HomeMy WebLinkAboutWell New 00 Graham Road (2) WELL COMPLETION REPORT STATE OF CONNECTICUT — —
WDB-5 12-69 WELL 'DRILLING BOARD Do NOT fill in
State Office Building STATE WELL NO.
HARTFORD,CONNECTICUT 06115 v. �Ocq
}
OTHER NO.
NAME OWNER ADDRESS
Jame
Irie Budiderx I-n 641 Sullivan Ave S Windsor aO.-n-22.
LOCATION (No. &Streei) (Town) (Lot Number)
OF WELLGraham, ( o-ad e pry
BUSINESS
PROPOSED
DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL
USE OF
WELL PUBLIC AIR
❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ ((SSpe iffy)
DRILLING � ❑ COMPRESSED CABLE OTHER
EQUIPMENT ROTARY AIR PERCUSSION ❑ PERCUSSION ❑ (Specify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS LASING GROUTED?
DETAILS THREADED ❑WELDED �YES ❑NO []YES FxI NO
YIELD HOURS G.P.M. YIELD(G.P.M.)
TEST ❑ BAILED ❑ PUMPED Ei COMPRESSED AIR {
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) Depth of Completed Well
LEVEL 1- ` in feet below Land surface:
175
MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS 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 FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
FEET to FEET two permanent landmarks.
0 8 Lad�'S -.y oD so i
v &T
00,
32 175 Rem, Rock
1
rv-
If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
LA)v
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WELL IL E (Signatu e)
BIFL4PPe Pro v+Pe-ta�e��re ee aa.m .ea4 s�_a-aiv _.
WELL COMPLETION REPORT STATE OF CONNECTICUT
WDB-5 12-69 WELL DRILLING BOARD Do NOT fig in
State Office Building STATE WELL NO.
HARTFORD,•CONNECTICUT 06115
OTHER NO.
NAME ADDRESS
OWNER James Milkie Builders Inc 541 Sullivan Ave. S. Windsor Conn.
LOCATION (No.d Street) (Town) (Lot Number)
OF WELL Graham Road BUSINESS S:. Windsor
®DOMESTIC ❑ ESTABLISHMENT SHMENT ❑ FARM ❑
PROPOSED TEST WELL
USE OF
WELL PUBLIC AIR SUPPLY ❑ IN (specify)
❑ CONDITIONING ❑ OTHER
)
DRILLING COMPRESSED CABLE EQUIPMENT ® ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ O(Specify)
e if )
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE W S C SING MUTED,
DETAILS42 1 e 4 ® THREADED ❑WELDED �YES ❑NO �YES LJ NO
YIELD TEST ❑BAILED ❑ PUMPED lid COMPRESSED AIR HOURS G.P.M. YIELD(G.P.M.)
WATER MEASURE FROM LAND SURFACE—STATIC(Specify teet) DURING YIELD TEST(toot) 1 Depth of Completed Well ��
LEVEL 1 0 in feet below Land surface: 1
75
MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE T
IAMETER(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.
0 8 Sandy Topsoil
8 2 Clayo -------
2 1 Red Rock
• � i
If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
DATE WELL'COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WELL JAI E (Signat e�
2 11 1 26 100 2/15/71
BOARD