HomeMy WebLinkAbout1996-10-8 - 153 Clark Street - Well Completion ReportCPR-9 Rev. 7195
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.
OWNER
"E
STAN NADOLNY
ADDRESS
1.53 igKXR CLOCK ST SOUTH WINDSOR, CT
LOCATION
OF WELL
IND. 6 Slreef) (fownl feel Nvmbm)
153 CLOCK ST SOUTH W I NDSOR 153
PROPOSED
USE OF WELL
ADMESTIC BUSINESS Li ESTABLISHMENT FM TEST
WELL
PUBLICSUPPY ❑ INDUSTRIAL AIR CONDITIONING OTHER
❑
DRILLING
EQUIPMENT
17771 ROTARY COMPRESSED CABLE OTHER
� AIR PERCUSSION El PERCUSSION E] (Specify)
CASING
DETAILS
LENGTH (feet) I
40
DIAMETER (incase)
6
WEIGHT PER FOOT
1 7#
�
THREADED � WELDED
DRIVE SHOE
� YES ❑ NO
WAS CASfNG GROUTED?
12 YES ❑ NO
YIELD TEST
BAILED a PUMPED ❑ COMPRESSED AIR
HOURS
4
YIELD (GPM)
30
• WATER
LEVEL
MEASURE FROM LAND SURFACE - STATIC ISpeafy feet)
20
DURING YIEiD TEST ([eel]
225
of Completed Wall in feel
225
SCREEN
DETAILS
-
MAKE
LENGTH OPEN TO AQUIFER (feed
SLOT SIZE DIAMETER (In ms)
IF GRAVEL
PACKED:
Diameter of well
hducb 9 gravel peck
(incise)
I GRAVEL SIZE (inches)
FROM (feet)
TO ([aet)
DEPTH FROM LAND TO SURFACE
FEET TO FEET
FORMATION DESCRIPTION
Sketch exact location of wetl with distances. to at least two
Pennanent landmarks
0
15
Sand & Gravel
j
V
501 loy I
V
15
35
Hard Pan & Safele ge
35
225
Red Shale
It yield was tested at different depths during drilling. list bek w
FEET
GALLONS PER MINUTE
HATE WELL COMPLET'EO PERMIT kO-
S; 25796 177707
REGISTRATION NO.
102
DATE OF REPORT
�o P
Y4ELt. DRILLER Is]
77UGHN R. uUr r vTft7 {I
AGENCY
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
OWNER
NAME
ADDRESS
STAN 1JADOLNY
153 j9EXA` CLOCK ST SOUTH L'INDSORf CT
LOCATION
(No. & Skeet) {lawn) (lot Number)
OF WELL
153 CLOCK ST SOUTH VINDSOR 153
X DOMESTIC BUSINESS D FARM TEST
PROPOSED
ESTABLISHMENT WELL
USE OF WELL
PUBLIC INDUSTRIAL El AIR
CI OTHER
SUPPLY CONDITIONING (Specify)
DRILLING
EQUIPMENT
ROTARY COMPRESSED CABLE OTHER
h AIR PERCUSSION 1:1PERCUSSION
(Specify)
CASING
DETAILS
LENGTH (feet)
DIAMETER (inches)
WEIGHTPER FOOT
DRIVE SHOE
THREADED WELDED
WAS CASING GROUTED?
' 7
�� Q YES ❑ NO
El YES ❑ NO
YIELD TES?
❑BAILED ❑ PUMPED ❑ COMPRESSED AIR
HOURS
YIELD (GPM)
WATER
MEASURE FROM LAND SURFACE - STATIC (Specify feet)
DURING YIELD TEST ((eel)
Deplh of Completed Well In feet
LEVEL
c0
225
225
MAKE
LENGTH OPEN TO AQUIFER (feet)
SCREEN
DETAILS
SLOT SIZE
DIAMETER (inches)
GRAVEL
Diameterofwell
GRAVEL SIZE (inches)
FROM (feel)
TO [Seel)ACKED:
17P
including gravel pack
(inches)
DEPTH FROM LAND TO SURFACE
FORMATION DESCRIPTION
Sketch exact location of well with distances, to at least two
FEET TO FEET
permanent landmarks
(
i5
Sanc :k Gravel
�r��"
J
_S
15
�'ar�' Err cr Sat 1
(,Pq
1
ffyield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
N f
♦VV
v
DATE WELL COMPLETED
PERMIT NO.
REGISTRATION NO.
DATE OF REPORT
WELL DRILLER 1 V lure,,
9/25/96
177707
102
4 �'i'
p
M. DUFFORa U