HomeMy WebLinkAboutWell New 1512Main Street Main Street WELL DRILLING BOARD PERMIT NUMB
STATE OMdNN9 1CUT ER
tivoa.l iI69 WElf-DRILLING,PERMIT . 55812
STATE OFFICE BUILDING,NARTFORD;CONNECTICUT 06115
LOCATION OF WELL (town) (street) (Lot Number) DATE
SOUTH WINDSOR 1 MAIN ST. 8/l0/79
OWNER OF WELL
❑ INDIVIDUAL ® BUILDER ❑ OTHER(Specify) R1CHAU KEIMEY
OWNER'S ADDRESS
49 ROSEMARY LANE, S. WMSOR9 CT. '
PROPOSE ® DOMESTIC ❑ ESTABLISHIME4r ❑ FARM ❑ WELL P ople being
ES TEST Est.No6 of
USE OF Ait OTHER served.
V ❑ SU�Y ❑ INDUSTRIAL ❑ CIONDITIONING_ ❑ (Specify) 4
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 lot and to house Of present)
lit/{t(
Indicate North
7'
.J.
'uc
x -
Approximate number of feet from well to 17
nearest source of possible contamination: 2
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 Board and the Water Resources Commission on the form provided by the
Board.This permit is not valid until all information is filled in and it has been counter-signed by the Director of Health or his agent.
APPLICANT(signature) I APPLICANT'S ADDRESS REGISTRATION NO.
,tt LAKE ST*'! VERN'ON2 CT-. 100
By(Town Health Officer or Agent) DATE
APPROVED a REJECTED (REMARKS
$7
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
WELL COMPLETION REPORT STATE OF CONNECTICUT
WDB-s 12b9 REV.4-71 WELL DRILLING BOARD Do NOT fill in
State Office Building
STATE WELL NO,
HARTFORD,CONNECTICUT 06115
OTHER NO.
OWNER NAME I ADDRESS
LOCATION (No &Street) (Town
(Lot Number)
OF WELL 1512 HUD:l S* �s tt4��D-SOR
❑ ESTABLISHMENT ❑ FARM
BUSINESS
PROPOSED DOMESTIC El TEST WELL
USE OF
WELL ❑ SUPPL ❑ INDUSTRIAL
AIR ❑ OTHER
❑ CONDITIONING (Specify)
DRILLING ❑ COMPRESSED CABLE OTHER
EQUIPMENT ROTARY AIR PERCUSSION ❑ PERCUSSION El (Specify)
CASING
LENGTH (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
DETAILS , I ( rig f I THREADED ❑ WELDED( YES ❑NO ❑YES NO
YIELD
HOURS YIELD (G.P.M.)
TEST ❑ BAILED ❑ PUMPED �° COMPRESSED AIR I 6 15
MEASURE FROM LAND SURFACE—STATIC (Specify feet) DURING YIELD TEST (feet)
WATER t� ( Depth of Completed Well
LEVEL 25 200 in feet below Land surface: P50
MAKE I LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE I
DIAMETER(inches) IF GRAVEL Diameter of well including I GRAVEL SIZE(inches)(FROM(feet) ITO(feet)
PACKED: gravel pack(inches):
DEPTH FROM LAND SURFAC. - Sketch exact location of well with distances, to at least
FEET to FEET FORMATION DESCRIPTION two permanent landmarks.
13 Sand: Gravel
3 131 0- -ay
1-3 .250 Bedrock
4 0� tJ Jr
P
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED PERMIT NO. i REGISTRATION NO. DATE OF RLPORT W- LLE (Signs ure)
;_:' w
STATE OF CONNECTICUT
DEPARTMENT OF ENVIRONMENTAL PROTECTION 4D
�Mw►gM
March 31, 1999
Mr, Goodwin
1512 Main Street
South Windsor, Connecticut 06074
Re: Water Sample Results
Dear Mr. Goodwin:
Enclosed please find a copy of the analytical results for the water samples collected at this home on
February 17, 1999. The water samples were collected from the kitchen tap and from the well
head. The water samples were submitted to the Department of Public Health (DPH) Laboratory
where they were analyzed for general/physical chemistry and volatile organic compounds (VOC).
