HomeMy WebLinkAboutWell New 364 Deming Street WELL DRILLING BOARD STATE OF CCOONNECTICUT PERMIT NUMBER
"tdB4 "-" J.
WELL DRILLING PERMIT
8171
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115
Y V
LOCATION OF WELL(Town) (Sheet) (Lot Number) DATE
SOUTH WINDSOR DEMING ST. 12/27/71
OWNER OF WELL
INDIVIDUAL ❑BUILDER ❑ OTHER(Specify) MARIO GIOERO
OWNER'S ADDRESS
6 DEMING ST. s SOUTIt.VINDSOR, CONN.
PROPOSED BUSINESS TEST Est.No.of
® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑.WELL People being
USE OF served.
PUBLIC AIR
WELL ❑ SUOTHER
PPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (specify)
5
SKETCH OF WELL LOCATION
Locate well with respect to of 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)
Indicate North -
Se T�
ST' /f d v,r �-
.BuR'G GJ7 y
WtJtRP 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 6 of
Public Act 659 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 informa-
tion is filled in and it has been counter-signed by the Director of Health or his agent.
AP (Si reJ APPLICANT'S ADDRESS REGISTRATION NO.
0a] LAU ST. , VERNON NN. 100
�,,,,,� BY(To Officer or Agent) DATE
(J APPROVED ❑.REJECTED - / .
REMARKS ��•i
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
WELL COMPLETION REPORT STATE'OF CONNECTICUT
WDB-5 12-49 WELL DRILLING BOARD Do NOT till 1n
State Office Building STATE WELL NO.
HARTFORD,CORINECTICUT 06115
OTHER NO.
NAME ADDRESS
OWNER MARIO CICERO 376 DEMING ST. , laS.. WINDSOR, CONN.
LOCATION (No.fL Street) (Town) (Lot Number)
OF WELL DEMING ST. SOUTH WINDSOR
PROPOSED ®DOMESTIC ❑ BUSINESS
ESTABLISHMENT ❑ FARM ❑ TEST WELL
USE WEPUBLIC AIR LL
OTHER
WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)
DRfUING COMPRESSED CABLE EQUIPMENT Ei ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION El (OSpe ify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT SHOE WA CASING E ?
DETAILS 41 Ej 19.45 ® THREADED ❑WELDED nYES ENO YES x NO
YIELD ❑BAILED ❑ PUMPED � COMPRESSED AIR HOURS G.P.M. YIELD(o.P.M.)
TEST
1 4y� 4y4
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL 25 200 in feet below Land surface: 275
MAKE LENGTH OPEN TO AQUIFER(lest)
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 Sketch exact location of well with distances,to at least
FEET to FEET FORMATION DESCRIPTION two permanent landmarks.
0 12 Sand & Gravel
12 30 hardpan
30 275 Reddish Rock
If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
F M f'Aj
DATE WELL COMPLETED PERMIT NO. ISTRATION NO. DATE OF REPORT WELL I (Sig t REG o )
81 1 100 1/17/72
BOARD
WELL DRILLING BOARD STATE OF CONNECTICUT, PERMIT NUMBER
¢WDB-4' 11-69 `
WELL DRILLING PERMIT 8 171
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115
LOCATION OF WELL(Town) (Street) (Lot Number) DATE
SOUTH WINDSOR D12133G ST. 12/27/71
OWNER OF WELL
® INDIVIDUAL ❑ BUILDER ❑ OTHER(Specify) MARIO CICERO
OWNER'S ADDRESS
376 DR'MING So INDSOR, CO y
PROPOSED BUSINEW TEST Est.No.of
® DO*WIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being
USE OF served.
WELL SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)PUBLIC AIR OTHER
5
SKETCH OF WELL LOCATION
Locate well with respect to at least two roads,showing distance from intersection and front of lot
— r Locatioi?,of lot tp at ledst two roads Well location on lot and to house(if present)
Indicate North
z
sty Ily-
ST' 0 v f F"
I�t
X u'F
+tie.rv�r
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 6 of
Public Act 659 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 informa-
tion is filled in and it has been counter-signed by the Director of Health or his agent:
AP (S' ature) APPLICANT'S ADDRESS REGISTRATION NO.
Y � ST* , Y.RNON 9 VN% 100
B h Officer or Agent) } DATE
APPROVED" ❑ REJECTED ov -
REMARKS
DIRECTOR OF HEALTH