HomeMy WebLinkAboutWell New 44 Berle Road WELL COMPLETION REPORT STATE OF CONNECTICUT
WDB-5 12-69 REV.9-71 WELL DRILLING BOAR® DO NOT fl�� In
State Office Building STATE WELL NO.
HARTFORD, CONNECTICUT 061151. (
OTHER NO.
, ADDRESS
OWNER NAME P STI:l&O ( 69 ASH RD. g 14APPING�
LOCATION (No. ,°, Street) (Tuwr,
OF WELL B.3s tE`-- OOA . a4T [J OF
Number)
4
BUSINESS
PROPOSED ® DOMESTIC ❑ ESTABLISHMENT SHMENT. ❑ FARM ❑. TEST WELL
USE OF
WELL AIR OTHER
El SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)
DRILLING CABLe,�;_�
EQUIPMENT ® ROTARY t_I A PRESSE RM ERCUSSION ❑ PERCUSSION ❑ (Specify)
CASING LENGTH (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
DETAILS I 6 I 19,,4 I 12 THREADED ❑ WELDED I YES ❑NO ❑YES 2NO
YIELD I HOURS YIELD(G.P.M.)
TEST ❑ BAILED ❑ PUMPED FR COMPRESSED AIR 4 10
MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet)
WATER MEASURE
I �� I Depth of Completed Well
5
LEVEL in feet below Land surface: 100
MAKE I LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE I DIAMETER(inches) I IF GRAVEL Diameter of well including
I GRAVEL SIZE(inches) FROM(feet) TO(feet)
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.
0 1
100 -Reddish lqo
f
\ I
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
AMW of
DATE WELL COMPLETED I PERMIT NO. I REGISTRATION NO. DATE OF REPORT ELL D ILL i net r 1
} y
DEPT. OF ENVIRONMENTAL PROTECTION