HomeMy WebLinkAboutWell New 00 Foster Road -- 71 Stale of Connecticut
WATER RESOURCES COMMIssJON WELL COMPLETION _ _---
223 State Office Building This report must
���®RT
- Hartford, Connecticut to State be completed a ®O NOT FILL IN
than 30 Water Resources Commission submitted Ya after completion
of Well. no Eater State
—` WELL t17pietion of vmeli, well No,Sw_e1/
OWNER f Other No.
WELL
DRILLER Namer - e
cSf
s P� k r Street Add,,,, r
`Name �.
Clty And Town -
PROPOSED USE OR USES street Add...
;Domest'c
City and Town
❑ Farm
CASING D U Irrigation Business
YIELD TEST
DETAILS ❑ Establishment
❑ Municipal
Length: ❑ Bailed WATER LEVEL ❑ Industrial (j Test Weil
Feet or SCR
Diameter: ❑ Pumped -_ (measure from land su SCREEN DETAILS
Hours Static; ace)
Inches or j0
Kind Compressed Air' During Yield Feet Make:
I Yield: '� DRILLING I Feet Length Slot
TOTAL DEPTH G,p,M 0 Cable Too( EQUIPMENT F�t� Size
OF WELL_ /4'° -.. ❑ (Specify)
$
---FEET ot8ry Peci. Diameter:
In.
Depth From WELL LOG
Give description Ground Surface
granite of formations penetrated
(loose,pa ked,cemented Of gravel ,such
granite: ,Soft (diameter) ands Peat, silt
e^� , hard). For cxa sand (fine satedmedi, gravel, clay, hard
pan shale
0 FT.to FT. � ample:0 ft.to 27 ft. fine, Packed,Yellow sand material, st utu Sandstone
27 ft.to 134 ft. gray
,� FT.to� FT �-�s
_ FT.to FT
FT.to FT.
i
FT,to
FT. I
— - I
FT. to
i
I
i
FT.to FT I
i
f
FT. to FT
i
i r
YIELD TT '� '
�— If Yield TEST
s Was Tested'At 6ifferDAA tN G,p M. E
FT. G.P. Depths Durin �
9 Drilling List Be
ZOO FT. G.P.M.
FT. G.P.M.
R�
FT. G.P.M. ---- F
IL
'ell Was Comp e c -*
I`
Town Permit Number: P Date� of Reportle
---_
Weil Driller
(SignAf u re)
Certificate N^
r
L
LOCATION OF WELL: . TOWN OF
f
t
SKETCH SHOWING LOCATION OF PREMISES IN TOWN:
(Show distance and direction from road intersection or other landmark.)
I
INDICATE NORTH
R/ 30
DIAGRAM SHOWING LOCATION OF WELL ON PREMISES:
MTA Al
�J
x
ROUTE DIRECTIONS FOR REACHING WELL SITE FROM NEAREST CITY OR VILLAGE CENTER: