HomeMy WebLinkAboutWell New 360 Abbe Road { CONSUMER PROTECTION .�
WELL DRILLING BOARD ' STATE OF CONNECTICUT PERMIT NUMBER
CPR-a REV.a-n DEPARTMENT OF CONSUMER PROTECTION 714.95
WELL DRILLING .PERMIT
20 GRAND STREET,HARTFORD,CONNECTICUT 06106
LOCATION OF WELL 0um) (Street) (Lot Number) DATE
S. WINDSOR 360 ABBY ROAD 10/12/82
OWNER OF WELL
® INDIVIDUAL BUILDER OTHER(Specify) MICHAE'L DZEN
OWNER'S ADDRESS
8 DART HILL RD. t S. WINDSOR2 CT.
PROPOSED 0 DOMESTICKIVNESS TEST Est.N 1-1 ESTTASLISHMENT FARM WELL People being
USE OF served.
PUBLIC AIR OTHER
WELL SUPPLY INDUSTRIAL O DITIONING El (specify) 4
SKETCH OF WELL LOCATION
Locate well with respect to at least two foods,showing distance from Intersection and front of tot
Location of lot to of least two roods Well location on lot and to house(if present)
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P. o
Indicate North
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Approximate number of feet from well to 90
nearest source of possible contamination: S
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 if has been counter-signed by the Director of Health or his agent.
( atrrre APPLICANT'S ADDRESS REGISTRATION NO.
P.O. Box 111 S. Willi ton Ct. 100
BY(lours Health Officer or Agent) DATE
APPROVED REJECTED
REMARKS
f�-
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
WELL COMPLETION REPORT STATE OF CONNECTICUT '
CPR-v REV. a-iv DEPARTMENT.OF CONSUMER PROTECTION Do NOT fiii in
WELL DRILLING.BOARD STATE WELL NO.
20 GRAND STREET
HARTFORD, CONNECTICUT 06106 OTHER NO.
NAME ADDRESS -g-
OWNER
i8ai..CTIA � DZEN 8 HILL RD. 3 S. WINDSOR, OT.
.(No.& Street) (Town)LOCATION �a (Lot Number)
OF WELL 360 ABBY ROAD a♦ WENDSOR
BUSINESS
PROPOSED' DOMESTIC El-ESTABLISHMENT El FARM TEST WELL
USE OF
WELL OTHERPUBLIC AIR SUPPLY INDUSTRIAL CONDITIONING (Specify)
DRILLING COMPRESSED CABLE OTHER
EQUIPMENT ROTARY El AIR PERCUSSION PERCUSSION (Specify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT I -DRIVE SHOE WAS,CASING ROUTED?
DETAILS , THREADED WELDED YES "IJ NO O YES �NO
YIELD ❑ 1:1 COMPRESSED AIR HOURS YIELD (G.P.M.)
TEST BAILED PUMPED pp
V
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL 40 in feet below Land surface:} 0
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.
15 Sand R, Gravel
15 73 Clay
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73 250 Red Rock ; �\\
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If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WEL D LER(Signature) "
t.
00
DEPT. OF ENVIRONMENTAL PROTECTION - WATER RESOURCES
=r_ Aquatek tabs PROPER� ��a��
Water Analysis Report
WATER SOURCE: 360 ABBE ROAD - SOUTH WINDSOR, CT
NO TREATMENT, KITCHEN TAP
TO: ALLIED PROPERTY INSPECTION DATE: 08/13/99
33 IMPERIAL DRIVE TEST# : E0813961
SOUTH WINDSOR, CT 06074
BACTERIOLOGICAL EXAMINATION
Total Coliforms Present X Absent
Fecal Coliforms Present Absent X
CONCLUSIONS: Based on the bacteriological examination, this water
was unsafe for drinking purposes at the time the sample was collected.
(Corrective measures, followed by re-examination, are recommended) .
RESULT AL UNITS
PHYSICAL/CHEMICAL EXAMINATION
Turbidity 5.0 NTU
Color 15
Odor 2 ---
pH 6. 4 - 10.0 ---
Hardness 200 mg/L
Nitrate Nitrogen 10.0 mg/L
Nitrite Nitrogen 1.00 mg/L
Sulfate 250.0 mg/L
Sodium 28.0 mg/L
Chloride 250.0 mg/L
Copper 1.30 mg/L
Iron 0. 30 mg/L
Manganese 0.05 mg/L
Sampled By: Paul Colasanto under the direction of Aquatek Labs.
AL = Advisory Level
N.D. = None Detected
* = exceeds AL, see attached sheet
below AL, see attached sheet
David Graham
Laboratory Director
CT License #PH-0466
❑ 131 BRADLEY ROAD WOODBRIDGE, CONNECTICUT 06525
❑ 141 BOSTON POST ROAD • OLD SAYBROOK, CONNECTICUT 06475