HomeMy WebLinkAboutWell New 00 Abbe Road Extension WELL DRILLING BOARD STATE OF CONITECTICUT PERMIT NUMBER
wDe a 11-69 WELL DRILLING PERMIT 3
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115 . 57
LOCATION OF WELL (Town) (8heet) (Lot Number) DATE
SOUTH WINDSOR ABBY ROAD EXT. � 11/30/78
OWNER OF WELL
❑ INDIVIDUAL ® BUILDER ❑ OMER(Specify) RICHARD S. KELLEY (1-SOUTH WINDSOR
OWNER'S ADDRESS
_ 49 ROSEMARY LAITE, S. WINDSOR, CONN.
NESS TEST Est.No.of
PROPOSED X❑ DOMESTIC ❑ EET AABLISHMENT ❑ FARM ❑ WELL People being
USE OF
WELL PUBLIC❑ ❑SUPPLY ❑ INDUSTRIAL AIR ((�-'� OTHER served.CONDITIONING 1_I (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 hone Of present)
L
Indicate North _ t
DiL
17ZaUr
ROSA
i9�OBY Rd. E XT• - u�L� , L
Approximate number of feet from well to 75 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 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.
APP (Si rre) I APPLICANT'S ADDRESS I REGISTRATION NO.
LADE ST. , VERNON, CO-MT. 140
BY(Toro.JTealth Offtasr or dpent) I DATE
.d APPROVED El REJECTED I 2- �F," >sr
REMARKS a,& G4 �� /
r� V
I.. id• s `
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
WELL COMPLETION REPORT STATE OF CON4tTICUT Do NOT fill in
WDB.5 14a9 REV.9-71 WELL DRILLING BOARD
STATE WELL NO.
State Office Building
HARTFORD,CONNECTICUT 06115
OTHER-NO.
OWNER NAME ADDRESS
SOUTH WINDSOR BUILDERS INC� 49 ROSEMARY LpuE, SQU'-TH WINDSOR, COATIS?.
LOCATION (No.&Street) (Town) (Lot Number)
OF WELL• ABBY ROAD EXT. SOUTH WINDSOR 1
Eg DOMESTIC ❑ BUSINESS
FARM ESTABLISHMENT ❑
PROPOSED ❑ TEST WELL
USE OF
WELL AIR OTHER
❑ SUPPLY ❑ INDUSTRIAL
• ❑ CONDITIONING ❑ (Specify)
DRILLING ED CABLE
EQUIPMENT IN ROTARY ❑ ARM PEPRERCUSSION ❑ PERCUSSION ❑ ((Specify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE
WAS CASING GROUTED?
DETAILS 36 6 19 a 45 I a THREADED ❑ WELDED I YES ❑NO ❑X YES ❑NO
HOURS YIELD(G.P.M.)
YIELD ❑TEST BAILED ❑ PUMPED FK1 COMPRESSED AIR I 4 20
WATER
MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet)
O I � Depth of Completed NJell
LEVEL 3 125 in feet below Land surface: 150
MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including
GRAVEL SIZE(inches)FROM(feet) 1TO(feet)
PACKED: gravel pack(inches): ,
DEPTH FROM LAND SURFACI FORMATION DESCRIPTION Sketch exact location of well with distances,to at least
FEET to FEET two permanent landmarks.
0 7 Sand & Gravel
7 16 Clay �L V
16 150 Bedrock $ 0)
7�r j
1- 7�(41E- +
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED II PERMIT NO. REGISTRATION NO. IT,OF kLPORT RILL (Si ature)
12/18/78 i 57633 • 100 11/4/79
BOARD