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HomeMy WebLinkAboutWell Correspondence 11 Mountain View Roa STATF OF C. C-INNECTICUT DEPARTMENTOPCONSUMER PROTECTION REALRSTATL & PRO CESS IONA LARA D ES WELL ABANDONMENT, VERIFICATION 01, 1VORK COIVI13LET-ED Proce.UIUTS followed: All prOcedilres Used to abandon a well si-1,111 follow reaLlhItions established under t� tiecfion 25-128-56 and 2S-128-57 of the State Of Connecticut Well Drilling Board Regulations (see iltt�,lell_ alcal). "I'lic-Se regulations require that a registered well drilling contractor perform the work. 0 ty t� For water supply wells attach Completed form to Well Permit. For non-water supply Wells attach sketch of well location to completed form. Distribution: Department of Consumer Protection, Department of 1"Ilvirolullental Protection, Property Owner, Well Drilling Contractor, it,ocal Director of Health. Town: FZSC Date work completed: Mane of Owner:M ex—lift Address: LOCH ion Of'veil (if different from above): Type of well (drilled, point, dug, ete.): rr Depth ot'well: Dial-flever of well: W Length of easing: Work details and other information: Name of registered well (11-illix),y 1, pel-fo g b 1:1 vv 0 r k: Registered well drilling contractor'sLi r—N license type & N: Materials 'Used: amount ofsalld !I 110,111 ­V01 alytoillit and type(s) of-rout Description of work completed: eNA r 4-1— A X. sjuned: drilling Coll tracto r) lk Ciipitol Avenue, 1-14rr[17w'L1, Corin echcuL 06106-1630 Fax: (860) 566-7630 * TDD: (860) 56o-1 547 Pill, OPI-wrlimity Finployor PERMY NUMBER CPR-8 Rev.7/95 Q STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION REAL ESTATE&PROFESSIONAL TRADES DIVISION WELL DRILLING PERMIT 165 Capitol Avenue,Hartford,Connecticut 06106 ' LOCATION OF WELL (Town) (Street) (lot Number) LDATE South Windsor 21 Hillsdale 23-09 OWNER OF WELL INDIVIDUAL BUILDER OTHER(Specify) OWNER'S ADDRESS Marie Westbrook 11 Mountain view Road South Windsor-- Est.No.of PROPOSED DOMESTIC El BUSINESS FARM TEST People being USE OF ESTABLISHMENT WELL served. wEL AbandolL PUBLIC ` INDUSTRIAL:' AIR O*ER ' We i'1 (SUPPLY © CONDITIONING (Specify) 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) Indicate North C 2 i 1 I�dC� I� y, !a4 , ` Approximate number of feet from well to nearest source of possib ntamination: The undersZ". that u n completion of the well, a"Well Completion Report"containing construction details and information required under Section 25- 9 element to the General Statutes must be sent to the owner, the Department of Consumer Protection and the Water Resources d by the agency. This permit is not valid until all information is filled in and it has been counter-signed by the Director a ent. APPLICA nature APPLICANT'S ADDR SS REGISTRATION NO. oe1 Stavens P. x 06 Wi ingtcn (T MOM en DA APPROVED REJECTED REMARKS DIRECTOR OF HEALTH STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH March 10,2008 Ms.Marie A.Westbrook I I Mountain View Road P.O.BOX 1196 S uth mdsor,CT 06074 (?ko)Q�L[-40;n PUBLIC WATER SYSTEM:Hillsdale Water CO-OP CLASSIFICATION TYPE:--Community - - - -- ---- - - TOWN: South Windsor,CT PWSID: CT1320051 SUBJECT: PUBLIC WATER SYSTEM CLASSIFICATION(INTERCONNECTION) Dear Ms. Westbrook: This letter serves to inform you that the Department of Public Health Drinking Water Section has recently received updated inventory information