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HomeMy WebLinkAboutWell New 245 Niederwerfer Road �i WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER VIDa 1 ..1-69 WELL DRILLING PERMIT STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115 .1130 µ LOCATION OF WELL(Town) (Street) (Lot Number) DATE H N _ zcu )9va - o INDIVIDUAL ❑BUILDER ❑OTHER(Specify) OWNER'S ADDRESS (J n!t-1 PROPOSED ❑ BUSINESS ❑TEST Est.No.of DOMESTIC ESTABLISHMENT ElFARM WELL People being USE OF • served. PUBLIC AIR WELL ❑ UPP Y ❑ INDUSTRIAL ❑ CONDITIONING ❑ (specify) 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 t it Approximate number of feet from well to nearest source of possible contamination: 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 ner,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 a-signed by the Director of Health or his agent. FIT gnature) APPLI NT'S 60DRESS REGISTRATION NO. BY(Town Health WOW&or Agent) r DATE ❑APPROVED. ❑ REJECTED ( , 9—7— 7o REMARKS RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT STATE OF CONNECTICUT Do NOT fill in WDB-5 12.69 WELL DRILLING BOARD STATE WELL NO. State Office Building HARTFORD,CONNECTICUT 06115 OTHER NO. ' NAME ADDRESS OWNER rTohx D ex R.F.D. # 33 Rockville. C LOCATION (No.&Street) (Town) (Lot Number) OF WELL ITiederwerfer Rd. S. Wixdsor BUSINESS PROPOSED ®DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC AIR❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ ((Specify) DRILLING COMPRESSED EQUIPMENT ROTARY ❑ AIR PERCUSSION ❑ P RBLE CUSSION ❑ O�E y) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT (DRVE SHOE WAS CASING QgUTED7 DETAILS 78 6 19.4 a THREADED ❑WELDED (D YES ❑NO . ❑YES L�J NO YIELD HOURS G.P.M. YIELD(G.P.M.) TEST ❑BAILED ❑ PUMPED © COMPRESSED AIR 1 10 10 WATER MEASURE FROM LAND SURFACE—STATIC(Spa cifyfeet) DURING YIELD TEST(test) Depth of Completed Well LEVEL 30 1 0 in feet below Land surface: 200 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 least FEET to FEET FORMATION DESCRIPTION two permanent landmarks. 0 8 Reddish Saaxd 8 68 Hard pax Alleo r C-wa tom 68 200 Bedrock c t f ( i ( 1716 V J'4?, 10`� t ( If yield was tested at different depths during drilling,list below FEET GALLONS PER MINUTE 1 DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WELL DRILLER2(Siq=t .) 8/10/70 1130 100 8/22/70 BOARD WELL COMPLETION REPORT STATE OF CONNECTICUT WDB-5 12-69 WELL DRILLING BOARD Do NOT fill in- J State Office Building STATE WELL NO. a HARTFORD,CONNECTICUT 06115 7C) OTHER NO. NAME ADDRESS OWNERS. Ron Job LOCATION �// (No. & Street) (Town)' -'(Lo Number) OF WELL lJ i derwerfor lid.BUSINESS PROPOSED DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC AIR❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING OTHER I DRILLING IPMENT Rd ❑ AIR PERCUSSION ❑ PERCUSSION (Spe if ER EQUIPMENT I CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS 19, IS D.THREADED ❑WELDED YES ❑NO ❑YES C NO HOURS G.P.M. YIELD(G.P.M.) TIEST ❑ BAILED ❑ PUMPED F COMPRESSED AIR i WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well LEVEL -I in feet below Land surface: 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 least FORMATION DESCRIPTION two permanent landmarks. FEET to FEET m 8 68 c 1 ( 1 k 6 �cr/1 �rI 11i'Il t If yield was tested at different depths during drilling, list below { If _ FEET GALLONS PER MINUTE ( -- .:-j �TI t /( dl DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WELL DRILLER(Sigg�nga6j'e,) S�•N N Se C� F Tov� 07-1 a � m 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074 soa•co�' AREA CODE 860/644-2511 March 8, 2004 Mr. John D. Dzen 245 Niederwerfer Road South Windsor, CT 06074 Dear Mr. Dzen, I recently spoke with Mr. Bill Warzecka of the Connecticut