HomeMy WebLinkAboutWell New 350 Abbe Road STATE OF CONNECTKUT WELL COMPLETION REPORT
WATER COMMISSION DO NOT FILL IN
317 STATE OFFICE BUILDING This report must be completed and submitted to
- HARTFORD 15, t:ONN, STATE WELL N0.
State Water mmission no later than 30 days
after comp) i n of well. ^} OTHER NO. ...........
WELL
OWNER
WELL YName
S eet Address City or Town
DRILLER
61
r
Name
Stre Address `
City or Town
PROPOSED USE OR USES (check):
omestic [I Irrigation
❑Stock [)Municipal [] Industrial []Test Well
CASING DETAILS PUMPING TEST
WATER LEVEL SCREEN DETAILS
LENGTH:_ FEET DURATION: ' (measure from land surface)
HOURS STATIC: 7y5__ FEET MAKE:
IAMETER: INCHES PUMPING RATE: l� — SLOT
— Z G.P.M. WHEN PUMPING: `Q(J FEET LENGTH: SIZE
KIND:
-- ---- FT.
DIAMETER: IN.
---- WELL LOG
DEPTH FROM Give details of formations Penetrated,----� _��-_--~-_~--_��~���-�-"'-"-�-'----------- _
GROUND SURFACE (diameter)and sand (fine, medium,course),color of material, structure hardpan,shale,stone,rock. Include size of gravel
� , pocked,cemented, soft, hard)
C} FT.to FT. '
710 FT.to FT.
FT.to FT.
----- ---
FT. to FT.
FT. to F7. 4 61y P--J
FT.to FT. tt7i} F Las
FT,to FT. 6 t"
FT,to FT.
FT.to FT. -i
r ri
FT.to FT.
Cz
FT.to FT. FT
---
FT.to
---
FT.to FT. --
FT.to _
FT.
FT.to FT. —
-E WELL WAS COMPLETED: �-�
-- DATE OF REPORT_ �
WELL DRILLER—t
(Signature) --
CERTIFICATE NO.