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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