DEP and we jointly agreed on the following information regarding the use of the well at 215 Barber Hill Road. The well is presently in,use to serve the building at 215 Barber Hill Road. Its usage at this time is minimal. Since there is a known area of contamination in close proximity to this drinking water well, it is recommended that it be tested on a quarterly basis, it should be tested using EPA method 524.2. If the pumping rate of the well increases, such as its use for irrigation, there is a concern that the contamination may be intercepted by the well. Periodic monitoring will ensure that contaminated water is not discharged from the well and that human health is also protected. In the event that any compounds tested for reach or exceed action levels, an appropriate sized filtration system would have to be installed on the supply. Please forward copies of the well water sample results to me at the South Windsor Town Hall, 1540 Sullivan Avenue, South Windsor, CT. If you have any questions please call me at 644-2511 ext. 248. Yours truly, Robert Deptula, R.S. Environmental Health Officer RD/cm .a H �pW N Sf4 Town aps-oam' 9 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 SOR•CO AREA CODE 860/644-2511 February 20, 2004 Mr. John D. Dzen 245 Niederwerfer Road South Windsor, CT 06074 Dear Mr. Dzen: As"you are aware, a sample of your well water at 215 Barber Hill Road was collected and delivered to the State Health Department laboratory to be analyzed for TCE and other compounds. As is evident from the enclosed report, several compound may have been detected in trace amounts, indicated as less that.5. This would be below any quantifiable limits. The water is presently considered potable. If you have any questions please call me at 644-2511 ext. 248. Yours truly, Robert Deptula, R.S. Environmental Health Officer RD/cm Cc: Thomas O'Connor Bureau of Water Mgmt. PERD DEP 79 Elm Street Hartford, CT 06106 ':'> SS#C1 <:t+i >:>:< k31�LC:t�(J k� :>:::5 <:'>::#+A�� 'SST " ..ONNECTICUT >`z ..:D2:::::.:: .::::.�16135456":..:::..::::..S,o:�.0.7.4::.�::.:.:::::0.:::.:: ::.�: :.�:. NR z rtment of Public Health .............................................:.::.::::::.:..:.. Division of Laborato Services ry 10 Clinton St. 132SOUTH WINDSOR P.O.Box 1689 DZEN Hartford,CT 06144 Telephone(860)509-8500 215 BARBER HIL SOUTH WINDSOR CT 06074 ROBERT DEPTULA, SANITARIAN :::::. Tt[3 :> ? 1540 SULLIVAN AVE TOWN HALL 02/04/04 02/04/04 02/10/04 SOUTH WINDSOR CT 06074 12 :30 14:47 14:31 .................... FINAL REPORT CE CONTAMINATION IN AREA ::::. :::..::.::::............ST )..............................:.......................................................................f........................................................................................................................................................ ............................................................................................................................................................................................:................................................................... SAMPLING POINT: TAP COLLECTOR: DEPTULA, BOB TITLE: RS PRIVATE WELL TREATMENT: ** km m DATE ANALYZED 02/05/04 -------------------------------------------------------- ANALYTICAL METHOD: EPA METHOD 524.2 MEASUREMENT OF ORGANIC COMPOUNDS IN WATER BY CAPILLARY COLUMN GAS CHROMATOGRAPHY/MASS SPECTROMETRY. -------------------------------------------------------- EPA 524.2 FINAL RESULT: COMPOUND QUANTITY (UG/L) BENZENE ND BROMOBENZENE ND BROMOCHLOROMETHANE ND BROMODICHLOROMETHANE ND BROMOFORM ND BROMOMETHANE ND N-BUTYLBENZENE ND SEC-BUTYLBENZENE ND TERT-BUTYLBENZENE ND CARBON TETRACHLORIDE ND CHLOROBENZENE ND CHLOROETHANE