HomeMy WebLinkAbout2017-2-6 - 124 Brookfield Street - Well Completion ReportTHE
STEPHEN B . CHURCH
COMPANYFOUNDED 1886
WILLIAM S. DLiNCAN,111
JAMES B. DUNCAN, P.E.
49 GREAT HILL ROAD • OXFORD, CT 06478 • PHONE (203) 888-2132 • FAX (203) 888-1863
February 7, 2017
To: Heather Otis
Town of South Windsor
South Windsor Health Department
1540 Sullivan Ave.
South Windsor, Conn 06074
State of Connecticut
Department of Consumer Protection
165 Capitol Ave
Hartford, Conn 06106-1630
Reference: Well Completion Report
Dear Health Officials,
Enclosed for your records is a copy of the signed well permit No 215430
and the completion report to repair an irrigation well for the Willow Brook Golf Course.
Please call if you have any questions.
cc: David Fresk
Willow Brook Golf Course
Very truly,
William Duncan
WELLAND PUMP SPECIALISTS
7
CPR-9 Rev. 7/95
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
REAL ESTATE & PROFESSIONAL TRADES DIVISION
WELL DRILLING COMPLETION REPORT
165 Capitol Avenue, Hartford, Connecticut 06106
Do NOT fill in
STATE WELL NO.
OTHER NO.
LOCATION [G (No. & Street) ] (Town) (Lot Number) f
OF WELL 17 7 Aril,:-,14121 C-:3r?iyt C I Sri r ILr _ , r r� 1 (11,40JSci 1/ 0. 7—
OWNER
NAME
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ADDRESS
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❑ DOMESTIC ❑ BUSINESS ❑ FARM ❑ TEST
PROPOSED
ESTABLISHMENT WELL /
USE OF WELLt;'lCr
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❑ PUBLIC ❑ INDUSTRIAL ❑ AIR OTHER
SUPPLY CONDITIONING (SpeciiY) . vri Gr4 Tlc, J
DRILLING
ROTARY n COMPRESSED CABLE OTHER
(Specify)
EQUIPMENT
AIR PERCUSSION ,Ie�I PERCUSSION
CASING
DETAILS
LENGTH (feet).L
3 / r`Ztl
DIAMETER Slnches)
WEIGHT PER FOOT
�-'
�
❑ THREADED
.l'
`I
DRIVE SHOE
WELDED
ElYES g NO
WAS CASING GROUTED?
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� YES KW NO
YIELD TEST
❑ BAILED ElPUMPED COMPRESSED AIR
HOURS
1-1
YIELD (GPM)
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WATER
LEVEL
MEASURE FROM LAND SURFACE - STATIC (Specify feet)
DURING YIELD TEST (feet)
47
Depth of Completed Well in feet
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SCREEN
MAKE
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LENGTH OPEN TO AQUIFER (feet)
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DETAILS
SLOT SIZE /
/N•i Y,
DIAMETER (Inches) IF GRAVEL ameler of we
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GRAY SIZE (Inches)
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FROM (feet) (feet)
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DEPTH FROM LAND TO SURFACE
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FEET TO FEET
permanent landmarks
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If yield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
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FEB 1 a OQ
SOUTH V WNDSOR
HEALTH DEPT.
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DATE wELL COMPILFTED
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