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Home My WebLink AboutSeptic New 380 Abbe Road WELL COMPLETION REPORT STATE'o1rcONNETTTCUT WDB-5 12-69 REV.9-71 WELL DRILLING BOARD' Do NOT fill in t STATE WELL NO. State Office Building HARTFORD, CONNECTICUT 06115 OTHER NO. NAME ADDRESS hh �t OWNER J LAM � '7R U Y MOCI ST. 4 TRR S f m. LOCATION (No.&Street) (Town) (Lot Number);�%y� OF WELL "BY SOUTH WINDSOR BUSINESS PROPOSED ,DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC❑ AIR OTHER SUPPLY INDUSTRIAL ❑ CONDITIONING El (Specify) EQUIPMENT ® ROTARY ❑ AIR ❑ PERCUSSION ❑ (CABLE (SSpeci Efy) DRILLING LENGTH (feet) ( DIAMETER(inches)I WEIGHT PER FOOT THREADED DRIVE SHOE WAS CASING GROUTED? CASIG D TAILS 83 6 •4 ❑ WELDED( YES ElNO ❑YES i]NO HOURS YIELD(G.P.M.) YIELD _ El BAILED ❑ PUMPED COMPRESSED AIR TEST 4 WATER MEASURE FROM LAND SURFACE—STATIC (Specify feet)I DURING YIELD TEST(feet) Depth of Completed Well LEVEL 40 2W in feet below Land surface: 250 MAKE (LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) ITo(feet) PACKED: I 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. 4 4 topsoil 4 30 Gra4s1 30 73 RardPan 73 250 94drook t If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE {�JA DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT E Signatu 100 I 2/FR 12/ !A} a LOCAL DIRECTOR OF HEALTH WELL DRILLING BOARD STATE OF'CONNEONCUT PERMIT NUMBER wv°B a ''l 69 WELL DRILLING PERMIT 20925 STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115 LOCATION OF WELL (Town) (Street) (Lot Number) DATE SOUTH WINDSOR ABBY ROAD I_ 1/16/74 OWNER OF WELL ❑ INDIVIDUAL BUILDER ❑ OTHER(Specify) JAAN LANE OWNER'S ADDRESS 44 HENRY ST. , MANCHESTER„ CONN. BUSINESS TEST Est.No,of PROPOSED $cl�EsnC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being USE OF served. WELL ❑ OTHER VPP Y ❑ ❑BLIC AIR ❑ (specify) rj { INDUSTRIAL CONDITIONING 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,n0ds Weld tttcation onAot=and to house•(if present) ., .r_ _— _ av� 0 9t Y ��NFs Indicate North I s , Pay 130 I t 14 t3 i � + P , I ,LgwF Approximate number of feet from well to nearest source of possible contamination: 80 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 counter-signed by the Director of Health or his agent. APPL T(S' nature) I APPLICANT'S ADDRESS I REGISTRATION NO. ST. , YERNONt CONN. 100 ° BY Q APPROVED El REJECTED own Heap Officer or Agent) DATE I I �/44174- REMARKS _ DIRECTOR OF HEALTH 1 w V t/ t IX-0 -z �SGO GALL JmGE }11✓ 196. /2 ti A BBE ROA PROPERTY OF ?BE ROAD 40' KENNE TH R. BOUD FOR BUILDING PURPOSES n aumn jtf 00V44 39inboot Department of Pollution Control SOUTH WINDSOR, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid $..... ..... : ..at'.:...... By ..'. r .. �. ...,?:� :: .,.. ::.� .�'... ' , .:. Permit No. .. . Date .: Pursuant to written application, permission is hereby granted to the Licensed."Drain Layer named herein for repair .....:... or construction .. of an individual sewage disposal system ,concerning which the following information is submitted: 1. Owner of Property ...... ...?; i.:. . ... ..........................: Address of Owner .. 3,u^:.. . n ....Y ,a :_:.:.. . .. :..... 2. Location of Property .....E-A.a....... e. 2 I'a,xa ; L—L. f 2044 Lot No. ........ .. ...... 3. Type of Structure ......... ....,. ...................................................................................................................................................................... (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or PeAons to Occupy Premises ....... Wit... 3 ....: ............. 5. Number of Bedrooms 6. Average Daily Flow ................................................... Manufacture_r and 7. Liquid Capacity of Septic Tank ..:..... .......: Material of Septic Tank ........: 8. Soil Conditions: Type of Soil ........................:....... :..........:.:.:....:..........:. ::..:.:.. .... (Sand, Gravel, Clay, etc.) Maximum ground water table .... ........: ....: .... ......... .:...... ........................................................... 9. If not served by public water supply: Distance from Owner's well :.. ,.......: From adjacent wells ..........................................................................................:.: 10. Distance to nearest water course, drainage ditch, storm drain or embankment ......... ........ .............................. ..... 11. Percolation Tests: Time for r drop in soil test .... , ....g _..:.... ' .,:...k_ ............................................:......................:..:.......:........ ...::::. :.. Classificationof soil ..........................................................:...............:..........................................................................................:.:....:............::.:.:...: 12. Minimum square feet of effective seepage area required ...j. :.::., 13. Leaching System: Number of trenches ................................................ Length ................................................... Width ................................................... Total ................................................ Other ................................................................................................... ........................................:.......................:...: 14. Plot Plan Attached. .. :.............................................. 15. Layout Approved. .................................................................... 16. This permit expires .................. {..... ;:.: ............................................ Signature .................... ...... .............................................................. (Licensed Drain Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances Pollution Problem abated Date ....................:........:.,....................::....................... .:.:..:.. .::....:. Inspector hl0RJrH V F SIMON MASKEL 1 1 i t t'hbpt5,f, tiEaL c_ 41'f e t v g i �` ► ` j 0 Mrnj�e✓�N � .. 508.L. Sc�.tG rrtk �1.St"d1J1t- �IEL=,i t 4 A 88E ROAD ( GL. R040 PROPERT y OF f NO 380 A88E ROAD 30 WINDSOR, CONK. { SCALE.- ! ¢,, 40' JUNE 18, 197.E ! KENNE TH R. BAUD L.8 FOR t c',;'.-01A1 u PURPOSES ONLY n b •�r��' :_ O'er / z`-J � - fL il QFG1rrEyE� rGa' Rye �ct..✓'pd /- c. 7 t�'f9 j 4104 Al Vic;