ND CHLOROFORM ND CHLOROMETHANE ND 2-CHLOROTOLUENE ND 4-CHLOROTOLUENE ND DIBROMOCHLOROMETHANE ND 1,2-DIBROMO-3-CHLOROPROPANE ND 1,2-DIBROMOETHANE ND DIBROMOMETHANE ND 1,2-DICHLOROBENZENE ND 1,3-DICHLOROBENZENE ND 1,4-DICHLOROBENZENE ND DICHLORODIFLUOROMETHANE ND 1,1-DICHLOROETHANE ND *** CONTINUED *** FORM N0. OL-6A REV.3-00 100 ........... . ....... w ...rN T .........::,*, :" .. .:" : ........... S 'ONNECTICUT C DIU. .......... NR:D2 16135456 IS06074 1 0 2 nt of Public Health X': . .................. m-.1 F rt-�r "N Division of Laboratory Services ... . ............... 10 Clinton St. 132SOUTH WINDSOR P.O.Box 1689 DZEN Hartford,CT 06144 Telephone(860)509-8500 215 BARBER HIL SOUTH WINDSOR CT 06074 ROBERT DEPTULA, SANITARIAN ............................. 1540 SULLIVAN AVE .. TOWN HALL 02/04/04 02/04/04 02/10/04 SOUTH WINDSOR CT 06074 12 :30 14:47 14:31 ........................ ....... ..... FINAL REPORT ...... CE CONTAMINATION IN AREA .. ............................... ....... ............... ...... ...... ................. ......... ...... . . ............ .... .. ................................. ... .............. . .. ......... ..................... . .. ......... .. ...... .... ....... ... . ........... um ...... ................ ... . 6 . .. . .. .................. . ..... . ....... . . ......... . . ...... . ............... ... . ................. .... .......... ........... iii : 1.1-- .... . . ..... ...... .............X. ............ I ...... 1,2-DICHLOROETHANE ND 1,1-DICHLOROETHENE ND CIS-1,2-DICHLOROETHENE ND TRANS-1,2-DICHLOROETHENE ND 1,2-DICHLOROPROPANE ND 1,3-DICHLOROPROPANE ND 2,2-DICHLOROPROPANE ND 1, 1-DICHLOROPROPENE ND CIS-1,3-DICHLOROPROPENE ND TRANS-1,3-DICHLOROPROPENE ND ETHYLBENZENE ND HEXACHLOROBUTADIENE ND ISOPROPYLBENZENE ND 4-ISOPROPYLTOLUENE ND METHYLENE CHLORIDE ND METHYL T-BUTYL ETHER 0.7 NAPHTHALENE ND PROPYLBENZENE ND STYRENE ND 1,1,1,2-TETRACHLOROETHANE ND 1,1,2,2-TETRACHLOROETHANE ND TETRACHLOROETHENE ND TOLUENE <�0.5 1,2,3-TRICHLOROBENZENE ND 1,2,4-TRICHLOROBENZENE ND 1,1,1-TRICHLOROETHANE ND 1,1,2-TRICHLOROETHANE ND TRICHLOROETHENE <0.5 TRICHLOROFLUOROMETHANE ND 1,2,3-TRICHLOROPROPANE ND 1,2,4-TRIMETHYLBENZENE ND 1,3,5-TRIMETHYLBENZENE ND VINYL CHLORIDE ND M,O,P-XYLENES (TOTAL) <0.5 NOTE: ND = NONE DETECTED METHOD DETECTION LIMIT IS 0.5 UG/L FOR ABOVE COMPOUNDS. CONTINUED FORM NO. OL-6A REV.3-00 100 .......... ....... ..... ..... ....... 01 ka ........... CONNECTICUT ... .. .... .. NR:D2 16135456 IS06074 1 0 1 3 ------------------- .......................... . ...................... .... _eSjp,re.pa ent of Public Health ........................... ......... ........... .................. ............................................ Division Lab( .. ... atory Services ................. ... ...................................... 10 Clinton St. 132SOTTTH WINDSOR P.O.Box 1689 DZEN Hartford,CT 06144 Telephone(860)509-8500 215 BARBER HIL SOUTH WINDSOR CT 06074 ROBERT DEPTULA, SANITARIAN ...... ..... .. T.'. 1540 SULLIVAN AVE .................... TOWN HALL 02/04/04 02/04/04 02/10/04 SOUTH WINDSOR CT 06074 12:30 14:47 14 :31 FINAL REPORT CE CONTAMINATION IN AREA ........... ........................ ....................... ......V.-............................... .................. ................... ................. ................. ........... ............................ ..... .. ........... mg ........... ............. ...... ............. .......................................................... v.................... .................... ...I ...... 11 ...... ............. ... ... ...... ........ ........................ ADDITIONAL IDENTIFIED COMPOUND: T-AMYL METHYL ETHER <0.5 UG/L ------ END OF REPORT FORM NO. OL-6A REV.3-00 100