HomeMy WebLinkAboutWell New 685 Clark Street WELL DRILLING BOARD ST'�OF CONNECTICUT PERMIT NUMBER
1N D&4 "�9 WELL LP1MLMNG PERMIT :
•• 2.3156'
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115
LOCATION OF WELL (Town) (Street) (Lot Number) DATE
SOUTH WINDSOR 685 CLARK ST. 5/30/74
OWNER OF WELL
® INDIVIDUAL ❑ BUILDER ❑ OTHER(specify) RICHARD RUPINSKI
OWNER'S ADDRESS
695 CLARK ST.., SOUTH WINDSOR, CONK. 06074
TEST Est.No.of
PROPOSED ® DOMESTIC ❑ ESTABLI HMENT ❑ FARM ❑ WELL People being
USE OF
served.
WELL ❑ PUBLIC AIR OTHER SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING. ❑ (Specify) 4
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)
c
Indicate North / _ AI (' ��
W I
loRIa.
�o L)
04'
AT CL,i f l< �PT,
Approximate number of feet from well to SANITARY SEWERS
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.
AP ( ynatu 1 I APPLICANT'S ADDRESS REGISTRATION NO.
LAKE ST. , VERNON, CONN. . 100
B Town Health J/icer or Agent). DATE
/APPROVED ❑ REJECTED Iwat,4y REMARKS
RETURN
s.
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
'{ "WELMOPAPLETION REPORT STATE OF CONNECT€CUT
� WDB-5 E2-69 REV. 9-7E WELL DRILLING BOARD Do NOT fill in
STATE WELL NO.
State Office Building
HARTFORD, CONNECTICUT 06115 Vv' 1(p to
OTHER NO.
NAME :ADDRESS
LOCATION (No.& Street) (Town) (Loft Number)
OF WELL 685 C.AIR T. SOUTH W1NDS%R
BUSINESS
PROPOSED DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL
USE OF
WELL ❑ OTHERPUBLIC AIR SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)
DRILLING COMPRESSED CABLE OTHER
EQUIPMENT ROTARY AIR PERCUSSION ElPERCUSSION ❑ (Specify)
CASING LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
DETAILS I I THREADED WELDED NO ❑YES �NO1 EYES ❑I
YIELD
HOURS YIELD (G.P.M.)
ITEST ❑ BAILED ❑ PUMPED COMPRESSED AIR 4 20
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL 5 I in feet below Land surface:
MAKE I LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE I DIAMETER(inches) ! IF GRAVEL Diameter of well including
I GRAVEL SIZE(inches) FROM(feet) ITO(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.
' 2 Sand & Gravel
2 64 Hardpan
64 100 Ped Rook '
R
LCy' aiY
G1GV&' hcc>�
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED PERMIT NO 1 REGISTRATION NO. I DATE OF REPORT I Wei D� L�(Signatt
Q 7.
VIC TER RESOURCES
J S �; a`. � ' � r ins •
1ND �62 49Bj;t9 7i ' �7' `z M'ti *
7CyI bQ r
s'�+i'a,,.+�,. f.7-' _ s r s'- s+yams ? �,a•t: tTLE�t (�.' =kr`` S",L
zz
w a
OW
iIAME a Ak3DRE$ i ; k rx J r.t z t o n s�
�.}`� * �� � __Y.g �- { r'-s s- �c �k"'- 'S' '-"`.>i r r �-� } �. ��c h 3C �3``s'v•'i �r y ,,r a �` ,tr - s-. +�
BAR 1; D �NI�IC €f�liSMly{!y 1 '>•Pa
�a�h���_'E�-�;c�,s �- ��- � �, .� "a� , � �� a'`' � s. ♦;,.� p""°�y),�'>'�',t'�, � '�` #��>��F�'-`ter ;,x .�
=:a • ti �� O aCXV
eC�fisf ) Y 7 Tet a
` " Lo
�' i ygt 'eIO � kl►F 1 ,
AN
- �'�f'a6 e.' -w..,i� j ' 'y�'" :•.i. < �,t ��` '.� ,�.- ,£� 7 ' ¢ `"`�'
PKA
� � � �
,
.�_ � -�: ..-� *v>_'�- ''t�- � t a ��'� :Il@i�� '4'•; � :,�y �. --.,�,
NWIT
'�`.,? ' ' *`,� - .•t '� -a�, Z 41 .fir`tr ,�"'fr ;2 a -k .s y'�+- ,�, �p•'.w:. w 1,( ytt -" .. ,,. '��.
U.,�,.,
�� � � ���`{�� � �� � � ��'-� ar �� "`�� 3`'4�c . ���t s a �✓jr..�t�tq���.- ,���� � � � � f.. a#. � '�y�'
u
}tl
*. <R "
ems ' • 4�., • - ' _` x_< z7
'= ' ti a:. #4'. T ,tij.,i + 'F ;• #-
9.a t } r .3� e �e ''z 'a AE
�i' ,=KrnF` }:.
a „yR-,1�. `# =,t
', s gA� ,�a��.
x.
xv
it
s / �:�•Y fit �,,. �t-
.
C. a- .:. °F ' "�i+ 7 -<'ue� y 'i,3:4s�' �4e {4•S, .. 3( ; x* A'`' 1 - Y'3�y�r'� - "'�§
"� �`""• �"�"t,,:'�-� ,� ''° s� - '� ,� ''�,, _ �_ � � s, �.'� �4 ,� rrg
6� a ram( P ' a4
,..x •a.x.�a ;�;:d efi ribs
- * "N:PolFr
QU
z' x
rr + y
F v Ds PER Ifi � �&
,y } N ,p rtA ,ah'' :,`v� �.:-Fi ,-; i*' `# S <€ •' _.t .y .r ,s+ X s i -p ..�`, 2 t r zr �``c�i-f• .�
�.{ (t n..T �'C � :r •��' '.r= y- £ ' Y` 'r< tt ->ii�'t* r:>: x °�t ft}'� -
•fi y >
.� � - h���}�`Y� ���q �`sv'� { _ � y i.• 5 � � y�±.k.��,'.. ..r-@�3n tft „� y. �.'.
T
r DA Q P E kA(li x jG V.N NOsAik
T
`.;; `.'ft � ... ,, r�+� _ a 4 -• "R.i n�`- h i�'''Rz _ M �+ r �_y=_, � � �¢
f
_a