HomeMy WebLinkAboutWell New 45 Newberry Road (2) STATE OF CONNECTICUT DO NOT fill in
DEPARTMENT OF CONSUMER PROTECTION STATE WELL NO.
REAL ESTATE&PROFESSIONAL TRADES DIVISION
WELL DRILLLING COMPLETION REPORT OTHER NO.
165 Capitol Avenue,Hartford,Connecticut 06106
OWNER NAME ADDRESS
KEN SHEPARD—MITCHELL FUEL COMP 1209 SULLIVAN AVENUE SOUTH WINDSOR
LOCATION (No&Street) (Town) (Lot Number)
OF WELL 45 NEWBERRY ROAD SOUTH WINDSOR
DOMESTIC BUSINESS❑ ESTABLISHMENT FARM WELL
ST
PROPOSED1:1 OTHER►�j
USE OF WELL ❑ SUPP Y PUBLIC INDUSTRIAL AIRCONDITIONING GEOTHERMAL
DRILLING COMPRESSED OTHER
EQUIPMENT ROTARY �IA AIR PERCUSSION (Specify)
LENGTH(W) DWVETER(ndies) WEIGI fPERFOOT DRIVE SHOE WAS CASING GROUTED?
caslNG 150 EACH 6 17 ►�
DETAILS WELDED ' `YES ONO 11AYES �NO
THREADED
HOURS YIELD(GPM)
YIELD TEST ❑ BAILED ❑ PUMPED COMPRESSED AIR 4 #1--10 #2---20
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well in feel
LEVEL 27 495 500 EACH
MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well GRAVEL SIZE(inches) FROM(feet) TO(feet)
PACKED including gravel pads
(inches)
DEPTH FROM LAND TO SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances to at least two
FEET TO FEET permanent landmarks
0 140 GRAVEL
140 500 BEDROCK
If yield was tested at different depths during drilling,list below `
FEET GALLONS PER MINUTE
470 WELL#1-10
WELL#2--20
�-
DATE WELL COMPLETED PERMIT NO REGISTRATION NO DATE OF REPORT WELL DRILL azure)
10/20/10 249624 4 10/21/10
Owner-Contractor•Dept of Consumer Protection-Dept of Environmental Protection-Water Resources-Local Director of Public Health
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