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HomeMy WebLinkAboutWell New 00 Buckland Road (3) r CONSUMER PROTECTION ,;,.. .�. WELL DRILLING•BOARD STATE OF CONNECTICUT PERMIT NUMBER CPR.&REV.11-82 DEPARTMENT OF CONSUMER PROTECTION ' 15 6 085 WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(roam) (StrtetJ (Lot Number) DATE S- WINDSOR BUCKLAND ROAD Well # 1 6/4/93 OWNER OF WELL DIDWIDUAL BUILDER OTHER(Specify) SPAZZARINI CONSTRUCTION CO. OWNER'S ADDRESS 50 POST OFFICE RD. , ENFIELD, CT. 06082 PROPOSED DOMEIUSINESS ❑ TEST Est.No.of ElUSE Of a. ESTAILISHMENT EARN WELL People being _ . WELL AIR Abandon- served. SUS Y INDUSTRIAL CONDITIONING .OVER) Well SKETCH OF WELL LOCATION Locate well with respect to at least two roods,showing distance from intersection and front of lot Location of lot to at least two roods Well location on lot and to house(if present) IadioMts.North . Zyt:of o • c.�c �,�N,d aftD ^ Approximate number of feet from well to nearest source of possible contamination: The undersigned is aware that upon completion of the well, a "Well Completion Report' containing construction details and in 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 farm provided by the Booed.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. ( ttratu APPLICANT'S ADDRESS REGISTRATION No. O CT.g�APPROV� 100 BY(T ea(tb.Ojjictr or Agr J DA�TrE p REIECT� REMARKS Yll'' ABANDON EXISTING SHALLOW TATETI ACCORDING TO STATE SPECS. Pet" /-= ya �o RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT STATE OF CON14ECTKW ' CPR-9 EV.1142 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in • 'STATE WELL NO. WELL DRILLING BOARD 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. ABANDONED EXISTING WELL. NAME ADDRESS owNEit SPAZZARINI CONSTRUCTION CO 50 POST OFFICE RD. , ENFIELD, CT. (No.i Street) (Town) (Lot Number)- OF� BUCKLAND RD. S.WINDSOR WELL # 1 BUSINESS ❑ DOMESTIC ❑ ESTABLISHMENT ❑-FARM ❑ TEST WELL IRE OF t Elsu�PFLr ❑ INDUUSSTRIAL ❑ CCOONDITIONING OOSTpeecciiiiy) Abandoned Well BpUIFMMENT ❑ ROTARY ❑ OTHE RCUUSSION ❑ PERCUSSION- ❑(SPectfY) CAfNFG LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT l cwSlHc II'�D9 DETAILS ❑THREADED ❑WELDED YES NO vES (J NO HOURS YIELD(G:P.M.) TW ❑ BAILED 1-1PUMPED ❑COMPRESSED AIR of Completed Well WATH RI MEASURE FROM LAND SURFACE—STATIC(specify feet) DUNG YIELD TEST(feet) Depth Llll� in feel below Land surface: MAKE' LENGTH OPEN TO AQUIFER(feet) iCRIfNI. - DfRAU SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches)-FROM(feet) TO(feet PACKED: grovel pack(inches): DEPTH FROIIA LAND SURFACE FORMATION DESCRIPTION Skekh exact location of well with distances.to at least FEET TO FEET two permonvid landmarks. BANDONED EXISTING DUG WEL ACCORDING TO STATE SPECS. tp B yield was sassed of diffaronf depths dur"ArNling,list below . Ff t GALLONS PER MINUTE 10 DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT LER(Sigrtahxe) 6/17/93 156085 100 6/2 1 21 93 �.. (BOARD WELL COMPLETION- REPORT STATE of CONNEcncuT CPR-9 REV.11-82 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in WELL DRILLING BOARD STATE WELL NO. 165 CAPITOL AVE. ABANDONEI? EXISTING ��! HARTFORD,CONNECTICUT 06106 OTHER NO. FBU ADDRESS OWNER ZARINI CdTiTS`PR€7CTION CO 5f) PC}ST C3FF'ICE RD. s E1�IFIELD.. CT. LOCATION (No. & Street) (sown)OF WEII LAND RD. (Lot Number)S-WINDSORWELL # I rLINO FSTIC E TABLISHMENT FARM TEST WELL Wql � AIR OTHER SUPPLY INDUSTRIAL CONDITIONING ®(Specify) Abandoned Well DMILING a COMPRESSED EQLlMMENT ROTARY CABLE OTHER AIR PERCUSSION PERCUSSION (Specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT I DETAILS W 6S CASs c,Ro_urEp7 THREADED WELDED YES NO Luj YES ❑NO YEW HOURS TEST ❑ BAILED a PUMPED Fl COMPRESSED AIR YIELD(G.P.M.) MEAWATER FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) LEM Depth of Completed Well in feet below Lond surfoce: MAKE SCREEN LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet PACKED: grovel Pock(inches): DEPTH FROM LAND SURFACE FEET TO FEET T{)ItMAi1QN DESCRIPTION Sketch exact location of well with distonces, to of least two permonent londmorks. LANDC9NED EXISTING DUG WEE CCORDING TO STATE SPECS. 63 ,-� 14 t If yield was tested of different depths during drilling, list below GALLONS PER MINUTE _ > -f-i ✓ DATE WELL COMPLETED PERMIT NO, REGISTRATION NO: DATE OF REPORT W LER(Signature) DFPT CIF f`f�®/i�PtaeeRfett'-rna nntevrreTa.ge, ...._-- -- CONSUMER PROTECTION ,;;.. ..�. WELL GRILLING-BOARD STATE OF CONNECTICUT PERMIT NUMBER CPR-$REV.11-U DEPARTMENT OF CONSUMER PROTECTION 156085 WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(Town) (Street) (Lot Number) DATE S. WINDSOR BUCKLAND ROAD : Well # 1 6/4/93 OWNER OF WELL OlDri=AL BUILDER OTHER(Specify) SPAZZARINI CONSTRUCTION CO. OWNER'S ADDRESS 50 POST OFFICE RD. , ENFIELD, CT. 06082 PROPOSED NESS TEST Est. No.of D DOMESTK ESTABLISHMENT FARM WELL People being USE OF _ . WELL PUSUC AIR OTHER Abandon- served' El SUPPLY � INDUSTRIAL � CONDITIONING �.(Specify) Well SKETCH OF WELL LOCATION Locate well with respect to of le'ost two roods,showing distance from intersection and front of lot Location of lot to of least two roads Well location on lot and to house(if present) Mdioofe North l�Ei°nT _ . • TIN 1A Approximate number of feet from well to nearest source of possible contamination: The undersigned is aware "I 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 farm provided by tFta board.This permit is not valid until oil information is filled in and it has been counter-signed by the Director of Health or his agent. (S win AF'PIICANT'S ADDRESS REGISTRATION NO. -BOX 406, WILLINGTON, CT. 100 By(low lealtb.0 c r or Age J DATE P�MMVED REJECTED f//�J 6 to--p3 REMARKS ABANDON EXISTING SHALLOW WELL ACCORDING TO STATE SPECS. 4Lya �go RETURN! THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT #STATE OF CONNECTICUT - vR-v REV.1142 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in • 'STATE WELL NO. . WELL DRILLING BOARD 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. ABANDONED EXISTING WELL. bVMAE ADDRESS opt SPAZZARINI CONSTRUCTION CO 50 POST OFFICE RD. , ENFIELD, CT. LOCATION (No.6 Street) (Town) (Lot Number) OF WELL BUCKLAND RD. S.WINDSOR WELL # 1 SINESS PEOPOSfQ ❑ DOMESTIC ❑ ES ABLISHMENT ❑.FARM ❑ TEST WELL USE OF WRA PUBLIC ❑ SUPPLY AIR OTHER ElItIDUSTRIAL ElCONDITIONING a(SPecify) Abandoned Weil caum RESSED CABLE OTHER [QUMEIIENT' ❑ ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION- ❑(Specify) CASNIG LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT A5 CASwG IED? MAU El THREADED' 1-1 WELDEDYES NO YES NO VWD HOURS YIELD G.P.M.) TEST ❑ BAILED ❑PUMPED ❑COMPRESSED AIR WAM MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well UNK in feet below Land surface: MAKE LENGTH OPEN TO AOU1FER(feeq EQWI. DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Oiomeror of well including GRAVEL SIZE(inches)-FROM(feet) TO(feet PACKED: grovel pads(inches): OM FROM LArbSURFACEFORMATION DESCRIPTION Sketch ewci location of well with distances,to at least FEET"TO FEET two psmwneiii landmarks. ABANDONED EXISTING DUG WEL CCORDING TO STATE SPECS. :t 14 €P If vied was I, at dlffetenl depths duting.drilling,list below . FEET GALLONS PER MINUTE DATE WELL OOMPLETEO PERMIT NO. REGISTRATION No. DATE OF REPORT lER(Signotute) 6/17/93 156085 11 6 21 93 BOARD