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HomeMy WebLinkAbout75 Gerber Road East CPR-9 Rev.7/95 in STATE OF CONNECTICUT STATE WELL Do NOT fill in DEPARTMIkNT OF CONSUMER PROTECTION REAL ESTATE&PROFESSIONAL TRADES DIVISION ` WELL ._,_:_ :LING CO::-_ _. TION REPORT oTHER No. 1615 Capitol Avenue,Hartford,Connecticut OB1O6 LOCATION (No.a Sulmy (tam) (Lo'Number) OF WELL 75 Gerber Rd East South Windsor OWNER NAME ADDRESS _ Ticket Net UMESTIC BUSINESS FARM ❑ TEST PROPOSED ESTABLISHMENT WELL USE OF WELL ❑ PUBLIC l� INDUSTRIAL AIR OTHER SUPPLY l-1 CONDITIONING (Specify) DRILLING ROTARY COMPRESSED CABLE ❑ OTHER EQUIPMENT W AIR PERCUSSION 1:1PERCUSSION (Specify) CASING LENGTH(fea) OhV,SETER(nches) WEIGHT PER FOOT OR V• O WAS ING GROJTE 7— DETAILS 6,I 7HREADEO❑ WELDED _ 17# YES ❑ NO YES ❑ NO YIELD TEST r�BAILED � © COM RESSEDAIR� ^HOURS U VI LU(GPA) — WATER 6tEASURE FRO)d LAND SURFACE-STATIC(Spot ty feat) pURiNG YIELD TEST(feeq 4 Deptn of Compkt+d Wen in feet LEVEL -- n7AKE 20 445 445 L H N UI cR(ter-:) SCREEN DETAILS SLOT SIZE UTAMETER(mL'has) IF GRAVEL Uiambb.I o we AvEL I (Inchn: d I eoq (eel) PACKED: including gravel pack --- _ (inches) DEPTH FROM LAND TO SURFAC Sketch rxxt location of well vnlh dtstancts,to al k ast hvo FEET TO FEET I permanent landmarks 0 10 red shale 10 445 ledge I R CEIVEDCCU FIB i .,SO _ T4+ H1 ALTH DEPT. J i I rin cvh ,.m f�ILt 1 bY�l I If yield was testes)at different depths during drilling,list below i r ,I`T I�G' I FEET I GALLONS PER MINUTE I W 723C35z) DATE WELL COMPLETED PERMIT NO. htEu-161RATIUN NO. DATE OF REPORT VYELL tLLER(Slgnatute) 10/20/2017 265529 362 12/02/2017 DUFFORD DRILLING CO. UWE ROEHRL AGENCY