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Home My WebLink AboutWell New 00 Buckland Road (5) CONSUMER PROTECTION WEEL DRILLING BOARD STg;.Of C(IO MCTJCUT PERMIT NUMBER C►R4 REV.11-02 DEPARTMENT OF CONSUMER PROTECTION WELL DRILLING PERMIT 156087 165 CAPITOL AVE., HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(TOWN) (Street) (Lot Number) DATE - S. WINDSOR BUCKLAND ROAD WELL # 3 6/4/93 OWNER OF WELL ❑ INDIVIDUAL a BUILDER ❑ OTHER(Specify) SPAZZARINI CONSTRUCTION CO. OWNER'S ADDRESS 50 POST OFFICE _RD. , ENFIELD, CT. PROPOSED ❑ DOMESTIC El BUSINESS, ❑ FARM ❑ WELL TEST Est. No.of ESTARUSNMENT People being USEPUBLIC AM OTHM ABANDON served. WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING" (specify) WELL SKETCH OF WELL LOCATION Locate well with respect to of 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 house(if present) •Indicass North w tj r',O //4/4 ID Approximate number of feet from well to nearest source of possible contamination: The underslgned 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 oil information is filled in and it has been counter-signed by the Director of Health or his agent. tic rc) APPLICANT'S ADDRESS REGISTRATION No. »-•-� P-0. BOX 406, - WILLINGTON, CT. 100 BY(Town Health Of ecer or A NtJ DATE �AMROVED ❑REJECTED REMARKS ABANDON EXISTING DRILLED WELL ACCORDING TO STATE SPECS. RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD k;- WELL COMPLETION REPORT STATE OF coNNEcncuT -_- - cR-vREv.a es DEPARTMENT OF CONSUMER- PROTECTION. Do NOT fill in. STATE WELL NO. WELL DRILLING BOARD 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. ABANDON EXISTING WELL NAME ADDRESS OWNER SPAZARINI CONSTRUCTION GO 50 POST OFFICE RD.-:, ENFIELD, CT. LOCATION (No. & Street) (Town) (Lot Number) OF WALL BUCKLAND RD. S. WINDSOR WELL # 3 BUSINESS ►ROFOfEp ❑UfE OF DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL WELL PUBLIC AIR OTHER ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING (Specify) Abandon well DRIIlINIi ❑ ❑ COMPRESSED IRS RECU SION ❑ PERCUSSION ❑(Specify) tQIIIFAIENT ROTARY CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT i --WAS—CASING TED? OETA!!5 ❑ THREADED ❑ WELDED YES NO ❑YES NO YOWMT ❑ ❑COMPRESSED AIR HOURS YIELD (G.P,M.) TEfT BAILED PUMPED WATU MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) LEVEL Depth of Completed Well in.feet below Land surface: MAKE LENGTH OPEN TO AQUIFER (feet) scam 7 OETARS SLOT SIZE DIAMETER(inches) GRAVEL SIZE(inches) FROM(feet) TO(feet IF GRAVEL Diameter of well including PACKED: grovel pack(inches): DEPTH FROM LAND SURFACE FEET TO FEET FORMATION DESCRIPTION Sketch exact location of well with distances, to of least two permanent landmarks. ABANDONED EXISTING GRILLE WELL ACCORDING TO STATE SPECS. If yield was tesfed of different depths during drilling, list below FEET GALLONS PER MINUTE DATE YVEII COMPLETED PERMIT NO. REGISTRATION NO: ±DATEREPORT ILLER(Signature) 7 156087 CONSUMER PROTECTION ,) WELL DRILLING BOARD STy.!OF CONNECTICUT PERMIT NUMBER CPR4 REV.II-W DEPARTMENT OF CONSUMER PROTECTION 156087 WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(Town) (Street) (Lot Namber) DATE - S- WINDSOR BUCKLAND ROAD WELL # 3 6/4/93 OWWR OF WELL ❑ tliDIMOLMAL ❑X BUILDER ❑ OTHER(Specify) SPAZZARINI CONSTRUCTION CO. OWNER'S ADDRESS 50 POST OFFICE .RD. , ENFIELD, CT. PROPOSED &USINESS. TEST Eff. No.of ElDOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL People being USE OF PUBLIC AIR OTHER ABANDON served. WELL ElSUPPLY ❑ INDUSTRIAL El CONDITIONING' ❑X (specify) WELL SKETCH OF WELL LOCATION Locale well with respect to of lost two roads,showitig distance from intersection and front of lot Location of lot to of least two roods Well location on lot and to house(if present) Indicate North w Approximate number of feet from well to nearest source of possible contamination! The undersigned is aware Owl 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 Booed 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. ►` n) APPLICANT'S ADDRESS REGISTRATION NO. BOX 406, WILLINGTON, _CT. 100 BY(Town Health Offaer or A nt) DATE 5KAFPROVED ❑REIKTEDv�p�3 REMARKS DABANDON EXISTING DRILLED WELL ACCORDING TO STATE SPECS. d v jae, &/* b,% 8., RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD 4 . t� WELL COMPLETION REPORT STAW--OFc90RICTICUT CPI--9 REV.1142 � DEPARTMENT OF CONSUMER PROTECTION � Do NOT fill in STATE WELL NO. WELL DRILLING BOARD 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. ABANDON EXISTING WELL NAME ADDRESS a" SPAZZARINI CONSTRUCTION CO. 50 POST OFFICE RD. , ENFIELD, CT. UXAUON (No.A Street) (Town) (Lot Number) OF weu BUCKLAkD RD. S. WINDSOR' WELL # 3 BUSINESS FROFOR(p ❑ DOMESTIC ❑ E AEAST iAINIENT ❑ FARM ❑TEST WELL un OF INpt 1-1SUPPIY ❑ INDUSTRIAL ❑ ONDITMING (OS�fy) Abandon We'll IWA AAR1IT ❑ ROTARY ❑AIR OTHERRESSED CABLE PERCUSSION ❑ PERCUSSION ❑(Specify) CASM LENGTH(feet) DIAMETER(inches) WEKsffT PER FOOT rrjD? WARS ❑THREADED ❑WELDED YES NO (J YES (_I NO vow HOURS YIELD(G.P.M.) TgT ❑ "LED ❑PUMPEO ❑COMPRESSED AIR WATO MEASURE FROM LAID SURFACE—STATIC(Specify feet) OURING YIELD TEST(feet) Depth of Cotttpleted Well um in feet below Land surface: MAKE LENGTH OPEN TO AOUIFER(feet) DETAILS ' SLOT SIZE DWNETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet PACKED. grovel pock(inches): 00"FROM LAND FORMATION DESCRIPTION Sketch exact location of well with distances,to of last FEET TO FEET two Permanent londniotks. ABANDONED EXISTING DRILLE WELL ACCORDING TO STATE S ECS. . If yield woe 09OW of different depths during drilling,list below FEET GALLONS PER NUNIITE DATE WEII ODMRETEO PERMIT NO. REGISTRATION NO. DATE OF REPORT LER(Sgnatoro) 6 17 93 156087 100 6/2 I 93 . BOARD try ` WELL COMPLETION REPORT T . C _V RLV.1142 � DEPARTMENT OF R CONSUMER PROTECTION Do NOT fill in WELL DRILLING BOARD STATE WELL NO, 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. ABANDON EXISTING WELL NAME ADDRESS SPAZZARINI CONSTRUCTION CO. 50 POST OFFICE RD. , ENFIELD, CT. LOCATION (No.t Sheet) (Town) (Lot Number) OF WILL, BUCKLAND RD. S. WINDSOR* WELL # 3 - BUSINESS - PROrOfiD ❑ DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL M Of WtRL PUBLIC AIR OTHER ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING L1(Specify) Abandon Well BOINPMiNT ❑ ROTARY ❑ AIR PERCUSSION ❑ PERCUSSIONOTHER❑(Specify) CASH LENGTH{feel) DIAMETER(inches) WEIGHT PER FOOT ( e5 GStHG TED? DITAU ❑THREADED ❑ WELOED YES NO (_J YES NO Tow HOURS YIELD(G.P,M,) TUT ❑ BAILED ❑PUMPED ❑COMPRESSED AIR WAM MEASURE FROM LAID SURFACE—STATIC(Specify feel) DURING YIELD TEST(feet) Depth of Completed Well LIM in feet below Land surface: MAKE LENGTH OPEN TO AQUIFER(feet) . .,ff.RRftll MAU ' SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet PACKED. grovel Pods(inches), DEPIN FROM LAW SURFACE FORMATION DESCRIPTION Sketch enact location of well with distances, to of least FEET TO FEET two permatent kmdniorks. ABANDONED EXISTING DRILLE WELL ACCORDING TO STATE S ECS. . If Yield woe fsefed of different depths during drillMg,list below FEET GALLONS PER MINUTE XIS' R a po '77 J _'o 9 DATE WELL COMM PERMIT NO. REGISTRAPON NO. DATE OF REPORT LER(54gooture) 6 17 93 156087 100 6 21 93 BOARD