HomeMy WebLinkAboutWell New 00 Niederwerfer Road (2) a
DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER
TTas WELL DRILLING PERMIT -9397
STATE OFFICE BUILDING,HMTFORD,CONNECIICUT 061.15 5
LOCATION OF WELL (rmn) (8treet) (Lot Number) I .DATE
South Windsor Neiderwerfer Rd. 6 I !}L23/79 OWNER OF WELL
0 INDIVIDUAL ❑ BUILDER- ❑ OTHER(Specify)
OWNER'S ADDRESS
Fred Bell _ 2340 Ellington Rd. South Windsor
PROPOSED X❑ DOMESTIC ❑ ESTABLISHMENT ❑BUSINESS FARM ❑ WELL PeTEST ople 9 USE OF
served.
WELL ❑ SUPPLY PUBLIC ❑ INDUSTRIAL ❑ CONDmONING ❑ (Specify) 1 family
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 roads Well location 6n lot and to house Of present)
Indicate North
0
1 ' .-
o
j We
�U
N e-1 erwe �-e 1'00A
Approximate number of feet from well to
nearest source of possible contamination: 751 +
The undersigned is aware that upon completion of the well,a"Well Completion Report" containing construction details 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 a•:;.
Board.This permit Is not valid until all informati is filled in and it has been countersigned by the Director of Health or his agent.
A LI T( rn) APPLICANT'S ADDRESS Dufford Drilling Umpany REGISTRATION NO.
1 7 Main St.
BY(Town Health Officer or Glastonbury, Conn 060 DATE to
APPROVED ❑ Et7ED , A ,r � � � I S`a,�•7C� \�
KA
REMARKS L L lL /s t
Sr�ic �lGbr.'7C W/ll ifJL' �o Gcc.�p� et S� /A /�Ctc/` b T` IrlOs+6C� Cet/'C /ssud'f' 9t
�'a'9F'wt �a e±ayl/re -f(a� tt+mll i s a� je�sf- 7S� .
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
Y r
WELL COMPLETION REPORT STATE OF CONNECTICUI Do NOT f1II 11T
WDB-5 12-0 REV.9.71 WELL DRILLING BOARD srarE WELL No.
State Office Building
HARTFORD,CONNECTICUT 06115
OTHER.NO.
NAME ADDRESS
°M Fred Bell 2340 Ellington Road South Windsor Ct.
LOCATION (No.&Street) (Town) (Lot Number)
OF WELL - Niederwerfer Road So. Windsor 4
BUSINESS
PROPOSED
® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL
USE OF
PUBLIC AIR OTHER
WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Speciy)
DRILLING CABLE OTHER
EQUIPMENT ❑ ROTARY ® A RMPRESSED PER UWON ❑ PERCUSSION ❑ (Specify)
LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROCASING W]UTED?
DETAILS 40 ( 6 19# I ❑ THREADED ® WELDED I [j]YES ❑NO ❑YES NO
YIELD
HOURS YIELD(G.P.M.)
TEST ❑ BAILED ❑ PUMPED COMPRESSED AIR
MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet)
WATER I I Depth of Completed Well
LEVEL 301 11 1 in feet below Land surface:
MAKE I LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches)
IF GRAVEL Diameter of well including I GRAVEL SIZE(inches)FROM(feet) �TO(feet)
PACKED: ' gravel pack(inches):
DEPTH FROM LAND SURFACI
FORMATION DESCRIPTION Sketch exact location of well with distances,to at least
FEET to FEET two permanent landmarks.
0 33 sand and gravel
33 40 granite
40 250 granite
o -
El 7_5
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
(kp i C\, e-Ir 'tad
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT ( L DRILLER(Signature)
5/4/79 1 59397 10 519179 .
VV
-BOARD
.Y /
WELL COMPLETION REPORT STATE OF CONNECTICUT
WDB-s 1269 REV.9-71 WELL DRILLING BOARD F:T5TATE
o NOT fill in
State Office Building ELL NO,
HARTFORD,CONNECTICUT 0611b
O.
OWNER NAME I ADDRESS
Fred 3e`�l 2340 Ellington 1<Oad South oji"A—�r, Ct.LOCATION (No.&Street)OF WELL sm (Town) (Lot Number)
i�T-i
�ade Terfer Road So .find-sOr
DOMESTIC C❑ ESTABLISHMENT ❑ FARM
PROPOSED ❑ T WELL
USE OF TES "
WELL 1-1PUBLIC
SUPP Y
1-1 INDUSTRIAL AIR (—� OTHER
❑ CONDITIONING (_1 (Specify)
DRILLING COMPRESSED CABLE El (Specify)
❑ ROTARY ❑ PERCUSSION
EQUIPMENT AIR PERCUSSION
(Specify}
CASING LENGTH (feet) I DIAMETER (inches)I WEIGHT PER FOOT
DETAILS 1 0 `` DRIVE SHOE WAS CASING GROUTED?
19 I ❑ THREADED FX] WELDEDI (soYES ONO OYES ONO
YIELD TEST ❑ BAILED ❑ COMPRESSED AIR PUMPED HOURS I YIEL (G.P.M.)
Li
WATER MEASURE FROM LAND SURFACE—STATIC (Specify feet)I DURING YIELD TEST(feet)
Dep
LEVEL 0f I th of Completed Well
MAKE
in feet below Land surface:SCREEN _
I LENGTH OPEN TO AQUIFER(feet)
AMETER (in
DETAILS SLOT SIZE i DIches) IF GRAVEL I GRAVEL SIZE
Diameter of well including I (inches)(FROM(feet) I-To(feet)
PACKED: gravel pack
p (inches):
DEPTH FROM LAND SURFAC
FEET to FEET FORMATION DESCRIPTION Sketch exact location of well with distances,to at least
two permanent landmarks.
33 sand. and grave"
33 40
raTtly
_40 25 granite
c�
O
� r
V l
f'
If yield was tested at different depths during drilling, list below ]
FEET GALLONS PER MINUTE I! T
DATE WELL COMPLETED I PERMIT NO. REGISTRATION NO. I DATE OF RLPOR7
¢ } tW L DRILLER(Signature) t
4 1 7t