The URL can be used to link to this page

Home My WebLink AboutWell New 505 Strong Road ''. CONSUMER PROTECTION - ------ --- --- —_--- l- WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER D.te,nEv.ital2 DEPARTMENT OF CONSUMER PROTECTION 157854 WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WEL orrnr) (Street) (Lot Number) DATE�� OWNER Ell �� -f-- ,^ �� LZjoo1WDW=AL IDER OTHER(Specify) OWNER'S ADDRESS PROPOSED El "NES HINENT ❑S. FARM ❑ TEST Est.No.of USE OF • WELL People being WELL rUPUBLIC All OTHER served. El SUPPLY INDUSTRIAL CONDITIONING ❑ (Specify) SKETCH OF WELL LOCATION Locate well with respect to of bast two roads•showing distance from intersection and front of lot location of lot to at least two roods Well location on dot and to house (if present) Indioots NtxM ;t `��7e�,z v, Approximate number of feet from well to rr� nearest source of possible contamination.. The undersigned is aware that upon completion of the well. o "Well Completion Report" contoining construction details and information required under Section 25.131 of the 1969 Supplement to the General Satutes must be sent to the owner, the-Board and the Water Resources Commission on 'he,form provided by the 600rd.This permit is not valid until all information is filled in and it hot been countersigned by the Director of Health or his agent. (S' tsrnJ APPLICANT'S ADDRESS K REGISTRATION NO. i" IF BY(Torve HedMh Officer or Ageet) DATE APPROVED �OECTED EMARKS � - � RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD CONSUMER PROTECTION . WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER f;Pa_e REV.Est e: DEPARTMENT OF CONSUMER PROTECTION 157854 cf WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WEL otrmJ (Street) (lot Number) DATE OWNER Ell Ld� INIMIDUAL OTHER(Specify) OWNER'S ADDRESS "NESS ❑ TEST Est.No.of PROPOSEDTlc D ESTABLISHMENT ❑ FARM WELL People being USE OF WELL ❑ INDUSTRIAL ❑ ❑ OE SUPPLY CONDITIONING (Specify) SKETCH OF WELL LOCATION Locate well with respect to at Bost two roods,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) Itdioale North � �� Approsienale number of feet from well to ^� nearest source of possible contamination. The undersigned is aware that upon completion of the well, a "Well Completion Report" comoininR construction details and information required under Section 25-I31 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 hot been countersigned by the Director of Health or his agent. (S' trrel APPLICANT'S ADDRESS REGISTRATION NO. 00( BY(Torus Hea( Officer or Ascot) DATE AlPROVED KTED EMARKS RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD '. CONSUMER PROTECTION WELL DRILLING BOARD STATE OF CONNECTICUT PERMIT NUMBER can-E REV.I Ti ex DEPARTMENT OF CONSUMER PROTECTION 157854 Cr WELL DRILLING PERMIT 165 CAPITOL AVE.,HARTFORD,CONNECTICUT 06106 LOCATION OF WEL aunt) (Street) (Lot Number) DATE OWNER Ell INDIVIDUAL LOER OTHER(Specify) OWNER'S ADDRESS "NESS TEST Est.No.of PROPOSED ESTABUSHMENT FARM WELL People being USE OF served ElPUBLIC AIR OTHER WELL SUPPLY INDUSTRIAL CONDITIONING (Specify) SKETCH OF WELL LOCATION Locate well with respect to at bast two roods,showing distance from intersection and front of lot Location of lot to at bast two roods Well location on lot and to house (if present) t Indloofe Northt �.. kvjlA Approximate number of feet from well to nearest source of possible contamination: The undersigned is aware that upon completion of the well, a "Well Completion Report" containing constrvction details and information required under Section 2S•131 of the 1969 Supplement a 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 oral it has been counter-signed by the Director of Health or his agent. (S arc) APPLICANT'S ADDRESS REGISTRATION NO. BY(Town Hedfh Officer or Ageet) DATE A►PROVED ECTEO �� RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD WELL COMPLETION REPORT "` " STATE OF CONNECTICUT CPR-9 REV.11-82 DEPARTMENT OF CONSUMER PROTECTION Do NOT fill-in WELL DRILLING BOARD STATE WELL NO. -� 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 OTHER NO. NAME ADDRESS OWNER Dan Bell 485 Roster Road South Windsor, Ct 06074 LOCATION (No. & Street) (Town) (lot Number) OF WKL 505 Strong Road South Windsor 505 BUSINESS FROFOSW ® DOMESTIC El ESTABLISHMENT El FARM1:1 I=OF TEST WELL PUBLIC W"IL SUPPLY INDUSTRIAL AIR OTHER CONDITIONING �(Specify) ORKUNG Ed COMPRESSED CABLE OTHER EQUN%Wff ROTARY AIR PERCUSSION PERCUSSION (Specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT WA$CAStttG GROUTEO� DETARS 116 6 17 �THREADED � WELDEDFffYES NO ®YES ONO YNBD HOURS YIELD(G.P.M.) TEST Ej BAILED F1 PUMPED COMPRESSED AIR 4 4 WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) LEVEL �.:{� �� Depth of Completed Well in feet below Land surfacer 3,65 MAKE LENGTH OPEN TO AQUIFER (feet) fCRKN DETAU SLOT SIZE DIAMETER(inches) IZE(inches) FROM(feet) TO(feet IF GRAVEL ��GRA�VEL PACKED: DEPTH FROM LAND SURFACE FORMATION DESCRIPTION' Sketch exact location of well with distances, to of least FEET TO FEET two permongnt landmarks. 0 110 Sand & Gravel 110 365 Red Shale C If yield was*sled at different depths during,drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED_ ERMIT NO. REGISTRATION NO. DATE OF REPORT WEII ORIILE (Signature) /<)31,157854 10 /1I3 JOHN M. DTTFFOR. e-_- WELL COMPLETION REPORT STATE OF CONNECTICUT CPRr;,�,, „yz DEPARTMENT OF CONSUMER PROTECTION Do NOT flit ►� r STATE WELL NO. WELL DRILLING BOARD" 165 CAPITOL AVE. OTHER NO. HARTFORD,CONNECTICUT 06106 NAME ADDRESS OWm Dan Bell 485 Foster Road South Windsor, Ct 06074 ILOCATM (No.A Streal) (Town) (lot Number) Ofwal, 505 Strong Road South Windsor 505 BUSINESS pO ® DOMESTIC El ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF PUBLIC AIR OTHER ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑'Speci fy) COMPRESSED/g1IflAAfP1T ® E OTHER ROTARY ® AI PERCUSSION ❑ PERCUSSION ❑(Specify) CAMM LENGTH(het) DIAMETER(inches) I WEIGHT PER FOOT 11 ( c4k5ttdG rE0? 09TAU 116 6 17 'THREADED ❑ WELDED YES NO (�j YES �NO VWD HOURS YIELD(G.P.M.) TW ® !!AILED ❑PUMPED ®COMPRESSED AIR 4 4 MEASURE FROM LAND SURFACE—STATIC(Specify feel) DURING YIELD TEST(feet) WATT Depth of Completed Well . tava 10 365 in feet below Land surface: 365 MAKE LENGTH OPEN TO AQUIFER(feet) iClidi ' MARS. SLOT SIZE .. DIAMETER(Inches) IF GRAVEL Diameter of well including GRAVEL SIZE(inches) FROM(feel) TO(feet PACKED-. gravel pock(inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to of kost FEET TO FEET two permanent kindmorks. 0 110 Sand &- Gravel 110 365 Red Shale LCOAW4 . If yieW was teessd m different depda during drilling,list below FEET GALLONS PER MINUTE DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT WEL ORILL (Sigratw ) . 9/9/93 157854 10 9/10/93 JOHN M. DUFFO BOARD