HomeMy WebLinkAboutWell New 845 Foster Street CONSUMER PROTECTION
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WELL DRILLING BOARD STATE OF CONNECTICUT� PERMIT NUMBER
CPR-8 REV.11-82 DEPARTMENT OF CONSUMER PROTECTION . 83660
WELL DRILLING PERMIT _
165 CAPITOL AVE.;HARTFORD,CONNECTICUT 06106
LOCATION OF WELL(rows) (Street) P.Number) DATE
S. WINDSOR FOSTER ST, 9/9/83
OWNER OF WELL ��,T
❑ INDIVIDUAL BUILDER ❑ OTHER(Specify) COVEN COSTRUCTSO14 00. 644-3231
OWNER'S ADDRESS
P.O. Box 5111 Se Windsor, Ct-
PROPOSED TEST Est.No.of
� DOMESTIC ❑ ESTABLISHMENT ❑BUSINESS FARM ❑ WELL People being
USE OF
served.
PUBLIC AIR OTHER
WELL El ❑ INDUSTRIAL ❑ CONDITIONING El (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 an lot and to house(if present)
U_
O •
Indicate North
R p-
N
P.4
E J2 cI' •
Approximote number of feet from well to
nearest source of possible contamination:
The undersigned is-aware that upon completion of the well, a "Well Completion Report" .contoininq construction details and information required under Section
25-131 of the 1969• Supplement to the General Statutes must be sent to the owner, the Hoard 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.
11 (Si Tura) APPLICANT'S ADDRESS REGISTRATION
POO. Box 111, S. Willington, Ct.
BY(rows Hedtb Officer or A eat) DATE
Ej"APPROVED ❑REJECTED ► .-
REMARKS
D
,
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
WELL COMPLETION REPORT STATE OF CONNECT CUT Do NOT fill in
CPR-9 REV.II-Bx DEPARTMENT OF CONSUMER PROTECTION STATE WELL NO.
-WELL DRILLING BOARD
165 CAPITOL AVE.
HARTFORD,CONNECTICUT.06106 OTHER NO.
NAME ADDRESS....
OWNER COVEN CONSTRUCTION CO. P.O. Box 5119 S. WVIDSOR, CT.
LOCATION -(No.&•Street) ._ (Town) ' (lot Number)
of WELL FOSTER ST. S. WINDSORBUSINESS
"
PROPOSED ® DOMESTIC ESTABLISHMENT FARM .TEST WELL
USE OF
WELL PUBLIC AIR THER
SUPPLY INDUSTRIAL CONDITIONING (Specify)
GQUUgUIPM DRILLING
® ROTARY ❑ AIRCOMPRESSED
��CU PERCUSSION. PERCUSSION. (THER
Spec(Specify)
CASING LENGTH(feet) DIAMETER(inches). WEIGHT PER FOOT wra rAstNc'c�fmU D?
DETAILS 4.1 6 19.45 ®THREADED WELDED YES NO ®YES NO
YIELD HOURS YIELD(G.P.M.)
TEST 1:1BAILED PUMPED ®COMPRESSED AIR 5 20
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL 2 200 •in feet below land surface: 230
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 pods(inches):
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least.
FEET TO FEET two permanent landmarks.
0 8 Sand. & Gravel
8 31 Clay
31 230 Bedrock
f1
1Z
If yield was tested of different depths during drilling,list below - / `�
FEET GALLONS PER MINUTE
C
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WELL Signoture)
10118Z03 8 660 100 1 84. •—_:.
BOARD