15B-049 (5) parameters are acceptable. It was not clear whether or not the bacteria sample represented a raw water
sample or if it was collected from the discharge from the main heat exchange unit. Therefore, MassDEP
requires either a statement indicating that the bacteria sample was a post heat pump sample or an
additional post heat pump sample for bacteria analysis.
Based upon the information provided in the UIC application submittal, the GSHP bedrock well will be used
for the dual purpose of drinking water. Please be aware that the use of the well as a source of private
drinking water requires prior approval from the local board of health or health department. Also, a local
plumbing permit is required for the installation of the plumbing associated with the GSHP system.
The issuance of the above referenced UIC registration number is only for the return flow associated with the
GSHP discharges and does not constitute an approval for use of the standing column bedrock well as a
source for public or private drinking water purposes. There may be other local permits, ordinances, or
regulations that apply, including but not limited to board of health permits for well installations and building
department regulations regarding trenching work. The issuance of a UIC registration number by MassDEP
does not supersede the requirements of any other state or local regulatory entity.
Page 3 of 3
UIC Registration Application — Approval to Install
UIC I D#: MAS 11 A214301-5C2
Facility Name: Melnik Residence
Address: 259 Chesterfield Road, Leeds [Northampton]
Owner: Patrick Melnik
Operator: Same as owner
Contact: Same as owner
Well category: Open-loop ground source heat pump (GSHP)
Well type: Standing column (5C2 EPA Category (old category 5A7))
Number of wells included in this registration: 2 (1 standing column bedrock well & 1 system bleed dry
well)
Number of entry points included in this registration: 1
Chemical Additives: None
UIC registration application preparer: Patrick Melnik
Well driller: Michael Laroche, Kirke R. Henshaw, Inc.
System installer: Paul Violand
System designer: Paul Violand
Application prepared by: Patrick Melnik
This UIC well registration authorization for approval to install a Class V UIC well is contingent upon
meeting the following requirements:
• The ground source heat pump system shall be installed with an automatic system shut-off device
in the event of significant pressure loss in the refrigerant system.
• The heat pump discharge to the well shall not contain any chemical additives (i.e. water softening
chemicals or corrosion inhibitors).
• Since the UIC well will also be used as a source for private drinking water, a residential dual check
backflow preventer shall be installed after the split between the potable water supply and the
GSHP supply, prior to the GSHP heat exchanger. The cross sectional sketch submitted did show
a check valve at the correct location but did not specifically refer to a residential dual check
backflow preventer.
• As was shown in the submitted cross sectional sketch, a backflow prevention device shall also be
installed on the bleed line to prevent back siphoning from the perimeter drainage system. This
does not have to be a residential dual check backflow preventer.
• Upon completion of the well and heat pump system you shall complete and submit a UIC Well
Completion of Construction Notification form (available through your eDEP account).
• You are required to provide the above referenced UIC Registration number on all future
correspondence with the MassDEP Drinking Water Program (DWP) related to these wells.
• All correspondence that is not submitted electronically through eDEP shall be sent to:
MassDEP/DWP, 1 Winter Street, 5th Floor, Boston, MA 02108.
• This registered UIC well and/or system shall be properly maintained.
• No other activity is allowed, within the area of this registered UIC well that potentially endangers an
aquifer, as defined by the MassDEP/DWP as an underground source of drinking water.
Prior to receiving system start-up approval MassDEP requires that groundwater laboratory analytical
results from a raw water sample collected from the UIC well (standing column bedrock well) be submitted
to MassDEP. Laboratory results for total coliform bacteria from a post heat pump sample are also
required. See the Guidelines for Ground Source Heat Pump Wells for a list of the required laboratory
analytical work at the following web site:
http://www.mass.gov/eea/agencies/massdep/water/drinking/underground-injection-control.htmI (3rd item
in the "Guidance" section on the main column). Please note that the raw water analytes shown in Tables
1 and 2 of Section 4.1 of the Guidelines for Ground Source Heat Pump Wells were recently revised and
now include the requirement that raw water laboratory analytical results for lead, copper, and nickel be
submitted to MassDEP prior to the issuance of system start-up approval. You will not have to retest for
the other raw water parameters listed in Table 1, as the laboratory results that you submitted for those
Page 2 of 3
II I ! Commonwealth of Massachusetts
• Executive Office of Energy & Environmental Affairs
Department of Environmental Protection
One Winter Street Boston, MA 02108.617-292-5500
DEVAL L PATRICK D K.SULLIVAN JR.
Governor �OtOVW NOicnin{LdON
bNOLLO3d$NI JNtQllflB d0 Ld30 Secretary
)`a K METH L.KIMMELL
FEB 2 1 Nli4 Commissioner
February 18, 2014 a;AI-ql
Patrick. MelriL- Pc: City/Town: Northampton
311 Chesterfield Road Residential Property Name: Melnik Residence
Leeds, MA 01053 UIC ID#: MAS41A2147301-5132
Program: Underground Injection Control (UIC)
Action: Approval to Install UIC Class V Well
Dear Mr. Melnik,
The Massachusetts Department of Environmental Protection (MassDEP), Drinking Water Program (DWP)
received on February 12, 2014, the submittal of a BRP WS06 permit application, eDEP Transaction #
628303, for the registration of two UIC Class V open-loop ground source heat pump (GSHP) wells. The
purpose of this letter is to issue MassDEP approval-to-install two GSHP wells. This approval is only for the
installation of the GSHP well and is not an approval for system start-up. In all future correspondence
regarding this UIC registration please make reference to UIC Registration # MAS1 1 A214301-5C2. See
the following two pages for additional details regarding this registration.
If you have questions, please contact me at 617-292-5859 or by e-mail at ioseph.cerutti(a7state.ma.us or by
fax at 617-292-5696.
Sincerely,
1
Joseph Cerutti
UIC Program Coordinator
MassDEP Bureau of Resource Protection
cc: Michael Laroche, Kirke R. Henshaw, Inc., 130 Cummington Road, Chesterfield, MA 01084
Northampton Board of Health, 212 Main Street, Northampton, MA 01060
Northampton Plumbing Inspector, 212 Main Street, Suite 100, Northampton, MA 01060
File Name: Y:\DWPArchive\BOSTON\Northampton-MAS11A214301-5C2-UIC-2014-02-18-CLI.doc
This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292.5751.TDD#1-866-539-7622 or 1-617-574-6868
MassDEP Website:www.mass.gov/dep
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