HomeMy WebLinkAboutWell New 901 Strong Road WELL COMPLETION REPORT
WDB_5 12.69 REV.9.71 STATE OF CONNECTICUT
WELL DRILLING BOARD Do7Nfill in
State Office Buildirig STATE WEL
HARTFORD,CONNECTICUT 06115
OTHER NO.
OWNER NAME
1ADDRESS
246 14MV . A ON s Off'
LOCATION (No.&Street) r
OF WELL STMNG RD s t SOUTH
BUSINESS T� � �s (Lot Number)
7JO TH V 11iD3Jo
PROPOSED DOMESTIC ❑ ESTABLISHMENT G_
USE OF ❑ FARM
WELL ❑ SUPPLY ❑ TEST WELL
❑ INDUSTRIAL ❑ OTHER
CONDITIONING
DRILLING ❑ (Specify)
EQUIPMENT
ROTARY ❑ COMPRESSED ❑ CABLE
OTHER
AIR PERCUSSION ❑
PERCUSSION
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT (Specify)
DETAILS t DRIVE SHOE WAS CASING GROUTED?
YIELD �( 3• THREADED ❑ WELDEDI EYES ❑NO DYES
TEST 0 BAILED ❑ PUMPED HOURS YIELD El NO
COMPRESSED AIR � f.. (G.P.M.)
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) U .fly
LEVEL 5 I Depth of Completed Well
1-275
in feet below Land surface: 30
SCREEN LEN I GTH OPEN O AT Q IU—ER(feet)DETAILS SLOT SIZE I DIAMETER(inches) IF GRAVEL { Diameter of well including GRAVEL SIZE(inches) F
P ROM(feet) TO(feet)
I ACKED: I gravel
DEPTH FROM LAND SURFACE pack(inches): I I
FEET to FEET FORMATION DESCRIPTION Sketch exact location of well with distances,to at least
two permanent landmarks.
0 1 Sand
15 100 Clay
100 300 Bedrock
s if�y
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f f 0u T
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If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
Aeej
DATE WELL COMPLETED PERMIT NO. I REGISTRATION NO. DATE OF KCPORi
WELL LEE (Signatm ): ----__
DEPT. OF ENVIRONMENTAL PROTECTION-WATER RESOURCES