HomeMy WebLinkAboutWell New 462 Abbe Road ► � � . Road _
STATE OF CONNECTICUT WELL COMPLETION REPORT
WATER RESOURCES COMMISSION DO NOT FILL IN
:517 STATE OFFICE BUILDING This report must be completed and submitted STATE WELL NO.
KARTFOR® 15, CONN. to State Water Resources Commission no / OTHER NO.
later than 30 days after completion of well. L/
WELL r
OWNER
t'€
! l�
WELL a 1. � ----
Street Addre s
DRILLER
f/ Name S et ddress -
7
ity or Town
PROPOSED USE OR USES (check):
Domestic Lj Irrigation ❑Stock Municipal
(] P ❑ Industrial Test Weli
CASING DETAILS PUMPING TEST WATER LEVEL
SCREEN DETAILS
F (measure from Iona surface)
LENGTH: ` � FEET DURATION: JURTATIC:
FEET MAKE:
IAMETER: INCHES— PUMPING RATE: HEN PUMPING: FEET LENGTH: FT, SLOT
------ --------- --------- SIZE
KIND:
DIAMETER: IN,
WELL LOG
DEPTH FROM Give details of formations penetrated, such as, at sift d
Pe , , sand, gravel,clay, hardpan,shale, stone,rock. Include size of gravel
GROUND SURFACE (diameter)and sand (fine,medium,coarse), color of material, structure (loose, packed,cemented, soft, hard}
f �FT.to FT.
40 T.to �AFT.
0T.to
FT.to FT.
FT.to FT. {'�3rE�GSY iVI-
FT. to FT.
FT,to FT. j f J ti it f
! Ca6 tJx boral , n ,i 14
J �
FT.to FT. � v»i l� %. G94� � t,gyp:Her. A� J� f � �
_ (/vide wee CJ 7 _ C�b(AL d
FT.to FT.
FT.to FT.
FT.to FT.
FT.to FT.
FT.to FT.
FT.to FT.
_ FT.to FT.
)ATE WELL WAS COMPLETED: ! t� DATE OF REPORT- - _-„ -----_-
% 3
WELL DRILLER
(Y ature) ---- ----
FORM WRC.t
CERTIFICATE NO.
LOCATION OF WELL: TOWN OF ..�" ���' f't'� ✓ � E /1.�?-,„� ' ' L�'1
SKETCH SHOWING LOCATION OF PREMISES IN TOWN:
3
1 �
DIAGRAM SHOWING LOCATION OF WELL ON PREMISES:
ROUTE DIRECTIONS FOR REACHING WELL SITE FROM HARTFORD: