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HomeMy WebLinkAboutWell New 0000 Benedict Drive _# 1v c- - DR CPw R• Itev.7/95 PERMIT NUMBER STATE OF CONNECTICUT 196536 �a t� DEPARTMENT OF CONSUMER PROTECTION ;1►Ix�Je REAL ESTATE&PROFESSIONAL TRADES DIVISION WELL DRILLING:PERMIT 165 Capitol Avenue,Hartford,Connecticut 06106 LOCATION OF WELL (Town) (Street) (Lot Number) DATE South Windsor Benedict Drive 6/13/2000 OWNER OF WELL ElINDIVIDUAL BUILDER ® OTHER(Specify) Avery Heights Water Associatic OWNER'S ADDRESS P.O. Box 591, South Windsor, CT Est.No.of PROPOSED DOMESTIC BUSINESS FARM. a TEST People being USE OF ESTABLISHMENT WELL served. WELL X PUBLIC INDUSTRIAL _AIR OTHER Public SUPPLY CONDITIONING• is ) Supply SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot location of lot to at least two roads Well location on to and to house(if resent) n --Drs.0-LA TEh»��GT d Indicate North AL New s`P—(( �� .s•^- _ A �Sj rb Approximate number of feet from well to. 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 Department of Consumer Protection and the Water Resources Commission on the form provided by the agency. This permit is not valid until all information is filled in a;it has been counter-signed by the Director of Health or his agent. APPLICANT(Signature) ((.,,� M APPLICANT'S ADDRESS Stephen B. Church Co. REGISTRATION NO. William Duncan W,utico,..�. P.O. Box 67, Seymour, CT 06483 W1-21 BY(Town Health OlficerorAgent) DATE 16=1t6l 9+ rcOVED Q REJECTED ' REMARKS - —Pj_ RETURN THIS COPY TO DEPARTMENT OF CONSUMER PROTECTION L - I WELL rOMPLETION REPORT STATE OF CONNECTICUT "`CPR-9KV:l142 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in WELL DRILLING BOARD STATE WELL NO. _ 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. NAt rE- ADDRESS .'1 +v(�f�. ° Avery Heights Water Association P.O.• Box ,591, South Windsor, g 'O(5074:- n LOCATION (No.8 Street) (Town) (Lot Nomb i Ju� OPWUL Benedict Drive South Windsor 4 BUSINESS i 5 A:, PROPOSM ❑ DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL /7 USE Of WELL _IC R OTHER SUPPLY ❑ INDUSTRIAL ❑ CIONDITIONING ❑(specify) i DRILlIF1O COMPRESSED CABLE OTHER EQUIPMENT ❑ ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION a(Specify).Bucket Drill CASING LE NH TH feet) DI^flTER(inches) WEIGHT PER FOOT I WAS CJA5tntG GROUTED? DETAIts jeer IO 466 ❑ THREADED a WELDED YES X NO YES ❑NO YnD TEST ❑ BAILED mv PUMPED ❑COMPRESSED AIR HOURS 2 hours YIELD(G.P.M.lOO WATew—-_MEASUR_E_FROM LAND SURFACE-STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well _ --`-4_" --- - -m feet below Loral aurfoce:_ (�2 LEVK 29 5-�._..._._. _ MAKE LENGTH OPEN TO AQUIFER(feet) IcatEEN Johnson . 10 feet DETAILS SLOT.SIZE DIAMETER(inches). IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet .030 10 PACKED. gravel pack(inches): Cape May Nol 1 62 60 DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least FEET TO FEET two permanent landmarks. 0 10 Sand and gravel .r .10 50 Fine sand, silt 50 60 Fine sand, silt 60 62 Gravel, course sand �11 . 3oFQe y X. , u,n�rrl IgT. If yield was tested at different depths during drilling,list below FEET GALLONS PER MINUTE G0 amp DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WELL DRILLER(Signature) 7/14/2000 196536 W1-21 7/19 BOARD e ~ SWELL COMPLETION REPORT STATE OF-CONNECTICUT CPR_p REV.11_82 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in WELL DRILLING BOARD STATE WELL NO. 165 CAPITOL AVE. HARTFORD, CONNECTICUT 06106 OTHER NO, NAME OWNER Avery Heights Water Association ADDP 0. Box 591, South Windsor, CT 06074 LOCATION INo. 8 Street) (Town) OP WELL Benedict Drive South Windsor (Lot Number) BUSINESS PROPOSED D DOMESTIC ESTABLISHMENT UfSE OF D FARM D TEST WELL -------------- WELL PUBLIC i - SUPPLY D INDUSTRIAL D AIR CONDITIONING D OTHER (Speci{y) DRILLING COMPRESSED CABLE EQUIPMENT D ROTARY D AIR PERCUSSION D PERCUSSION ® OTHER Bucket Drill (Specify) LE TH rfeet CASING ee OIA ER(inches) WEIG T P R FOOT IVE H WAS CASING GROUTED? DETAILS eOt 1}V { THREADED 1-2 D WELDED YES � El NO YES D NO YIELD ��_I HOURS TEST D BAILED L_ PUMPED D COMPRESSED AIR 2 hours YIELD (G.P.M lo0 WATER MEASURE FROM LAND SURFACE LEVEL Z� —STATIC(Specify feet) �G YIELD TEST(feet) 51 Depth of Completed Well MAKE n feet below Land surface: 62 SCREEN Johnson LENGTH OPEN TO AQUIFER (feet)DETAILS SLOT SIZE DIAMETER 10 feet (inches) •03t3 IF GRAVEL Diameter of well includin Og GRAVEL SIZE(inches) FROM(feet) T (feet 1Sl PACKED: grovel pock(inches): Cape, May N'a 1 6-4617 DEPTH FROM LAND SURFACE FEET TO FEET FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. 