HomeMy WebLinkAbout1980-12-22 - 215 Foster Street - Well Completion Report0N5 'mEywe EnL
DEPT.OF ENVIRONMENTAL PROTECTION -WATER RESOURCES
WELL COMPLETION REPORT STATE OF CONNECTICUT
-r‘R-9 REV,9-79 DEPARTMENT OF CONSUMER PROTECTION
WELL DRILLING BOARD
2O GRAND STREET
HARTFORD,CONNECTICUT 06106
Do NOT fill in
STATE WELL NO.
OTHER NO.
OWNER
NAMER.S.K .CCE‘T’i‘PdLgi‘QES XE?.ADDRESS
£1..9 IkeT3 QTTV‘'”gm myL1"LAKE,s .2g:i{§DSQR,m1 .
LOCATION
OF WELL
(No.&Streei)(Town)(L01 Number)
E C;3J.ER S1?..WIRESQR 4.
PROPOSED
USE OF
WELL
DOMESTIC
BUSINESS
ESTABLISHMENT D FARM D TEST WELL
PUBLIC AIR OTHER
SUPPLY INDUSTRIAL CONDITIONING (Specify)
DRILLING
EQUIPMENT E ROTARY
COMPRESSED CABLE OTHER
AIR PERCUSSION PERCUSSION ($pecify)
CASING
DETAILS
LENGTH (Teen21
DIAMETER (inches)E3
WEIGHT PER FOOT
lggEL5 THREADED D WELDED
DRIVE SHOE
YES NO
WAS CASING GROUTED?
YES NO
YIELD
TEST D BATLED PUMPED COMPRESSED AIR
HOURS YIELD (GIPLM.)
g
WATER
LEVEL
MEASURE FROM LAND SURFACE—STATIC (Specify fee')"c DURING YIELD TEST (feet)
2510
Depth of Compleled Well
in feet below Land surface:DQQ
SCREEN
DETAILS
MAKE LENGTH OPEN TO AQUIFER (feei)
SLOT SIZE DIAMETER (inches)1F GRAVEL
PACKED:
DicmeTer of well including
gravel pack (inches):
GRAVEL SIZE (inches)FROM (feet)TO (feet
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exec!location of well wiih disiances,io a1 leas:
Two permaneni Icndmorks‘FEET TO FEET
Ci
6
'Tf;-{"f‘uu
If yield was Tested ct different depths during drilling,list below
FEET GALLONS PER MINUTE
5%
\\.,\\
TE WELL COMPLETED
\T,§fl‘EKRQ
PERMIT NO.
{QKT T ‘73
REGISTRATION NO.
‘5 T x‘i J‘
DATE OF REPORT
T DI'QD X04“?%KWE’LL
DRILLE }%n9‘1§e W/
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