HomeMy WebLinkAboutWell New 346 Long Hill Road State of Connecticut WELL COMPLETION REPORT DO NOT FILL IN
WATER RESOURCES COMMISSION This report trust be completed and submitted
223 State Office Building to State Water Resources Commission no later State Well
Hartford, Connecticut than 30 days after completion of well.
01L Other No. _
WELL
OWNER JOs gph A. Kizis 346 Long Hill Rd• • i South Win
dsor ndsor, Conn.
WELL Street Address Clty and Town
DRILLER Stavens Bros, Lake St. , Vernon, Conn,
Name Street Address
City and Town
PROPOSED USE OR USES (Check):
Domestic Farm Business
O ❑ Irrigation ❑ Establishment ❑ Municipal ❑ Industrial [j Test Well
CASING DETAILS YIELD TEST WATER LEVEL
SCREEN DETAILS
E] Boiled (measure rom and su ace)
Length: 41 Feet or 4 10
❑ Pumped Hours Static: Feet Make:
Diameter 73 Inches or During Yield
Compressed Air' 50 G.P.M. Test: 40 Feet Length Ft. Slot
Size
Kind: steel DRILLING EQUIPMENT
Yield: Cable Tool Other (Specify) Diameter:
5Q.P.M Rotary In.
..............................
TOTAL DEPTH OF WELL___73 --FEET
WELL LOG
Depth From Give description of formations penetrated, such as: peat, silt, sand
Ground Surface granite, etc. Include size of gravel (diameter) and sand (fine, mediwmracove arse),.'color ha of material structure
(loose,packed,cemented,soft,hard). For example:0 ft.to 27 ft.fine
granite. , packed,yellow sand;27 ft.to 134 ft. gray
0 FT.to 30 FT- Sand & Gravel
30 FT-to 73 FT Bedrock
FT.to FT.
FT.to FT. t nG GS er—W C'
FT.to FT. -
FT.to FT. "y" 1
FT.to FT. t
L r:;
FT. to FT. i
YIELD TEST DATA IN G.P.M -
If Yield Was Tested'At different Depths During Drilling List Below f :
FT. G.P.M. 1.
FT G.P.M.
FT. G.P.M. ---- ---
F'Fi'. G.P.M. ----- -----
Date Weii Was Completed: Nov. 6. 1965 Date of Report NO
Town Permit Number:__ 78
Weil Driller
(Signature)
1978
LOCATION OF WELL: TOWN OF So fill/
SKETCH SHOWING LOCATION OF PREMISES IN TOWN:--
(Show distance and direction from road intersection or other landmark.)
// INDICATE NORTH
DIAGRAM SHOWING LOCATION OF WELL ON PREMISES:
ri
. 71?
ROUTE DIRECTIONS FOR REACHING WELL SITE FROM NEAREST CITY OR VILLAGE CENTER:
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