HomeMy WebLinkAbout1977-9-9 - 160 Chapel Road - Well Completion Report,WELL COMPLETION REPORT
WDB-5 12-69 REV. 9-71
STATE OF CONNECTICUT
WELL DRILLING BOARD
State Office Building
HARTFORD, CONNECTICUT 06115
Do NOT fill in
STATE WELL NO.
OTHER NO.
OWNER
NAME
ADDRESS
-
s
LOCATION
OF WELL
(No. & Street)
_
(Town) (Lot Number)
PROPOSED
USE OF
WELL
DOMESTIC
PUBLIC
❑ SUPPLY
BUSINESS
❑ ESTABLISHMENT
❑ INDUSTRIAL
❑ FARM ❑ TEST WELL
AIR OTHER
❑ CONDITIONING ❑ (Specify)
DRILLING
EQUIPMENT
ROTARY
COMPRESSED
❑ AIR PERCUSSION
CABLE
❑ PERCUSSION
OTHER
❑
(Specify)
CASING
DETAILS
LENGTH (feet)
=
DIAMETER (inches) WEIGHT PER FOOT
� ! THREADED
a— ,^ ❑
❑ WELDED
DRTVESHCE
YES
❑ ❑ NO
WAS CASING GROUTED?
❑ YES NO
YIELD
TEST
❑ BAILED
❑ PUMPED COMPRESSED AIR
HOURS
v
YIELD (G.P.M.)
L'
WATER
LEVEL
MEASU FROM LAND SURFACE —STATIC (Specify feet) l DURING. YIELD TEST [{cell
I
.F _,..
I Depth of Completed Well _ Y
in feet below Land surface: -
SCREEN
MAKE
LENGTH OPEN TO AQUIFER (feel)
DETAILS
SLOT SIZE
DIAMETER (Inches)
IF GRAVEL
I .PACKED:
I
jI Diameter of well including
I gravel pack (inches):
GRAVEL SIZE (iachesl�FROM Tfe I) TO (feet)
DEPTH FROM LAND WRFACE
FORMATION DESCRIPTION
Sketch exact location of well with distances, to at least
two permanent landmarks.
FEET to FEET
e
i
1�
1AV
-
If yield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
—
—
r4
DATE WELL COMPLETED
r - ►, + I
PERMIT NO:
_
REGISTRATION NO.
,v
DATE OF Rf PORT
. -
f W.ELi 1D&tILLER,(Signaturr)
I , . it1_ i 1--r ter- = '
WELL COMPLETION REPORT STATE OF CONNECTICUT DO NOT fill in
WDB-5 12-69 REV. vat WELL DRILLING BOARD STATE WELL NO.
State Office Building
HARTFORD, CONNECTICUT 06115
OTHER NO.
OWNER
NAME
EUSEBIO SILVA. CORDEIRO
ADDRESS
111 HENRY ST. , HARTI'ORDI,CONN.
LOCATION
OF WELL
r
(No. & Street) (Town) (Lot Number)
CHAPEL ROAD SOUTH WINDSOR
PROPOSED
USE WELL
WE
BUSINESS
® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL
PUBLIC AIR OTHER
❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify)
DRILLING
® ROTARY ❑ A RMPRESSED CABLE PERCUSSION ❑ P RCUSSION ❑ (SpecOTHify)
fy)
LENGTH (feet) { DIAMETER (inches) I WEIGHT PER FOOT - DRIVE SHOE WAS CAS114G GROUTED?
156 11{ 6. !I 19045 I THREADED ❑ WELDED l W YES ❑ NO ❑ YES ® NO
HOURS YIELD (G.P.M.)
❑ BAILED ❑ PUMPED ® COMPRESSED AIR 6 20
CASING
DETAILS
YIELD
TEST
WATER
LEVEL
MEASURE FROM LAND SURFACE —STATIC (Specify Fee?)DURING YIELD TEST (feet)
25 !!+ 150
Depth of Completed Well
in feet below Land surface: lSEj
SCREEN
MAKE
^
I LENGTH OPEN TO AQUIFER (feet)
. DETAILS
SLOT 512E I
DIAMETER (inches) _
IF GRAVEL Diameter of well including I
PACKED: ll .gravel pack (inches):
I GRAVEL SIZE (inches)
FROM (feel) :
ITO [feet)
DEPTH FROM LAND SURFACE
FORMATION DESCRIPTION
Sketch exact location of well with distances, to at least
two permanent landmarks.
FEET to FEET
0
1
Topsoil
�I
` of
1y
1
1
1.5
Sand & Gravel
15
120
Hardpan & Gravel
120
156
Coarse Gravel
If yield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
I� / J�' C' L 61 9• "D
`ILLER
DATE WELL COMPLETED
8/29/77
PERMIT NO.
I 51888
REGISTRATION NO.
I 1:00
DATE OF REPORT
I 9/9/77
W na
5igl Fe)
�.�., C° .
BOARD