The following were found:
Kitchen Tan
The general/physical chemistry for the kitchen tap sample meets drinking
water standards. The sulfates may possibly be the source of the odors that
you are experiencing. This would be considered to be a natural occurring
condition.
Well Head
The VOC sample results for the sample collected from the well head was
none detected for all VOC compounds listed.
The water supply is potable in respect to the samples collected to date. The odor which you have
experienced would likely be removed by a water filtration system. However, I am not familiar with
the exact type of filter which would be best.
Additional water samples should be taken to a private lab after you have any work completed or.
the well, ie. the casing welded or extended, or if you recased the well.
If you have any questions I can be contacted at (860) 424-3778.
Since ,
Scott Wing
Environmental Analyst 3
Permitting, Enforcement and
Remediation Division
Bureau of Water Management
enclosures
cc Robert Deptula, Town of South Windsor
(Printed on Recycled Paper)
79 Elm Street • Hartford, CT 06106-5127
http://dep.state.ct.us
An Equal Opportunity Employer
STATE OF CONNECTICUT • WIWI=
Department of Public Health
Division of Laboratory Services NR: 132101 22243359 I-11i0o 1417
[l
10 Clinton St.
P.O.Box 1689INFORMATION
Hartford,CT 06144
TELEPHONE:(860)509-8500 132SOUTH W INDSOR
F —1 GOODWIN
1512 MAIN ST
SOUTH WINDSOR
FOTABLE WATER �� t
• • • �iii�Wi� f
'79 ELM ST. 02/17/9 02/18/99 0:;/Cl2/< <
HAi=IT�"ORI3 CT c it,1 i� , 5 1 : 1 Ci 13,'21 09,100
.•. FINAL REPORT 060DOR TEST IS IMPORTANT
SAMPLING POINT! KITCHEN TAP
COLLECTOR! S. WING TITLE: EA-3
PRIVATE WELL
APPARENT COLOR 3
TRUE t::Cli-- ? TRUE UE COL.-OR THAN OR EQUAL. TO APPARENT COLOR.
ODOR c,
ITURBIDITY 0.3
PH 8. 1
AMMONIA 0.Cps
UNITS- Mg/L. UNLESS NOTED
AL._nAL.I N4 7 160.
HARDNESS 170.
CHLORIDE- 1 .9
NITRATE <0. 1
NITRITE 0-05
T ON 0.00
MAN G_,AI\JE_ 0.C,I
��C����I)
SODIUM, DIRECT 30.
SUL._r AT,ES r di'F :( .75.Ci
W ATEK
f 3C a`vi1 P1 i BUIJAIj
I�ii+:'
