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HomeMy WebLinkAbout2016-10-24 - 124 Brookfield Street - Well Completion ReportTHE STEPHEN B. CHURCH COMPANYFOUNDED 1886 WILLIAM S. DUNCAN, III JAMES B. DUNCAN, P.E. 49 GREAT HILL ROAD • OXFORD, CT 06478 • PHONE (203) 888-2132 • FAX (203) 888-1863 October 26, 2016 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 259873 and the completion report for an irrigation well built for the Willow Brook Golf Course. Please call if you have any questions. Very truly. William Duncan Cc: David Fresk Willow Brook Golf Course RECEIVED e-Clad 01 2016 SOUTH WINDSOR HEALTH DEPT, 4-� WELL AND PUMP SPECIALISTS Vanguard Direct Rocky Hill, CT • VG #01-734316-1 6/15 • W-328147 CPR-9 Rev. 7/95 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION REAL ESTATE & PROFESSIONAL TRADES DIVISION na2---a WELL DRILLING COMPLETION REPORT 165 Capitol Avenue, Hartford, Connecticut 06106 LOCATION (No. & Street) (Town) (Lot Number) OF WELL p��, I [ 7 �a ;;k, � )rt rJ u YOU ARE MAKING 5 COPIES Do NOT fill in STATE WELL NO. OTHER NO. OWNER NAME r yyr llol l IUM04/ 011CF C '�rx�sc� ADDRESS / A 41 TEST DOMESTIC BUSINESSE7 ESTABLISHMENT FARM C J PROPOSED WELL USE OF WELL ❑ PUBLIC ❑ INDUSTRIAL ElAIR OTHER �--' SUPPLY CONDITIONING (Specifyo DRILLING EQUIPMENT ROTARY COMPRESSED CABLE OTHER El AIR PERCUSSION PERCUSSION (Specify) ;nq �uW� CASING DETAILS LE,�NGr{fe Y DIAMETER Ninches) WEII�ER FOOT %J ❑ THREADED WELDED DRIVE SHOE WAS CASING GROUTED? p� N O ���\\\ III ❑ YES � NO W YES NO YIELD TEST ❑ BAILED ❑ COMPRESSED AIR HOURS I } Y 6S WATER MEASURE FROM LAND SURFACE - STATIC (Specify feet) DURING YIELDTEST (feso Dapth of Completed Well In feet LEVEL 2If. 8 z 3d� ,(/� r G-� \LL SCREEN MAKE �-1�-- `J c Ma Sosd EN ❑ AQUIF . (eet) ? z1G DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL P CKED olarnalLf of. we including gravel pack GRAMEL SIZE (inches) FR eet) O ea _ ©�Dy5 12 /' d� Lei (inches) • 3 .3 _ �. DEPTH FROM LAND TO SURFACE FORMATIOITUE-9UMMON Sketch exact location of well with distances, to at least two _ FEET TO FEET permanent landmarks O �oe' - 0 G44 e f.�d flbw-, SAW/ S. A I `f i2W a a f 6 0971 trr1� � .� � �y OV7�0 if I Iq rip' Ar & Z 2 . /wrvoe fia I►/i� r!� .sr a (-if V Forte r 1 0, �� 2 i� XisTiilf( �✓� � 17-� ws/ If was tested at different depths during drilling, list below yield FEET GALLONS PER MINUTE T 1pi+9 Ihcw 1 S. 5 i F r �4...�►L COY 'dAFXVA0-wAF 19 r lug -reV Auel 37, 7S' Fa alb �wAL,.,o 12,9 G120I c SG �►t DATE WELLCOMPLETED PER MI O. REGISTW� NO. DATE OF REPORT WELLDRILLER Signature) `] a❑r z T° 73 WNC-/y-I.I3 is/.z y/2 0"4 Q a"CX eO