Salem, MA 01970 RE: RENEWAL/DISPOSAL WORKS INSTALLER'S PERMIT Dear Mr. Tolman: Pursuant to your request, enclosed please find copies of "Disposal Works Installer's Permits" as issued by the Board of Health Department in communities where I hold a permit to construct, alter, install or repair sewage disposal systems. I would appreciate your consideration in granting me a renewal of a "Disposal Works Installer's Permit" for systems located in the Salem area. Should you require any additional information please feel free to contact me at your earliest convenience. Very truly yours, LINSKEYYCCONSTRUCTION, INC. William M. Linskey President WML:lal Enclosures THS GOKbi0.ND1EALTFY OF MAs9Ac, _rsET2s TOWN OF HAMILTO HpARD OF HEALTEi<. Permit No:22-98 Permit Fee $75 . 00 Phis is to Certify that William Linskey Linskey Construction, Inc. 16 Honeysuckle Road Hamilton, MA 01982 Is HEREBY GRANTED A °DISPOSAL WORKS INSTALLER' S PERMIS" to CONSTRUCT, ALTER, INSTALL, oi. REPAIR, Individual Sewage Disposal Systems This permit is granted in conformity with the State: Sanitary Code Title V, Regulation 2 . 2 , and expires December 31, 1998 unless; sooner susppeended or revoked. !zliDate : December 31. 1997 , � d Martin Fair, R.S . Agent, Board of Health JAN 6 1998 O D UNSKEY CONST., INC. NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 13/98 $55.00 TOWN of LYNNFIELD Board of Health This is to Certify that LINSKEY CONSTRUCTION, INC. WM. LINSKEY 47 JEFFERSON AVE. ,ASFALEM, MA 01970 AOORESS IS HEREBY GRANTED A "DISPOSAL WORKS INSTALLER'S PERMIT-- TO 1 CONSTRUCT,ALTER, INSTALL or REPAIR, Individual Sewage Disposal Systems This permit is granted in conformity with the State Environmental Code Title V, Regulation 2.2, and expires December 31, 19. 98 un s-over_ pended or revoked. DECEMBER 17. 19_,.977 . Ori=ina2 1 L. Health f FORM 125$ H&W N HOBBSB WARREN fl i �Noffss BOARD OF HEALTH �y TOWN'HALL, 30 MARTIN STREET. ESSEX. MASSACHUSETTS 01929-1219 � 9`r9ACHUS�� TELEPHONE (508) 766-7614 i Linskey Construction, Inc. 47 Jefferson Avenue Salem, MA 01970 i i THE COMMONWEALTH OF MASSACHUSETTS Town of Essex, Board of Health Permit No. 19 Fee: $50 This is to certify that Linskey Construction, Inc. 47 Jefferson Avenue, Salem, MA is hereby granted a DISPOSAL WORKS INSTALLER'S PERMIT to Construct, Alter, Install, or Repair Individual Sewage Disposal Systems This permit is granted in conformity with the State Sanitary Code, Title 5, Regulation 2.2, and expires December 31; 1998, unless sooner suspended or revoked. Permit Issued: ` 1/2/98 •Jb Trescott DeWitt, Clerk I certify that I am responsible to install and repair septic systems in the Town of Essex in full accordance with Title 5, local regulations, and approved. septic system design plans. Further, I certify that I am responsible to fully coordinate my efforts with septic system designers and the Board of Health as necessary. Installer's Signature No. 7��p� q�/77((�''pp qq qqpp �,,q,g(�(� p qqp 7 g' FEE C®MMI®N VV E AlLM ®F MASSAC14 SETTS Board of Health, , MA. APPLICATION FOR DISPOSAL SYSTEM[ CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) - ❑Complete System ❑Individual Components Location Owner's Name Map/Parcel# Address Lot# Telephone# Installer's Name Linskey Construction Inc. Designer's Name Address47 Jefferson Ave. Salem MA 01970 Address Telephone# 978-744-2700 Telephone# Type of Building Lot Size sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) gpd Calculated design flow Design flow provided god Plan: Date Number of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections No. COMMONWEALTH OF MlliASSLA'l.11$'1JSETTS FEE Board of Health, g A� p ,MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. , dated . Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, MA. MSR®SAI. SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev,5/96 A.M.Sulkin Go.Boston,MA Date Board of Health FEE ,•••••..•• -••• COMMONWEALTH y@' fit LTH ®F MASSACHUSETTS ¶� ,@ FOP, of Health, p , MA. A� APPLICATION iC®P, DISPOSAL SYSTEM CONSTRUCTION PI;IIM[IT - sj Application for a Permit to Construct( ), Repair('.) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location Owner's Namer, -'�Y"�- � Map/Parcel# Address Lot# Telephone# Installer's Name Linskey Construction, Inc. Designer's Name Address47Jefferson Ave. Salem MA 01970 Address Telephone# 978-744-2700 Telephone# f Type of Building Tr' "A_ . "� tta'- ra 7 rrswl+r+•'1.: 4-, Lot Size . .h i n sq,.ft: Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.required) gpd Calculated design flow Design flow provided gpd Plan: Date Number of sheets Revision Date Title �. Description of Soil(s) . Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation Y DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date i! Inspections F. (� A�p.� q��'�p'p p MASSACHUSETTS No. C®MINI®N WW EAU14 ®F MASSA'1.1t1t'USETTS FEE .. Board of Health, p , MA. I} CERTIFICATE Of COMPLIANCE 6 Description of Work: ❑Individual Component(s) ❑Complete System ' - The undersigned hereby certify that the Sewage Disposal.System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: J at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee-that the systemwillfunction.as designed.-' -s- - - — - -- -No. FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, MA. DISPOSAL SYSTEM CONSTRUCTI®N PERMIT fPermission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 ser 5ie6 A.M.Solo Co.Boston,MA Date Board of Health '° a OCT-14-98 WED 12; 29 PM LINSKEY CONSTRUCTION FAX NO, 15087453443 P 1 Llnskey Coestruction,Inc. / GENERAL CONTRACTORS - ENGINEERS UNDERGROUND UTILITIES + EXCAVATION + HEAVY EQUIPMENT RENTAL PO.BOX 4507,SALEM, MASSACHUSETTS 01974 (508)744-2700 24 HOUR EMERGENCY NUMBER (508)745-3656 FAX(508)745-3443 j October 14, 1998 pCERWED OCT 14 1998 Mr. Mark Tolman City of Salem CITY OF SALEM Board of Health HEALTH DEPT. 9 North Street Salem, MA 01970 RE: RENEWAI./DISPOSAL WORKS INSTALLER'S PERMIT Dear Mr. Tolmant Pursuant to your request, enclosed please find copies of "Disposal Works Installer's Permits" as issued by the Board of health Department in communities where I hold a permit to construct, alter, install or repair sewage disposal systems. 1 would appreciate your consideration in granting me a renewal of a "Disposal Works Installer's Permit" for systems located in the Salem area. Should you require any additional information please feel free to contact me at your earliest convenience. Very truly yours, LINSKEY CONSTRUCTION, INC. William M. Linskey President WML:1a1 Enclosures QCT-14-98- WED 12:30 PM bIidSREY CONSTRUCTION FAX _ AR N0. 15087453443 P. 3 {i BOARD OF HEALTH TOWN HALL. 30 MARTIN STREET, ESSEX. MASSACHUSETTS 01929-1219 ��SRG}i��~- TELEpMOHr< l5Q6)789-7818 Linskey Construction, Inc. OCT 14 1998 47 Jefferson Avenue CITY OF SALEM Salem, MA 01970 HEALTH DEPT. THE COMMONWEALTH OF MASSACHUSETTS Town of Essex, Board of Health Permit No, 19 Fee: $50 This is to certify that LjnskeyConstruction Inc 47 Jefferson Avenue, Salem MA is hereby granted a DISPOSAL WORKS INSTALLER'S PERMIT to Construct, Alter, Install, or Repair Individual Sewage Disposal Systems j This permit is granted in conformity with the State Sanitary Code, Title 5, Regulation 2.2, and expires December 31; 1998, unless sooner suspended or revoked. Permit Issued: t 112/98 � 7 TrescOtt DeWitt, Clerk I certify that I am responsible to install and repair septic systems in the Town of Essex in full accordance with Title 5, local regulations, and approved septic system design plans. Further, I certify that I am responsible to fully coordinate my efforts with septic system designers and the Board of Health as necessary. Installer's Signature ,/ OCT-14-98 WED 12:31 FM ?INSKEY CONSTRUCTION FAX NO, 150$7453443 P. 4 I NUM9ER PEE THE COMMONWEALTH OF MASSACHUSETTS 13(98 $55.00 TOWN of LYNNFIELD i Board of Health This is to Certifv than__ LINSKEY CONSTRUCTION, INC. WPI. LINSKEY 47 JEFFERSON AVE. , 9%LEM, MA 01970 i IS HEREBY GRANTED A "DISPOSAL WORKS INSTALLERS PERMIT , TO CONSTRUCT, ALTER, INSTALL or REPAIR, Individual Sewage Disposal Systems I I This permit is granted in conformity with the State Environmental Code Title V, Regulation 2.2, and expires December 31, 19 _2$ tunsner , Spended or revoked, 17 _ 19 97 OriginalBaard �. Health POktd t238 , E141Y 1 Hp69Sb LNAP.n'cN —� �— —�� ,iYlh\� OCT 14 1998 CITY OF SALEM HEALTH DEPT. OCT-14-98 WED 12 29 PM IINSKEY CONSTRUCTION FAX N0, 15087453443 P. 2 x riAssi�cH�r�.rrm' T.OWN 0}i ;HADS,ILTObT": Permit Fee $75 . 00 permit NO:22-�& This is to Certify that William Linnkey Linskey Construction, Inc. 16 Honeysuckle Road Hamilton, 11A 01982 Is HERSITY GR,%NTED A "D?:;20SAL UJORKS INSTALLER 'S CGNSTRUCI, nLT24i, Ii4=1TALL, or REPAIR, individual Sewago Disposal Syste*ns This permit is granted in conforn'dty ,aiti': t'rre State Sanita--; Cock TiE-1 - , Regulation 2 . 2 , and ?x-oires December 31, 1998 unlear soor?_ Date: DPcemher_2-1-19 Dtartiri Fair, R. S . gent, toary Cf e 1r.h pJ, OCT 14 1998 CITY OF SALEM JAN 6 1998 D HEALTH DEPT. UNSKEY CC'PIST, IPlC. OGT-14-95 WED 12:31 EM LINSxFy CONS Tilt UCTION FAX NO, 1jj443 :, -, COMMONWEVT11 OF MASSACIIUSPTTS Board of Health, __ �—_, IVA APPLICATION fOR DISPOSAL SYSTEM CONSTRUCTION PUNIT Application fur a Pgrrnit to Consn act( ) Repair( Upgrule( }Abandon( O Complete system J Ltdividual Components ' l,or;uion__. _..... ..— —. ")wncr'sN'nnt ;tda pf F'.ne.el# Address Lnatlt Telephoner# Installer's Nall"' Li k Construction, Inc. Drsignar's Name OL Tlepis7_ 978-744-2700 &744-2700Ss1emMA Tddphone#_ . _.. Tyl-ic Of Rnild'tnK Lot.Size—______._sq.fr. DwOling-No. of Redrooms C;nrba};r gr;ndcr ( t Other-Type ofBoilding",,,�._•-_!-._____- No,of persona $bowers { j.CaJ'eteria ! 1 Drsign ilow (min. requirrd} _, gpd Calculated design flow Design flow provided _. ._qpd Ktil: Dalt• r Number of sheets__._,,. Rrvision Date — Title _ Drsrription ol'$Uil(a) Soil Evalnatot Form No., Name of Soil Evaluator -_,Datc of Evahtation DESCRIPTION Off'REPAIRS ORAL.TERATION5 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance nidi the provisions of TTTLF,5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health, Date )nslleClK,ns Nn _..._..,.