HomeMy WebLinkAboutWell New 325 Oakland Road R 32 00-��Pa
--WELL-DRIWNG BOARD STATE O `pt{NPERMITOtcUT PERM NUMBERN1D6.4 11-69 WELL DRILLING PERMIT 57001
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115
LOCATION OF WELL (Town) {gtreet) (Lot Number) DATE
SOUTH WINDSOR 313 OAKLAND ROAD f 11/3/78
OWNER OF WELL
R INDIVIDUAL' ❑ BUILDER ❑ OTHER{Specify) KEVIN WARD (644-0385)
OWNER'S ADDRESS
313 OAKLAND ROAD, WAPPING, CONN. _
PROPOSED DOMESTIC ❑ ESTABLISHMENT FARM❑ FARM ❑ � People No.
t15E OF R OnIER served.
WELL• ❑ SUPPLY ❑ INDUSTRIAL ❑ CPUBILIC IONDITIONING ❑ (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 least two roads Well location on lot and to house(if present)
(
l
Indicate North
pR VF lJ
TIC
Na Via. c•� Y d AP,�,�,
66K� 6 /V.D I�P64D
Approximate number of feet from well to 1
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 (signature) APPLICANT'S ADDRESS REGISTRATION NO.
�, I
LAKE ST. , VERNONt CONN. 100
BY(Town Health 0ljioer or Apssid)/� DATE
PROVED ❑ REJC�iED —— I �� V/ �� 7-7 I
REMARKS
a� /f d' 6Y /Vwlc-
-_ RETURN-THIS COPY TO CONNECTICUT WELL DRILLING BOARD
WELL COMPLETION REPORT STATE OF CONNECTICUT DO NOT fill in
WDB-5 12.69 REV.9-71 WELL DRILLING BOARD STATE WELL NO.
State Office Building
HARTFORD,CONNECTICUT 06115
OTHER NO.
NAME ADDRESS
OWNER KEVIN A � 3.13. 0.0a ti D ROAD, 14TA .LNG s CONN
LOCATION (No.&Street) TT �town))» (Lot Number)
OF WELL 313 OAKI,111ID MAD
Wit
BUSINSS
PROPOSED
DOMESTIC ❑ ESTABE HMENT ❑ FARM ❑ TEST WELL
USE OF PUBLIC AIR WELL ❑ SUPPLY ID INDUSTRIAL ❑ CONDITIONING ❑ ((Specify)
DRILLING El A RMPRESSED CABLE PE PERCUSSION ❑ PERCUSSION ❑ (Specify)
THER
EQUIPMENT ROTARY y)
CASING LENGTH (feet) I DIAMETER (inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
DETAILS `ti I 1c:;1"945 THREADED ❑ WELDED( EYES [:]NO ❑YES FE]NO
HOURS -YIELD(G.P.M.)
YIELD ❑ BAILED ❑ PUMPED f] COMPRESSED AIR I 12
TEST I 4
MEASURE FROM LAND SURFACE—STATIC (Specify feet) DURING YIELD TEST(feet) I Depth of Completed Well
WATER r I! t'7�
LEVEL 0 .2 in feet below Land surface: 175
MAKE (LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE I DIAMETER (inches) I
IF GRAVEL t I GRAVEL SIZE(inches) FROM(feet) 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 11 Sand & Gravel
a A)`
aI 175 Bed—rock
\�
f7/0Uf—
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
-0 A7 D
DATE WELL COMPLETED PERMIT NO. I REGISTRATION NO. DATE OF REPORT WE LLER Signal e)
`cif 00 { ' I � rr IJ{ +� —
DEPT. OF "i\V RGt MEE NTAIL PROTECTION-WATER RESOURCEIM