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HomeMy WebLinkAboutWell New 108 Maskel Road WELL RILUNG BOARD STATE OF�ONNECTICUT PERMIT NUMBER wos•r 11.69 WELL DRILLING PERMIT 10962 STATE OFFICE BUILDING,HART FQRD,CONNECTICUT 06115 / LOCATION OF WELL(Town) (Street) (Lot Num1mr) DATE SOUTH WINDSOR KOKEZ ROAD 5 7/6/72 OWNER OF WELL ❑INDIVIDUAL 0 BUILDER ❑ OTHER-(Spepfy) JAAN LAINE OWNER'S ADDRESS 44- •HENRY ST. ' PIANCHESTER C.ONN. PROPOSED BUSINESS TEST Est.No.of USE OF ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being served. WELL PUBUC El SUPPLYElINDUSTRIAL ❑ CONDITIONING ❑ OTpecify) 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(if present) /Gli C %�OAo Indicate North /�Dr - X �RRNET�ANVit E' 4 i Yo� - 1 Approximate number of feet from well to nearest sourc6•of possible contamination. 75 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. APPl1 {Sig afore) APPLICANT'S ADDRESS REGISTRATION NO. w�ezc4.i LAKE ST, VERNON COON.ED i. 100 �•• ❑ BY( It6 Offl r Agent) DATE IMIO/1�E) REJECT REMARKS • RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD SMELL COMPLETION REPORT STATE OF CONNECTICUi WDB-5 12-69 REV.9-71 WELL DRILLING BOARD Do NOT fill in State Office Building STATE WELL NO. HARTFORD,CONNECTICUT 06115 S r co OTHER NO. OWNER NAME . I ADDRESS I-,AI LOCATION (Nn. R Street) (Town) Lot Number OF WELL �°a.i;�a, ROAD S s 611 rvDS ( � ) BUSINESS 0 DOMESTIC ❑ ESTABLISHMENT HMENT ❑ FARM PROPOSED` El TEST WELL USE OF WELL ❑ PUBLIC AIR THER SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ ((Specify) DRILLING EQUIPMENT AIR PERCUSSION PRESSED CABLE ❑ OTHER ROTARY R ❑ PERCUSSION (Specify). CASING LENGTH (feet) I DIAMETER(inches)I WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS . I THREADED ❑ WELDED I �YES ❑NO ❑YES NO YIELD ElEls- HOURS YIELD(G.P.M.) TEST BAILED PUMPED � COMPRESSED AIR 1 WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) I — _ Depth of Completed Well LEVEL 25 1 in feet below Land surface: 150 MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE I DIAMETER (inches) IF GRAVEL I GRAVEL SIZE(inches) FROM(feet) TO feet Diameter of well including I I I (feet) PACKED: gravel pack(inches): DEPTH FROM LAND SURFACE FEET to FEET FORMATION DESCRIPTION Sketch exact location of well with distances,to at least two permanent landmarks. �'Skn7d & Gravel el — —I IN SE s3 61 If yield was tested at difftrcent depths Am drilling, list below FEET CALEC)NS PER MINUTE VATE WELL COMPLETED PERMIT NO. REGISTRATION TKO. DATE OF REPORT (WELL it 14 DEPT. OF ENVIRONMENTAL AL PROTECTION OR WELL COMPLETION ftEPOR '. STATE OF CONNECTICut Do NOT fill in A60-5 12-69 REV.9-71 WELL DRILLING BOARD STATE WELL No. State Office Building HARTFORD,CONNECTICUT 06115 OTHER NO. I�.� OWNER NAME V� �S ADDRESS ;WRY ST♦,$ MacEMMS cm. LOCATION (No.&Street) (Town) (Lot Number) OF WELL NASM RO" $1416(9 Ss WINDSOR BUSINESS PROPOSED ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC AIR❑ SUPPLY ❑ INDUSTRIAL THER ❑ CONDITIONING ElO(Specify) EQUIPMENT ® ROTARY ❑ A PRESSED RM PERCUSSION ❑ PERCUSSION ❑ (DRILLING CABLE (SSpeEfy) CASING LENGTH (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS '� ( 'V I THREADED ❑ WELDED ®YES ❑NO ❑YES ®NO HOURS YIELD(G.P.M.) YIELD ❑ BAILED ❑ PUMPED ® COMPRESSED AIR TEST I 4 1.0 MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) WATER I Depth of Completed Well LEVEL 25 100in feet below Land surface: 1.50 MAKE I LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE I DIAMETER(inches) I IF GRAVEL Diameter of well including I I GRAVEL SIZE(inches) FROM(feet) TO(feet) . PACKED: gravel pack(inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least FEET to FEET two permanent landmarks. 5 150 Reddish �f A , If yield was tested at different depths during drilling, list below i FEET GALLONS PER MINUTE Vj£x4 DATE WELL COMPLETED I PERMIT NO. REGISTRATION NO. (DATE OF REPORT I WELL gR`!LLEJZj gnatur DIRECTOR OF HEALTH WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER WOB-a 11-69 WELL DRILLING PERMIT 10962 STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115 LOCATION OF WELL(Town) Street) (Lot Number) DATE mauls wil,ma "161 MMM Rom 7/6/72 OWNER OF WELL ❑ INDIVIDUAL �► BUILDER ❑ OTHER(Specify) J IALi OWNER'S ADDRESS HIM fim* MAn-mmmo G0XNi PROPOSED BUSINESS TEST Est.No.of DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being USE OF served. WELL PUBLIC AIR❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (STHER pecify) SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot Location of lof to at least t%4o roads Well.location on lot and to house(if present) Indicate North t -A 1 l Approximate number of feet from well to nearest source of possible contamination: Il� 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. APPLI I(Sig Lure) APPLICANT'S ADDRESS REGISTRATION NO. tj �� BY{i w aIthOffice rA ent) DATE WED El REJECTED REMARKS it DIRECTOR OF HEALTH � STATE OF CONNECTICUT pTMcyt i STATE DEPARTMENT OF HEALTH s 79 ELM STREET HARTFORD, CONNECTICUT 06115 OFFICE OF PUBLIC HEALTH June 23, 1972 Mro WNW We Levacko Sanitary Inspector Town Ball South Windsor, Connecticut 06074 Dear Mr. Levack: We have reviewed plans for subsurface sewage disposal systems for three ,lots on Haskel Road, South Windsor. These are Lot Nos- 5, 6 and 7. The plans were prepared by Francis V. Rossi, consulting engineer, and sub- mitted to this office pursuant to Section 19-13-B20m of the Public Health Code. The plans are considerably lacking in detail. No information is sub- mitted regarding the location of wells, if any, the number of bedro ms.. slopes and elevations, and details of the leaching trenches. However, it does appear that a generous amount of leaching area is provided- In soils such as this, it is advisable to locate the leaching trenches no deeper than 3.feet below the existing surface, since seasonal high ground water conditions are common in soils with minimum percolation rates of 1 inch in 30 minutes or more. It would also be advisable to avoid cutting in the area of the leaching system. It is noted that the proposed curtain drain on Lot No. 6 is located a considerable distance from the leaching system. Our experience has been that curtain drains located much over 25 feet ftro® leaching systems are generally of little help to the leaching system in lowering the ground water table. It is difficult for us to definitely determine whether the proposed leach- ing systems are in compliance with the Code requirements- However, if you are satisfied, we would have no objection to your approving them- If you have any question, please call us. Sincerely yours, Theodore C. Willerford Principal Sanitary &gineer Environmental Health Services Division - TOW/pdP