HomeMy WebLinkAboutWell New 116 Ayers Road 11(_0 efs Rj
State of Connecticut WILL COMPLETION REPORT DO NOT FILL IN
WATER RESOURCES COMMISSION This report must be Completed and submitted State Well No.
223 State Office Building to State Water Resources Commission no later
Hartford, Connecticut than 30 days after completion.of well.. Other No.
WELL
OWNER -Rene Veilleax _ 5 ?ark: Terrace Hartford, Core
Name street Address City and Town
WELL
Stavens Bros. , ! c. Lake St. , Vernon, Conn.
Name street Address City and Town
PROPOSED USE OR USES (Check):
Business
Domestic ❑ Farm U Irrigation ❑ Establishment ❑_Municipal ❑ industrial ❑ Test Weil
CASING DETAILS YIELD TEST WATER LEVEL SCREEN DETAILS
❑ Bailed (measure from an su ace)
or
Length: 2 Feet ❑ pumped Hours Static: 4� Feet Make:
or. During Yield Slot
Diameter:. Inches Compressed Airl 8 G.P.M. Test:. 200 Feet Length Ft. Size
DRILLING.EQUIPMENT
Kend: 1 [ Cable Tool ❑ Other.(Specify) Diameter: In.
s tell Yield :; 8 G.P.M Rotary I.
TOTAL DEPTH OF WELL- 300 —FEET
WELL LOG
Depth From Give desdription of formations penetrated, such-as: peat, silt,sand, gravel"Clay, hardpan, shale, sandstone,
Ground Surface granite, etc. include size of gravel (diameter) and sand (fine, medium, coarse), color of material structure
(loose,packed,cemented,soft,hard). For example:0 ft.to 27 ft.fine,packed;yellow sand;27 ft.to 134 ft.gray
granite.
p FT.to7 FT. :Reddish Gravel
7 FT.to 17 FT. Glay
17 FT.to 300�T. Bedrock
FT.to FT.
FT.to FT.
t
FT.to FT.
FT.to FT.
FT. to FT.
YIELD TEST DATA IN G.P.M.
If Yield Was Tested At Different Depths During Drilling, List Below
FT. G.P.M.
FT. G.P.M.
-FT. G.P.M.
FT.. G.P.M.
Date Wetl Was Completed: April 3, 1969 Date of Report April 17, 1969
Town Permit Number: 129
Well Driller
(Signature)
i
`3 S2 C1'E
LOCATION OF WELL: TOWN OF
SKETCH SHOWING LOCATION OF PREMISES IN TOWN:• J
(Show distance and direction from road intersection or other landmark.)
INDICATE NORTH
U�
DIAGRAM SHOWING LOCATION OF WELL ON PREMISES:
C.,JQ f
ROUTE DIRECTIONS FOR REACHING WELL SITE FROM NEAREST CITY OR VILLAGE CENTER: