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Home My WebLink AboutWell New 1695 Ellington Road CONSUMER PROTECTION �� \I t K WELL DRILLING BOARD � "` STATE OF c NecrlJ r - PERMtT NUMBER T� r CPR-B REV.11-82 DEPARTMENT OF CONSUMER PROTECTION 13 7 0 6 7 - _; WELL DRILLING PERMIT 1 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(Toren) (Street) (lot Number) DATE iVTN�//N1�4o,2 �C.t JNGT ><l �� wa ll, OWNER OF WELL WDMDUAL ® BUILDER OTHER(Specify) Sr t ra Cc /YfC OWNER'S ADDRESS f r 1-7441 LG/JVA)"tivasne- PROPOSED BUSINESS TEST Est.No.of DOMESTIC ESTABLISHMENT FARM ❑ WELL (Sit;OUAljD People being USE OF served. Wfil PUtIK (�7, AIR OTHER ❑ SUPPLY INDUSTRIAL ) CONDITIONING ❑ (Specify)11E*_1VVMps 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 a1 least two roads Well location on lot and to house(if present) Indicate North tauK. / B utc r> / f BucKt)41aD /WSly ,POND FU /A(67DA/ Approximate number of feet from well to n tee,• ' nearest source of possible contamination: /7 •z $7ZtQ b" S j-ZVaM The undersigned is oware"that upon completion of the well, a "Well Completion Report" containing construction details and information required under Section 25431 of the 19& Supplement to the General Statutes must be sent to the owner, the Board and the Woter Resources Commission'on the form provided by- the Board. This permit is not voltd until off information is filled in and it has been counter-signed by the Director of Healfh or his agent. IGWT tBt re) APPLICANT'S ADDRE REGISTRATION IVO. � BY(Toren Hedntb Offiker or Age t) DATE c B ❑REJECTED REMARKS RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD ,VVELL COMPLETION REPORT STATE OF CONNECTICUT ` CPR-9 REV.11-ez DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in WELL DRILLING BOARD STATE WELL NO. 165 CAPITOL AVE. HARTFORD, CONNECTICUT 06106 OTHER NO. NAME ADDRESS OWNER R.S.K. ICellco lnc, 1744 Ellin ton Read South Windsor LOCATION (No. & Street) (Town) OF WELL (lot Number) PROPOSED DOMESTIC ❑ ESTABLISHMENT USE OF FARM ❑ TEST WELL WELL PUBLIC AIR SUPPLY INDUSTRIAL OTHER Ground Water ® CONDITIONING a(Specify) DRILLING COMPRESSED U4- ni S EQUIPMENT 0 ROTARY ® CABLE OTHER AIR PERCUSSION 19 PERCUSSION (Specify) LENGTH feet D IV SH CASING (feet) DIAMETER (inches) WEIGHT PER FOOT WAS CASinIG GROUTEOI DETAILS 1 1 6 17 ® THREADED WELDED �YES ONO ®YES NO YIELD ❑ COMPRESSED AIR HOURS YIELD (G-P.M.) TEST BAILED PUMPED WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) 35 LEVEL Depth of Completed Well / in feet below Land surface: �00 MAKE t� SCREEN LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches) FROM(feet) TO(feet PACKED: grovel pack(inches): DEPTH FROM LAND SURFACE FEET TO FEET FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. lay i`t.st ` I 5e3nr1stone 1 � t t If yield was tested at different depths during drilling, list below ,,t�} FEET GALLONS PER MINUTE l" DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT IF WELL RI �($ignatvre) „1r Sima Drilling Co. DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES i CONSUMER PROTECTION LA5, C(`►��►' j[[nn—,,,,-WELL DRILLING BOARD A CONNECnW PERMIT NUMBER CPR-8 REV.11-82 DEPARTMENT QF CONSUMER PROTECTION 137068 "t11ELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(Town) (Street) (Lot Number) DATE �C/Tel/ ��>,UGZSe �GGMIGTd�t/�1! W�#2 �Zlo"`�9r OWNER.OF WELL. //�'� @�IVR7UAl ® BUllDER OTHER(Specify) I l c S /\Y e&W CO h e. OWNER'S ADDRESS — PROPOSED WMTIC Ell USINE9S TEST //�� Esl.No.of ESTARIISHMENT FARlN W L (�iP!)U�(1b People being USE OF �e�yy� served. WELL UPKY INDUSTRIAL CONDITIONING. (SpeERrV� SKETCH OF WELL LOCATION Locate well with respect to at least Iwo roads,showing distance from intersection and front of lot Location of lot to at leost two roads Well location on lot and to house (if present) Indicate North • �utU�iNb f Pal G )j2) �C nearest Approximate number of feet from well nea R �� M - reed source of possible contamination: The undersigned is aware that upon completion of the well, a -Well Completion Report" containing cor�struclion 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. (Srgaalerr) ` APPLICANT'S A� ^ , RWISTRAT*M NO. 01, C C/.� b BY(lame Heakb Officer or Agee!) DATE C FrAZVED El RIMM. REMARKS IF , ' �U�p Stl I�AG�/ lrcJ�zc. ou cy POP R D RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD 1 WELL COMPLETION REPORT STATE 0'f4,`CONNECTICUT Y CPR-9 1¢V.11-81 DEPARTMENT r�-:JONSUMER PROTECTION 7WELL T fill in WELL DRILLING BOARD 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 NAME ADDRESS OWNER R.S.K. K@llco, Inc. 1744 Ellington Road_ 30 th i ndspr LOCATION (No. 8 Street) (Town) OF WELL (Lot Number) 1744 Ellington Road c or Well DOMESTIC ESTABLIBUSINESHMENT FARM PROPOSED USE OF 1:1TEST WELL WELL PUBLIC AIR OTHER Ground Water SUPPLY INDUSTRIAL ® CONDITIONING (Specify) nt t Elt PUA3 DRILLING COMPRESSED CABLE EQUIPMENT ROTARY AIR PERCUSSIONPERCUSSIONOTHER (Specify) CASING LENGTH(feet) DIAMETER(inches)77FR� CASING GROUTED? DETAILS WELDED [A-t YES NO YES NO YIELD HOURS TEST BAILED PUMPED 2 COMPRESSED AIR YIELD (G.P.M) n WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) LEVEL [_ Depth of Completed Well n feet below Land surfoce: MAKE l LENGTH OPEN TO AQUIFER (feet) SCREEN DETAILS SLOT=SIZEDIAMETER(inches) GRAVEL SIZE inches FROM (feet)]IFGRAVEL Dia�;p�ack ell including ( ) ( et) TO(feetCKED: grovncites): DEPTH FROM LAND SURFACE FEET TO FEET FORMATION DESCRIPTION Sketch exact location of well with distances, 10 at least two permanent landmarks. 6 75 j dell- �< n 4F!I'll a 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 D E i azure) r1 � DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES