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Home My WebLink About1995-5-10 - 1395 John Fitch Boulevard - Well Drilling ApplicationtOCAl'Im G I.l (Tm)(51m!)(Lo!Numb”)UAW A J A "\ MR a WE”. M.D wuon D 0"“.(Spetl‘y) mi 5 MSS ///9 IUSINBS ft“Eu.Na.of Peop'e bemgm0mncBYAMI‘HMIN‘I IAIM WELL U§G Q uvved. PUIUC AI!0"!“WELI SUP?”INDUSHIAI.CONDI‘NONING (Specdy SKEICH OF WEIL IOUTION tocaie we"wi‘h rupecl Io a!lean Mo road;‘hawmg dis'unce ham xnleriethon and "om o!lol Locavion af Ioi Io a!Icon Ma toads We"|°culion on iol ond In house (if pfesenl) $wNmNor'h /gic QIAW MyanmahMara!mum: number o4 pomble o!Ice conbmmahon om well Io 7§: Ihe undemgned I!owole ihol upon :omplehon o0 the well o Well Complenon Repon (ontommg :onsnuchon dexouli and unbvmanan requued and“sechon 5 ' m. -IJI of the 196?Suppiemen'Io the General Stowe:mus!be sen!1o 'he ownev 'he 3omd and ‘he Wale!Resowces Comm-man on the iorm pmvsded by the Sowd 11m pan-m!u:not valcd unm oll mhunouon n3 (Mad m and Iv hos been counter ygned by me Dureclot o!Heallh o:hus ogen WWW7-&-9z awe w~e pMydR RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD g % ‘w’kg 7\paCONSUMERPROTECTION»WELI DMHING BOARD sun o5 co~~scncuvcpn-a Rev.1H:DEPARTMENY OF CONSUMER PROT%}ON 9 199WillDRILLINGPERM” w‘s CAPnoL Avg.HARTFORD,CONNEcncuI woo #3011’6? P 14’!i I ;0 4..../"' ‘14 I offer MW WELL COMPLETION REPORT sun or conmcncurm4muwzDEPARTMENTOFCONSUMER PROTECT!ON WELL DRILLING BOARD 165 CAPIYOL AVE‘ HARIFORD.CONNEcncm woo DO NOT {in m SM“wm NO OWE“NO I MME Tr?”5%???in,”Sr?4 Prod the.-w 57W? ADDRESS 73?.‘3 John Tani“F1 iv (‘Wifb F ifch BI VG‘. “~5O7i-i hm“?(Lo'Numbel)loam“or wm D 3 (No.5 Slreel)(‘Wifb (Yawn) irr’i'n'J-sor g CT i’JC-C‘?.lnhn F:f‘nh.,Eixm'- .Qfyrf'h ,‘v‘lnn‘cwr‘r.{TT Wuu os m D DOMESTIC auswess ESTAsusHMeNY PUBLIC SUPPLY INousmAL ’D FARM D rm wm Am OTHER c0~0m0Nl~G (SpecIM Dunnomm COMPREssw ,Romzv AIR KRCUSSION camPfecusslorq omwB(Specify) mm DETAILS LE~GYH (6w) 7m mAMmn (.nches) (4 WEIGHT PER FOOT 17!!I ‘IHREAUEO mLJ WELDED §NEl?YES SH% I ‘‘‘J WAS CASWG Gww "V63 «,LJ NO mmy B MILED D PUMPED D COMPREsxD m ' . IVIFLD (6PM; 35'I ‘HOWS a; “Am m §wm%FROM LAND sURrACE—srAnc (specify em) E DURING YIELD res:(mm) Lips? Dem af Comp‘emd We”In Iee'below Land surluce anyq mumm MAKE LE~GIH OPEN To AQUIFER {few 3.0T §ZE DIAMETfR (inches)'F GRAVEL PACKED: Dmmemf of we” gmvel peck (inches): indudmg GRAVEL SIZE (inches)FROM (feel)IO ('ee! “m Fm um SURFACE WHON m$mpnoNEHTOFEET Skelch exam Iocahon ol well wiih dusvonces,Io at leosiMopevrnancnlIandmorks. I 'z J 75 LEE;Rad Sfmie 4-”i3?)-——-+x ‘m'Ié.w ,F‘maa II yiold w miod oi difhmn!depth:during dlilling,Iist below FEE?GALLONS PER MINurE WELL cwmo mwm PERMIT NO. imam REGIsrRAHON No. mp 0Aré OF Ripom 5/Nar‘95 wELL/iomuen ($.gnamre)fafjw’,AW J X /ff,: V///John i;M.Duf‘FOm’iii/I ‘7’2/-'v v x STATE OF CONNECTICUT DEPARTMENT 017 PUBLIC HEALTH AND ADDICTION SERVICES STATE OF CONNECTICUT hND BARRY GOLDSHER AND CHARLES R-CLARK JR. 1395 JOLm FITCH BOULEVARD SOUTH WINDSOR,CT 06074 IN THE MATTER OF A CONSENT AGREEMENT HETW'EEN THE STATE OF CONNECTICUT, DEPARTMENT OF PUBLIC HEALTH AND ADDICTION SERVICEE AND ME$$IEUR$GOLDSKER AND CLARK TO ALLOW AN EXCEPTION TO SECTION 19’13-351111 (b)OF THE PUBLIC HEALTH CODE. CONSENT AGREBMENT WHEREAg,thé D$§artmeant Iaf Public Health and Addiction Servicca (Department) has jurisdiction over all mattgrs cancerning the purity and adequacy o£public water auppliea purauant to Ccnnecticut General Statute Sgction 25—32;and WHEREAE,the Department has jurisdiction évar the aubject matter OE thia Congent Agreement purauant to Seqtian 1aa-5,19a—36,25—32,25—32e,25—32g, 25-34,and 25—36 of the Connecticut General Statutes and Section 19—13—B51m(h) cf the Comacticut Public maalth Cada (WC);and WHEREAS,Barry Goldsher and Charles R.Clark Jr.formally requeated an exception frcm $e¢tion l9—.13-E51m(h)purauant t¢section 19—13—351mc)a£thwz Public Health Code,and approval to inatall an irrigation well;and WHEREAS,the Commissioner may grant an excepticn to Section 15—13~B51m(b)upnn a finding that BuchVexcaption,will nnt adveraely af£ect the purity and adequacy of tha community wateJ;supply nor the service of the community water aupply 9y5‘tem;and WHEREAB,the Comminuioner finds that:an exception may be granted to the owner t9 inntall an irrigation well providing that:the following conditions are met Up.and are enforceable by law; NOW,THEREFORE,the owner hereby atipulatee and agreco that: i.The well aite must conform to all other existing state and local regulations and be approved by the local health department‘No well ghould be located less than 75 feet from a property line unlesa the adjaeent property owner grants a sanitary eaaement for all land within a 75—foot radius of the well. 2.Elana for the irrigation ayatem muat be provided to both the local health department and thiB Department. 3.The well and irrigation ayutem,including all piping and any atorage and pumping facilitieu,must not be phyaically located within or connectcd to any building terved by the public water eupply. B946E Phone: Telep/uBé‘ijai‘éEforme Deaf (203)56r5-J279 150 Waxhingrou Sireei A—Harrfnrd,CT 06706AnEqualOpporrunfryE‘mplnyur 4.NC:phical commcticn ahall ever ba permitted between any porcicn ofthedomesticwaterayatemandthairrigationBystcmPeriadirinnlmcticnawillbeconductedbyrapxcaentutivesa£.th=public;nutm-Bupply puruuant tc:PHC Regulatiun 19—13-Bl02(f)to confirm that Ligaonditionhasbeensatisfied‘ 5.A xcduccd preasuxe principla backElow preventer ayproved by thigDepartmentmuatbeinatalledontheservicelinéconnectonfrom the,public water sugply ayatem and inspacted annually by a prcpmrlycctifiedpraf¢55ional. 5"The.well mum:be monitored evmry five (s)yeara for all waten:qualityparametersincludedinDHCRagulation19—13—B103 (c)ama (4)(4)(A).Reiaulta muac be aubmitted to tha lacal health department. During critical pariods when the yuhlic:watet sply may impoge waunercstrictionson.ita cuatomara the propertir owr must:«romplyk vt};tha name rcstriioné in ordav tc‘canserve water. 8.Approval for uac 0f this well will be expressly for irrigation purpoaes Duly mm any cther uae will void ayproval. 9.All approvals for the inatallation and uae of this well arenon—tranaferable through the sale orlother aasignment at thig propexty. Thia Consent Agxeamant has the force cf an agency order,and the Departmer:Irma the right to aeak-judicial enfozcement of thit Consam:Agreement in t};cevantthattheownarfailgtocomplywithitaitema.The Department may attimE.taka any and all legal,adminiiatrativc:a:equitable actiona to nssixrcthapurityandadequaaycfthepublicwateraupply. IN’WI‘I‘NESS WIIEREOF,the partiea hereto hava caused this Content Agreement tobeeffectivaontheK$+(EY Of Maj 1935. é7l/‘N’By:Pwgf fag‘w Data paul M.Sahur.DirectorEnvir¢nmental Health Services DivisionDepartmentofPublicHealthandAddictionStrvices if /‘f Q6 // K5?(&72 6/”’7 f/Charlea R.Clark \Ir.,Proper Owner BY! was Order no.<35wl32~crn pap/jptswan/L2 ys n i r up Lpr ne act p mama 5/M5” STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH AND ADDICTION SERVICES May 1,1995 Menaieuro B.Goldshnr and C.Clark Jr- 1395 Jahn Fitch Baulevard south windaor,CT 06074 RB:Well Pemu‘t Exceptiun ~Irrigation Well for Engineering Services and Pruducta Company,Inc.,1395 John Fitch Elva”South Windsor,CT Dear Mcaaicura Clark and Gnldaher: Purauant to Section 15-13—B5lm(c)of the Public Health Coda,thig Department has datarmined that the inatallatian oi a well to pmvide irrigation water for 1395 John Fitch B1vd.,South Windsor,5.5 allowable. Approval ia granted to develop such a well providing the follewing contingancias are met: a)The well gite mum:be approved by the South Windgar Health Department b)The Conaent Agreement between Barry Goldsher and Charlea R.Clark Jr. and thin agency mum;be fully gamplied with (Agreement cncloacd). Sincerely, Paul M.Schur,M.P.H. Director Environmantal Health m/Esp/jpt Enclcsure cc:Gerald Schwartz,Hm,DOH,Sauth Windaor Daniel Lasmiezki,CTWC Paul Ritaick,W55 (Enginearing)$iif$22i§ii,“iin‘Plmmg’ a946E/4 Phone:240—926 2 Telrp/wue Device for {he Deaf (205’)5M-1279 150 WaJhingmn Street Hartford,CT 06100 AM Equal Oppormm'Iy Emplayer ,4W-.:w.lw;.w:mww. Pm—wFaxNote 7671 mamas lsraafesv 3“(:hHQwx +CQGL’LR F@M£mig@n co’FUD H H‘gWgmnmm1&nulCw Phonek)5a%9‘Hq Phaned:a%o__qacpaFw#&%q_4—~H‘Fan!