HomeMy WebLinkAboutWell New 426 Abby Road WELL DRIWNG BOARD STATE•oF-,CON9CTICUT PERMIT NUMBER
45857
_
WDB4' 11-69 WELL DRILLING~PERMIT
STATE OFFICE BUILDING,HARTFORD,cONwaicUT o6115
LOCATION OF WELL (Town) ($treed) (Lot Number) I DATE
SOUTH WINDSOR 426* ABBY ROAD 9/15/78
OWNER OF WELL
In INDMDUAL ❑ BUILDER. ❑ OTHER ftecify) GLEN SCHUKEI
OWNER'S ADDRESS
81 SCOT DR. , -S. WINDSOR, CONK.
PROPOSE) n Do�C --I BUSINESSBTABLISHM M ,, El ❑ WELLTEST People being
USE OF served.
WELL PUBLIC Ail OTHER.
❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify) ' 4 .
SKETCH OF WELL LOCATION
Locate well with respect to at least two roads,showing distance from Intersection and front of for
Location of lot to at least two roads Well location on lot and to house Of sent)
- l or
. g
Indicate North
Ex►.
Approximate number of feet from well to Sanitary Sewers
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 counter-signed by the Director of Health or his agent.
PPLI T LQmatu ) IAPPLICANT'S ADDRESS REGISTRATION NO.
I LAKE ST. , VERNON, CONN. J 100
BY(Toro»Jre.ith Officer or ertE) DATE
2"APPROVED ❑ REJECTED I I f-Z.S^7 B^
RENIARKS
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
WELL COMPLETION REPORT STATE OF CONNECTICUT DO NOT fill in
WDB-5 12-69 REV.9-7I WELL DRILLING BOARD STATE WELL NO.
State Office Building
HARTFORD,CONNECTICUT Obi i5
OTHER NO.
OWNER N — ) ADDRESS
fCOT'T R.I a t I�d.1�SOR (INN.
LOCATION (No.&Street) (_Town) (Lot Number)
OF WELL 426-3 �i BB R014.1l SOU 11 l.V)-T , SO
BUSINESS
PROPOSED
DOMESTIC ❑ ESTABLISHMENT
❑ FARM ❑ TEST WELL
USE PUBLIC AIR OTHER
WELLL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)
DRILLING 5EI ROTARY ❑ AIR PERCUSSION El RCUSSION El (COMPRESSED CABLE (Specif
THER
EQUIPMENT y)
LENGTH (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
CASING DETAILS 3 ( �9-m,�,� I � THREADED ❑ WELDED( YES ❑NO ❑YES FXINO
HOURS YIELD(G.P.M.)
YIELD
TEST ❑ BAILED ❑ PUMPED COMPRESSED AIR
MEASURE FROM LAND SURFACE—STATIC (Specify feet)I DURING YIELD TEST (feet) Depth of Completed Well
LEVEL 20 175 in feet below land surface: 2
MAKE (LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inche IF GRAVEL Diameter of well including s) GRAVEL SIZE(inches)FROM(feet) TO(feet)
f I
IPACKED: gravel pack(inches): I f
DEPTH FROM LAND SURFACE Sketch exact location of well with distances, to at least
FEET to FEET FORMATION DESCRIPTION permanent ermanent landmarks.
63 Clay
15
r S
t
if yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED I PERMIT NO. REGISTR57 -iATII'�O�Ni NO, DATE OF RLPORT WbLL'D LE ignatt
° 4
DEPT. OF ENVIRONMENTAL PROTECTION-WATER RESOURCES