HomeMy WebLinkAboutWell New 230 Brook Street WELL COMPLETION REPORT STATE OF CONNECTICUT —
CPR-9 REV.11-82 DEPARTMENT OF CONSUMER PROTECTION Do NOTfill in
STATE WELL NO.
WELL DRILLING BOARD
165 CAPITOL AVE.
11
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HARTFORD, CONNECTICUT 06106 OTHER NO.
well
NAME ADDRESS
OWNER 230 (took St., So. Windsor, CT 06074
LOCATION _ laxo. & Street) (Town) (Lot Number)
OF WELL 230 Brook St. So. Windsor
BUSINESS
PROPOSED
® DOMESTIC ESTABLISHMENT FARM TEST WELL
USE OF
WELL ❑ U if
PPLY INDUSTRIAL CONDITIONING a(Specify)
DRILLING
D CABLE OTHER
EQUIPMENT ROTARY Q AIR RCU SSION PERCUSSION (Specify)
CASING LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTE04
DETAILS 5 THREADED WELDED �YES NO YES NO
YIELD HOURS YIELD(G.P.M.)
TEST BAILED PUMPED COMPRESSED AIR r-`g` 4
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST (feet) Depth of Completed Well
LEVEL feet g99 n feet below Land surface:
MAKE LENGTH OPEN TO AQUIFER (feet)
SCREEN
DETAILS 1 L SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches) FROM (feet) TO(feet
PACKED: grovel pock (inches):
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well vjith distances, to at least
FEET TO FEET two permanent landmarks.
90 400 Shale
r E
o
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
GATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WE DRILLER(Signature ' +
-26- 8 1 R 2496
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DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES