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WELL:COMPLETION REPORT STATE OF CONNECTICUT —
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cPR-v REV.It_E2 DEPARTMENT OF CONSUMER PROTECTIONDo NOT
WELL DRILLING BOARD STATE WELL NO.'
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106Y OTHER NO.
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NAME _ - [ADDRESS
OWNER
Ted Korzeip153 Northview Drive , SO. Windsor, CT,LOCATION 22® (No. & Street) (Town) (Lot Number)
OF WELL -! bona Mill road _ South Windsor 5
L ESTABLISHMENT El FARM TEST WELL
—
PROPOSED DOMESTIC
USE OF
PUBLIC AIR
WELL THER
SUPPLY INDUSTRIAL CONDITIONING ((Specify)
DRILLING
EQUIPMENT D AIRM PERCUSSION PERCUSSION (Spec CABLE ify)
ROTARY
CASING LENGTH(feet) DIAMETER (inches) WEIGHT PER FOOT IV H WAS CASING GROUTED?
DETAILS 86 1-7 � THREADED WELDED X1 YES �NO YES NO
YIELD HOURS YIELD (G.P.M.)
TAT BAILED ❑ PUMPED a> COMPRESSED AIR
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL 40 �300 in feet below Land surface: ��
MAKE LENGTH OPEN TO AQUIFER (feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including7��_R�Zk (inches) FROM(feet) TO(feet
PACKED: grovel 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 80 sand, gravel, hardpan
80 300 granite
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Si d
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If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
If
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WE D LLER(Si atur
9/25/87 125028 10 9/29f 8
DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES
10/16/2009 15:09 2033890910 AQUATEK LAB PAGE 01/01
- - Aqbatek Labs
131 Bradley Road Woodbridge, CT 06625
Water Analysis Report
WATER SOURCE: 220 .LONG HILL ROAD - SOUTH WINDSOR, CT
NO TREATMENT, BATHROOM SINK
TO: CUONG NGUYEN DATE: 10/13/2009
39 NEWTON STREET TEST# : B1013903
HARTF'ORD, CT 06040
BACTERIOLOGICAL EXAMINATION
Total Coliforms Present Absent X
Fecal Coliforms Present Absent ... X
RESULT p,L UNITS
PHYSICAL/CHEMICAL EXAMINATION
Turbidity 0 .75 5 .0 NTU
Color 10 15 ---
Odor N.D. 2
pH 8 .1 10 .0 - 6.4 ---
Calcium 30 .4 None mg/L
Magnesium 0 .7 None mg/L
Hardness 78 . 9 200 mg/L
Nitrate Nitrogen 4 . 1 10 . 0** mg/L
Nitrite Nitrogen N.D. 1 . 00** mg/L.
Sulfate 12.3 250 . 0 mg/L
Sodium 12 .9 28 . 0 mg/L
Chloride 14 . 1 250 . 0 mg/L
Copper N.D. 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: Michael Cunningham 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 ■ Glastonbury