regarding Hillsdale Water CO-OP. Since this public water system is being served by another regulated public water system,the status of Hillsdale Water CO-OP has been changed to inactive and it will no longer be regulated individually. If you have any questions regarding this matter,please feel free to contact the Monitoring, Reporting and Enforcement Unit at(860)509-7333 or 410 Capitol Avenue,MS#51 WAT,P.O. Box 340308,Hartford,CT 06134-0308. Sincerely, 6 D 9L Christopher D.Roy Sanitary Engineer 3 Drinking Water Sectionc cc: Dr. Gerald L. Schwartz,Director of Health,Town of South Windsor ®� Phone: Telephone Device for the Deaf:(860)509-7191 410 Capitol Avenue-MS# EO.Box 340308 Hartford,CT 06134 Arrmattve-4ction/An Equal Opportunity Employer � � STATF OF Cv6N-.NEC 'T1CUT DEPARTMENT OF CONSUMER PROTECTION REAL ESTA"t E & PRO VESS IONA LTIZADLS WEU. ABANDONMENT, VE,RIF1CATION OF WORK COiINIPLETED 1''rocedures followed: All procedures used to rib:iittiut., 11 well si1:111 follo+ti• regulations established under Section 25-128-56 and 25-128-57 of the State of Connecticut Well Drilling Board Regulations (see iittach- merit). 'These regulations require that a registered well drilling contractor perforni the work. For water supply wells attach completed form to Well Permit. For non-water supply wells attach sketch of Well location to completed form. Distribution: Department of Consumer Protection,Department of 1 rlvil•onraental Protection, Property Owner, Well Drilling Contractor, Local Director of Health. Well information: TOM): Date wort: completed: i�artle of Owner: Address: r Location of well(if different from above): 'I'ypc of well(drilled, point, dug,etc. pp,,�.� ►� ): ���1. Depth of well: Diameter of well: W Length of casing: Work details ant then information: Nstnle ol'registered well drilling contractor pertormietg work: i Registered well drilling contractor's license type e5� #; _Wl-# 4� • e tiV3-# Materials Used: 11mount of sand lua�+ .unount and type(s) of -rout Description of worn:completed: '�-,Cj r) signed: — (well drilling colltreictor) lb5 Capitol Avenue:, FlartF01-Ll, Connecticut 06106-1630 Fax: (860)566-7630 TDD: (860)56t)--1547 An AffrrmntiueActiorr/6.1"1rt Opportunity F-inplayer L)L \ I'It.)IN HtA Fl: tiuL:cEiuu, shlh: Agencies), kil wells, 1-cslicillsib IIIh z1s;*411 litif lit' .1 NOtit,ciz. III' C.Iltz" 1 1 fir P011110011 fit' r ov Ijil L!Ct,:tl of I cspulisible for compli:11.1ce will, roced:- ill,- lucal licAtIl attillurily ul' rife -A);; In e n I (!'931 is ,,: A'a bit uOu it it,I:I I 1-1110011 llwail I':Illy %v.1 I C.1, will UI* 1)1 lit-r I-pe Ur)cell the 1)rupc v 1-1 I-c-rd it rt: fi, ::-Avri;lli I bc used tic jjlljggiill 10 pruvvill lilt: utl(vallcc u1*1418,11"Icc Wafer, circul.lirian evn c.,, prU- til,am Office liruccss rustil(ilig ill the tautatuia.ltiun 01* politiliun 01,grotalld wfli. 01' thsculifliew.11ce of[tit: lisc of.111 y well the I-, :-ill b(, ,. flit r1 S 11'*,s V i if ct I by Set:I i tj it 2 5-12 S-4.2. d1lu1*il1.l1I:Ll J)dur III a bantioll lie,,, ltluiiflr StAii fion with rl U111COT !fill of one lilt% 11 11-1Z. wr millivil (.150 lipill) Elf Lillurific. Tlli-, equivalent to 5.5 tillarts.of be:1l U `-)le (500) -311011s of miter or ill,-ce llu),ttretl Ejli _t) I tic $tell be dircked frulli land sill-filCt! to the j-11til-c! (lepr1l ol'tIje %Veil belt)tle if iS W ,13C tilt! Alc.ltcacc tJI)MJ`l'c(i(Jl1 thill Will ififerfivre Willi ivaling uperations. C11 L1uj'c shAt be filled jillti se-.lIetj vvi Eli ally of.(lit, "Y ill'3;ilJtI C13Y Ili' belift)llitV grour, cell-letit grolli. Ilic 4l'unt 111.11c6alshall be phic-cif ill mcit ff-WAY to pj'4­j,etjj voids -%Jlv 11cli culisil-licled in .1 cullsolitlated ruck lbrill.viuil, clay be rifler( with fine uild in OnSpli- 4t.4t•.tl i 41t:k. flit full tj lilt:8,111ti fill !;11,111 bt; al least tell (111) feet below the buttoill of flit:of por- ifiv-.well S41:111 be filled aily of the lluilcri;ils sliucilled ill subscctioll (c). It I Ait y %ICII tit'lJorc shall be atianduried ill such a 11i.11111cr that it dues lim becollir 2 U. for W.Itvi,tit-1)(11cl,submatict. Ell (Ile ljut.jljlc 11) 1,CV1.1 .%ASIC dibpUsal Or oil wells Ivith vasm-!i luee of'all; breaks, -.111d A,-fit extending below M WE bet ut:scal'al vvi-ill a water fight Cill) ul*.1vv-ldIA tj.J Uliall cuslilliclitill Lif abandollilluill ul,lljc well, tilt; Cup vi,Ole vasill- Or "I'mir material fri war t-41 fcct bdult- tile ttfrumid N%asr -�1-3'CH 0 F %N I'L L L 0 CATI 0 N f sk fdl vxact location of %yell with dis(illices to.ilt least two permanent 1: Aarks _ 7t c2me.-- u4 77Y M76tic Air , t�t�T Comultantg, Inc. 9 r i J 1204 North Road (Rt. 117) Groton, Connecticut 06340 uL � 5,Zoos A& Dusfiin Mrteteell Environnoa�tml Se vicM Ysec. 90 Bmoldmld Street South Vmd=,Cmweadevi 0W4 Rx r Asos AEdae Ma�TiGax {5130I08) 21 HMsdalc AvrKIre Locarww �at� h Dear Mr.W tchelh Mysdc Air Qom C08whRutspIfffi ic es pertaDotng to an ailed or asbestos abstma at project at&e jocud6n.noted above on May 30,2008. Durino ethm tint Mysfic Air QuWW Conwhaids was presentto snomtor we prep np a ob® ved to folav g aftbec f ' pestw�SeWa1 OMA and EPA as well as the s dazds. At ft and of dw project,i se v no longer,sty stems vdwe asbestos r too be remo�v�ed.1�v+rcre no vise ruts of twe Sbus=Mfift is Plsae a$er ft days wo&,All matedals vweproperly cosadainarb,d.Jor digxM8L lbank you ft selecting Mys&Air.Q40itY Cow lw-fnr1 services. Ste'', 1.Eidemt CHI,cSP,Its CBO Communications (24 hours): Office: (860) 449-8903 FAX: (860) 449-8860 Tdii Free: 1 (8M) 247-7746 webslte: www TrPOftWr com e-maii:rnagc2 Q aoi.com ' STAVENSBROTHERS, MC Invoice P. BOX 406 W1LLINGTON.:ET.06279-0406 Date 8/I/2008 {860)429-51 S8 (800)303-3879 Invoice# 10447 Bill To Marie Westbrook Balance Due ri$1,500.00 41 Hillsdale Rd South Windsor, CT 06074 Amount Enclosed Return this portion with your payment P.O. Number Terms location 41 Hillsdale Rd Quantity Description Price Each Amount I Well Abandonment 1,500.00 1,500.00 A service of 1% per month,12%o per annum will be applied to that portion of your account Total $1,500.00 over 30 days: STAVENS BROTHERS Inc. Water Wells (860)429-5158 (800)303-3879 Complete Installations Pump and Tank SINCE 1947 Remit to P.O.Box 406 Willington, CT 06279 KEEP THIS PORTION FOR YOUR RECORDS Oct 07 2008 11 : 48RM STRVENS BROTHERS 8604295158 p. 2 J. TPARTMENT OF CONSUMER PROTECTION RVAL.. 2,Sf'ATf & PROPESStONAL.