HomeMy WebLinkAboutWell New 303 Long Hill Road'54600303 fiPR B Rev.7/95 PER`�MIT NUMBER
STATE OF CONNECTICUT "' O
DEPARTMENT OF CONSUMER PROTECTION
REAL.ESTATE&PROFESSIONAL,TRADES DIVISION
WELL DRILLINC.PERMIT
S3 65 itol Avenue,Hartford,Con e tic t 106
�v V(/lh Y' /
LOCATION OF WELL (T ) (Street) (Lot Nu DATE
i. OWNER OF WELL= ;- -:•k+ a ,
;INDIVIDUAL BUILDER OTHER(Specify)-
. �7-
OWNER'S ADDRESS3.;; 'f
Eat No.of
PROPOSED DOMESTIC El BUSINESS a FARM TEST People being
USE OF ESTABLISHMENT WELL served.
WELLPUB f7�'
AIR OTHER
SUPS INDUSTRIAL 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 resent)
,r-(yp os a
✓ -t we
Indicate North
07
eCA .
TIf1q - . S
Approximate number of feet from well to
nearest source of possible contamination: L
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 agency. This permit is not valid until all information is filled in and it has been counter-signed by
he Director of Health or his agent.
APPLI MT(Signature) APPLICANTS ADDRESS REGISTRATION NO.
1
BY(Town HeaRh h9cerorAgent) DATE.
❑PQCTED n
REMARKS
RETURN THIS COPY TO DEPARTMENT OF CONSUMER PROTECTION
CPA-9 Rev.7/95
Do NOT fill in _
STATE OF CONNECTICUT STATE WELL NO.
tR DEPARTMENT OF CONSUMER PROTECTION
��ee REAL ESTATE&PROFESSIONAL TRADES DIVISION
WELL DRILLING COMPLETION REPORT OTHER No.
165 Capitol Avenue,Hartford,Connecticut 06106
OWNER NEE ADDRESS
EILEEN BOI aSEAU 303 LONG HILL RD. SO. WINDSOR, CT 0607,
LOCATION (No.a Street) (Town) (Lot Number)
OF WELL 303 LONG FILL RD. S- O. WINDSOR
DOMESTIC BUSINESS ❑ FARM TEST
PROPOSED ESTABLISHMENT WELL
USE OF WELL PUBLIC a SUPPLY � INDUSTRIAL � AIR
CONDITIONING � OTHER
(S city
DRILLING ROTARY COMPRESSED CABLE OTHER
EQUIPMENT El AIR PERCUSSION PERCUSSION (Specify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
DETAILS 6 ( 3 7 0 � THREADED � WELDED 0 W
YES ❑ N0, U YES ❑ NO
YIELD TEST 2z SAILED � PUMPED COMPRESSED AIR HOURS
`T 5 ,YIELD(GPM)
WATER MEASURE FROM LAND SURFACE-STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well in feet
LEVEL 20 525 525
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 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
0 49 SAML & GRAVEL
49 525 LEEDGE
Rctt Lot—
If yield was tested at different depths during drilling,list below
�G
FEET GALLONS PER MINUTE
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT VJE L D IL ER( ig re)
2/3f 06 234319 102 2 3./06
DEPT.OF ENVIRONIVIPNTAi aRnTF=r^TIr)KI_X1te-rF=0 01=or%l Qorl=c �j�l
SITE COMPLIANCE CHECKLIST IV? f
TOWN OF SOUTH WINDSOR,CONNECTICUT t,
***** FOR C OF O*****
� 1f wl
ADDRESS 3 03 Long I LOT/UNITS Reviewed by %b (Engineering)
CONTACT/DEV QOeV-- BI)i SSLOa (�— Date Reviewed I
I 5 �%`�Ap{ ed(Denied
PH# 3 )SRO , Reviewed by (Planning) ,,
Date Submitted ! Q - Date Reviewe I pprov Denied
As required in the Zoning and/or Subdivision Regulations,no Certificate of Occupancy shall be issued until grading
plans have been complied with and approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
2. Finish grading per approved
building permit plan
3. Site work; i.e.trees,shrubs,
dumpsters,required parking
4. Utility location;
a. sanitary sewer/septic systems
t b. foundation drain
C. electrical&telephone
d. —water,
e. other
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning&Zoning/
Inland Wetlands Considerations
a. Lighting
b. Signage
Freestanding Wall
C. Fee in lieu of Open Space
COMMENTS:
s/engineering/molloy/site compliance checklist
O \N A C C p 909�
PHOENIX , A-,
�a
Environmental Laboratories, Inc.
587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040
Tel.(860)645-1102 Fax(860)645-0823
FOR: Mr.Roger Mike Boisseau
303 Long Hill Rd.
Analysis Report South Windsor,CT 06074
January 10, 2008 06v 3 OS
Sample Information Custody Information Date Time
Matrix: DRINKING WATER Collected by: 01/02/08 14:47
Location Code: SPECIAL Received by: LB 01/02/08 14:47
Laboratory Data
Client ID: 303 LONG HILL RD.BEFORE FILTER Phoenix I.DAJ86736
Analysis Maximum Maximum
Parameter y Contaminant AdvisoryDetection Measurement
Result Level Level Limit Units
Total Coliforms Absent 0/Absent 0 /100m1s
Escherichia Coli Absent 0/Absent 0 /100mis
Nitrite as Nitrogen < 0.01 1 0.01 mg/L
Nitrate as Nitrogen 3.1 10 0.05 mg/L
Calcium 32 0.01 mg/L
Chloride 14 250 3.0 mg/L
Chlorine Residual < 0.02 0.02 mg/L
Color < 1 15 1 P.C.U.
Iron 0.223 0.3 0.002 mg/L
Hardness(CaCO3) 84.7 200 0.10 mg/L
Magnesium 1.17 0.01 . mg/L
Manganese 0.004 0.5 0.05 0.001 mg(L
Sodium 15.7 28 0.1 mg/L
Odor < 1 2 1 T.O.N.
pH 7.59 6.5-8.5 0.10 PH
Sulfate 24 250 3.0 mg(L
Total Metal Digestion Completed
Turbidity 3.84 5 0.10 NTU
RECEIVED
JAN 18 nog
SOUTH WINDSOR
ENGINEERING DEPT.
Page 1 of 2
Phoenix LD AJ86736
Analysis Maximum Maximum
Parameter y Contaminant Advisory Detection Measurement
Result Level Level Limit Units
Explanation: BDL = Below Detection Limit (less than the the value in the detection level
column,which is the lowest amount the laboratory can detect and report.) NL =
No Limit(no limits established for this parameter.)
This sample represents a potable(drinkable)water supply for the parameters tested.
The regulatory hold time for pH is immediately.This pH was performed in the laboratory and may be considered
outside of hold-time.
MCL is based on the EPA Federal Register 40CFR part 141.
If there are any questions regarding this data,please call Phoenix Client Services at extension 200.
Phyll's Shil ler,, Laboratory Director
January 10,2008
Page 2 of 2
COW N S't
� i
%� oP Sou.t�i V&U&Ot
1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
r�Osox•co TELEPHONE(860) 644-2511
October 22, 2007
Certified/First-Class Mail
Roger&Eileen Boisseau
293 Long Hill Road
South Windsor, CT 06074
SUBJECT: 303 Long Hill Road
Certificate of Zoning Compliance
Dear Mr. Boisseau:
It has been brought to my attention.that an as-built plan has not been submitted for the
single family home at the subject location and therefore no Certificate of Zoning
Compliance was issued from the Planning Department nor a Certificate of Occupancy from
the Town's Building Department. Please be advised that this is a zoning violation of
South Windsor Zoning Regulation Section 9.1.2 Certificate of Zoning
Compliance and Section 9.1.3 Issuance of Zoning Permits and Zoning.
Certificates of Compliance which states that no home can be occupied without a
Certificate of Zoning Compliance.
Please submit an as-built plan of your property and house as soon as possible, in order to begin
the process of pursuing a Certificate of Zoning Compliance and in turn,a Certificate of
Occupancy so that no further enforcement action need be taken. (Enclosed is the Town's As-
Built Checklist which shows the required information for the as-built plan.)
Your cooperation in this matter is appreciated. If you have any questions regarding this matter,
I may be contacted at 644-2511,ext 251.
Sincerely,
. nnor
Zoning Enforcement Officer
CC: Director of Planning
Town Engineer
Chief Building Official
Town Attorney