HomeMy WebLinkAbout1972-8-23 - 150 Berle Road - Well Completion ReportWELL COMPLETION REPORT
WDS-5:-12-69 REV:9-71
STATE OF CONNECTICUT
WELL DRILLING BOARD
State Office Building
HARTFORD, CONNECTICUT 06115
L.r A
Do NOT fill in -
STATE WELL -NO.
1� J OTHER NO.
OWNER
NAME -
ADDRESS — — —
" •'LQGtATIOH
OF WELL
(Na. L Street ;(T, hn (Lot Number))
PROPOSED
USE OF
WELL
BUSINESS
lY_1 DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST. WELL...",.,
PUBLIC AIR OTH6
I] SUPPLY' INDUSTRIAL - ElCONDITIONING ". ❑ (Specify)
DRILLING
EQUIPMENT
j COMPRESSED CABLE. OTHER
L-N•ROTARY AIR PERCUSSION ❑ PERCUSSION ❑ (Specify). !'
CASING
DETAILS
LENGTH (feet)
DIAMETER,(inches)
`
WEIGHT. FER-FOOT _; DRIVE -SHOE
01"THREADED ❑ WELDED. ❑YES ❑ NO
WAS CASING GROUTED?
❑ YES = NO
TEST
❑BAILED ❑ PUMPED "COMPRESSED AIR
HOURS
YiLAD (G.P.M.)
�1
L/
WATER
LEVEL
MEASURE FROM LAND SURFACE —STATIC (Specify feet)
DURING YIELD TEST (feet)
I .
Depth of Completed Well
in feet below Land surface:
SCREEN
MAKE
I LENGTH OPEN TO AQUIFER (feet)
DETAILS
SLOT SIZE J DIAMETER (Indies)
!l
I IF [TRAVEL I Diameter oE•well including
PACKED. gravel pack'(Indme
� GRAVEL. SIZE (inches)
FROM(feat)
ITD(t)
DEPTH.FTiDM LAND SURFAC
FORMATION DESCRIPTION
' ",Sketch exact location of `well with distances, to at least
two permanent landmarks.•
FEET to FEET
D
L
D.01
If yield was tested at different depths*duringdrilling, list below
- FEET
GALLONS PER MINUTE`
DATE.WELL COMPLETED':
LA
AERN4I`T NO,
REGIST)lATIDN NO.
DATE QF REPORT
WELL DkIEIER
ti ...
BOARD'
1
WELL COMPLETION REPORT STATE OF CONNECTICUT
WDB-5 12-69 REV. 9-71
WELL DRILLING BOARD Do NOT fill in
State Office Building STATE WELL NO.
I.� HARTFORD, CONNECTICUT 06115 (QC"
L. OTHER NO.
OWNER NAME r ADDRESS
LOCATION _ (Nn. R Sfrwat�
OF WELL j �G3 r � CT_�;� r (Lul Number)
2-DGMESTIC ❑ BUSINESS
PROPOSED ESTABLISHMENT ❑ FARM El TEST WELL
USE OF
WELL PUBLIC AIR
❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)
DRILLING COMPRESSED ❑ CABLE ❑ OTHER
EQUIPMENT "' ROTARY AIR PERCUSSION PERCUSSION (Specify)
CASILENGTH (feet] DIAMETER (inches) WEIGHT PER FOOTI DRIVE SHOE WAS CASING GROUTED?
DETAILS ®`THREADED WELDED
g ❑ ❑YES ❑ NO El ❑ NO
YIELD
HOURS YIELD iG.P.M:j
TEST ❑ BAILED ❑ PUMPED 12 COMPRESSED AIR
MEASURE FROM LAND SURFACE —STATIC (Specify feet) DURING YIELD TEST (feet)
WATER I Depth of Completed Well rJ
LEVEL I in feet below Land surface: }'
MAKE LENGTH OPEN TO AQUIFER (feet)
SCREEN
DETAILS �LGT SIZE DIAMETER [inches) I
IF GRAVEL I GRAVEL SIZE {irr7�esj FROM (flea y TO (€ent}
Diameter of well including
PACKED: gravel pack (inches):
DEPTH FROM LAND SURFAC Sketch exact location of well with distances, to at least
FEET to FEET FORMATION DESCRIPTION two permanent landmarks.
c
� � �t c iU G
Lad
f'fffy E ' r i 1C> vSG S
tzI
1 cz
74
N
fv � Ie /act, G
if yield was tested at different depths during drliling, list below V ��
FEET GALLONS PER MINUTE
�v
1
I
DATE WELL COMPLETED PERMIT NO. f REGISTRATION NO. pA7E OF REPORT WELL. DRILLER (Stonawre) j
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