HomeMy WebLinkAboutWell New 697 Griffin Road CPR-8 Rev.7/95 PERMIT NCU�MBER
STATE OF CONNECTICUT 2 41"61
DEPARTMENT OF CONSUMER PROTECTION
yr REAL ESTATE&PROFESSIONAL TRADES DIVISION
WELL DRILLING PERMIT
165 Capitol Avenue,Hartford,Connecticut 06106
LOCATION OF WELL (Town) (st-0 (Lot Number) DATE
OWNER OF WELL
INDIVIDUAL BUILDER ® OTHER(Specify)C�11/ 9.5/Ale? T�/Vj;161V
OWNER'S ADDRESS
Est.No.of
PROPOSED ® DOMESTIC BUSINESS FARM TEST People being
USE OF ESTABLISHMENT WELL served.
WELL PUBLIC
SUPPLY INDUSTRIAL AR O
CONDITIONING (Specify)
R)
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 to and to house(if present)
i
Indicate Nort
CA
4-5
$ 7' N./
1/0 /f
(
1
Approximate 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"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 Department of Consumer Protection and the Water
Resources Commission on the form provided by the agen y This a it is not valid until all i formation is filled in and it has been counter-signed by
the Director of alth or his agent. b; I( �
APP NT( re) AP UCf4NT'S AQ R Ste_ REGIS RATION NO.
f GGoo Tv7 I P ;7,33�.
BY o H / r Agent) DATE
APPROVED ❑ REJECTED
REMARKS
DIRECTOR OF HEALTH
CPR-9 Rev.7)95: Do NOT fill in
STATE OF CONNECTICUT STATE WELL NO.
DEPARTMENT OF CONSUMER PROTECTION
REAL ESTATE&PROFESSIONAL TRADES DIVISION OTHER NO.
WELL DRILLING COMPLETION REPORT
165 Capitol Avenue,Hartford,Connecticut 06106
OWNER NAME ADDRESS
LOCATION (No.8 Street) (Town) (Lot Number)
OF WELL
DOMESTIC BUSINESS FARM TEST
PROPOSED 11 ESTABLISHMENT WELL
USE OF WELL 1:1PUBLIC 1:1INDUSTRIAL AIR a OTHER i
SUPPLY CONDITIONING (Specify) 1
DRILLING ROTARY COMPRESSED CABLE OTHER
EQUIPMENT Fl AIR PERCUSSION PERCUSSION (Specify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
DETAILS THREADED WELDED
❑ YES ❑ NO• ❑ YES ❑ NO
YIELD TEST a BAILED a PUMPED a COMPRESSED AIR HOURS YIELD(GPM)
WATER MEASURE FROM LAND SURFACE-STATIC(Specify feet) DURING YIELD TEST(feet) Deplh of Completed Well in feet
LEVEL l
MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well GRAVEL SIZE(inches) FROM(feet) TO(feet)
PACKED: including gravel pads
(inches)
DEPTH FROM LAND TO SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least two
FEET TO FEET permanent landmarks
4
3t _ t
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 DRIL (Signature)
LOCAL DIRECTOR OF HEALTH
Mar 13 08 01 : 05p Sarah Canina 8604321099 p. 2
Cit/Clot Lurk 11:04 zoijazatilo AWUAI hK LAl3 PAGE 91/81
OAquatek Labs
III Bradley Road-Woodbridge,CT 08S 25
Water Analysis Report
WATER SOURCE: 697 GRIFFIN ROAD - SOUTH WINDSOR, CT
TO: SCHAEFER INSPECTION SERVICE DATE: 02/01/2008
ONE BRADLEY ROAD TEST#: B0201805
WOODBRIME, CT 06525
BACTERIOLOGICAL EXAMINATION
Total Colifoxms Present Absent X
Fecal coliforms Present Absent X
SULT AL UNITS
PHYSICAL/CHMICAL EXAMINATION
Turbidity 0.35 5 . 0 YTU
Color 5 � 15 ---
odor N.D. 2
PH S.8 10. 0 - 6.4 ---
calcium 101.2 None mg/L
Magnesium 5.3 None mg/L
* Hardness 274.7 200 mg/L
Nitrate Nitrogen. 2.9 1D. 0** mg/L
Nitrite Nitrogen N-D. 1.00** mg/L
Sulfate 11.5 250.0 mg/L
* Sodium 79. 8 28 . 0 Mg/L
Chloride 150.8 2501.0 Mg/L
Copper 0.24 1.30** mg/L
Iron N-D. 0 .30 ang/L
Manganese N.D. 0 .05 rng/L
CONCLUSIONS: Based on the above results, this ;cater was safe
for drinking purposes at the time the sample was collected.
Sampled By: Anthony Arborio under the direction of Aquatek Labs.
AL = Advisory Level = EPA Maximum Contaminant Level (MCL) or State
enforceable standard when value followed by **.
N.D. = None Detected
* = exceeds AL, see attached sheet
f = below AL, see attached sheet
David K. Graham, Ph.D.
Laboratory Director
CT License #PH-0466
Woodbridge ■ Old Saybrook ■ Glastonbury
4�W N Sf4
Tio� ap S_a� ?d&U1&)t
w� 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
r�Osoe•co TELEPHONE (860) 644-2511
March 13, 2008
Sarah Canina
16 Nutmeg Drive
Manchester, CT 06040
Re: Water quality for 697 Griffin Road, South Windsor, CT
Dear Ms. Canina:
I have reviewed the results of the Water Analysis Report from the sample collected on
February 1, 2008 from the above referenced property. The results of the review revealed
that for the parameters analyzed there were no pollutants found and the water at the time
of sampling was found to be safe for drinking purposes.
If you have any questions, I can be reached at(860) 644-2511, extension 248
Very truly you s,
6; --
Robert De Vito, R.S.
Environmental Health Officer
Aquatek Labs
131 Bradley Road-Woodbridge,CT 06525
Water Analysis Report
WATER SOURCE: 697 GRIFFIN ROAD - SOUTH WINDSOR, CT
TO: SCHAEFER INSPECTION SERVICE DATE: 02/01/2008
ONE BRADLEY ROAD TEST# : E0201805
WOODBRIDGE, CT 06525
BACTERIOLOGICAL EXAMINATION
Total Coliforms Present Absent X
Fecal Coliforms Present Absent X
RESULT AL UNITS
PHYSICAL/CHEMICAL EXAMINATION
Turbidity 0 . 35 5 . 0 NTU
Color 5 15 ---
Odor N.D. 2 ---
pH 6 . 8 10 . 0 - 6 .4 ---
Calcium 101 .2 None mg/L
Magnesium 5 .3 None mg/L
* Hardness 274 .7 200 mg/L
Nitrate Nitrogen 2 . 9 10 . 0** mg/L
Nitrite Nitrogen N.D. 1 . 00** mg/L
Sulfate 11 . 5 250 . 0 mg/L
* Sodium 79 . 8 28 . 0 mg/L
Chloride 150 . 8 250 . 0 mg/L
Copper 0 . 24 1 . 30** mg/L
Iron N.D. 0 . 30 mg/L
Manganese N.D. 0 . 05 mg/L
CONCLUSIONS : Based on the above results, this water was safe
for drinking purposes at the time the sample was collected.
Sampled -By: Anthony Arborio under the direction of Aquatek Labs .
AL = Advisory Level = EPA Maximum Contaminant Level (MCL) or State
enforceable standard when value followed by *'* .
N.D. None Detected
* = exceeds AL, see attached sheet
= below AL, see attached sheet -
David M. Graham, Ph.D.
Laboratory Director
CT License #PH-0466
Woodbridge ■ Old Saybrook 0 Glastonbury