0 10 Sand and gravel 10 -r 50 Line sand, silt � ��.�A-��t, 50 60 Line sand, silt _-�--- I 60 62 Caravel, course sand � t X sr 3 X ItDN�C7 �r t If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE 1} 60k DATE YELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WEII D LLER(Signature) WJ-21 7 1 00 DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES `CONSUMER PROTECTIONVi�� ,�� PERMIT NUMBER WELL DRILLING BOARD REV. DEPARTMENT OF CONSUMER CPR PROTECTION 67746 -e �ri WELL DRILLING PERMIT 20 GRAND STREET,HARTFORD,CONNECTICUT 06106 South Windsor - Benedict Drive LOCATION OF WELL(rows) (Street) (Lot Number) DATE Avery Heights Water Association, Inc. May 14, 1982 OWNER OF WELL ❑ INDIVIDUAL ❑ BUILDER OTHER(Specify) Water Association OWNER'S ADDRESS PROPOSED DOMESTIC BUSINESS FARM 11;11 ,' TEST Est.No.of ❑ ❑ ESTABLISHMENT ❑ 24: 14`10 WELL People being USE OF served. (� PUBLIC AIR OTHER WELL G SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify) public sup. �. SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot JR kC Location of lot to at least two roads Well location on lot and to house(if present) QLv •� ���DLLT Indicate North k �°I Pc0 .d E�rls*IN6 Mill ht,� --IrD �a o�J aK i Approximate number of feet from well to 200 feet plus nearest source of possible contamination: p The undersigned is aware.that upon completion of the well, a "Well Completion Repon" containing construction details and information required under Section 25-131 of the 1969 Supplement to the General Stotums 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. CANT(Signature APPLICANT'S ADDRESS REGISTRATION NO. "`—` THE STEPHEN B. CHURCH COMPANY 23 BY(rows Heakb Officer or A nt DATE EAPPROVED REJECTS - �r j a�� REMARKS 00t -i, RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD i WL-RbMPLETION REPORT ST,+:TE OF CONNECTICUT Do NOT fill in CPR•f REV.9.79 DEPARTMENT OF CONSUMER PROTECTION STATE WELL NO. WELL DRILLING BOARD 20 GRAND STREET OTHER NO. HARTFORD.CONNECTICUT 06106 NAME ADDRESS OWNER Avery Heights Water Association 52 Spruce Lane, South Windsor, Ct. LOCATION (No.&Street) (Town) (Lot Number) OF WELL Benedict Drive, South Windsor, BUSINESS PROPOSED ❑ DOMESTIC ❑ ESTABLISHMENT ❑ FARM *1 a TEST WELLS USE OF WELL ® PUBLIC AIR OTHER SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑(Specify) DRILTHER EQUIPLING MENT ❑ ROTARY ❑ AIR PERCUSSION PERCESSED LUSSION ((Specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT WAS CASING GROUTED? DETAILS 26' 11" loll 40s5# ❑THREADED © WELDED ❑YES X NO ®YES ❑NO YIELD HOURS YIELD(G.PAL) TEST ❑ BAILED PUMPED ❑COMPRESSED AIR 72 14o WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well LEVEL 12' 11-1 2" �5t 4111 in feet below Land surface: 36' 311 MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN Johnson 9' DETAILS SLOT SIZE DIAMETER(inches) GRAVEL SIZE(inches) FROM(feet) TO(feet JIFGRAVEL Diameter of well including/8° 1011 CKED: gravel pock(inches): loll 1 8tf s 36t DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least FEET TO FEET two permanent landmarks. Prod, well 0' 3' psoil, peat 3' 10' irty, acirig tight coarse gravel: 10' le 15' Med.sand,some clay & Fines201 / •silty but sharp' P0 thin Coarse layers aG silt & clay,sharp Fines 30' 35' Coarse sand & gravel,some clay layers & layers of sharp Fine sand 35' Refusal °k If yield was tested at different depths during drilling,list below A�6 FEET GALLONS PER MINUTE f . NOS Nt+3 e z!♦AA R' ,sister Ora ANIL* ACV WOW WELL COMPLETED PERMIT NO. REGISTRATION NO. D TE REPORT WELL DRILLER IS nature) 8/19/82 67746 23 f20(/82 stzhm Be CHURCH caMPANY t . BOARD r WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER - NfDDAI 11-64 WELL DRILLING PERMIT 10072 r STATE OFFICE BUILDING,.HARTFORD,CONNECTICUT 06115 ! i LOCATION OF WELL(Town) (Street) (Lot Number) DATE SOUTH WINDSOR Dec. 13 , 1972 OWNER OF WELL ❑INDIVIDUAL ❑BUILDER ® OTHER(specify)AVERY HRIGHTS WATER ASSOCIATIOtN, INC. OWNER'S ADDRESS & stabartPres.. P.O. BOX A 591 So. Windsor, 06074 PROPOSED ° BUSINESS TEST Est.No.of DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL !People being USE OF served. WELL ❑.PUBLIC ❑ INDUSTRIAL ❑ AIONOITIONING ❑ OTHERy) C mmuni ty SUPPLY a cam SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot Location of lot to at least two roads Well location an lot and to house(if present) �Rt YA " Y Indicate No %LIVgAys • 1'.Hp � 60�r 3yo �r ,k Approximate number of feet from well to �I nearest source of possible contamination: .GOOBe.T S 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 permi irn t valid until I i ormation is filled in and it has been counter-signed by the Director of Health or his agent. APPLICANT(Signature) APPUCANT•S ADDRESS REGISTRATION NO. the STEPHEN B. CHURCH CO. Box 67 , Seymour ,Conn. 06483 23 BY(Town ffh Officer or Agent) DATE VED ❑ REJECTED / d�1^ Z. REMARKS ell- RETURN THIS COPY TO CONNECTICUT WELL-DRILLING BOARD " - 3 WD =5 12-69 REV.'9-71 � "WE �LL N� OARD STATE WELL NO. u State Office Building HARTFORD,CONNECTICUT 06115 OTHER NO. OWNER NkhAY RA IGHTS WAT41 ASSOC• I ADDRESS P.Q. box 591,30.Hll dsc►r, 06074 LOCATION - (No. &Street) (Town) (Lot Number) OF WELL South 'Windsor, BUSINESS PROPOSED ❑ DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL ❑ PUBLIC ❑ ❑ AIR ❑ OTHER community system SUPPLY INDUSTRIAL CONDITIONING (Specify) PRESSED CABLE OTHER EQUIPMENT ❑ ROTARY ❑ AIR DRILLING MPERCUSSION ® PERCUSSION ❑ (Specify) CASING LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS 34 I 10 32 I va THREADED ❑'WELDED I ❑YES ®NO �YES ❑,NO YIELD HOURS YIELD(G.P.M.) TEST ❑ BAILED ® PUMPED ❑ COMPRESSED AIR 72 235 MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) WATER ( I Depth of Completed Well LEVEL 12 t 1" 30 t in feet below Land surface: 39• MAKE I LENGTH OPEN TO AQUIFER(feet) SCREEN Johnson _ Sverdur I ,_fit. DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet) so ( 10 I PACKED: I gravel pack (inches): 3 6 3/8 ss I 14 I 44 DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least FEET to FEET two permanent landmarks. tR 0 5 Coarse 5 10 Sand b gravel t j= 10 15 [fed. sand A &ravel 15 20 Coarse sand 8 gravel ZU 25 to i,; s, �) 25 i O f 30 35 s3 or 35 37 Men. to £ine sand ravel �t� -�-__. - 37 39 Fine Sand ` 39 42 Hardpan 1 ~^ 4 . , If yield was tested at different depths during drilling, list below , FEET GALLONS PER MINUTE DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WELL DRILLER (Signature) 1 10072 23 I -A-3- ITBN STEOREN a CHURCH COMPANY C A WELL DRILLING BOARD �,, ,� STATE OF CONNECTICUT PERMIT NUMBER WDB-4 11-69 WELL DRILLING PERMIT 10072 STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115 LOCATION OF WELL(Town) (Street) (Lot Number) DATE SOUTH WINDSOR Dec. 13, 1972 OWNER OF WELL ❑ INDIVIDUAL ❑ BUILDER K OTHER(Specify)AVILRY RRIORTS WATZR ASSOCIATINS, INC. OWNER'S ADDRESS lobort R. Rornish, Pres. P.O. BOX 4 391 So. Windsor, 06074 PROPOSED BUSINESS TEST Est.No.of IN DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being USE OF served. WELL PUBLIC AIR OTHER Community a. Q$Y PLY *, El INDUSTRIAL k ❑ CONDITIONING._ ❑ (Sp cify) SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot Location of lot to at least two roads Well location on lot and to house(if present) B�N4 Vial- Indicate North Ay.-AY j /�rY :tleook 1.141) ww a 6o�r X WCJ-A Approximate number of feet from well to s� nearest sogrc of possible contamination: .GCip �E eJ� �� S . 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 i ormation is filled in and it has been counter-signed by the Director of Health or his agent. APPLICANT(Signature) APPLICANT'S ADDRESS REGISTRATION NO. f the SUPSI B. CBBICH CO. Box 67 , 34ymour,Conn. 06463 23 BY(Town th Officer or Agent) DATE, PPROVED ❑ REJECTED -- --REMARKS --- -- - DIRECTOR OF HEALTH