—._. � FEE----.,-._. COMMONWEALTH OF MASSACIIUSPUs" Board of Health, CERTNICATI Of COMPLIANCE Description of Work: Q Individual Component(s) O Complete System 3hc undersign<•<1 ktercby errtify that the$cuxy{r Disposal System; Constructed ( ),Repaired ( ),Upgr,a<led ( ),Ahandonrd ( j bv; at htty lovoi insutiicd in accorriaacc with the provisions of 310 CAIR 15.00 (Tide S) :and the approved design plan,,las-built plan, r+•lating to Application No, dated—_ _. Approvctl Design Flow {gpd} inatalJar Dasigna•r. ._� Inspector: Datc: T'he issuance of this permit shall not be construed as a guarantee that the system will function as designed. No._. RE�w.._..__._.,.._ COMMON ;ALTA OF MASSACHUSETTS Board of Health, DISPOSAL SNYSTFM CONSTRUCTION PERMIT Pvi mitsiou is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual setvagu disposal system Or . is described in the application for Di6posal System C ouiLruction Permit No. , dated Provided: ConStl ULdnn shall br completed within three year's of the dire. of this permit. A31 lucaJ conditions must be m< t. Polk ME AM W25 AA Ruam CO.BD111111,MA Date —Board of Health,�•`•_ __ _ WILLIAM M. LINSKEY PRESIDENT ConstructioR ow INCORPORATED GENERAL CONTRACTORS•ENGINEERS UNDERGROUND UTILITIES•EXCAVATION HEAVY EQUIPMENT RENTAL P.O.BOX 4507,SALEM,MA 01970•TEL.(508)7442700•FAX(508)7453443 24 HOUR EMERGENCY NUMBER(50B)74S365fi �� - �a-9�s �6: 5o fI-�l � �'�� - G� U ��: irk in Your Home'.) r closets, basement, and garage. azardous Waste Collection Day. What Not To Bring±! ne Glue 0 Empty Containers/Trash 0 Commercial or Industrial Waste 0 Radioactive Waste, Smoke Detectors 0 Infectious & Biological Wastes 0 Ammunition, Fireworks, Explosives 0 Fire Extinguishers 0 Prescription Medicines/Syringes r 0 Yard Waste aner For More Information Contact: ;t Supplies Salem Health Department 978-741-1800 :es IMPORTANT MESSAGE FOR �CAI'l � DATE �o�6�q TIME_ T. MAY'('�� OF l n2 PHONE\ 72-G AREA CODE NUMBER EXTENSION ❑FAX ❑MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED 'y PLEASE CALL CAME TOSEE YDU �-� r v � 6 31� �F CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO - NINE NORTHSTREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM WELL DRILLING/PUMP TESTING PERMIT Location: Wyman Terrace Owner: Darren Palm Address 7 Read Street This license is granted in conformity with the Statutes and ordinances relating to Well Permits . Permit # : 1-98 Date: 07/08/98 HEALTH AGENT 3 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 Application for Well Drilling and Pump Testing A permit is requested to: drill a well ✓; install a pump other LOCATION: 11V✓ld�/ j'+� Lot# �P Owner -;;34,W Address 7 ;�o 57 Tel. X28 -7r7-�- <BS2. 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COm:2i; SS/dr�.t✓, 144e- f'��d- . . /J 7D/c✓ IX Or. .lea /�vr ��a� i v� &ue"e O/.e-/. r) W( o e 11 fie. p/"7 �f {�rs . c,��/J�, // A207' Clo any IWOle ��;��s v� �i/ / Aecr iV-6 4,0/ 4b , ATLAN11C PAVING, INC. Commercial * Residential 7 Read Street Ric Palm Salem, MA 01970 i Norman Dube 508-745-2890 I i ---- � - �� I b I HSA 2 Electronics Avenue t Danvers Industrial Park i Danvers,MA 0I923 ( (508)777-3050 HANCOCK (508)283-2200 (617) 659 SURVEY ASSOCIATES FAX 662)774 FAX(508)7747616 Salisbury,MA (508)462-3036 William J. Manuell Haverhill,MA Project Engineer (508)521-5515 t vj"lLE3 YOU WERE c3u r a C�" � — i TlE es. or.eo rL�sE r�u t CAA-LZO to a E YOU wx.L CALL AON N %%^Iin to WEE YOU LWICA f F1cm#%tcto tovA CALL Dl l�� Yl 7 p j LA j _�--- - 70Y- _ I 1 I - R� � �� E'�,•�s41 kill , Sv�vt� 12 I