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Home My WebLink AboutWell New 58 Barber Hill Road CPR-$Rev.7/95 PERMIT NUMBER STATE OF CONNECTICUT 211713 pg �( DEPARTMENT OF CONSUMER PROTECTION ¢gtle REAL ESTATE&PROFESSIONAL,TRADES DIVISION WELL DRILLING PERMIT 165 Capitol Avenue,Hartford,Connecticut 06106 LOCATION OF WELL (Town) (Street) (tot Number) DATE S.WINDSOR 58 BARBER HILL RD. 2/25/02 OWNER OF WELL 9 INDIVIDUAL BUILDER OTHER(Specify) OWNER'S ADDRESS PAGANELLI CONST. — P.O. BOX 652, S.WINDSOR PROPOSED DOMESTIC BUSINESS FARM TEST PEeootp�lebeing USE OF WELL ESTABLISHMENT WELL . served. PUBLIC SUPPLY INDUSTRIAL CONDITIONING AIR STHER) 4 SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot location of lot to at least two roads Well location on to and to house(if present) Indicate North �o�S$ aV °w Le- L4-tfA- 413 Rn_ g�• wgN- Q Ai-b 60- to t LL �_%'O ST E'+- S 1. Approximate number of feet from well to nearest source of possible contamination: ABANDONMENT The undersigned is aware that upon completion of the well,a"Nell 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 provided by the agency. This permit is not valid until all information is filled in and ft has been counter-signed by the Director of Health or his agent. PLI (S)gna APPLICANTS ADDRESS REGISTRATION NO. P.O. BOX 406, WILLINGTON, CT. 42 BY(Town Health Officer orAgent) DATE �jA7PPROVED ❑ REJECTED z REMARKS RETURN THIS COPY TO DEPARTMENT OF CONSUMER PROTECTION CPR-9 Rev.7/95 �• ' Do NOT fill in STATE OF CONNECTICUT STATE WELL NO. g( DEPARTMENT OF CONSUMER PROTECTION REAL ESTATE&PROFESSIONAL.TRADES DIVISION OTHER N0. WELL DRILLING COMPLETION REPORT I iS Capitol Avenue,Hartford,Connecticut 06106 OWNER NAME ADDRESS' PAGANELLI CONST. P.O. BOX 652 SUFFIELD. LOCATION (No.fG"t-W) (Town) (Lot Number) OF WELL 58 BARBER HILL RD. S.WINDSXOR DOMESTIC BUSINESS ❑ FARM TEST PROPOSED ESTABLISHMENT WELL USE OF WELL 11 PUBLIC a INDUSTRIAL a AIR ® OTHER . SUPPLY CONDITIONING S ABANDONMENT DRILLING ROTARY COMPRESSED CABLE OTHER EQUIPMENT AIR PERCUSSION 1:1PERCUSSION (Specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS THREADED Q WELDED ❑ YES ❑ NO. ❑ YES ❑ NO YIELD TEST ❑BAILED a PUMPED Q COMPRESSED AIR HOURS YIELD(GPM) WATER MEASURE FROM LAND SURFACE-STATIC(Specify feet) W RING YIELD TEST(feet) Depth of Completed Well in feet LEVEL 87 MAKE SCREEN LENGTH OPEN TO AQUIFER(feet) DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well GRAVEL SIZE(inches) FROM(feet) TO(feet) PACKED: including gravel pads (inchei) DEPTH FROM LAND TO SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least two FEET TO FEET- permanent landmarks 0 87 • CEMENTED H0050 CFT 8,71 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 WELL R LER(Signature) . 2/27/02 211713 42 5120/02 AGENCY .,: ;. _^ r-•,tea� T•nip CPR-9 Rev.Z/95. STATE OFCONNECTICUT Do NOT fill in DEPARTMENT OF CONSUMER PROTECTION STATE WELL N0. REAL ESTATE&PROFESSIONAL TRADES DIVISION WELL DRILLING COMPLETION REPORT OTHER NO. 165 Capitol Avenue,Hartford,Connecticut 061 o6 OWNER NAME ADDRESS GA"EILI 7. LOBOX 65 CATION (No.6 Street) (Town) (lot Number] P.O. Box 652 SUPPIELD OF WELL 8 BARBER HILL D. S. IF4D.9X0I DOMESTIC E TABLISHMENT a FARM TEST PROPOSED USE OF WELL Lj WELL PUBLIC a INDUSTRIAL a AIR OTHER SUPPLY CONDITIONING ABAN 01,o4E�7T (Specify)DRILLING a ROTARY COMPRESSED CABLE EQUIPMENT Li AIR PERCUSSION PERCUSSION OTHER (Specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DETAILS DRIVE SHOE WAS CASING GROUTED?❑ THREADED � WELDED YIELD TEST BAILED a PUMPED a COMPRESSEDAIR HOURS ❑ YES ❑ NO. ❑ YES ❑ NO YIELD(GPM) WATER MEASURE FROM LAND SURFACE-STATIC(Specify feet) DURING YIELD TEST(feet) LEVEL Depth of completed well in feet MAKE 87 SCREEN LENGTH OPEN TO AQUIFER(feet) DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well GRAVEL SIZE(inches) FROM(feet) TO(feet} PACKED: including gravel pack (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 87 CEETED O ILL If yield was tested at different depths during drilling,list below FEET GALLONS PER MINUTE DATE WELL COMPLETED PERMIT N0. REGISTRATION NO. DATE OF REPORT 2 2 7/0 WELL LER(Signature) 42 120/02 r1Cf�T PIG MKII 11��—