HomeMy WebLinkAboutWell New 335 Buckland Road State of Connecticut WELL COMPLETION REPORT DO NOT FILL. IN
;- WATER RESOURCES COMMISSION This report must be completed and submitted �u; Fy
State Well No.`-_,.
223 State Office Building to State Water Resources Commission no later
Hartford, Connecticut than 30 days after completion of well. Other No. _
OWLL
NER _ Lawrence Beaudry _ 335 Buekland Rd. , Soue.th Windsor, Conn.
Name Street Address City and Town
WELL
Stavens Bros. , Inc. Lake St. , Vernon, Conn.
Name Street Address City and Town
PROPOSED USE OR USES (Check):
Business
JJCDomestic ❑ Farm [] Irrigation ❑ Establishment ❑ Municipal ❑ Industrial ❑ Test Well
CASING DETAILS YIELD TEST WATER LEVEL SCREEN DETAILS
El Bailed (measure from land surface)
Length: 2 Feet or ours Static: 20 Feet Make:
❑ Pumped
or � During Yield
Slot
Diameter: 6 Inches ® Compressed Airl G•P•M• Test: 80 Feet Length Ft. Size
DRILLING EQUIPMENT
Kind: steel ! ❑ Cable Too[ ❑ Other (Specify) Diameter: In.
Yield: 1t� G.P.M y Rotary
TOTAL DEPTH OF WELL-1-2-5---FEET
WELL LOG
Depth From Give description of formations penetrated, such as: peat, silt, sand, gravel,clay, hardpan, shale, sandstone,
Ground Surface granite, etc. Include size of gravel (diameter) and sand (fine, medium, coarse), color of material, structure
(loose,packed,cemented,soft,hard).For example:0 ft.to 27 ft.fine, packed,yellow sand;27 ft.to 134 ft. gray
granite.
0 FT.to 5 FT. Sand & Gravel
FT.to FT.
FT,to FT
25LLL
FT.to FT.
FT.to FT.
t
FT. to FT.
FT.to FT.
FT. to FT.
YIELD TEST DATA IN G.P.M.
If Yield Was Tested At Different Depths During Dril,ling,list Below
FT. G.P.M.
FT. G.P.M.
FT. G.P.M.
FT. G.P.M.
Date Well Was Completed: Mar. 25, 1968 Date of Report April 18, 1968
Town Permit Number: 127 Well Driller
(Signature)
Certificate No. 2550
l
LOCATION OF WELL: TOWN OF 0
SKETCH SHOWING LOCATION OF PREMISES IN TOWN:•
(Show distance and direction from road intersectio o other landmark'.).
INDICATE NORTH
DIAGRAM SHOWING LOCATION OF WELL ON PREMISES:
,1 �e
o
ROUTE DIRECTIONS FOR REACHING WELL SITE FROM NEAREST CITY OR VILLAGE CENTER: