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Home My WebLink AboutWell New 151 Ellington Road CONSUMER PROTECTION L -- WELL DRILLING BOARD _ T E OF CONNECTICUT PERMIT NUMBER CPR-e REV.11-B2 DEPARTMEN CONSUMER PROTECTION ° 158023 -,W i C5 WELL DRILLING PERMIT 165 CAPITOL AVE.,•HARTFORD,CONNECTICUT 06106 OCCUPATIONAL LICENSING MION ept.of Consumer protection , LOCATION OF WELL (Town) (Street) (Lot Number) DATE Q g /2 WELL Lff AL a WLLDER OTHER(Specify) OWNER'S ADDRESS PROPOSED DOMESTIC BUSINEISMMENT FARM TEST Est. No.of SS WELL People being USE OF El WELL SUPPLY INDUSTRIALAIR served. CI CONDITIONING O�ER) 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 at Bost two roads Well location on lot and to house (if present) AAA indicots North 4- 3a Approximote number of feel from well to may. nearest some of possible contamination: S The undersigned is aware that upon completion of the well, a "Well Compiei,on Report" conloining construction 'de oils 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 countersigned by the Director of Health or his agent. APPI � re) APPLICANT'S ADDRESS REGISTRATION/� v BY(Town Hedtb 0 nff xt) DATE VIED JU RE S Pee Gzd RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD ONSUMER PROTECTION WELL DRILLING BOARD T TE OF CONNECTICUT PERMIT NUMBER CPR-8 REV.11-U DEPARTMEN CONSUMER PROTECTION 15802.3 Cb2] ` j WELL DRILLING PERMIT � t.. 165 CAPITOL AVE.,-KARTFORD,CONNECTICUT 06106 OCCUPATIONAL LICENSING DIVISION ept.of Consumer Protection tion , LOCATION OF WELL(foam) (Stael) (Lot Number) DATE . WELL Lff M OMMAL WILDER OTHER(Specify) OWNER'S ADDRESS PROPOSED 9USINEES TEST Est.No.of f>OMEST� ESTABLISHMENT FARM ❑ WELL People being USE OF served. 'WELL EU��LY MOUSTRIAL CONDITIONING SpIC All eER) 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 at least two roods Well location on lot and to house (if present) Indkose North - I ¢ 36 3a j Approaimole number of feet from well to ry.. near"source of possible contamination: The undemigned is aware that upon completion of the well, a "Weil Completion Report" containing construction 'deaih 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. APPI 4 m1 APPLICAN�ADDRESS REGISTRATION J�O. _% BY(Torun Heakb Ojfrcer or A eat) DATE U,,�+ . RE S RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPOR ��Q V� � OF CONNECTICUT OFR_9KV.1142 � DEPARTMEN CONSUMER PROTECTION Do NOT fill.in STATE WELL NO. �99s W DRILLING BOARD 16S CAPITOL AVE. OTHER NO. HARTFO CONNECTICUT 0006 1,1511-p►VI51 Owm NAM J.W. JONImpt.Of C;OnSUmes 151 ELLINGTON ROAD SOUTHWINDSOR, CT 06074 LOCATION (No.6 Smeeq (Town) (Lot Number) OFwut 151 ELLINGTON ROAD SOUTHWINDSOR 151 PROPOW 13 DOMESTIC ESTABLISHMENT ❑ FARM JEST WELL YIE OF WILL THE ❑ MY ❑ If"STRIAL ❑ CCOONDITIONING ❑((Specify) Will~ D OTHER ® ROTARY M AIR�SION ❑CAKE PERCUSSION = 0(Specify) CASNIS LENGTH(fw) DAMETER(inch") WEIGHT PER FOOT w CASING cal TT�D7 MANS 155 6 17 ®THREADED ❑ WELDED X YES NO YES L_I NO vow HOURS YIELD(G.P.M.) TTIW ® DAN.ED ❑PUMPED ®COMPRESSED AIR 5 15 WATR MEASURE FROM LAID SURFACE—STATIC(Specify feel) OURING YIELD TEST(feet) Doh of Cwnpkftd Well - Will . 40 325 in feet below Land"ace;3 2 5 MAKE LENGTH OPEN TO AQUIFER(feet) .tQREt1 - 0lTAU SLOT SIZE DIAMETER(inches) LIF GRAVEL Dimt+eler of wail including GRAVEL SIZE(inches) FROM(feel) TO(feet CKED: grovel pock(inches): DEPIN FROM LAND SURFACE. FORMATION DESCRIPTION Skekh ettoa location of well with disronces,to at least FEET TO FEET two permomm landmarks. 0 150 SAND—CLAY—MUCK 150 325 RED SHALE O M yield was tta"+ed a different depth"daring drilling.list below FEET GALLONS PER MINUTE J DATE COMPLETED RET PERMIT NO. "NO. DATE OF REPORT WE tL (Signature) 8T23/93 158023 8/25/93 HN M. DUFFOR tu BOARD