BOSTON ST & GOODHUE ST WELL
70-92 Boston St. & Goodhue St. j
Oftn of
a Esselte
42101/3 100/6SP2
v r ..
CITY OF SAL_EM�iMASSACHUSETTSr r
•s .$>. > �'ti',. pYt :t� gOARWOF HEALTH re•: c < ��'' '� d'� r i -.; z..
gi 120 WASHINGTON STREET, 4TH FLOOR°
e 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: 70-92 Boston Street & Goodhue Street
Owner: City of Salem
Address: 120 Washington Street
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#: 007-05
Date Issued: 6/14/05
(Monitoring Wells) .(TED Inc. —Reg. #560)
HEALTH AGENT
CITY OF SALEM, MASSACHUSETTS
a BOARD HEALTH
r
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978.745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO �� 13
MAYOR HEALTH AGENT &0g1RO O/CS "00S
Well Construction Permit Application
Date: (0 1 0.5 Fee: $100. Check payable to the City of Salem (no cash)
Location: 4-94 &AA) S-� Good hUN Salem, MA. 01970
Owner: C/ SA[F� Address C; alL n/A) Tel. 43R /�9j5
G/0 ➢SAN / t CYJN �,Vi 7>l ✓ r Ash f J6 aC 3f/
,pE CCA .CcAk�t-E,1C
Type df w7i Well use:
Well Contractor: ADH Er1✓rAn+14-r.d7H- Pump Contractor:
Address: /9 PA7r(71,1 ST. Fj'rCtj,3UQ&'-1�l H2G Address:
Phone: (9?g).3y5-22 ' Phone:
Reg. #: 6 41'H
Have abutters been notified? (y)No How?
In the space provided below(or on back) show the location of the proposed well in relation to`
existing or proposed 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. E GNf G POdA/DWIg7'ie ,c(QA), 10.21A/G CJ�5ILS 4RC SCH,5DVne-7
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WELLS 6d11.L X�E MoAI,To�r� A/'P�2rlx%Al.4rT��� GtiJ� cd��� /�9
THE FL`W c/Tl ,/7r 15 616�71 iV6 A &S D 15 A COATI-I IAM
Za()2c9 uWO,5e TSE SPA 8,e0cdtLr1cLDS' 07�162 P�6e77,&:-S
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jiESTDP111L ACO? V7ES;
There is no fee for monitoring wells but a permit is required for installation.
----------- ---—------------------------------------------------------------------------------------
B.O.H. use only. Check#: Check date: Permit#:
Well Const permit appl revised 11/25/02 l-.�1 �V/ 0 /' �if/ ✓t �-
J•
PPROXIMATE
LOCATION OF LEGEND
FORMER SITE
BUILDING SITE BOUNDARY
I.■tltltltlt.■��•�
• (DEMOLISHED AND ------------------- PARKING AREA BOUNDARY
FILLED LATE — .— FENCE
• 1990'5)
C;F--"r-= SUBSURFACE STRUCTURES
SIT W . . � �----
RESIDENTIAL `.7� VACANT �•� INSTALLEDPRIORMONITORING L (OO 1990IIN UNKNOWN)
y :-to /M-106 BUILDING
FENCE . ✓. " MONITORING WELL
9'° \ ro GROUNDWATER ELEVATION
APPROXIMATE LOCATION OF
OBSERVED STAINED SOIL SOIL BORING
�( ° ® GEOPHYSICAL (GPR) SURVEY AREA
\ + ( INTERPRETED OR POSSIBLE
• /�� REAR
/'- STORM \ ENTRANCE r -
��
930 UNDERGROUND STORAGE TANK FROM
�1 ella=` — FROM PHASE II GPR SURVEY
se.m. CATCH BASIN
MONITORING WELL Q PROPOSED SOIL BORING
APPROXIMATE LOCATION OF
s -?(! �' \ OBSERVED STAINED SOIL /MONITORING WELL
71
�.° SINGLE CAR GARAGE PROPOSED SOIL BORING
/ MAI . B-+07/MW-+07
SECONDARY_ / N FILL/VENT PIPE
O JJ R
ENTRANCE ��; `; �'`:` 58_7 >;C, COMMERCIAL
FREIGH `\ `oto ?ep.��i>� B-++z 9� se-3(MW-0 PUBLIC STORAGE FACILITY
Q- ELEVATOR / {a �� ` ` ♦ STORAGE ( )
r J/ eal" B-3 BUILDING 9A
MAIN `� - ANNEX 9n�„ OOO
ENTRANCE
S8-2(MW-2 •
FORMER
WASHTANK SB- B
t0 -tT• '995 \ '`
SECONDARY ENTRANCE \ /VENT PIPE G�n 14)
LOADING DOCK • $'c,, COMMERCIAL J`
ASPHALT A < (PUBLIC STORAGE FACILITY)
\ POARKRNJ \• ��� ��
AREAB-n0 `
GW FLOW <O \ • \� 6
F'L� • DUNKIN'
9! DONUTS
F�
FORMER FLYNNTAN SITE
70-92 BOSTON STREET
0 30' 60' SALEM, MASSACHUSETTS
APPROXIMATE SCALE IN FEET
SITE PLAN
aeott Mill. SOMA"
Feet of '.4 ShJN
MoeJJm otaszT Lowell,1 -soFIGURE
DRAWN BY: RWB DATE: 03/25/05 D— '
CHECKED BY: JSH