HomeMy WebLinkAboutWell New 116 Lisa Drive STATE OF CONNECTICUT DO NOT fill in
DEPARTMENT OF CONSUMER PROTECTION STATE WELL NO.
REAL ESTATE&PROFESSIONAL TRADES DIVISION
WELL DRILLLING COMPLETION REPORT OTHER NO.
165 Capitol Avenue,Hartford,Connecticut 06106
OWNER NAME ADDRESS
MACPHERSON—D&D HEATING A/C 116 LISA DRIVE SOUTH WINDSOR
LOCATION (No&Street) (Town) (Lot Number)
OF WELL 116 LISA DRIVE SOUTH WINDSOR
BUSINESS TEST
PROPOSED DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ WELL
USE OF WELL PUBLIC❑ SUPPLY ❑ INDUSTRIAL AIR OTHER
❑ CONDITIONING GEOTHERMAL
DRILLING. ROTARY COMPRESSED OTHER
EQUIPMENT ❑ AIR PERCUSSION ❑ ❑ (Specify)
LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
CASING 40 6 17 � �j
DETAILS WELDED❑ '1 YES ❑NO '`►�j
'YES ❑NO
THREADED
YIELD(GPM)
YIELD TEST ❑ BAILED ❑ PUMPED � COMPRESSED AIR HOURS 45
WATER MEASURE FROM LAND SURFACE—STATIC(Specfyfeet) DURING YIELD TEST(feet) Depth of Completed Well in feet
LEVEL 27 445 450
MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of well GRAVEL SIZE(inches) FROM(feet) TO(feet)
PACKED including gravel pack
(inches)
DEPTH FROM LAND TO SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances to at least two
FEET TO FEET permanent landmarks
0 30 SAND
30 450 BEDROCK
MAYSourH 15 2p12
H�LT{Mp pSQR
T.
If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE T t
------ �.
420 5 4. y.�
DATE WELL COMPLETED PERMIT NO REGISTRATION NO DATE OF REPORT fl
05/11/12 252138 4 05/14)12 -
Owner•Contractor•Dept of Consumer Protection•Dept of Environmental Protection-Water Resources•Local Director of Public Health
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