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HomeMy WebLinkAboutWell New 60 Davewell Road 1R7Elt COMPLETION REPOkT�._, STATE OF CONNECTICUT Do NOT fill in CPR-9 REV.11-82 - DEPARTMENT OF CONSUMER PROTECTION - WELL DRILLING BOARD STATE WELL NO. 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. NAME ADDRESS OWNER Craig Thompson 60 Davewell Road South Windsor, CT 06074- LOCATION (No. 6 Street) (Town) (lot Number) OF WRIL Same as above BUSINESS PROPOSED ® DOMESTIC El ESTABLISHMENT FARM TEST WELL USE OF WIL El PUBLIC ` SUPPLY 13 INDUSTRIAL CIONDITIONING El((Specify) - DRLLWG THER EQUNMENT ROTARY KI AICOMPRESSED M RCUSSICNJ PERCLUSSICNV (specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT I CASING GROUTED'+ DETAILS87 6 _ 17# ® THREADED WELDED YES NO nYES NO YNILD TEST BAILED PUMPED �COMPRESSED AIR HOURS YIELD (G.P.M.) WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well LEM 20 t 40 s in feet below land surface: 300' MAKE 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(incites): DEPTH FROM LAN(SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least FEET TO FEET two permanent landmarks. 0 77 Santay Soli 77 300 Gray Rock C! t �o' 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 DRIVER(Signoture) 3-12-93 1155227 306 WELL COMPLEn � �L � STATE Oft CONNECTICUT Do NOT fill in CPR-9KV.11-0. TMENT OF CONSUMER PROTECTION STATE WELL NO. WELL DRILLING BOARD CAPIn 1993 HARTFORD,COONP OL AVE. i UT 06106 OTHER NO. MINNNAMEC�p� LNG MISION ADDRESS fPro 60 Davewell Road South Windsor, CT -06074 LOCATION (No.i Sheet) (Town) (Lot Number) OFiNHI Same as above FROPOfI © DOWSTIC ❑ E�ABKISSHMENT ❑ FARM El TEST WELL UK OF _ WILLL.J SUPPLY ❑ 'INIXISTRIAL ic ClCONDITIONING ❑Ispec ) MAURO COMMSED CAKE OTHER IQIMMAENT El ROTARY © AM PERCUSSION ❑ PERCUSSION ❑(Specify) CASNO LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT ,�-AS TED7 OitARt 87 6 17 i'�� THREADED ❑WELDED [AYES NO L�J YES NO VOLD HOURS YIELD(G.P:! TEST ❑ BAILED ❑PUMPED COMPRESSED AIR 4 4 WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(foci) Depth of Completed Well UNK 20' 401 in feet below Lord"ace: 300 t MAKE LENGTH OPEN TO AQUIFER(feet) . SdWI - OETARS SLOT SIZE DIAMETER(inches) TIFF GRAVELter of well includingGRAVEL SIZE(inches) FROM(feet) TO(feet CKED: grovel Pad(kxhes1- OEFTN FROM IAPD SURFACE FORMATION DESCRIPTION Sketch m oct Iocotion of well with d sionces.to ot jowl FAT 10 FEET two pwnwwni 6mcknor6. 0 77 Sandy. Soil 77 300 Gray Rock IDr�lmp If yieW woe tested at different ttkptM during&.1h",Iip below WT GALLONS PER MINUTE DATE WELL COMFLETEG PEPMT NO. REGISTRATION NO. DATE OF REPORT WELL L (Signotum 3-12-93 1155227 306 4-05-93 BOARD CONSUMER PROTECTION r WELL DRILLING BOARD r STATE OF CONNECTICUT PERMIT NUMBER c►a-raEv.iT_a DEPARTMENT OF CONSUMER PROTECTION 1.55222 'y WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 6,0 LOCATION OF ll (Sheet) *&Nrrnrber) DATE 01 OWNER OF WM tB_" WUAL WILDER OTHER(Specify) /_ ja .V/r we �1 PROPOSEDSEF �.DOMESTIC EST LISA� K%UNT � FARM � WELL People being IUSINESS TEST Est. No.of USE OF . WELL D PUBLIC SUMY INDUSTRIAL served. AIR OTHER CONDITIONING � (Specify) SKETCH OF WELL LOCATION Locate well with respect to of bast two roads.showing distance from intersection and front of lot Location of lot to at least two roods Well location on lot and to house (if present) Indloete North / tl 3 U 4 LLD J APpromimate number of feet from well to cf nearest source of possible contamination: I The undersigned is aware thta_upon completion of the well, o "Well Completwn Report" containing construction details and information requked under Section 2S•131 Of the 1969 Supplement.to the General Statutes must be sent to the owner, the Board and the Water Resources Commission on'" form provided by the Board.This permit is not valid until oll in tton is filled in and it has bee6fAE.t�i➢(A1 fv 1DD20t1{.l Gor his agent. Y�W1E.Lyli➢(nl E LLA U APPLICANT'S ADDRESS 1 ANCO ROAD REGISTRATION NO. PUTNAM,CT 06260 f BY(Town Nedtb QOicer ar Ajaee) DATE REMARKS JY�O • REMARKS R9TURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD CONSUMER PROTECTION r WVELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER CPF14 REV.tt'e2 DEPARTMENT OF CONSUMER PROTECTION 155222 _. WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION Of LL(/ (Shot) (b@&Numbrr) DATE OWNER OF Alm f INavlouAl ❑ RUMM El OTHER(Specify) %�(, owNER�s�►DDREss - ``�� ��.• (� BUSINESS TEST Est.No.of PROFO6E0 a Cm� EiTAELI HMENT FARM 0 WELL People being USE Of served. WELL 0 PUBLIC AIR OT SUPPLY INDUSTRIAL CONDITIONING ❑ (Spe0) Y 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 of least two roods Well location on lot and to house (if present) O u+dkala Tdorth -� b h - 3 20 Approximate number of feet from well to m 75 f meows 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 a not valid until Olt in non is Filled in and it has bee(( gtgeggldAJtt®D®�R�QI ISEtlf04 or his agent. YPY9LLS1dOtftl iYtdhel6@a tfSl) Y.Ei{G - APPLICANT'S ADDRESS 11 DANCO ROAD REGISTRATION NO. PUTNAM,CT 06260 �L y�f BY(Towo Hrdtb Officer or Ageot) DATE gAMOVEO ry �/ RE, REA41RK5 RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD