HomeMy WebLinkAboutWell Repair 848 Strong Road ?CIS3hQ90
WELL COMPLETION REPORT STATE OF CONNECTICUT
CPR-9 REV.It-82 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in
WELL[DRILLING BOARD STATE WELL NO.
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106 OTHER NO.
t
DAME ADDRESS
OWNER Bill Oman
643 Stro Road, SO, Wzndso.r CT.
LOCATION (No. & StreoQ own) (Lot Number)
OF WELL Strong Road BUSSo. Windsor 6
DOMESTIC ESTABLISHMENT FARM
PROPOSE® � � TEST WELL
USE OF
WELL PUBLIC L J SUPPLY INDUSTRIAL \
AIR OTHER
CONDITIONING �(Specify)
DRILLING COMPRESSED CABLE OTHER
EQUIPMENT ROTARY �AIR PERCUSSION � PERCUSSION �(Specify)
LENGTH(feet] DIAMETER inches WEIGHT PER FOOT IV H
CASING ( WAS CASING GROUTED.
DETAILS 110 �3 17 � �THREADED � WELDED �YES �NO 0 YES �NO
YIELD � � HOURS YIELD(G.P M)
TEST BAILED PUMPED COMPRESSED AIR
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL in feet below Land su foce:
t2
MAKE LENGTH OPEN TO ER (feet)
SCREEN
srtETAiLS SLOT SIZE DIAMETER (inches) IF GRAVEL Diameter of well Ind ding GRAVEL SIZE(inches) FROM(feet) TO(feet
PACY.ED: grovel pack (inches):
.DEPTH FROM LAND SURFACE t
FORMATION DESCRIPTION Sketch exact location of well with distances, to at 18ast
FEET TO FEET two permanent landmarks.
O 110 sand & -round clay
11 460 rid s��a::2:e
rp
,(
f'do'—
Al
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 WE LER(Sign e) —
7 /27
DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES