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Home My WebLink About40 Windy Hill Drive STATE OF CONNECTICUT PC DEPARTMENT OF CONSUMER PROTECTION REAL ESTATE&PROFESSIONAL TRADES WELL ABANDONMENT,VERIFICATION OF WORK COMPLETED Procedures-followed: All procedures used to abandon a well shalt follow regulations established under Section 25`428-56 and 25-128-57 of the State of Connecticut Well Drilling Board Regulations(see attach- ment). These regulations require that a registered well drilling contractor perform the work. For water supply wells attach completed form to Well Permit. For non-water supply wells attach sketch of well location to completed form. Distribution: Department of Consumer Protection,Department of Environmental Protection,Property Owner,Well Drilling Contractor,Local Director of Health. Well information: Town: �C� [I vJ E ,v C).o Date work completed: Name of Owner: _ _0 y Address: tl Location of well(if different fr6m above): `-C �L �0 I I U X1,1` LA 9,ne:'�. Type of welfidrill ,point,clog,etc.): Depth of well: Diameter of well: Length of casing: Work details and other information: Name of registered well drilling contractor performing work: '1; i Registered well drilling contractor's license type&#: WI-0 1V3-# 4L Materials Used: amount of sand r amount and type(s) of grout Description of work completed: ,, 'c 1 r ✓ti 1 �� h r I o _ x signed: (weft drilling contractor) Capitol.Avenue,Hartford,Co ecticut 06106-1630 Fax:(8W)566-7630• TD .((960)5661547 An Ajfirmafiae Action/Equal Opporhmity Employer (Regulations of Connecticut State Agencies) Sec: 25-128-56: Abandonment of wells,responsibility Any well that is abandoned shall not be a source or cause of contamination or pollution of ground water resources. Abandonment procedures shall be performed or directed only by a registered well driller. The registered well drilling contractor who performs the work oLabandonment shall be responsible for compliance with the procedure of abandon- ment of the well,as provided in this part and shall notify the local health.authority of the abandonment of the well. (Effective May 21,1993) Sec. 25-128-57. Procedure of abandonment In the event of abandonment of any water well or other type of w.elI the proper procedure and materials shall be used as follows: . (a)The well shall be plugged to prevent the entrance of surface water,circulation of water between or among pro- ducing zones,or any other process resulting in the contamination or pollution of groundwater resources. (b)In the event of temporary abandonment or discontinuance of the use of any well,the well shall be sealed with a watertight cap or seal,as provided by Section 25-128-42(c). (c)The well shall be chlorinated prior to abandonment using a chlorine solution with a minimum concentration of on hundred fifty parts per million(150 ppm)of chlorine. -This.is equivalent to 5.5 quarts of bleach at 2.25% available chlorine to five hundred (500)gallons of water or three hundred thirty-three(333) feet of six (6)inch diameterweli. —7 (d)The well shall be checked from land surface to the entire depth of the well before.it is sealed,•to Insure against the presence of any obstruction that will interfere with sealing operations.(i,e. RF-movE A;I--P, etc . )- <�� (e)The well bore shall be filled and sealed with any of the following materials: heat cement grout,sand cement grout bentonite clay grout,or sand clay or_bentonite cement grout. _ (i)The grout material shall be placed in such a way to prevent voids in the grout or dilution of theiout. (g)Any well constructed in a consolidated rock formation,may be filled with fine sand in the zone orzones of consoli• dated rock. The top of the sand fill shall be at least ten(10)feet below the bottom of the casing,and the remaining por_ tions of the-well shall be filled with any of the materials specified in subsection(e). . (h)Any.test well or bore shall be abandoned in such a manner that it does not become a channel for the vertical movement of grater or other substance to the potable ground water resources. (i)Deep waste disposal or oil wells with casings free of any breaks,and extending below[lie potable ground water- zones,may be seated with a water tight cap or welled plate. G)Upon completion of abandonment of the well,the top of the casing or grout material maybe terminated at least four.(4)feet below the ground surface. (Effective May 21,1993) SKETCH OF WELL LOCATION- Sketch exact location of well with distances to at least two permanent landmarks 4.3 7 _ 1'6- 7 Ti P Indicate North ► ^ b..%._ •. F t ♦�'j T rv` v i I A M'. •Y �r � .�ry y�.pw9� wry WR • r . y.