FORM NO.OL-6A REV.7-97
STATE OF CONNECTICUT •
Department of Public Health
Division of Laboratory Services NR: 132-100 16119307 00142 0
10 Clinton St.
P.O.Box 1689 _INFORMATION
Hartford,CT 06144
TELEPHONE:(860)509-8500 132SOUTH W I NDSOR
I— -1 OODWIN
1512 MAIN ST
OUTH WINDSOR CT
DEP-P.E.R.D. POTABLE WATER
79 ELM ST. 02/17/99 02/18/99 02%25/9(
L HARTFORD CT 06106 15:05 13:24 14:23
REPORT FTNAL REPORT COMMENT
TEST(S) RESULT(S)
SAMPLING POINT: well lluta,
COLLECTOR: S. WING TITLE: EA-3
PRIVATE WELL" TREATMENT:
DATE ANALYZED '2/21/99
---------------------------------------------------------
ANALYTICAL .METHOD: EPA METHOD`524.2
MEASUREMENT OF ORGANIC COMPOUNDS IN WATER BY
CAPILLARY COLUMN GAS CHROMATOGRAPHY/MASS SPECTROMETRY
--------------------------------------------------------
EPA 524.2 FINAL 'RESULT s
COMPOUND QUANTITY (UG/0
ENZENE ND
ROMOBENZENE ND
ROMOCHLOROMETHANE ND
FtOMOD I CHL OROMETHANE ND
JROMOFORM ND
FtOMbMETHANE ND
BUTYL BENZEhIE ND
EC' "'BUTYLBENZENE ND
ERT—BUTYLBENZENE ND
AFtBON TETR4ckL AiD�E:' WD'
HLOROBENZENE ND
HL tRtTHANE ND
CHLOROFORM ND
r HiQF#GIh�ETHANE ND
-CHLOROTOLUENE ND
-=.CFfl.Ltf'tCl�QLUERfE ND
IBROMOCHLOROMETHANE ND
2=-D rBROMO--3—CHLOW)PROPANE 14D
2—DIBROMOETHANE _ ND
r Bot dMETHANE ND`
,2—DICHLOROBENZENE ND
d- ,4 DICHLOROBENZENE ND
tLWAAft w ►Nit yin
, 1—DICHLOROETHANE ND
'2'I�I CHL' 3ROETRANE' ND
# CONTI UED
FORM NO.OL-6A REV.7-97
STATE OF CONNECTICUT �• ���
Department of Public Health
Division of Laboratory Services LNR: 132-1 QQ 1 b 1193Q7 QQ 142 Q
10 Clinton St.
P.O.Box 1689 • -
Hartford,CT 06144
TELEPHONE:(860)509-8500 13 2SOUTH W I NDSOR
OODWIN
1512 MAIN ST
OUTH WINDSOR CT
DEP-P.E:.R.D. POTABLE WATER
• • ' �iiiiiii
79 ELM ST. 02/17/99 02/18/99 02/25/9
L HARTFORD CT Clb 106 1 5 t Q 5 13,124 14:23
.•- FINAL RE PORT COMMENT
TEST(S) RESULT(S)
., , I-DICHLOROETHENE ND
IS-1 ,2-DICHLORDETHENE ND
BANS-I ,2-DICHLORQETHENE ND
:"2- DICHLOROPROPANE ND
3-DICF LOROPROPANE ND
r 2--D I CHLOROPRttPANE, ND
1-D I CHLOROPROPENE ND
IS-1r3-DICHLOROPROPENE ND
BANS--1 ,3-DICHLORQPROPENE ND
THYL.BENZENE ND
EXACHLOIROBUTAD I ENE ND
SOPROPYLRENc E'NE ND
-rSOPR.OPYLTOLUENE ND
ETHYLENE CHLORIDE ND
ETHYL T-BUTYL ETHER ND
NAPHTHALENE ND
ROPYLBENZENE ND
STYRENE ND
, 1 , 1 ,2-TETRACHLOROETHANE ND
, 1r2 2-TETRACHLOROETHANE ND
ETRACHLOROETHENE ND
OLUENE ND
,2,3-TRICHLOROBENZENE ND
2,4-TRIC}HLOROBENZENE ND
, 1 , 1--TR I C:HLOROE.THANE ND
, 1 ,2-TRICHLORDETHANE ND
RICHLOROETHENE ND
R I CHLOROFLUDRO!"(ETHANE ND
,2,3-TRICHLOROPROPANE ND
,2,4--TRIMETHYLBEN2ENE ND
,3,5-TRIMETHYLBEN2ENE ND
'VINYL CHLORIDE ND
,O,P-XYLENES (TOTAL) ND
N TE: ND = NONE DETECTED
1 � METHOD DETECTION LIMIT IS 0.5 UG/L FOR ABOVE
C MPOUNDS.
FORM NO.OL-6A REV.7-97