HomeMy WebLinkAboutWell New 150 Abbe Road WELL COMPLETION REPORT STATE OF CON14ECTICOT
CPR-9REV.11`82, „ DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in
WELL:DRILLING BOARD srATE;wELiNo.?
165 CAPITOL AVE. '€
HARTFORD,CONNECTICUT 06106 OTHER'-NO.
NAME ADDRESS
OWNER
No. & Street (Town) (Lot Nuinber)
LOCATION ( ) own
OF WELL A n S1* WILM
BUSINESS
PROPOSED ®DOMESTIC ESTABLISHMENT FARM ❑'TEST WELL
USE OF
PUBLIC AIR R
WELL n SUPPLY INDUSTRIAL CONDITIONING ((SSpecfy)
COMPRESSEDDRILLING
EQUIPM NT f] ROTARY A R ERCUSSION PERCUSSION (Spec
if
Y)
CASING LENGTH (feet) _ DIAMETER(inches) WEIGHT PER FOOT DIVE H wA5 CASING GROUTED?
DETAILS is 3-9 THREADED WELDED YES No a YES NO
YIELD HOURS
TEST BAILED PUMPED COMPRESSED AIR YIELD (G.P.M.)
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet)
y�� Depth of Completed Well �+
LEVEL 25 r2h-I in feet below Land surface: 230
MAKE LENGTH OPEN TO AQUIFER (feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches) GRAVEL SIZE(inches) FROM(feet) TO(feet
]]F GRAVEL Diameter of well including
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.
`. 42 Ran
42 23- Gpr* Bedrock
f �
If yield was tested at different depths during drilling, list below 1 ""
FEET GALLONS PER MINUTE
a
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WEL ILLER (Signature)
100 3/2 -°'
DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES