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HomeMy WebLinkAboutWell New 300 Rye Street CPR-8 Rev.7/95 NUMBER STATE OF CONNECTICUT ✓441 D 1 DEPARTMENT OF CONSUMER PROTECTIO40 ,J REAL ESTATE&PROFESSIONAL TRADES DIVISION OP 19�� W ELL DRILLING PERMIT Iss Capitol osios 101?4 LOCATION OF LL (Town) ' (Street) (Lot Number) DATE i 300 46 OWNER OF WELL INDIVIDUAL BUILDER OTHER(Specify) W, 1 SC' f FC OWNER'S ADDRESS 0 j 1 4 00 ble S F. Est No.of PROPOSED DOMESTIC BUSINESS Q FARM El TEST People being USE OF ESTABLISHMENT WELL served. WELL ❑ PUBLIC ❑ INDUSTRIAL AIR pTHER ©�1�df �/� SUPPLY CONDITIONING (Sardyl 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 to and to house(if present) Indicate Narth AW till 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 25-131 of the 1969 Supplement to the General Statutes must be sent to the owner,the Department of Consumer Protection and the Water Resources Commission on the form ided b the agency. This permit is not valid until all information is filled in and it has been counter-signed by the Director of r s a en APPLI nahr APPLICAN ADPRESS REGISTRATIO N :j! BY(Town Health Officer orAgent) DATE PROVED ❑ REJECTED !—9 6 REMARKS RETURN THIS COPY TO DEPARTMENT OF CONSUMER PROTECTION t CPR-9 Rev.7)95 STATE OFCONNECTICUT ` WELL NO. DEPARTAtENTOFCONSUMERPROTECTION REAL ESTATE&PROFESSIONAL TRADES DIVISI4110, ER NO WELL DRILLING COMPLETION REPORT $� lop. 165 Capitol Avenue,Hartford,Connecticut 06106 GAk r OWNER NAME ADDRESS S. Windsor Metallurgical 300 Rye Street LOCATION (No.s s'haery (Town). (Lot Number) OF WELL 300 Rye St. S. Windsor, CT 06033 af, DOMESTIC o BUSINESS FARM TEST PROPOSED ESTABLISHMENT ❑ WELL USE OF WELL ❑ PUBLIC SUPPLY El INDUSTRIAL ❑ AIR CONDITIONING® OTHER Monitor Wells DRILLING ROTARY COMPRESSED CABLE OTHER Hollow Stem EQUIPMENT ❑ ❑ AIR PERCUSSION ❑ PERCUSSION ® (specify) . Augers . CASING LENGTH(feet) • DIAMETER(inches). WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS 6.5' 2" PVC THREADED❑WELDED ❑ YES ® NO 1 X3 YES ❑ NO YIELD TEST ❑BAILED PUMPED ❑ COMPRESSED AIR HOURS YIELD(GPM) n/a n/a WATER MEASURE FROM LAND SURFACE-STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Wen in feet LEVEL 9.5' n/a 16.5' MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN Diedrich PVC 10' DETAILS SLOT SIZE DLAM TER(inches) IF GRAVEL Diameter of well GRAVEL SIZE(ashes) FROM(feet) TO(feet) .0101, 2 f f PACKED: incki*p g-M pack O 16.5 6.5' DEPTH FROM LAND TO SURFACE FORMATION DESCRIPTION Sketch exact location of wei with d'Islances,to at least two FEET TO FEET' cefm'effl la'drna'k' 0 16.5 Brown fine sand and �Ts},ilt ll B��+SW iI is the dee t well MWu 4 Q1 ff yield was tested at different depths during drilling,list below FEET GALLONS PER MINUTE DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT LL DDXignelu 6/4/96 175345 6/10/56 AGENCY