HomeMy WebLinkAbout1987-6-15 - 167 Clark Street - Well Completion ReportWELL COMPLETION REPORT
CPR-9 REV. 11-82
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STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION Do NOT fill in
WELL DRILLING BOARD STATE WELL NO.
165 CAPITOL AVE
HARTFORD, CONNECTICUT 06106 OTHER NO
ADDRESS
OWNER
RTCHA.RD lUdROUSKI1 704 SIMMER HIM DR. , S. W71 NDSOR y GI2.
LOCATION (No & Street) (Town) (lot Number)
OF WELL
V1LriL1A S s
SOUTH
W iNJDSOR
rRorosEQ
DOMESTIC
BUSINESS
ESTABLISHMENT
FARM
USE OF
TEST WELL
WELL
❑
PUBLIC
SUPPLY
INDUSTRIAL
AIR
OTHER
CONDITIONING
(Specify)
DRILLING
EQUIPMENT
®
ROTARY
o COMPRESSED
CABLE
OTHER
AIR PERCUSSION
PERCUSSION
(Specify)
CASING
LENGTH (feet)
DIAMETER (inches) WEIGHT PER FOOT
IV H
wAs CA51NG G IFD+
DETAILS
1�
T {T �•It
THREADED CJ WELDED
'�"
YES NO
®YES NO
YIELD
TEST
TEST)
❑
BAILED
� PUMPED � COMPRESSED
HOURS
�
—
YIELD (G P A1
AIR
—
...
WATER MEASURE FROM, LANSURFACE—STATIC (Specify feet) DURING YIELD TEST (feet) Depih of Completed Well
LEVEL 10 -00 in feel below Land surface
MAKE
SCREEN
_385
LENGTH OPEN TO AQUIFER (feel)
DETAILS SLOT SIZE DIAMETER (inches) r,
DEPTH FROM LAND SURFACE
FEET TO FEET
7 23
IF GRAVEL Diameter of well including RAVEL SiLE (inches) FROM (feel) TO (feet
PACKED: grovel pock (inches):
FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
two permanent landmarks
Sand gravel
Bedroclr
If yield was tested of different depths during drilling, list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED
DATE
(Sig
DEPT. OF ENVIORNMENTAL PROTECTION -WATER RESOURCES