HomeMy WebLinkAboutWell New 703 Nevers Road KNELL COMPLETION REPORT STATE OF CONNECTICUT
CPR-9 REV.11-es DEPARTMENT OF CONSUMER PROTECTION "- Do NOT fill to
WELL DRILLING BOARD STATE WELL NO.
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106 OTHER NO.
NAME ., ADDRESS
OWNER P•M► BUILDERS. �? s�3��JUVA FARM RIB a* E o WrITWQR 1 T.
LOCATION (No. & Street) (Tow (Lot Number)
o
OF WELL 70-5 I mS RD. S. IkDSOR
BUSINESS
PROPOSED
DOMESTIC ESTABLISHMENT FARM TEST WELL
USE OF
WELL PPU1�Y
INDUSTRIAL CONDITIONING OTHER
DRILLING COMPRESSED CABLE OTHER
EQUIPMENT ttj ROTARY � AIR PERCUSSION ❑ PERCUSSION � (Specify)
CASING LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT IV H WAS CASING GROUTED?
G'ETAIIS > THREADED WELDED YES NO ❑", YES NO
YIELD HOURS YIELD(G.P.M)
TEST ❑ BAILED PUMPED COMPRESSED AIR 20
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST feet) Depth of Completed Well
LEVEL G0 100 in feet below Land surface: 350
MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL Diameter �(inches)
luding GRAVEL SIZE (inches) FROM(feet) TO(feet
PACKED: gravel pac
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
FEET TO FEET two permanent landmarks.
9 SaAad '%'/`1 ay e
150 Red ROe1
4�
I ^a .
At
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WEL ER (Signature) J4
1:
DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES