HomeMy WebLinkAboutWell New 283 Long Hill Road r PERMIT NUMBER
CPR-8 Rev.7195 2.06361
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
REAL ESTATE&PROFESSIONAL TRADES DIVISION
WELL DRILLING PERMIT
165 Capit:ol•Avenue,fiartfor ,Connecticut 06106
LOCATION OF WELL (Town) (Street)w*:; (Lot Number) DATE
OWNER OF WELL
® INDIVIDUAL . .� �. '•<''�-BUILDER a -OTHER(Specify)
OWNER'S ADDRESS
Est.No.of
PROPOSED DOMEST�F ESTABLISHMENT - .BUSINESSFARM pbeing
USE OF
WELLPUBI SUPPLY ' INDUSTRIAL CAIR ONDITIONING IS
L/
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)
3
Indicate North
31 '
3
of i , lk'":;,; •v;•�ri•:
Approximate number of feet from well to ;x-. µ M•: �. .
nearest source of possible contamination:
The undersigned is aware that upon completion of the well,a`Well Completion-Report=contalnihg 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 agency. This permit is not valid until all information is filled in and it has been counter-signed by
Director of Health or his agent.
PPLI T(Signature) APPLICANT'S ADDRESS REGISTRATION NO.
k''` D 2
PROVED a ED BY(Town Ne h Officer orA
REMARKS
RETURN THIS COPY TO DEPARTMENT OF CONSUMER'PROT,ICTION
CPR-9 Rev.7/95
Do NOT fill in
STATE OF CONNECTICUT STATE WELL N0. �—
DEPARTMENT OF CONSUMER PROTECTION
REAL ESTATE&PROFESSIONAL TRADES DIVISION
WELL DRILLING COMPLETION REPORT OTHER NO.
165 Capitol Avenue,Hartford,Connecticut 0611
OWNER NAME
ro'E BOI S T ADDRESS
293 L�ONGHI.LLt RIB. , SO. WINDSOR,CT 06074
LOCATION (No.&Street) (Town) (Lot Number)
OF WELL 283 LONG LEIL L RD< :SO. WINDSOR
tsublNil
PROPOSED DOMESTIC ESTABLIS HMENT FARM TEST
�
USE OF WELL CI WELL
aPUBLIC INDUSTRIAL ❑ AIR OTHER
SUPPLY CONDITIONING (S city
DRILLING ROTARY COMPRESSED ❑ CABLE OTHER
EQUIPMENT lid 1-1 ❑AIR PERCUSSION PERCUSSION (Specify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING—GROUTED'DETAILS fj0 G �# Zr THREADED D WELDED ❑ YES ❑ N0
YIELD TEST a BAILED PUMPED (--� COMPRESSED AIR HOURS ❑ Y ES ❑ NO
� a
1 -I 20
WATER MEASURE FROM LAND SURFACE-STATIC{Specify feet) DURING YIELD TEST(feet) Depth of Completed Well in feet
LEVEL 22 325 325
MAKE
SCREEN LENGTH OPEN TO AQUIFER(Teat)
DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well GRAVEL SIZE(inches) FROM(feel) TO(feet)
PACKED: including gravel pack
(inches)
DEPTH FROM LAND TO SURFACE FORMATION DESCRIPTION
Sketch exact location of well with distances,to at least two
FEET TO FEET permanent landmarks
57 SAND
t GRAVEL
57 32.j GRANITE k '
F
well
If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED=PERMIT N0. I REGISTRATION NO. DATE OF REPORT
O Q LLD LJ..ZS �nature)
DEPT.OF ENVIRONMENTAL PROTECTION-WATER RESOURCES
�10 ,N AC'C090
"q\ j X Qel.f e\k c(1
dk-
s s
Environmental Laboratories, Inc.
587 Fast Widdle TWmpike,P.OBox 370,Manchester,Cr 06040
TeL(860)645-1102 Fax(860)645.0823
Analysis Report FOR: Mr.Roger Boisseau
283 Long Hill Road
May 11,2001 South Windsor,CT 06074
Sample Information Custody Information Date Time
Matrix WATER Collected by. 0510=1 11:30
LocataOn Code: SPECIAL Received by. SW 05/02101 12:15
Project Code: Analyzed by: see"By"below
P.O.#:
Laboratory Data
Client ID 283 LONG HIIrL RD SOUTH WINDSOR Phoenix LD AD27968
Parameter Result RL Units Date Time By $e£erenee
E.Coli Negative 0 /1001nLs 05/02/01 15:40 CP SM9223B
Total Coliforms Negative /1001n1s 05/02/01 15:40 CP 9223B
Hardness(CaCO3) 91.9 0.10 mg/L 05/10/01 PS S2340B
Chloride 17 3.0 mg/L 05/03/01 ESG 300.0
Nitrite as Nitrogen BDL 0.01 mg/L 05/03/01 14:25 ESG 300.0
Nitrate as Nitrogen 3.7 0.10 mg/L 05/03/01 14:25 ESG 300.0
Sulfate 13 3.0 mg/L 05/03/01 ESG 300.0
Calcium 35.6 0.10 mg/L 05/09/01 T/P 6010/E200.7
Iron 0.069 0.002 mg/L 05/09/01 T/P 6010/E200.7
Magnesium 0.74 0.01 mg/L 05/09/01 T/P 6010/E200.7
Manganese BDL 0.002 mg/L 05/09/01 T/P 6010/E200.7
Sodium 18.0 1.0 mg/L 05/10/01 EH 6010/E200.7
Chlorine Residual BDL 0.03 mg/L 05/02/01 21:00 JR 4500C1-G
Color,True BDL 1 P.C.U. 05/02/01 17:00 JR EPA 1102
Odor BDL 1 T.O.N. 05/02/01 17:00 JR S207/140.1
pH 8.16 0.10 pH Units 05/02/01 17:00 JR E150.1
Turbidity 0.63 0.05 NTU 05/02/01 17:00 JR S214A/E180.1
Comments: ND--Not detected BDL=Below Detection Limit RL=Reporting Limit
This sample represents a potable(drinkable)water supply for the
parameters tested.
If there are any questions regarding this data,please call Phoenix Client Services at extension 200.
Phyllis Sh' er,Laboratory Director
May 11,2001
PHOENIX ENVIRONMENTAL LABORATORIES, INC.
STANDARD WATER TESTS FOR PRIVATE WELLS
MAXIMUM CONTAMINANT LEVEL: .
Test results must be less than the "Maximum Contaminant Level" for a potable supply. Water
should not be used particularly for drinking, cooking, or ingestion if the "Maximum Contaminant
Level" is exceeded.
Acceptable Range: 6.4 to 8.5 pH Units.
HARDNESS:
Advisory Limit-200 mg/L (as CAC03). When determining the,corrosiveness of scale-forming
properties of well water, the pH and hardness are taken into consideration.
CHLORIDE:
Maximum Contaminant Level -250 mg/L.
SODIUM:
Advisory limits on Sodium are 28.0 mg/L. Sodium is frequently combined with Chloride in water
as salt. Well water near the ocean may have high salt levels. The salting of roads, storage of
salt, and water that has been softened will cause water to have high sodium levels.
COLOR:
Advisory limit: 15 PCU (See Iron and Manganese)..
ODOR:
Advisory limit is 2 T.O.N. Most organic and some inorganic chemicals contribute to odor. They
may originate from natural sources, such as decomposition of vegetable matter.
TURBIDITY:
Advisory Limit is 5 NTU (See Iron and Manganese).
NITRITE:
Maximum Contaminant Level Limits--1.0mg/L for Nitrite, and 10 mg/L for Nitrate plus Nitrite.
SULFATE:
Advisory Limit: 250mg/L.
IRON AND MANGANESE:
Advisory limits are Iron-0.3 mg/L; and Manganese 0.05 mg/L. High iron and manganese levels
may be caused by rusty pipes, water storage tanks or pumps. High levels will cause the
turbidity and color levels to rise above the recommended IAvels.
COLIFORM ORGANISMS:
Maximum Contaminant Levels: 0/100 ml. The presence of Coliform Bacteria is indicated by the
lab test for coliform organisms. Whenever a well is contaminated by coliform organisms, the
cause must be located and corrected.
PP4MNIX
Environmental Laboratories, Inc.
587 East Middle Turnpike, P.O. Box 418, Manchester, CT 06040-0418
Tel. (860) 645-1102 Fax(860)645-0823
Saturday, May 12, 2001
283 Long Hill Rd
South Windsor CT 06074
Attention: Mr. Roger Boisseau
Sample ID#: AD27968
This laboratory is in compliance with the QA/QC procedure outlined in EPA
600/4-79-019,'Handbook for Analytical Quality in Water and Waste Water,
March 1979, and SW846 QA/QC requirements of procedures used.
This report, starting with the cover sheet ending with the chain of custody,
consists of pages.
If you have any questions concerning this testing, please do not hesitate to
contact Phoenix Client Services at ext. 200.
Sincerely yours,
e
Phyllis Shiller
Laboratory Director
CT Lab Registration #PH-0618
MA Lab Registration#MA-CT-007
NY Lab Registration#11301
RI Lab Registration#63
NH Lab Registration #213693-A,B
ME Lab Registration#CT-007
E'wiROTECH LABORATORX, LLC
77 COOK HILL ROAD• WINDSOR,CONNECTICUT 06095
MAIWELLEN DILUZIo TeuerHoae
(august 5,2004 ($60)689-7249
Carla Bellizzi
474 Main St.
S.Windsor,Ct.06074
Dear Carla Bellizzi:
We have the following to report on the sample submitted to this Laboratory on August 3,2004,
Sample Number: 60831
Mark: water sample collected 8/3/04 by Frank Bellizzi from
Lot No, 1540,Main St.,South Windsor,Ct.
CURRENT MAXIMUM CONTAMINATION
TEST PARAMETERS TEST RESULTS LEVELS(MCL)
in mgu
ODOR NONE 140 MCL
TURBIDITY 2 NO MCL
COLOR 5 NO MCL
PH 8.06 NO MCL
NITRITE NITROGEN <0.001 1.0
mzfL
NITRATE NITROGEN <1.00 10.0 rn
CHLORIDE 4 250 mPJL
HARDNESS 60 NO MCL
IRON
<0.05 NO MCL
MANGANESE <0.01 NO MCI,
SODIUM 36.8 NO MCL
SULFATE 20.6 NO MCL
BACTERIOLOGICAL EXAM
Number of Coliform Bacteria 0
Per 100 mLs(membrane filter) 0
A))parameters analyzed are below the Maximum Contamination Levels(MCL's)for potable water and
meet the drinking water standards established by the Conn.State Health Department. The sodium content
is above the recommended 28 nng/L limit for people OD low salt diets. If there are any questions we would
be pleased to discuss them with you,
Very truly yours,
EnviroTech Laboratory,LLC
I
12-
Maryellen DiLuzio,a member
PH 0464
cc:one enclosed!