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Home My WebLink AboutWell New 00 Buckland Road (7) CONSUMER PROTECTION WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER CPR-$REV.11-U DEPARTMENT O� CONSUMER PROTECTION 156221 WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WELL{!bone) (St-el) (Lot Number) DATE S. WINDSOR BUCKLAND RD. WELL # 5 6/4/93 OWNER OF WELL ❑ INDIVIDUAL FKI BUILDER OTHER(Specify) SPAZZARINI CONSTRUCTION 'CO. OWNER'S ADDRESS 50- POST OFFICE RD. , ENFIELD, CT. a IUSINESS TEST Est.No.of PROPOSED DOMESTIC ESTABUSHAAENT a FARM � WELL People being VSE OF " ABANDON served. WELL fWUPUPL�Y INDUSTRIAL ❑ AIR a OTHER WELL CONDITIONING X (Specify) SKETCH OF WELL LOCATION Locate well with respect to of least two roads,showing distonce from'intirseccon and front of lot Location of lot to at least two roads Well location on lot and to house(if present) Itdioote Nosh a aPA Approximate number of feel from well to newest source of possible contamination! The undersigned is aware that upon completion bf the well,-a "Well Completion Report' containing construction details and information required under Section 25.191 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 countersigned by the Director of.Health or his agent. StLsutura!J APPLICANT'S ADDRESS REGISTRATION NO. . � P.O. BOX 406, WILLINGTON, CT. 100 By(Town Heakb Of r A t) DATE 0APMOVED p RE1EtTEo REMARKS IF ABANDON EXIISTIING DRILLED WELL ACCORDING TO STATE SPECS-- RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT STATE-oi'CONNICTIwT 01114KV.11-0 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in STATE WELL NO. WELL DRILLING BOARD 165 CAPITOL AVE. OTHER NO. ABANDONED WELL HARTFORI),CONNECTICUT06L06 NAME ADDRESS oYrNEft SPAZZARINI CONSTRUCTION CO 50 POST OFFICE RD. , ENFIELD, CT. LO"mm (No.d Street) (Town) (tot Number) BUCKLAND RD. S. WINDSOR WELL # 5 BUSINESS ❑ DOMESTIC ❑ EABLISHMENT ❑ FARM a TEST WELL UK OF wou SUPPLY❑ AIR OTHER❑ 94DUSTRM a CONDITIONING ®(specify) ABANDONED WELL aC�COMPRESSED LP aCBq,w ROTARY PERCUSSION PERCUSSION (Specify) CASING LENGTH(f"i DA METER(inches) WEIGHT PER FOOT (WINS NG TED� OVAL ❑THREADED a WELDED YES NO L J YES NO T ❑BAILED ❑PUMPED ❑COMPRESSED AIR f10UR5 YIELD(G.P.M.) Tm liT . MEASURE FROM LAND SURFACE=STATIC(Specify feet) DURING YIELD TEST(feet) INATb� - Depth of t:ompkNd'Welt ' Lam• in feet below land surface: MAKE LENGTH OPEN TO AQUIFER(feet) ScIlMl •DETARS SLOT SIZE DIAMETER(inches) IF GRAVE L Diameter of well includirtG GRAVEL SIZE(inches) FROM(feet) To(feet PACKED: Grovel Pock(inches): DEPTH FROM~SURFACE FOM%TION DESCRIPTION Sketch exact location of well with distances,to of least .FEET'TO FEET two pernwnem"morks. DRILLED ABANDONED EXISTING WELL ACCORDING TO STATE SPECS. If yield watt baled to different dttpdu during drillkV,list below =FEET GALLONS PER WNUTE v AA 011E PERMIT NO. REGISTRATION NO. T6/2lLg3 ATE OF REPORT R(Sgraturo) 156221 100 W17173 BOARD WELL COMPLETION REPORT' STATE OF CONNECTICUT cPR-v REV.,,_ez DEPARTMENT OF CONSUMER PROTECTION Do NOT fili `in WELL.DRILLING BOARD PSTATEweu NO.165 CAPITOL AVE, l $ANDONED WELL HARTFORD,CONNECTICUTOblD6 NO., NAME OWNER ADDRESS SPAZZARINI CONSTRUCTION CO. 50 P09T OFFICE RD. �' ENFIELD, CT. LOCATION (No.& Street) (Town) OF WELL BUCKLAND RD (lot Number) �S. WINDSOR WELL # 5 FI=OiEp ❑ DOMESTIC USE ❑ ESTABLISHMENT ❑ FARM OF ❑ TEST WELL WKL PUBLIC AIR OTHER ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING (Specify) ABANDONED WELL DMILLNG D CABLE EQuy"INT ❑ ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑((Spec fy) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT MAILS ❑ WELDED YES NO QS SSeNG G urlo THREADED NO YIELD HOURS TEST BAILED ❑ PUMPED ❑COMPRESSED AIR YIELD(G.P.M.) WATER MERE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) LEVEL Depth of Completed Well in feet below MAKE Land surface: LENGTH OPEN TO AQUIF�(feet) fCAffN DETARS SLOT SIZE DIAMETER{inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet PACKED: gravel pock(inches): DEPTH FRQNS LAND SURFACE FEET TO FEET FORMATION DESCRIPTION Sketch exact location of well with distances, to of least two permanent landmarks. DRILLED ABANDONED EXISTING WELL ACCORDING TO STATE SPECS. If Yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE "a . DATE WELL TED PERMIT NO. REGISTRATION NO: DATE OF REPORT ZMDRLR(Sigr-m:::::: ture) 3 179COT nC L�1\r8®01A®O�CAATAB eeR9nrs�sa waaa.. ___ CONSIJMER PROTECTION 'WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER CPR-fl REV.1142 DEPARTMENT OP CONSUMER PROTECTION 156221 WELL DRILLING PERMIT 165 CAPITOL AVE., HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(TOUIV) (Street) (Lot NrtarbrrJ GATE . S. WINDSOR BUCKLAND RD. WELL # 5 6/4/93 OWNER OF WELL INDIVIDUAL a WILDER El OTHER(Specify) SPAZZARINI CONSTRUCTION -CO. OWNER'S Af7 ss 50- POST OFFICE RD. , ENFIELD, CT. PROPOSED DOMESTIC RUSINBLS FARM TEST Est. No.of USE OF ESTABLISHMENT El WILL People being W PUBLIC Aft OTHER ABANDON served. ELL SUPPLY INDUSTRIAL CONDITIONING a (Specify) WELL SKETCH OF WELL LOCATION Locate well with respect to of least two roods•showing distance from-intersection and front of for Location of lot to at[east two roads Well location on lot and to hoJse(if present) ksdioete Noah 01-k �EP6� Af�p�G �Ly L, 61 CA,14 ! Approximate number of feet from well to nearest source of possible contamination: The undersigned is aware Ilat upon completion of the well,-a "Well Completion Report" containing construction details and information required under Section 25.191 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 countersigned by'he Director of•Health or his agent. kNT Siteaterr) APPLICANT'S ADDRESS REGISTRATION NO. P.O. BOX 406, WILLINGTON, CT. 100 BY(T'oraa Health Officer r A t) GATE APPROVED REJECTED io -j 9 REMARKS ' —" ABANDON EXISTING DRILLED WELL ACCORDING TO STATE SPECS 00 RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD • WELL COMPLETION REPORT STATE•Of coNNECTICUT Do NOT fill in Cute_vREV.It42 DEPARTMENT OF CONSUMER PROTECTION STATE WELL NO. WELL DRILLING BOARD 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. ABANDONED WELL NAME ADDRESS . orrNtlt SPAZZARINI CONSTRUCTION CO 50 POST OFFICE RD. , EIVFIELD, CT. WCATI011 (No.i Street) (Town) (Lot Number) ofW1U BUCKLAND RD. S. WINDSOR WELL # 5 NESS P�pPO60 ❑ DOMESTIC ElEESTAKISHMENT ❑ FARM ❑ TEST WELL m Of N►BL ❑ SUPPLY Y ❑ NrpUSTRIAL ❑ CONDITIONING ®AIR �s�fi,) ABANDONED WELL COMPRESSED swir w ❑ ROTARY ❑ AI RCUUSSION ❑PERCUSSION ❑(°SRY) CAS NG LENGTH I" DIAMETER(inches) WEIGHT PER FOOT CASINGGROUTED' . DETAILS ❑THREADED ❑ WEIDED YES NO YES NO I 11Nt0 HOURS YIELD(G.P.M.) TEST ❑ "ILED ❑PUMPED ❑COMPRESSED AIR WATT MEASURE FROM LAND SURFACE- STATIC(Specify feet) DURING YIELD TEST(feet) peP*of Completed Well Lam' in feet below Land surface: MAKE LENGTH OPEN TO AQUIFER(Feet) - ECRNN MiETAU SLOT SIZE ' DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(fees) TO(feet PACKED: gravel pack(inches): DEPTH fTEOM U1PJV SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at Last 'FEET TO FEET two pen"arteno landrrtotks. DRILLED ABANDONED EXISTING WELL ACCORDING TO STATE SPECS. If yield was tinted of different depths"Ing drilling,list below FEET GALLONS PER MINUTE P. AD DAM^yOOMl1JMD PERMIT NO. REGISTRATION NO. DATE OF REPORT (Sgrgtwe) 156221 100 6 21 93 k1171 7 3 BOARD