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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