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Home My WebLink AboutWell New 132 Maskel Road PERMIT NUMBER WELL.DRILLING BOARD STATE OF CONNECnan PERM 1ND&4 11-6' WELL DRILLING PERMIT 10964 STATE OFFICE BUILDING,HARTFORDpCONNECTICUT 06115 �../ LOCATION OF WELL(Town) (Street) (Lot Number) DATE - SOUTH WINDSOR MASKEL ROAD -" _ 7 7/6/72 OWNER OF WELL ❑INDIVIDUAL ®BUILDER ❑ 0THER(Specify) JAAN L'AINE • OWNER'S ADDRESS 44 HENRY Wes MANCHESTER CONN.. PROPOSED BUSINESS TEST Est.No.of FEI DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being USE OF served. PUBLIC AIR OTHER WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify) 5 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) Indicate North (0"Ai GAR 67- Nc y01E • 5` T I � x �Eu. E o p Approximate number of feet from well to nearest sourcE 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. APPLI (S' afore) _ .APPLICANT'S ADDRESS REGISTRATION NO: LAU ST:. , VERNON 9 G.9NN.. 100 4NW '❑ REJE''ED BY(T kh OHlcer.or ntj •• GATE OVER CT REMARKS RETURN THIS COPY TO CONNECnCUi WELL DRILLING BOARD WELL COMPLETION REPORT STATE OF CONNECTICUT WDB-5 12-69 REV. 9-71 WELL DRILLING BOARD DO NOT fill in State Office Building STATE WELL NO. HARTFORD, CONNECTICUT 06115 OTHER NO. I ADDRESS OWNER NAME ,t}f �y'�+ �s- .7�°F f�S �y R :.i� L 1�� - Q-� 4 &3.}3=3IRR o ''ham. a��-�r�e3`�1�� t 0N. . LOCATION (No.& Street) ,(Town) (Lot Number) OF WELL ` i�T , ROADSOUTH 1 rYIDSOR BUSINESS PROPOSED ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC ❑ SUPPLY ❑ INDUSTRIAL AIR ❑ OTHER ❑'CONDITIONING (Specify) DRILLING COMPRESSED CABLE EQUIPMENT ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ OTHER (Specify) LENGTH (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? CASING _ DETAILS I $' I ¢ THREADED ❑ WELDED I YES ❑NO ❑YES : [N NO YIELTEST ❑ BAILED ❑-PUMPED C COMPRESSED AIR HOURS YIELD(G.P.MJ f MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST-(feet) WATER Depth of Com leted Well LEVEL 3-00 I in feet below Land surface: �- MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE I DIAMETER(inches) I 11 GRAVEL I GRAVEL SIZE(inches) FROM(feet) TO(feet) Diameter of well including 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. O . oil 4 20 Sand & Gravel. 20 28 HardDan- 28 Red Rock IdA If yield was tested at different depths during drilling, list below t FEET a GALLONS PER MINUTECdr DATE WELL COMtP�LETED PERMIT NO.. REGISTRATION NO.. DATE OF REPORT I WELL DRI / ignatu 7/19/ 2 DEPT. OF ENVIRONMENTAL PROTECTION WELL'COMPLETION REPORT STATE OF CONNECTICUT -WDB-5 12-69 REV.9-71 WELL DRILLING BOARD Do NOT fill in State Office Building STATE WELL NO. HARTFORD,CONNECTICUT 06115 OTHER NO. OWNER NAME ( ADDRESS JAAH LAM 44 RMIRY 3-T. s WGUES ; CONH. LOCATION (Non&�Street) ry ) (Lot Number) OF WELL HA S ROAD +��J�� WINDSOR BUSINESS PROPOSED ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC❑ SUPP Y ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)PR (THER DRILLING EQUIPMENT ® ROTARY ❑ APRESSED RM PERCUSSION ❑ P RBCUSSION ❑ ((Spec fy) CASING LENGTH (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS � 6 19,4.5 I R,THREADED ❑ WELDED WES ❑NO ❑YES F*NO HOURS YIELD(G.P.M.) YIELD TEST El BAILED ElPUMPED Ei COMPRESSED AIR I 4 7 MEASURE FROM LAND SURFACE—STATIC (Specify feet) DURING YIELD TEST(feet) WATER I I Depth of Completed Well LEVEL 20 in feet below Land surface: 150 MAKE I LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE I DIAMETER(inches) ( I I GRAVEL SIZE(inches)FROM(feet) IF GRAVEL ITO(feet) Diameter of well including 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, 0 4 Tc $.]. 4 20 :mod & Grayel 20 28 HAM 28 150 Red Rock If yield was tested at different depths during drilling, list below ' FEET GALLONS PER MINUTE '�3r Jni e DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE,OF REPORT I WELL Dg r( ignatur } r DIRECTOR OF HEALTH WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER WD6-4 11.69 WELL DRILLING PERMIT 10964 STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115 LOCATION OF WELL(Town) (Street) (Lot Number) DATE SOUTH wIA soR RAS= RO" 7 716172 OWNER OF WELL ❑INDIVIDUAL BUILDER ❑ OTHER(Specify) J LAIJM OWNER'S ADDRESS 44 iiiS11M7A$ SIT• 9 WCHU CON* PROPOSED - BUSINESS TEST Est.No.of ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being USE OF served. WELL PUBLIC AIR OTHER ❑ UPP Y ElINDUSTRIAL ❑ CONDITIONING ❑ (Specify) SKETCH OF WELL LOCATION Locate well with respect to.at le st 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) Indicate North A B131 _ . �Rrut fj�at)J'E GARNc7' N� edA 5. s. T t i k'c71 A o Approximate number of feet from well to nearest soyrce 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. APPLI (Si ature) APPLICANT'S ADDRESS REGISTRATION NO. OH 100 p9 BY(To n th Officer o� t) DATE VED ❑ REJECTED - REMARKS G cK4cK 9aa1 DIRECTOR OF HEALTH 1 Premier P,RERIf:R Laboratory LLC Connecticut Department of Health Services PH-0465 LABORATORY Route 205,The Regional Building Brooklyn,CT 06234 860-774-6814 Source of Sample: 132 Maskel Road South Windsor, CT Report To: Sanitarian Robert Deptula Date of Collection: 4/23/98 Town of South Windsor Date Received in Laboratory: 4/23/98 1540 Sullivan Avenue Collected By: Rick Owen/cv South Windsor,CT 06074 Copy To: U.S. Inspect Laboratory ID: E804781-1 BACTERIOLOGICAL RESULTS PARAMETER RESULTS UNITS MCL COMMENT Total Coliform 0 col/100ml 0 THE BACTERIOLOGICAL RESULTS ARE ACCEPTABLE FOR POTABILITY STANDARDS CHEMICAL RESULTS [CT GENERAL STATUTES HAVE ESTABLISHED PRIMARY MCL'S FOR THE FOLLOWING PARAMETERS] PARAMETER RESULTS UNITS MCL COMMENT Nitrate 2.2 ppm 10 ALL OF THE ABOVE PARAMETERS MEET THE CT GENERAL STATUTES ESTABLISHED MCL'S FOR POTABILITY. [CT GENERAL STATUTES HAVE NOT ESTABLISHED MCL'S FOR THE FOLLOWING PARAMETERS] PARAMETER RESULTS UNITS RL COMMENT Color 0 Color Units 15 Turbidit 0.11 NTU 5 Manganese ND ppm 0.05 L , YSodium 6.6 ppm 28 Sulfate 11 ppm 250 THE ABOVE RESULTS ARE USED IN DETERMINING ASPECTS OF WATER SUCH AS STAINING. ALTHOUGH NO MCUS ARE SET BY THE GENERAL STATUTE,THERE ARE RECOMMENDED LIMITS THAT ARE USED BY PUBLIC HEALTH OFFICIALS AND WATER TREATMENT SPECIALISTS IN THE INTERPRETATION OF WATER QUALITY. COMMENTS: For the parameters listed on this page,all CT General Statute MCL's for Potability have been met. KEY TO TERMS Report is an accurate analysis of: COL-colonies MCL-Max Contamination Limit Sample received at this laboratory ml-milliliter RL-'Recommended Limit ppm-parts per million ND-None Detected NTU-Tubidity unit NE-None Established cv-Certified Vendor for Premier Laboratory, LLC Premier Lab atory, C 04/27/98 OUT-Out of range or exceeds limit Authorized Sign 047A060 Premier Laboratory, LLC. �Q rr`` 'i O Client Code: INV TECH Chain Of Custody Work Order ID: (5 V 'f v� � Customer Information Project Location Billing Information Company: Invision Technology Address: Name: Invision Technology Address: 3975 Fair Ridge Drive CT. ao Address: 3975-Fair Ridge Drive - Suite 250 Suite 250 Fairfax,VA 22033 Fairfax,VA 22033 Phone: Contact Person: Fax: Contact Phone: (203)778-0660 PO# Copy To Information Copy To Information Comments Name: Name: Address: Address: Phone: Phone: Fax: Fax: - ------------------- — Reason For Analysis: C.O. FMHA y ( ) ( ) ( )CHFA ( )FHA ( )Conventional Mortgage (01QDcatlon ( ) Personal Connecticut Law and Reg dons rsqulre that a copy of the results for a sale of a home or property transfer be sent to the local Department of Health Type of Supply: ( Drilled Well ( ) Dug Well Pond Other ell — -----.._ . __.. _. . .----- - -- ------------ ( ) ( ) Treatment of Supply: one ( )Water Softener ( ) Iron Filter ( )GAC Fitter ( )Other Sample Description Collection Date Collection Time Analysis Required Sample Collected By: Date:� Time: Received By: Date: Z3�c�g _. Time:. 140S ----------------- -- . _ - --- —— Relinquished By: Qr_ _ __ Date:`l(23 q Time: tS_'`t S Received By: Date. Time: .Hs