HomeMy WebLinkAboutWell New 74 Felt Road F1 I Two WELL DRILUNG BOARD STATE-OF COMECTIC(n PERMIT NUMBER
1ND8,41 11
49 WELL DRILUNG PERMIT 57634
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115
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LOCATION OF WELL (Town) (Street) --- (Lot Number) DATE -
SOUTH WINDSOR 74 FELT ROAD I 11/30/78
OWNER OF WELL
INDIVIDUAL BUILDER on*Rlspecify) SOUTH WINDSOR BUILDERS INC. (RICNARp S.
OWNER'S ADDRESS
49 HOSEMARY LANE, S. WINDSOR, CONN.
PROPOSED ER ❑ ABlBUSINLISHMENT ❑ fARM ❑ VAU PeTEST st.ople be of
USE OF served.
WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CIR OTM
ONDITIONING ❑ (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)
64
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Indicate North
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6
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Approximate number of feet from well to ?5 I
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 counter-signed by the Director of Health or his agent.
�AP (8' urs) APPLICANT'S ADDRESS REGISTRATION NO.
� LASE ST. , VERNON, CONN. 100
El - BY(Town S�Q JJtesr or ) (DATE
APPROVED [�. jt 7
REMARKS
pa-:00
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
WELL COMPLETION REPORT STATINNECTICUT Do NOT fill in
WDBs 12.69 REV.9-71 WELL DR LING BOARD STATE WELL NO.
State Office Building
HARTFORD,CONNECTICUT 06115
OTHER-NO.
NAM& ADDRESS
OWNERg0'UTH WINDSOR BUILDERS INC,. 49 ROSEMARY LANE S. WINDSOR CONK.
LOCATION (No.✓L Street) (Town) (Lot Number)
OF WELL 74 FELT ROAD SOUTH WUMSOR
BUSINESS
PROPOSED
DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL
USE PUBLIC AIR OTHER
WELLL Cl SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)
DRILLING COMPRESSED CABLE ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ ((
THER
EQUIPMENT (specify)
CASING LENGTH ifeet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
DETAILS 2O G I 19 e4 I THREADED ❑ WELDED 91 YES ❑NO ❑YES ®NO
HOURS YIELD(G.P.M.)
YIELD ❑TEST BAILED ❑ PUMPED ® COMPRESSED AIR I 6 15
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL 40 225 in feet below Land surface: 300
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)
I I'PACKED: I grave(pack(inches): I I I
DEPTH FROM LAND SURFACE
FORMATION DESCRIPTION Sketch exact location of well with distances,to at least
FEET to FEET two permanent landmarks.
0 9 Gravel & Hardpan
9 300 Bedrock
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If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
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DATE WELL COMPLETED PERMIT NO. II REGISTRATION NO. DATE OF RLPORT WELLLER ignatur
12/14/78 57634 I 100 ( 1/4 9 C �
BOARD