Loading...
HomeMy WebLinkAboutWell New 50 Brookfield Street 50 � Olc�e Id WELL DRILLING BOARD STATE OLf.1NNEs,TICUT PERMIT NUMBER WDS-4 11.69 WELL DPA%INS PERMIT 34018 STATE OFFICE BUILDING.,HARTFORD,CONNECTICUT 06115 ✓ LOCATION OF WELL (Town) (Street) (Lot Nsmber) DATE SOUTH WINDSOR BROOKFIELD DRIVE ( 4/22/76 OWNER OF WELL ® INDIVIDUAL ❑ BUILDER ❑ OTHER(Specify) JOSEM. M. MITCHELL OWNER'S ADDRESS _ 50 BROOKFIELD ST. , S. WINDSOR, CONK. TEST Est.No.of PROPOSED ® DOMESTIC BUSINESS ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being USE OF served, WELL ❑ IC AIR OTHER Up Y ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify) 5 — - SKETCH'OF WELL LOCATION Loeate 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) - aci�vAi9- �J' • r Indicate North I fit. �I E P. - J 1 . I 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 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 countersigned by the Director of Health or his agent, APPLI (Sign re) APPLICANT'S ADDRESS REGISTRATION NO. LAKE ST. , VERNON CONY: 100 own.He offleer or Agent) [7 DATE Q/APPROVED REJECTED 14 7-e. ?6 REMARKS RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT STATE OF CONNECTICUT DO NOT fill in--- WDS-5 12-69 REV.9-71 WELL DRILLING BOARS STATE WELL NO. State Office Building - _ GS R- C I ES MADE HARTFORD,CONNECTICUT 061I5 OTHER NO. NAME ADDRESS OWNER tT SWP- . M EL-L I 0 BROOKFT13TU ; s 9 WI DSOR.) Gtpn.. No. &Street own LOCATION ( ) _ �� ) (Lot Number) OF WELL- MOOKFIl D r�. SO U5" IN OR BUSINESS PROPOSED ❑ DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL ❑ PUBLIC AIR SUPPLY El INDUSTRIAL ❑ CONDITIONING ❑ OTHER DRILLING COMPRESSED CABLE ROTARY ❑ AIR PERCUSSION ElP PERCUSSION C❑ (Specify)THER y) CASING LENGTH feet ( )DIAMETER inches WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS 167 ( 6 I 19*45 I J] THREADED ❑ WELDED I ®YES ❑NO ❑YES �NO HOURS YIELD(G.P.M.) TEST ❑ BAILED ❑ PUMPED ® COMPRESSED AIR 6 TEST WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well LEVEL 20 I 25 I in feet below Land.surface: 250 MAKE I LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including 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. Topsoil 4 6? Sited la 7 157 A. 157 250. Bedrock If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF PORT W ILL ER(Signat re) _aE T €fie= FFI� lt�fZ�tll=titTL�€. PROI`FCTIf"a-4 —WEtis P `dr s0zirC—_FS P t0*N Sf.1 r Y m 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 SOR CO�� AREA CODE 860 J 644-2511 June 2, 1998 Ms. Judith F. Lapointe 50 Brookfield Street South Windsor, CT 06074 Dear Ms. Lapointe: Enclosed is a copy of your water analysis conducted at the State Health Department laboratory. No total coliform (bacterial contamination was present). However, iron bacteria was found in the water supply. This is not a disease causing bacteria but it can cause discoloration and/or odor problems with the supply. Iron bacteria can easily be destroyed by chlorination of the water supply. Additionally, the sulfates were elevated above the recommended maximum level of 250 mg/L. Other parameters tested for were within acceptable guidelines. If you have any questions please contact me at the South Windsor Town Hall, 644-2511 ext. 248. Yours truly, n Robert Deptula, R.S. Environmental Health Officer RDck Enclosure STATE OF CONNECTICUT Department of Public Health Division of Laboratory Services 7NR L 2 222301 ,63 S 0 b 0 7 4 I 10 Clinton St. P.O.Box 1689 • • Hartford,CT 06144 TELEPHONE:(860)509-8500 1 3 2 w I N g S O R LAPUINTE 5U BROOKFiFLD PUBLIC WATER WINDSUR CT 06074 R08E!RT DEPTULA' SANITARIAN 154U SULLIVAN AVE 0 - ••• • TOWN HALL 05/19/9 05/19/9s' 05/29/96 SOUTH WINUSOR CT 06074 � oy:jn 1"5 :0y 15. 55 REPORT COMMENT TEST(S) RESULT(S) RES,, liolELL 0R 53PPIN Y#L : J J tint COLLECTOR. R.DEFUTLA TITLE;: RS DATE/TIME ANALYZED 5/19'/9- 1535 ,A N-At,,,Y I E8Da f�4 R 6 ANALY"TI"CAL "MrETH.OD COLILFAT mMO-MUG ' FLUORESCFNCL 1 U=T:A9: CflLIF4RA1 Aft$'ENT Ptit 1 U0 AIL iRON 3ACTERIA WATER QALLIONELLA SPECIIES FOUND: >10fOOO DEQ 100 ML. IT IS DIFFICULT TU ENUMERATE ' IRUN BACTERIA BECAUSE° OF ITS CtLLULA`R AORPHOLOuY. THE NUMERICAL VALUE FOR THIS RFSULT' IS AN ESTIMATED COUNT. T,RuE COLOR ODOR U TURBIDITY S:y PH''' 7.a AMMONIA <C.OS *** UNITS : mG/L UNLESS 4TEu A"LKAL NIT°Y `5 : FORM NO.OL-6A REV.7-97 STATE OF CONNECTICUT MENEM Department of Public Health P NR : L2 22230163 S06074 U I `�. Division of Laboratory Services 10 Clinton St. INFORMATION P.O.Box 1689 Hartford,CT 06144 1 2 I iY S O R TELEPHONE:(860)509-8500 LAPOINT F 50 i3ROOKFIFLD P_UdLIC WATER WINDSOR CT 06074 R08ERT DEPTuLA SANITARIAN 154D SULLIVAN AVF 77, TOWN HALL 5/19/9 05/29/96 TSOUTH WINDSOR CT 06074 5:0� 15 : 55 . .•. F.It�AL RERORT, COMMENT TEST(S) RESULT(S) HARDNESS 200. ,CHILaRIIIIE d �rQ NITRATE 0. y <0,4 0 5 DETERGENT CMPLX NONE DET'ECTEU HY-0A0-.GEN SLIt IDE NION.E DETECTED COPPER G.0'! I-9 N U� 9 mANGANESE 0 0 SODIitM► 'DIEC:T 15 SULFAT"ES,COmPLEX SC`G FORM NO.OL-6A REV.7-97 �y,�4� X. q� Fy ADDRESS } W ## +y 1 G q {J (No.&Street) VODSO (Lot Number) ��Ca�}d#� *�ru� o • U 'ilk BUSINESS )OMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL IUBLIC AIR OTHER LIPP Y ❑ INDUSTRIAL ❑ CONDITIONING- ❑ (Specify) COMPRESSED OTHER NOTARY I—I AR PERCUSSION ❑ PERCUSSION ❑ (Specfy) H (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? V 119045 I ki THREADED ❑ WELDED( 5d YES ❑NO ❑YES 5d NO HOURS YIELD(G.P.M.) SAILED ❑ PUMPED F* COMPRESSED AIR 6 9 'RE FROM LAND SURFACE—STATIC (Specify feet) DURING YIELD TEST(feet) �y Depth of Completed Well i 20 225 I in feet below Land surface: V p MAKE I LENGTH OPEN TO AQUIFER(feet) I SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches)FROM(feet) ITO(feet) 1 PACKED: I gravel pack(inches): - FORMATION DESCRIPTION Sketch exact location of well with distances,to at least two permanent landmarks. Topsoil � # Said 4 Glaq O ,A Ned at different depths during drilling, list below GALLONS PER MINUTE PERMIT I REGISTRATION NO. I DATE OF 5#/ _76 I W ELL�,"ILLE?(Signature) 00 t LOCAL DIRECTOR OF HEALTH WELL DRILLING BOARD STATE.OF C014NECTICUT PERMIT NUMBERP WDM 1I-69 WELL.DRILLING PERMIT 3 4 018 ' STATE OFFICE BUILDING, HARTFORD,CONNECTICUT 06115 LOCATION OF WELL (Town) (Street) (LotNumber) DATE SOUTH WINDS©R B OOKFI)MD DRIVE I 4/22/76 OWNER OF WELL ® INDIVIDUAL BUILDER ❑ OTHER(Specify) JOSH H M• MITCiHF.LL OWNER'S ADDRESS _ .50 BROOKFIELD ST.'9 S. WINDSOR, CONN. BUSINESS TEST Est. No.of PROPOSED ® DOMESTIC ❑ ❑ FARM WELL People being ESTABLISHMENT � P 9 USE OF served. WELL PUBLIC AIR OTHER ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING (Specify) 5 SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot Location of lotto at least two roads Well location on lot and to house(if present) I Indicate North r(a I• �1 I N S U��! A UE�aj� ( o� \ E p. �I I Approximate number of feet from well to nearest source of possible contamination: 75 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 information is filled in and it has been counter-signed by the Director of Health or his agent. APPLI (Signs.ure) I APPLICANT'S ADDRESS I REGISTRATION NO. P41 T.KXV. AT NON. GQNX- Town eazollpof&Ir or Agent) DATE APPROVED ❑ REJECTED I �AI`�/Ti4e' 14—ZC.--74;; REMARKS - — — DIRECTOR OF HEALTH