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Home My WebLink About199 Abbe Road Well CONSUMER PROTECTION WELL DRILLING BOARD \ STAT&00 CONNEa)QJT PERMIT NUMBER CPR-9 REV`8•79 DEPARTMENT OF CONSUMER PROTECTION 67597 WELL DRILLING PERMIT 20 GRAND STREET,HARTFORD,CONNECTICUT 06106 - LOCATION OF WELL(Corun) (Street) (Lot Number) DATE SOUTH WINDSOR 199 ABBE ROAD 10/5/81 OWNER OF WELL El INDIVIDUAL ❑ BUILDER ❑ OTHER(Specify) VITO COVENSKY (64.4-3231) OWNER'S ADDRESS P.O. Box 5111 S. Windsor, Ct. PROPOSED BUSINESS TEST Est.No.of DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being USE OF served. WELL ❑' PUBLIC AIR OTHER 4. SUPPLY' ❑ -INDUSTRIAL ❑ CONDMNING ❑ (Specify) SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection.and front of.lot Location-of lot to at least two roads Well location on-lot and-to house(if present) 0 f4 Indicate North X ur( Q. X PAO <J t Approximate number of feet from well to 75 f nearest source of possible contamination: The undersigned is aware that upon completion of the well, a "Well.Completion Report" containing construction details and information required under Section 25.131 of the 1969 Supplement to the.General Statutes must be sent to•the owner, the Board and the Water Resources Commission on the form provided-by the Board.This permit is not valid until all information is filled in and it has been countersigned by th e.Director of Health or his agent. M ignatx APPLICANT'S ADDRESS REGISTRATION NO. AVE 4. LAKE ST. , VERNDN, CT. 100 BY(Torun Health O er or A eat) DATE_ APPROVED ❑REJECTED - REMARKS / • RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT STATV 6F CONNEC kIJIT CPR-9 REV.9-79 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in ' WELL DRILLING BOARD STATE WELL NO. 20 GRAND STREET HARTFORD,CONNECTICUT 06106• OTHER NO. NAME ADDRESS OWNER T � P.O. Box 511, S. WIN�SOR, CT. _ V'ITO COVEl•S. I�X' P ' LOCATION (No.9 Street) (Town) (Lot Number) OF WELL 199 ABBE ROAD SOUTH WINDSOR• PROPOSED JXX-DOMESTIC ❑ ESTSABLISHMENT ❑ FA.RM ❑ TEST well . USE OF VNEII ❑ PUBLIC R OTHER SUPPLY ❑-INDUSTRIAL - ❑ CIONDITIONING ❑(Specify) DRILL EQUIPMENT n ROTARY . ❑ AIR OTHERMPRESSED CABLE PERCUSSION ❑ PERCUSSION ❑(Specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SFICE " wns CASING GROUTED? DETAILS GO 1 .4 0 THREADED ❑ WELDED a YES ❑NO ®YES ❑NO YIELD G n HOURS YIELD(G.P.M.) TEST ❑ BAILED ❑'PUMPED .�..1 COMPRESSED_AIR 4 6 WATER MEASURE FROM-LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) LEVEL 10 175 Depth of Completed Well 200 in feet below land surface: MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of we{I including GRAVEL SIZE(inches) FROM(feet) -TO(feet PACKED: gravel pock(inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of we{I.with distances,to of least FEET TO FEET two permanent landmarks. 0 8 Sand & Clay 8 200 Bedvock If yield was tested of different depths during drilling,list below FEET GALLONS PER MINUTE DATE WELL-COMPLETED PERMIT NO. REGISTRATION Nq. DATE OF REPORT RILL (Si nature l0/3/81 67597 loo l0/15/8 �� d ,a; BOARD WELL COMPLETION REPORT STATE of CONNECTICUT Do NOT fill in CPR-9 REV. 9-79 DEPARTMENT OF CONSUMER PROTECTION STATE WELL NO. WELL DRILLING BOARD 20 GRAND STREET OTHER NO. HARTFORD,CONNECTICUT 06106 NAME ADDRESS OWNERVITO = P•Oa. BOX 5111 S. W`NDSE 9 Wl LOCATION (No.& Street) , n (Town) Tt Ttr (Lot Number) OF WELL 199 B RO SOUTH UlE�ty SOR BUSINESS PROPOSED LM DOMESTIC E"ESTABLISHMENT El FARM ❑ TEST WELL USE OF WELL PUBLIC AIR SUPPLY El INDUSTRIAL CONDITIONING FI(Sp cify) PRESSED CABLE THER EQUIPMENT ROTARY ❑ AIR MPERCUSSION PERCUSSION Opec ) 11 LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT" IVE SHOE WAS CASING GROUTED? DETAILS CASING ;} THREADED WELDED YES NO EYES1:1 NO � '^€` HOURS ¢rf YIELD(G.P.M.) TEST YIELD BAILED PUMPED COMPRESSED AIR `�' 6 WATER LEVEL �� .MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well " .in feet below Land surface: 200 MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet PACKED: gravel pack(inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least FEET TO FEET two permanent landmarks. 0 8 Sand. 8y Cla.Y g 200 Bedrock ------------ € f - ------------ 1 If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE E y�U COMPLETED PERMIT NO. REGISTRATION NO: DATE OF REPORT RILnature" - Q .Q 1 I 1 DEPT. OF ENVIRONMENTAL PROTECTION - WATER RESOURCES t0y1N SF4 s 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074 SOR•co AREA CODE 860/644-2511 July 24, 1997 Mr. Karl Moquin 199 Abby Road South Windsor, CT 06074 Dear Mr. Moquin: Enclosed is a copy of laboratory analysis of your drinking water for PCB. The laboratory informed me that the initials PCB stand for Aroclor. None was detected. If you have any questions please feel free to call me at 644-2511 ext. 248. Robert t��,� Environmental Health Officer RD:cm v STATE OF CONNECTICUT NO. Dept.of Public Health Bureau of Laboratories ServicesV01 4240 S fJ 6' 7 4 0 10 Clinton St. INFORMATION P.O.Box 1689 Hartford,CT 06144 1 3 2 S O U T H W I N D S O R TELEPHONE: (860) 566-5063 � �t4�UN F ARBY R U SOUTH WiNOSC3t CT R06EkT DEPTULAr SANITARIAN 1540 SULLIVAN AVE • • REPORTED TOWN HALL PO 4/24197 04/25/97 05/06/97 LSOUTH �tINDSOR CT 06074 J O:GO 13:55 11 :06 REPORT COMMENT TEST(S) RESULT(S) +r 4. L A. COLLECTOR: R.S. TITLE: R.S. r,� 'DATE W L 1 y A` 1997 *** r'c37TClOES 14ETHO%1 EPA' METHOD 505 DATE EXTRAC TrD 4/29/ 77 OATS ANALYZED- 4/29/97 RESULTS PJzoIT'.V:. FJ; AROCLOR 1242 @ 3.50 ;i/L ADDITIONAL INFO;PIA T ON EPA METHOD 505 MDLS LIaT Of ?i=THOD D:"TLCTi,>N LIMITS FOR COMFOU DS ANALYZED Y EPA METHOD 505 MICROEXTRACTION GAS CHROMATOGRAPHY.' ALORI ! C.CO3 U3/L ALACHLJR 0.101 UG/'L ATXAi.I %I�: 1. 530 US/1_ ALPHA CHLORDANE 0.004 UG/L aA C h L 0 R D A N L.0O3 U3/L CHLORDANE (TECHNICAL) 0.045 UG/L DI D kIN C.0O3 Uu/L ENDRIN 0.005 UG/L HE-:FTACHL R C.C15 UGS/L HEPTACHLOR- EPDXIDE �'4f 004 �.UGI- H L X A C H LV R 0 .3 E:j�. 147 Ci.005 Uu/.L HEXACHLOROCYCLOPENTADIENE 0.010 U6/'L L11NN"AN L.CJ3 U /L MET44OXYCHLOR 0.016 VG/'L 1.—'d0NiAI.HLG,- C.:s)4 USIL TRANS—NONACHLO 0.003 'UG/L 2.440 UG/L TOXAPHENE 0.831 UG/L A.ROCL02 1016 0.106 UG/L AROCLOR 1221 15.000 UG/L ARRpO�tC*iLvryx 1732 i- �0}y.'//1337 USG+/fL . _,. AROCLOR 124 0.065 sUG L ARJCL )R 1i4-3 1 .•14�1 Ut3/L AROCLOR 1254 0.034 UG/L AROLCOR 1 t 50 C.0 4 UGIL BUTACHLOR 0.041 UG/t * CONT 'vL FORM NO.OL-6A REV.12/95 Q STATE OF CONNECTICUT NO. Dept,of Public Health N R:M 2 18014 2 4 0 S 06 074 0 Bureau of Laboratories Services 2 10 Clinton St. INFORMATION P.O.Box 1689 Hartford,CT 06144 1 3 2 S O U T H W I N D S O R TELEPHONE: (860) 566-5063 M OQ U I N F AM R D SOUTH 'WINDSOR CT ROE EERT DEPTULAr SANITARIAN 1540 SULLIVAN AVE COLLECTED RECEIVED REPORTED TOWN HALL 04/24/97 04/25/97 05/06/97 L SOUTH ,JINDSOR CT 06074 J 00:00 13: 55 11 :06 10 • .•. FiiVAL2EPOi2TCOMMENT t"i IMRESULT(S) ii0Y AA.ri��.t.1v y"�C Y9 stp+�:ter1 t1/�7�♦ L E.1OL.ACHLO sS C.Viz UG/L Ic i t i-'U.Z1N C.1S7 Uv/L D )0 C.025 Us3/L P,PP'_DDT C.071 UG/L VALUES, CALCULATED jA:i7D ON A SIGINALINCISE RATIO )F 5 :1 ACCORDING TO 40 CFR PART 136 APPENDIX 3 FORM NO.OL-6A REV.12/95 O