•l'l-LADES z WELL.ABANDONMENT, VERIFICATION Ole WORK CrJ,IN1PL,ET'ED jyrUlgtt15 -rs f(illoNygd: All procedures used to 1)batteiutt rt wel! stall1 follow recoubitiuns established under tiuctiori 25-128-56 AlLd 23-128-57 of the Stt)te of Corutecticut Well Drilling Board Regulations (see attach- ,siertE). Tlii se regulations require that a registered well drilling contractor perform the work. N`ur �vtit►:r suppiy Avells utt:yeh completed form to Well Permit. For tzon-water supply wells attach sketch of wetl li)c2itinn to co)nl)leted form. Distribution: l}el)arttrlent of Consumer pa•oteetion, Department of Euvironrnuntal Protection, Property Owner, Well Drilling Contractor, Local Director of Health. WL-11 i►f�1111iort: Date work completed: i\stfile of 01vner:cn8r e _ 7C i.uctltiol) of well (if different from above):2�1 faAw t - 1 1'yNc of well(drilled, point, dug,etc,): Depth of) Fell Diameter of rrell: W ll Lesr)gth of vashi 1�' • cict:lils •�l,�d utlle�inti)rm:lt�on�. Name of registered well drilling cottt)-actor perforn:iug work: Registered well drilling cotltrllctor's license typo W -# t'lavorialsused: 11I12Ut[Rtnf311ild amount and type(s) of gra tt { •- --�.a=tip - old— dfir sil;tle:ci: -- -- _ ___-- �=(s'ye:ll el rillicl;; rc�tziratctut•) 165 C opitol Avenue, KArtf0FJ, Corin'ccticut C)t 106-163Q Fox. (860) 566-76:30 w Tf)D: (86C) 56h-"1 Sd7 ,'1n 1��ir►rctttive,litrol; E(pilit 012porl;ttii:tl Etnph)ycr Oct 07 2008 11 : 49AM STAVENS BROTHERS 8604295158 P. 3 I 1.. 1, IN', I L :0.0n.1 i\,,1 4 )1-4,s\ Lif U'llill"Alcilf ":5(ilk: A.� Its), ItILA Ilk: .1 iIlt1Ct:t- III* I ILAI 11(;%Ill-I It,It it)A Ur r)O It I Fit)11 D f I'Cas. t—j.—JI!Vht [till. AW-III lit! j.JVI-I'0 1-1111VII, lit' 11 i I (�CtClt C—I(j I)y ;I rieg i5 it!red wk.It(I rilivi., 'J'. lister, (J.'I I'l 'tild "11.4 11 itut Ifv the ICIC;I1 Ilk-Ath ;I it I hurl I N, eel f I Ill eel t (I it at; II l•:11.)fl t I t I C.I t I I,I v I it ;IJI'I' %V;jjL'I- Ji"Al Dj' IjjIjt-j Ilte Prout-thirt: ill• bt'' use ritil; its cummill'I.1 Clull ur poll Ilriull 13 1 -1-611 Ild wn Cj Ll I*c L f*)' ;jb;jIILlj)11 tIllojill 0V d iscutif lit it;,aiet! u(rhu tist: fil'.1 11), %Nivl 1, the Ill N: vi,iIt "I'ht'.11. AS l)('LJN-idvd by succitill 2:51-128-4-2 (C'. Jilui'iwitud 1)riur to ab-aialutimem u5ill3 it t:jjloc'ljt: st)1kilit-111 C011cefl* !()n of 0. 7,WI Millioll (Is() pJ3110 tit'difuriat.. etillivillem to 5.5 citlarts at, le 41111111'CiLl (51W.) gallatis tit'iy;i I vr u r tit(vt. 11 jilij.,I-ctl III it-ty-th I-Lu (33 3)-IC'e 1,a F si be Ch C.C lial fru I it la I I(I s it I.Fa v v to L 1)i: vit I i re (I ep f 11 u t It t! Ivel I b e.litre it is ttJ it cl I III.: tiedIluro sh.111 UI; filled )hill s .kled wit'll mly grou wi..I.w.lilte%;LLY'Anilit,ur $.Illd Ciny al, bell(tillitv C-Caluilt gt*vni. 'itilill be placed in -slic.1k 11111,11,4), 1-0 pi t-yellt y0ith ill the ;rota Cir (lifuril. !.0 2frbu:. licit QuIIt;jj%ICtqkI Ill .1 Cullsolidated ruck I'll Villati u 11, LI-lay he filled wirli Ijllg saild i'l %,W ?('.'I i L,Ojkqol Che 14111 of till;ialld till shall lic ,it lu;lst tell (101 v,uel below (ILE.- b)trol,r) W, file I.;": por- f.-Il IJC. filled )('lilt ;Illy o I'111 v (lt;t I e I-i:I Is sliv,-,lied Ill s ii bsvt:t it)it (c), dli A11V (-.1.1 McIl orburc .,11'.111 bv alwil(luiled ill that it dues ill it bec011it 0 U ,t)I, i Ivi 1.)1,u th I:I. s I L bs I it f t#.-t- vo.f I I 1! 1)u Lit ul I'tI'tl it is v;I Ve r r C.su u I,k-L ,11.1 11V%;jJ l%U.iIV dizzlj)US:Jj Uj-J)jI 1ij'L!It1- NVil:11.1 L:;-Ijillkwla uve,11"l nild 1`111. 1)1 t! g 1*L Tel- %vi*(Il a water ti-Ill 1 4:111) LI r Nyvid ud 1)1.1 tu o93) S N-A"T CI-1 0 ..LL LOCATION skol'.11 uxacl juvatioll ur )fell Nvith distallec.'i to �If least two permancrif F '((irks � Ni1l�dat� a Ort