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HomeMy WebLinkAbout785 Foster Street Extension CPR-9 Rev.7/95 Do NOT fill in STATE OF CONNECTICUT STATE WELL NO. a DEPARTMENT OF CONSUMER PROTECTION i g, REAL ESTATE&PROFESSIONAL TRADES DMSION OTHER NO. WELL DRILLING COMPLETION REPORT 165 Capitol Avenue,Hartford,Connecticut 06106 LOCATION (No.a Street) (Tovm) (Lot Noalter) OF WELL 785 Foster St Ext South Windsor OWNER NAME ADDRESS Jay Wells same DOMESTIC BUSINESS ESTABLISHMENT FARM WELL TEST PROPOSED USE OF WELL ❑ PUBLIC u INDUSTRIAL ❑ AIR El (Specify) SUPPLY LJ CONDITIONING (Specify) DRILLING ❑ ROTARY A EQUIPMENT R PERCUSSION PERCUSSION EJ (Specify) CASING LENGTH(feel) DIAI.IETER�VAEEIGHT RI _SHO rWT�S LASING Rt:'JT f�'+DETAILS 6rr THREADED❑ WELDED VYES NO A/J YES 11 NOYIELD TEST a BAILED ❑ P © HOURS YIELU(Gf'A1) 4 20 WATER MEASURE FROM LAND SURFACE-STATIC(Specify feet) DURING YIELD TEST(felt) Depth of Compleled Wet[.n feet LEVEL 40 205 205 MA LENGTH OPEN TO A -U _ (eyt) SCREEN DETAILS SLOT SIZE DIAMETER(inches) IF GRAVEL Uj.ifruler of we i;iAVeL SIZe pncilesj r (teeq ee) PACKED: including gravel pack (inches) DEPTH FROM LAND TO SURFACE I N DESCRIPTION Sketch exact location of well with distances,to at least two FEET TO FEET permanent landmarks 0 sand and gravel _ 205 ledges L It yield was tested at different depths during drilling,list below FEET GALLONS PER IvI1NUTE 1"�SA9/►Jd Per / JAN Tq 2017 SOUTH WIND OR HEALTH-DE DATE R'ELL COMPLC 7 ED PERMIT NO. Kt its rRATION NO. � uAI t Ur F(tPOFI I YJ Ia.C)RIILER�StjnOlule) 12/22/16 262939 362 1/13/17 DUFFORD DRILLING CO. UWE ROEHRL AGENCY