HomeMy WebLinkAboutWell New 00 Buckland Road (8) CONSUMER PROTECTION
WELL DRILLING BOARD STARE"OF CONNECTICUT PERMIT NUMBER
DEPARTMENT OF CONSUMER PROTECTION 156222
WELL DRILLING PERMIT
165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106
LOCATION OF WELL(Toms) (StneJl (Lot Number) DATE
S. WINDSOR BUCKLAND RD. WELL # 6 6/4/93
OWNER OF WELL
❑ MrDIV10UAL X❑ WILDER ❑ OTHER(Specify) SPAZZARINI CONSTRUCTION CO.
OWNER'S ADDRESS
50 POST OFFICE RD., ENFIELD, CT.
PROPOSED ❑ DOMESTIC ❑ RISINESS ❑ FARM ❑ TEST Est. No.of
USE Of
ESTABLISHMENT WELL People being
WELL. PLIKIC AIR OTHER ABANDON served'
❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑X (Specify) WELL
SKETCH OF WELL LOCATION
Locate well with respect to of least two roods,showing distance from intersection and front of lot
Location of lot to of least two roods Well location on lot and to house (if present)
hwicam North
CI^/
' po�
Approxinwte 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" containinq construction details and information required under Section
25.131 of the 1969 Supplement to the General Statures 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 off information is filled in and if has been counter-signed by the Director of Health or his agent.
Si`wal re APPLICANT'S ADDRESS REGISTRATION NO.
BOX 406, WILLINGTON, CT. -100
BY(Tome Nealthe O/juer A t) DATE
KANIOVED ❑REJECTED s
REMARKS r�
ABANDON DRILLED WELL ACCORDING TO STATE SPECS.
`-= 444 Ll,� lf f o
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
CONSUMER PROTECTION
WELL DRILLING BOARD STn4E"OF CONNECTICUT PERMIT NUMBER
CPR"`Rom•11"1 DEPARTMENT OF CONSUMER PROTECTION 156222
WELL DRILLING PERMIT
• 165 CAPITOL AVE..HARTFORD,CONNECTICUT 06106
LOCATION OF WELL(r'oua,) (Sttretl (Lot Number) DATE
S. WINDSOR BUCKLAND RD. WELL # 6 6/4/93
OWNER OF WELL
❑ MIDflf10UAL XQ RVILDER ❑ OTHER(Specify) SPAZZARINI CONSTRUCTION CO.
OWPER•S ADDRESS
50 POST OFFICE RD.-, ENFIELD, CT.
PROPOSED ❑ DOMESTIC ❑ WSINESS EtTAR KL HMENT ❑ FARM ❑ TEST Est. No.of
USE OF
WELL People being
WELL.
PueuC AM OTHER ABANDON Served.
SUPPLY INDUSTRIAL
❑ ❑ ❑ cof+DlnoNlNc � ISpecisy) WELL
SKETCH OF WELL LOCATION
Locale well with respect to of 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
IrW"North
�F/ 2�rrs• - .
)90
40
' pa�
o
Approximaeo 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 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.
Siprst re APPLICANT'S ADDRESS REGISTRATION NO.
BOX 406, WILLINGTON, CT. •100
BY(Tonne Hedtb Of&,, r A t) DATE
PAPMOVED ❑REJECTED
REMARKS
ABANDON DRILLED WELL ACCORDING TO STATE SPECS.
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
. .
+ WELL COMPLETION REPORT v:
STATE OVtONNECTICUT
CPR-9 "-82 DEPARTMENT OF CONSUMER.PROTECTION Do NOT fill in
WELL DRILLING BOARD FSTATE wELt No:165 CAPITOL AVE.
ADANDEVED EXISTING WELL. HARTFORD,CONNECTICUT06106 R NO.
NAME
OWNER ADDRESS
SPAZZARINI CONSTRUCTION CO. -"50 POST OFFICE RD. , ENFIELD, CT.
LOCATION (No. & Street) (Town)
OF WELL BUCAJWD RD. (Lot Number)
S. . WINDSOR WELL # 6
PROPOSED El DOMESTIC BUSINESS
USIE OF ESTABLISHMENT FARM TEST WELL
WILL 0 PUBLIC AIR
SUPPLY INDUSTRIAL 0 CONDITIONING (OSpecRy) one Well
D*LLING COMPRESSED
MUNWANT ROTARY AIR PERCUSSION CABLE OTHER
PERCUSSION 11(Specify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT
DETAILS wn5 c�Sit�G GaO T D?
