Loading...
HomeMy WebLinkAboutWell New 410] Niederwerfer Road �IICS _1J i ec 4(?fU WELT, DRILLING BOARD:- v&rEOF�ODNINECTICUT PERMIT NUMBER 1Ne84 1149 WELL DRILLING PERMIT : .44410 STATE OFFICE BUILDING,HARTFORD,•CONNECrICUT 06115 LOCATION OF WELL (To") (Street) (Lot Number) DATE SOUTH WINDSOR NIEDERWERFER ROAD 2 ' 11/28/77 OWNER OF WELL ❑ INDIVIDUAL ❑x BURM ❑ Onn swify) UNITED PAINTING CONTRACTORS INC. . OWNER'S ADDRESS 1209 JOHN FITCH BLVD. , S. WINDSOR, CONN. (JACK GUAY). PROPOS® UU DEC ❑. ESTABLISHMENT '� ❑ FARM ❑ WE People being USE OF served. WELL AIR" OTM ❑ SUKY ❑ INDUSTRIAL ❑ CONDiiIONiNG ❑ (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 Last two roads Well,location on lot and to house(if present) Indicate North LU ISO . �,. Ha P-E i LI tr 3a AJicQEXLJE-9FEP, D Approximate number of feet from well to 75 nearest source of possible contaminations The undersigned Is aware that upon completion of the well,a"Well Completion Report"containing constriction details and information required under Section 25-131 of the 1969 Supplement to the.General Statutes must be sent to the owner,the Hoard 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. APP (S ynat><re) APPLICANT'S REGISTRATION NO. Uww VF2NON, CONN. 100 8 0 or Of*) DATE ©"APPROVED ❑ REJECiL� REMAM RETURN THIS COPY TO CO'NNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT.• stAtE Of'MNNECTICUT Do NOT fill in WDBS 12-69 REV..9-71 WELL DRILLING BOARD State Office Building STATE WELLNO. t HARTFORD,CONNECTICUT 061IS- OTHER NO. OWNER UNITED PAINTING CONTRACTOR INC. 1209 JOHN FITCH BLVD. , S. WINDSOR42. O AWELL NIEDERWERBER Street) )ROAD SOUTH WINDSOR �°t Number) BUSINESS PROPOSED ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC AIR OTHER ❑ SOPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify) DRILLING COMPRESSED CABLE OTHER EQUIPMENT © ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ (Specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS 61 6 I 19.451 ® THREADED ❑ WELDED I ®YES ❑NO ❑YES ®NO YIELD TEST ❑ ❑ 52 COMPRESSED AIR HOURS YIELD(G.P.M.) BAILED PUMPED WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet)I DURING YIELD TEST(feet) I Depth of Completed Well LEVEL 20 150 . in feet below Land surface- 175 MAKE LENGTH OPEN TO AQUIFER.(feet) SCREEN DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches)IFROM(feet) �TO(feet) -PACKED: I gravel pack(inches): I DEPTH FROM LAND SURFACI FORMATION DESCRIPTION Sketch exact location of well with distances,to at least FEET,to FEET two permanent landmarks. 0 15 Sand & Gravel 15 51 Clay 51 175 Bedrock �d Uj L�o 1� tIf yield was tested at different depths during drilling,list below ` r FEET GALLONS PER MINUTE E� DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT . WE R( ' nature -1/6/7sw 10 100 z/io/78 BOARD