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HomeMy WebLinkAboutWell New 1287 Main Street CONSUMER PROTECTION -... WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER CPR-4 RETf.11-82 DEPARTMENT Of CONSUMER PROTECTION 159220 WELL DRILLING PERMIT 165 CAPITOL AVE_HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(To") (Saari) (Lot Number) DATE S.WINDSOR 1287 'MAIN ST. 7/21/94 OWNER OF WELL s©x 1NDWIDIJAL ❑ MU112 ❑ OTHER(Specify) DAVID KASHETA 528-8421 OWNER'S ADDRESS 29 CANDLEWOOD DR. , S. WINDSOR, CT. PROPOSED iusmus TEST Est.No.of ® El UTAWSHM NIT ❑ FARM ❑ WELL People being USE Of served. WELL PWLIC AIR OTHER ❑ SUMLY ❑ INDUSTRIAL ❑ CONWTIOMNG ❑ (Specify) 4 SKETCH OF WELL LOCATION locote well with respect to at least two roods,showing distance from intersection and front of for Location of lot to at least two roods. Well local-on on loi and ro house (if present) s_yf;`d- Q s f r if ftsdipptte North • 1 ��� S�✓.eO T. �fr� , . Q 1 Approslrrofs number of feet from well to tep 85 , —— - — rresf source of possible contamination: The undersigned is aware that upon completion of the well, o "Well Completion Report'" containing construction details and information required under Section 25131 of the 1069 Supplement to the General Statutes must be sent to the owner, the Board and the Water Resources Commission on the farm provided by the Board.this permit is riot valid*unnl all information is filled in ar d it has been countersigned by rl+e Director of Mealth or his agent. 2-1 "vtsim) APPLICANT S ADDRESS REGISTRATION NO. BOX 405, WILLINGTON, CT. 44 BY(TowN Hralrb Officer or Agevir) DATE �APPROVID ❑REJECTED _ .ffl�_ REMAWSJ) L.Z;= 7 SEP 14 1994 C^00'AT 10N&LICENS11'4G Dt141S10 lent of Consurner P.,Vnt!On G RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT STATE OF COHNECTFCUT CPQ_9Kv.II-u DEPARTMENT OF CONSUMER PROTECTION Do NOT fill ,n -, STATE WELL NO WELL DRILLING BOARD 165 CAPITOL AVE. 01/4R.40 HARTFORD.CONNECTICUT 06106 NAME ADDRESS OWNU DAVID KASHETA 1287 MAIN ST. , S. WINDSOR, CT. to""oM (No A Strewn (Town) (Lot Number) CwWall. 1287 MAIN ST. S. WINDSOR IIIVSINESS © DOMESTIC E3 ISTABLI94WNT 0 FARM fI TEST WELL UK OF "'g` PURic a SSUPPLLY � R4DUSTRIAL � CONDITIONING ❑AAR o Fr) 011RU TG COMPRESSED CABLE OTHER RQIATfil1LNT @ ROTARY 0 AIR PERCUSSION C3 PERCUSSION 0(Speer CASH LENGTH(het) DIAMETER(mchw7117.00 GHT PER FOOT iw�A�t 5t t D+ 112 THREADED WELDED YES NO ( TE GS (_J NO Irmo El EARED PUMPED COMPRESSED AIR HOURS YIELDYIELD tG P M I 1liC 7 MEASURE FROM LAM SURFACE—STATIC(Specify f-a) DURING•YIELD TEST Ifeeg WAIN Depth of Completed well UM 35 110 rm (�1 below Land surface 465 WARE LENGTH OPEN TO AOUIFEQ;feet) fGLl/1 DUAM SLOT SIZE DIAMETER(inchts) ]:.FGRAVIEL an Dom of■-91 uKlvd+q GRAVEL SIZE(inches) FROM(teen TO(ieel PAp(ED- prow(Pack(,nchd)- DWH FROM LAND SURFACE FORMATION DESCRIPTION Skwfch own location of well with drsfortces. toof leosr FM TO RET two pwationens loM Wo ks 0 11 Topsoil &- Sand 11 62 Sand & Gravel �F 62 102 Clay & Soft Rack 102 465 Bedrocki\s-1 r v 4j 1< �U/ It yiwfd was led a,difhrwm dwplFn duruq lkipinp,lip blow EET j+� I F "LOW PER ma'am si C R � 4 1994 V Der'.of Consttrr2r Pic ection DATE WELL COMPLETED NO. REGISTRATION :Lr9/6/94 TE OF WF RT PERMtT ( } 9 6/94 159220 44 , BOARD