HomeMy WebLinkAboutWell New 2035 John Fitch Boulevard WELL COMPLETION REPORT STATE OF CONNECTICUT - _
CPR-9 REV.11-82 DEPARTMENT OF CONSUMER PROTECTION -Do Iyv,-�-rn-rn'~
STATE WELL NO.
WELL DRILLING BOARD ,
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106 OTHER NO.
NAME ADDRESS
OWNER
Wesley Formeister 12035 John Pitch Blvd So. .Windsor, CT 06074
LOCATION (No. & Street) (Town) (Lot Number)
OF WELL
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BUSINESS
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PROPOSED DOMESTIC ESTABLISHMENT FARM Fl TEST WELL
USE OF
WELL PUBLIC AIR OTHER
PPLY INDUSTRIAL CONDITIONING (Specify)
DRILLING CABLE OTHER
EQUIPMENT ROTARY r� AIRM RCUSSION PERCUSSION (Specify)
CASING LENGTH(feet) DIAMETER (inches) W
EIGHT -GHT PER FOOT DRIVE SHOE— WAS CASING GROUTED't
DETAILS 130 t 14 THREADED WELDED YES NO YES NO
YIELD ❑ � HOURS YIELD(G.P.M-)
TEST BAILED PUMPED COMPRESSED AIR _ 213
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL 301 180 , in feet below Land surface: 185,
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 pack (inches):
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
FEET TO FEET two permanent landmarks.
0 120 Sand Clay
120 1 5 Sand Stones
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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�RlrR(Sig tore)
8/30 88 132988 324 12/15 88
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DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES