HomeMy WebLinkAboutWell New 728 Deming Street I
WELL COMPLETION REPORT STATE OF CONNECTICUT
WDB-5 1269 REV.v-ri WELL DRILLING BOARD Do NOT fill in
State Office Building STATE WELL NO.
HARTFORD,CONNECTICUT 06115
OTHER NO.
OWNER NAME ADDRESS
HORA E P0: Tr4 1728 DEMI G ST. t S. WjjjDS0R,1 CT..
LOCATION (No.&Street)
OF WELL 728
DMAING ST. (Town)S. WINDSO-JR
BUSINESS
(Lot Number]
PROPOSED DOMESTIC ❑ ESTABLISHMENT
USE OF FARM ❑ TEST WELL
WELL PUBLIC
❑ SUPPLY ❑ INDUSTRIAL '41R OTHER
❑
❑ CONDITIONING (Specify)
DRILLING ® ROTARY El
CABLE
EQUIPMENT AIR PERCUSSION PERCUSSION ❑ OTHER
LENGTH feet (Specify)
CASING ( ) DIAMETER(inches) WEIGHT PER FOOT
I DRIVE SHOE WAS CASING GROUTED?
DETAILS IC] f I THREADED ❑ WELDED I �YES ❑NO �YES ❑NO
YIELD i�
HOURS YIELD(G.P.M.)TEST ❑ BAILED ❑ PUMPED COMPRESSED AIR I i
WATER
MEASURE FROM LAN SURF D ACE—STATIC (Specify feet) DURING YIELD TEST(feet)LEVEL _1
0 I y � I Depth of Completed Well
.E in feet below Land surface: 200
MAKE
SCREEN
I LENGTH OPEN TO AQUIFER(feetF
DETAILS SLOT SIZE I DIAMETER(inches)
IF GRAVEL I AVEL SIZE(inches)fROM
I PACKED: Diameter k well including GR I (feet) TO(feet)
Gravel pack(inches):
DEPTH FROM LAND SURFAC
FEET to FEET FORMATION DESCRIPTION Sketch exact location of well with distances,to at least
two permanent landmarks.
} 15 Graved t
15 200 Bedrock E`-c'FIaLvd
f �
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
t
61
DATE WELL-�COMP{L�ETED PERMIT NO. I REGISTRATION NO. I DATE OF KEPORT WE�Ergnau,
I
DEPT. OF ENVIRONMENTAL PROTECTION-WATER RESOURCES