THREADED WELDED YES NO YES NO
YIELD
MT ® El PUMPED COMPRESSED AIR HOURS YIELD(G P.M.)
TEST BAILED
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet)
LEVEL Depth of Completed Well
MAKE in feet below Land surface:
fCRHN
LENGTH OPEN TO AQUIFER(feet)
OETAIIf SLOT SIZE DIAMETER(inches)
IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet
PACKED: gravel pack(inches):
DEPTH FROM LAND SURFACE
FEET TO FEET FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
two permanent landmarks.
ABANDONED DRILLED WELL
ACCORDING TO STATE SPECS.
If yield was tested of different depths during drilling, list below.
FEET GALLONS PER MINUTE
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. GATE OF REPORT
WEL ER(Signature)
156222 100 6/24 93
MOOT ^1L rweo se rse...A -
-CONSUMER PROTECTION �}
WELL DRILLING BOARD STZI!OF CONNECTICUT PERMIT NUMBER
cpa-e nev.»-flx DEPARTMENT OF CONSUMER PROTECTION 156222
WELL DRILLING PERMIT
• 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106
LOCATION OF WELL(r'owtr) (Street) (Lot Nrrrnber) DATE
S. WINDSOR BUCKLAND RD. WELL # 6 6/4/93
OWNER OF WELL
❑ INDIVIDUAL X❑ SUNDER ❑ OTHER(specify) SPAZZARINI CONSTRUCTION CO.
OWNER'S ADDRESS
50 POST OFFICE RD.-, ENFIELD, CT.
PROPOSED WSiNUS ❑ TEST Est. No.of
LASE OF
DOMESTK ❑ ESTASLISHMENT ❑ FARM WELL People being
PUBILIC All OTHER
WELL ❑ ABANDON served.SUPPLY INDUSTRIAL ❑ CONDITIONING (Specify) WELL
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 of least two roods Well location on lot and to house (if present)
IndkaM North .
- oo�
�LOS
Qa
Approximate number of feet from well to
neared 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 oil information is filled in and it has been counter-signed by the Director of Health or his agent.
Signal mJ APPLICANT'S ADDRESS REGISTRATION NO.
BOX 406, WILLINGTON, CT. -100
BY(Tme Health )ffr, r A t) DATE
APPROVED ❑REJECTED c r Ga ^3
REMARKS
ABANDON DRILLED WELL ACCORDING TO STATE SPECS.
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
• N
WELL COMPLETION REPORT STATE Of CONNECTICUT Oo NOT fill in
CPR-9KV.1142 DEPARTMENT OF CONSUMER PROTECTION STATE WELL NO.
WELL DRILLING BOARD
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106 OTHER NO.
ABANDONED EXISTING WELL.
w►ME ADDRESS -
OWNER SPAZZARINI CONSTRUCTION CO. 50 POST OFFICE RD. , ENFIELD, CT.
LOCATION (No.&Sheet) (Town) (lot Number)
OF WILL BUCKLAND RD. S. WINDSOR WELL # 6
BUSIMSS
PROPOSED ❑ DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑TEST WELL
USE OFWILL _
- ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING 0 OSTpe�u ) Abandoned Well
ONLUD.vUIFAVINT El ROTARY ❑ ERCUSSION ❑SSECAkE PERCUSSION ❑((SSp c fy)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT AS CASING' TED?
DETABS ❑THREADED ❑WELDED YES No lJ YES 'O NO
HOURSVxW YIELD(G.P.M.)
TEST ❑ BAILED ❑PUMPED ❑COMPRESSED AIR
WATSR MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet)
Depth of Completed Well
UVIL in feet below land surface:
MAKE LENGTH OPEN TO AQUIFER(feet)
-
f7ETAN.S SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet
PACKED: grovel pack(inches):
DEP►If fROAl1 LAND SURFACE
FORMATION DESCRIPTION Sketch exact location of well with distances, to at loose
fftT TO FEET two permanent kutdmorks.
ABANDONED -DRILLED WELL
ACCORDING TO STATE SPECS.
If yield was NsNd at different depths during drilling,list-below
ITST GALLONS PER MINUTE ifl
DATE WEII COMPLETED
PERMIT NO. REGISTRATK�N NO. DATE /2 OF REPORT lER(S,yrgare�
6/17/93 156222 100 6 !�/9 3
BOARD