MONITORING WELLS - BRIDGE & NORTH STREET INTERSECTION CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
. a SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
WELL CONSTRUCTION PERMIT
Location: Bridge St & North Street Intersection
Owner: Division A Capital Asset Management
Address: One Ash Burton Place, Boston, MA
This permit is granted in conformity with the statutes and ordinances relating to well
permits.
Well Construction permits are non-transferable.
This permit shall be on site at all times that work is taking place. Permit shall expire one
(1) year from the date of issuance unless revoked from cause.
This permit does not constitute a Water Supply Certificate.
Permit#: 008-05
Date Issued: 9/13/05
(Monitoring Wells) (TED Inc. — Reg. #560).
HEALTH AGENT
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MITT ROMNEY04�,lN'Lq�Xtccfu�6P��3 02/08 ERIC A. KRISS
SECRETARY, ADMINISTRATION
GOVERNOR ,� (647) 721ry 4050 & FINANCE
KERRY HEALEY a[h (647) 727-540 DAVID B. PERINI
LIEUTENANT GOVERNOR COMMISSVONER
September 7, 2005
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Ms. Joanne Scott, MPH, RS; CHO
Health Agent CITY OF SALETA
BOARD OF HEALTH
City of Salem Board of Health
120 Washington Street, 4ch floor
Salem, MA 01970
RE: Well Construction Permit Application
Bridge and North Street Intersection
Dear Ms. Scott;
As required by the Salem Board of Health, I have enclosed information to fulfill the
requirements of the Well Construction Permit Application. Three groundwater
monitoring wells were installed the week of August 22, 2005. These wells were installed
on the City of Salem property at the intersection of Bridge and North Street as shown on
the attached figure. These wells were installed to confirm the direction of groundwater
flow, as well as the depth to groundwater for the proposed trial court construction project.
The wells were installed by Geosearch,Incorporated of Fitchburg,Massachusetts with
oversight by Nobis Engineering of Lawrence,Massachusetts. Wells will be
decommissioned prior to the construction of the proposed trial court.
If you have any questions,please contact me at(617) 727-4050 extension 225.
Sincerely,
Kim Plunkett
DCAM Project Engineer
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CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
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' 120 WASHINGTON STREET. dTN FI 11f1R
Q SALEM, MA 01970
TEL. 978.741.1800
14r¢ FAX 978.745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
Well Construction Permit Application
Date<j�'�, Fee: $100. Check payable to the City of Salem (no cash)
Location::T�Z 1,)09 AzUD Kjui9----1+k Salem, MA. 01970
Owner D,v V . �l CaoTT�1 « Addresso. aJ R.<l .�PL Tel.(dC}�Sl,)
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Type of well: I r'.QVC-. Well use: C eAor a�%w- 1`kv.t Tee,m-w
Well Contractor: t✓-,L�s�AazC�t IN C Pump Contractor:
Address: ,t�Aa J "�VIII y Address:
Phone: Ig _ ( Phone:
Reg. #:
Have.abutters been notified? (y) 1,4 How?
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In the space provided below(or on back)show the location of the proposed well in relation to
existing orproposed above or below ground structures. A description of visible prior and current
land use within (200) feet of the proposed well location, which represent a potential source of
contamination.
12 Y805
CITY Oj« SALEM
BOARD OF HEALTH
There is no fee for monitoring wells but a permit is required for Installation / —v,D
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B4O H use only. Check#. Check date: Permit#:
Well const permit appl revised 1 tl25M2
AUG 18 2005 10:36 978 745 0343 PRGE.02