HomeMy WebLinkAboutWell New 9999 Eagle Run Jul 15 2014 3,20PM Greta Well Drilling 86051326335 page 2
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1540 SULLIVAN AVENUE• SOUTHWINOSOR, CT 06074
l�ds01t7c'� TELEPHONE(860)$44-25�1.
October 24;-2013 .
Greta Well Drilling, Inc.
143 Main Street
Terryuilte, CT 06766'
To whom it may concern,
This letter is in regards fo.your proposal to drill an irrigation well on the property located at Eagle Run in
South Windsor, Connecticut(CT DCP Kermit#254674)
The proposed in igation well is approved with the following conditions:
1. The well site must conform to all existing state and local regulations.
2. No physical connection shall ever be .permitted between any portion of the public'
water system and the irrigation system. Periodic inspections will be conducted by
representatives of the public water supply pursuant to Public Health Code:(PHC)
Regulation 19-13-B102f to confirm that this condition has been satisfied.
3. The public water supplier shall be notified of the issuance of the well permits.
4. The well must not 'adversely affect the purity and adequacy of the public _water:
supply, nor the service of the system.
5. Well water samples must be approved by this office in accordance to Section 19-13
B101 .of fie Public Health Code. Initial test results must be submitted to the:health
department for approval before use can begin.
6. During critical periods when the public 'water. supply may impose water use
restrictions on its customers, the property owner, must comply with the same
restrictions in order to conserve water.
7. Approval for use of the well will be expressly for irrigation purposes only and any
other use will void approval.
This approval.is in accordance with Connecticut General Statutes,section 19a-209a. Should you have any
questions, please do not hesitate to contact me'at 860-644-2511, extension 248;
Sincerely,
Sherry Mc ann, es,REHs,HHs
Environmental Health Officer
cc: Connecticut Water, 25 North Road(Route 140), East Windsor, CT 06088
PERMIT NUMBER
CPR-8 Rev.7195 STATE OF CONNECTICUT 254670
DEPARTMENT OF CONSUMER PROTECTION
REAL ESTATE&PROFESSIONAL TRADES DIVISION
WELL DRILLING PERMIT
OU O U Y 165 Capit"venu4,Harttf�rd,Connecticut 06106
tl Ie �-A
LOCATION OF WELL (Town) (Street) V (Lot Number) DATE
-e R SsaG, =0 C. ' T I
OWNER OVWELL
INDIVIDUAL BUILDER Q OTHER(Specify)CU tA�a A SSo C
OWNER'S ADDRESS
Est.No.of
PROPOSED DOMESTIC BUSINESS FARM TEST People being
USE OF ESTABLISHMENT WELL served.
WELL
PUBLIC INDUSTRIAL ❑ AIR rK_V 1:1OTHER�QA =) t o n
SUPPLY CONDITIONING (Specify)
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 on to and to house(if present)
Indicate North
Qj
� t�(211 V\
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 construction details and information required under
Section 25-131 of the 1969 Supplement to the General Statutes must be sent to the owner, the Department of Consumer Protection and the Water
Resources Commission on the form provided the agency. This permit is not valid until all information is filled in and it has been counter-signed by
the D' ctor of Health or his aj4nt.
AP ANT(Signature) APPLICANT' ADDRESS REGI T ION NO.
.tio I 113
BY( eaRh Officer or gent) DATE
' ErROVED ❑ REJECTED -
(� ZZ
REMARKS
l f Y�1.�0 ^�� i_7 t �:✓� 5
DIRECTOR OF HEALTH
CPR-9 Rev.7i95 Do NOT fiil in
STATE OF CONNECTICUT STATE WELL NO.
DEPARTMENT OF CONSUMER PROTECTION
REAL ESTATE&PROFESSIONAL TRADES DIVISION OTHER NO.
WELL DRILLING COMPLETION REPORT
165 Capitol Avenue,Hartford,Connecticut 06106 RECENED
OWNER C . #/: ADDRESS JUL 2 2 2014
LOCATION j (No.a Street) (Town;.- (Lot NUM r)
OF WELL ( — SOUTH WINDSOR
# �-� tt_.1i. tt it 1U'C
DOMES IC BUSINEESTABLISHMENT HMENT FARM a WELL
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PROPOSED
USE OF WELL PUBLIC a SUPPLY INDUSTRIAL AIR
CONDITIONING ® OTHER �,-{ t )
(Specify) t �{ W
DRILLING ROTARY COMPRESSED CABLE OTHER
EQUIPMENT L4J AIR PERCUSSION PERCUSSION (Specify)
CASING LENG (felt) I DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED.
DETAILS
(P ` � ��-= ® a THREADED WELDED YES ❑ NO, b LLi
YES ❑ NO
YIELD TEST a BAILED [:] PUMPED ® COMPRESSED AIR HOURS , ( YIELD( )4—
WATER MEASURE FROM LAND ISURFACE-STATIC(Specify feet) DURING YIELD T T t) Depth of Comil Well inkfeet
LEVEL
MAKE LENGTH OPEN TO AQUIFER(feet)
SCREEN
DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Diameter of welt GRAVEL SIZE(inches) FROM(feet) TO(feet)
PACKED: including gravel pads
(inches)
DEPTH FROM LAND TO SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least two
FEET TO FEET permanent landmarks
1
If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
DAT L COMPLETED PERMIT'NO..( REGISTRATION NO. AIE F RT WELL DRILL ( ature
LOCAL DIRECTOR OF HEALTH