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Home My WebLink AboutWell New 174 Maskel Road WELL DRILLING BOARD STATE a�%)CONNECTICUT PERMIT NUMBER WDB4 1 I-69 WELL DRILLING PERMIT 6 8 9 6 STATE OFFICE BUILDING,NARNPRD,CONJECTICUT 06115 / V ro LOCATION OF WELL(sown) (Street (lot Number) DATE SOUTH WINDSOR MAS ROAD 10 9/21/71 OWNER OF WELL ❑INDIVIDUAL ®BUILDER ❑ OTHER(Specify) JAAN LAINE OWNER'S ADDRESS 44 HENRY ST. , MANCHESTER, CONN. PROPOSED DOMESTIC BUSINESS TEST Est.No.of USE OF ® ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being PUBLIC served. WELL ❑ SUPPLY ❑ INDUSTRIAL ElCONDITIONING ❑ (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 an lot and to house(if present) W ` f 71i Indicate North 1:41ER RoAO r /7/0 d'r r A b S/. d • Approximate number of feet from well to nearest source of possible contamination. 90 The undersigned is aware that upon completion of the well,a"Well Completion Report"containing construction details and information.required under Section 6 of Public Act 659 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 informa- tion is filled in and it has been counter-signed by the Director of Health or his agent. R APPLICANT'S ADDRESS' REGISTRATION NO. �. LAKE ST. , VERNON, CONN. 100 s _• :'1, BY(Town fh r or Agent �A DATE APPROVED i .❑ REJECTED r REMARKS RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT STATE OF CONNECTICUT Do NOT fill in WDS-5 12-69 WELL DRILLING BOARD STATE WELL NO. State OfficePSuilding HARTFORD,CONNECTICUT 06115 OTHER NO. NAME ADDRESS OWNER JAAN LAINF, 44 HENRY ST. MANCHESTER CONN. LOCATION (No.8 Street) (Town) (Lot Number) OF WELL MASKEL ROAD SOUTH WINDSOR 10 BUSINESS PROPOSED DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC AIR❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ OTHER(Specify) DRILLING EQUIPMENT � ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION. ❑COMPRESSED CABLE (SpHE yi CASING LENGTH(leaf) DIAMETER(Inches) WEIGHT PER FOOT RI E OE WWA}CASING GROUTED? DETAILS 60 6 19.45 ® THREADED ❑WELDED YES ❑NO LJ YES ®NO TEST ❑BAILED El PUMPED 64 COMPRESSED AIR YIELDHOURS 1 G.P.M. 6 YIELD(G.P.M.) 6 MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) WATER Depth of Completed Well LEVEL 20 100 in feet below Land surface: 150 MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE DIAMETER(Inches) IF GRAVEL Diameter of well including GRAVEL SIZE(Inches) FROM(feet) TO(feet) PACKED: gravel pack (inches): DEPTH FROM LAND SURFACE Sketch exact location of well with distances,to at feast FEET to FEET FORMATION DESCRIPTION two permanent landmarks. 0 15 Sandy Topsoil 15 50 Hardpan 50 150 Red Rock /51 T77F 9"- If yield was tested at different depths during drilling,list below WEC( FEET GALLONS PER MINUTE DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WEL L (Slg turgl 100 10 18 1 , BOARD WELL COMPLETION REPORT STATE OF CONNECTICUT WELL DRILLING BOARD Do NOT fill in WDB-5 i2-69 State Office Building STATE WELL NO. HARTFORD,CONNECTICUT 06115 5 � OTHER NO. NAME T'�AD_DIRESS OWNER n _ 14 1� s� i �- r-1 i\� I i i-; 0 2Tif r 44 �4'�0 Y L t4 1' �.i-R LOCATION (No. & Street) (Town) (I of Numhrr) OF WELL ?7�{ � I«lrD&O,R 10 BUSINESS PROPOSED DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC AIR❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING OTHER ) EQUILLING IPMENT ® ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION COMPRESSED CABLE OTHER ) CASING LENGTH (feet) DIAMETER(fnches) IWEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS 60 6g 0,g -Fr-1 THREADED ❑WELDED L ]YES ❑NO ❑YES ®NO YIELD HOURS G.P.M. YIELD(G.P.M.) TEST ❑ BAILED ❑ PUMPED COMPRESSED AIR I - 6 - 6 WATER MEASURE FROM LAND SURFACE-STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well LEVEL 20 100 in feet below Land surface: 150 MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including 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. 0 15 Sandi Topsoil 15 50 Hardpan � 1 7� f�(Ll�af�( � 1�1v1�5�ras�t 50 50 Red Rock t / AST kUuSG 6n Millar �, Ga�K -- Nj l 1 n GT- f"CX a A 1%}ZL� 6)t Sri Vl. � UY.LS •f r i"i/1 �� 1 1 lCAv ��. { r ; If yield was tested at-different depths during drilling, list below FEET GALLONS PER MINUTE _ �� i..�` t ✓`-� f Ott a�? /° 3 DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. TDATE OF REPORT WELL/D'R' (Sign turfjeJ�� j� nn lit 1 Nr_m �sf eat. WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER wuB-a 14-69 WELL DRILLING PERMIT 6 8 9 6 STATE OFFICE BUILDING;HARTFORD,CONNECTICUT 06115 LOCATION OF WELL(Town) Street) SOUTH WINDSOR TASK ROAD (Lot Num,erio DATE OWNER OF WELL 9/21/71 ❑ INDIVIDUAL QI BUILDER ❑ OTHER(Specify) JAAN LAINE OWNER'S ADDRESS 44 HENRY ST. , MANCHESTEZ, CONN. PROPOSED DOM C BUSINESS TEST Est.No.of 13 USE OF ' 'ESTABLISHMENT ❑ FARM WELL People being served. WELL ❑ PUBLISUPPLY -x ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify) 5 SKETCH OF WELL LOCATION ocate well with respect to at-RasLJwn9q r_s sIpn d Location of lot to at least two roads M = e ri<o of o u rSsenM}+w¢x = r rA,T a Indicate North 41 to SC R Ro ,96 c i n r O c x 2646 Approximate number of feet from well to nearest source of possible contamination: 90 The undersigned is aware that upon completion of the well,a"Well Completion Report" containing construction details and information required under Section 6 of Public Act 659 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 informa- tion is filled in and it has been counter-signed by the Director of Health or his agent. APPL gnatur APPLIC-AANpT'SSAA,DDRESS . ST• 9 9ERNON 9 CONN 11 REGIS;RAOT0 NO. BY(sown Heal er or Agent DATE ❑APPROVED ❑ REJECTED REMARKS i DIRECTOR OF HEALTH