HomeMy WebLinkAbout2004-10-15 - 139 Kent Lane - Well Completion ReportOwner -Contractor -Dept of Consumer Protection -Dept of Environmentai Proteciion -Water Resources -Local Director of Public Heallh
Form provided by Forms On-A-Disk,Inc.-Dallas,Texas v (214)340-9429
STATE OF CONNECTICUT DO NOT fill in
DEPARTMENT OF CONSUMER PROTECI‘ION STATE WELL No.
REAL ESTATE &PROFESSIONAL TRADES DIVISION
WELL DRILLLING COMPLETION REPORT OTHER NO.
165 Capitol Avenue,Hartford,Connecticut 06106
OWNER WE
Dana Yanaway
AnnREss
139 Kent Lane Scum Windsor
LOCATION
OF WELL
(No a sneer)(Town)(Lo!Numbenj
139 Kent Lane South Windsor Well #1 of 2
PROPOSED
USE OF WELI.
D DOMESTIC BusESTABUSHMENTlNEss D FARM TEsTWELL
PUBLICSUPPLY D INDUSIRIAL D égNDmONING OTHER
(Specify)Geothermal
DRILLING
EQUIPM ENT
COMPRESSED CABLE OTHERROTARYAIRPERCUSSIONPERcussION(Specify)
CASING
DETAILS
LENGIHM
1 00
moans)
6
WE‘mrPERmor
1 7 Emma WELDED
DRNE sHOE
EYES Duo
wAscasmG Gnourw?
Ems Duo
YIELD TEST D aAILED D PUMPED COMPREssED AIR HouRs
4
VELmGPM)
WMER
LEVEL
mung momma sunFAcE—srAm (spewyfaa)15 DURING YIELD TEST (fem)270 Depm o1 Commend Wen in lam275
SCREEN
DETAILS
MAKE LENGTH OPEN To AourER (met)
SLorszz DIAME‘IER (was)IF omva.Pm Dianaardwaumanna(n3;)velpad‘GRAVEL 52E (mes)FRW Gad)TO (763‘)
DEPTH FROM LAND To SURFACEFEETToFEET FORMATION DEsCRIPTION Exam mu begin-u omen with dislanoes Io m leak Mopennanentlanmim
0 100 Sand and gravel
D VLh,
8 ’6?’I Il
IT?‘l
1 00 275 Bed rock
FEET GALLONS PER MINUTE
275 20
DATE WELL coMPLETEo
9124104
PERMIT NO
22661 1
REGIsTRAmN no
4165
DATE OF REPORT
1 0/1 5104