HomeMy WebLinkAbout1985-1-13 - 100 Long Hill Road - Well Completion Report’WEU.COMPLETION REPORT 51M:OF couuscncur
CP€9REV Il—82 ‘DEPARTMENT-O_F CON§UM£R PROTECTION ‘
WELL DRILLING BOARD
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106
.Do NOT‘fiH in
sure WELL No.
OTHER No,.
OWNER -NAME Chester Lubomck1 I
ADDRESS100 Long H111 Road,So.W1ndsor,Ct .
Louno'"
OF WELL
(No a Sheet)(Yawn)(Lol Number)
‘Long H1 II Road -‘So Windsor 100
Pnoposmus:o;wsu.
E DOMESTIC
ausmEss ..a WM
I '.D rEsr weurEstAaLISHMENT
H.
SUPPLY
PUBLIC -
EiNwsm .AIR
CONDIIIONING
'OTHER
(WW)
EQUIrMmt
DRILLING 'COMPRESSED CABLE OTHERDROTARYAIRPERCUSSIONPEkcusSION(Specify)
usma'DETAILS
LE~GTH (feet)'50 DIAMETER (inches)6
WEIGHT PER FOOT
_1?#‘l b5 l D THREADED .E WELDED YES NO
WAS ING IED?D YES No.
YIELD
TEST
HOURSDBAILEDv.D PUMPED -[a COMPRESSED ‘AIR
..i _-YIELD (G.R.M.)‘l 2
WA“,
LEVEL
MEASURE FROM LAND SURFACE—STATIC (Specify tee.)
.20 DURING YIELD TEST (Teen ’'Deplh of Compleled Well .'in (eet belaw Land‘surface:200
.SCREEN
DETAILS
»'MAKE .LENGTH OPEN To AQUIEER (Teen
SLOT SIzE DIAMETER (inches)'
IE GRAVEL
PAOGD:-Diameter of wen-Including
grovel pack (inches):
GRAVEL SIZE (inches)FROM (feei)TO (feel
DEPTH FROM LAND SURFACE v 4 -
I FORMATION DESCRIPTION Sketch exacl looulion of well with distances,Io OI IeOsI
Two permanenl landmarks.'FEET To FEET
.
'0‘42 .~sand 8:gravel
I
42 ,50 '2 granite‘
50'200 '‘granite
I
Lg
Q)
S 2X
->15
.ll yield was Tested ol differenl deplhs during drilling,I'Isl below
.FEET GALLONS PER MINUTE ‘.
WI
’r
Lépa Mu £7),
DATE WELL COMPLETED-7—6-84 T PERMIT NOS .'87477 .REGISTRATION No.10 DATE OF REPORT -
l -'l 3-85
WELL DRIL (Slgnulure)
BOARD
WELL COMPLETION REPORT STATE OF CONNECTICUT
CPR—9 REVT 11—82 DEPARTMENT OF CONSUMER PROTECTION
WELL DRILLING BOARD
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106
Do NOT fi“in
STATE WELL NO
OTHER “0‘
OWNER
NAME jChesterLubmdcki
ADDRESSYea Loag HT?!Road,SoJJiadsm-Jt.
LOCATION
OE WELL
(NO.8.Sweet)(Town)(Lo!Number)
LOOQ H‘ITI RDMI So.Higdsm'Km
pgoposgp
USE OE
WELL
E DOMESTIC
BUSINESS
ESTABLISHMENT D FARM D TEST WELL
PUBLIC
SUPPLY D INDUSTRIAL
AIR
CONDITIONING
OTHER(Specifv)
DRILLING
EQUIPMENT D ROTARY
COMPRESSED
AIR PERCUSSTON
CABLE
PERCUSSION D OTHER
(specify)
CA5ING
omuls
LENGTH (feeT)5i)DIAMETER (inches)5 WEIGHT PER FOOT17§1§5 ‘D THREADED WELDED
DRIVE SHOE
YES NO
WAS CASING GROUTED?
YES No
“Em
7551 a BAILEDS-I;
IR
S D PUMPED COMPRESSED AIR
HOURSI YIELD (GLPM)12
WATER
LEVEL
MEASURE FROM LAgGD SURFACE—STATIC (Specify Teex)
‘
DURING YIELD TEST (feet)Dep'h of Comple'ed We”
in feet below Land surface:2&0
SCREEN .
DETAns-sn?‘‘
:\~WM-"'
Sn?-
LENGTH OPEN To AQUIEER (fem)
rB§@§w_%{t A_DIAME}SR (inches)‘F GRAVEL
PACKED;
Diamete’of we”induding
gravel pack (inches):
GRAVEL SIZE (inches)FROM (feel)'TO (feet
DEPTH FROM LAND SURFACE FORMAT'ON DESCR'PHON Sketch exact location of well with disIOnces,To at least
two permanem landmarks.FEET TO FEET
0 42 .sand 35 grave}
II
II
é a~a II AI w.
Lg g g ~42 50 granite II
5G 2&0 granite
If yleld was Tesled at differem deplhs during drilling,I‘IsT below
FEET GALLONS PER MINUTE
dag-mg,ivy g3;fin):g)
>ATE WELL COMPLETED
I)MEI:
PERMIT No.37477 REGISTRATION No,To DATE OF REPORT
T-Ta-RS
WELL DRILLER (Signolure)
LI!x I
Inmx!mmrTno HF I—IPAITH
DEPT GF ENVEQQNM§NTAL EQGTE’CwQN _WATW @mni mr‘m
.STATE OF CONNECTICUT
CPRJ REV.11—62 DEPARTMENT OF CONSUMER PROTECTION
WELL DRILLING BOARD
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106
Do NOT fill in
STATE WELL NO.
OTHER NO‘
OWNER
NAME
Chester Lubowicki ADDRESS
EGG Long §i11 Raad,Sc.windscr,Ct.
LOCATION
OF WELL
(No.&Street)(Town)(Lo?Number)LOEg HITT Road Se.windsar 1G0
PROPOSED
USE OF
WELL
BUSINESS
DOMESTIC ESTABLISHMENT D FARM D TEsT WELL
SUPPLY
PUBLIC D INDUSTRIAL
AIR
CONDITIONING
OTHERa(Specify)
DRILLING
EQUIPMENT D ROTARY
COMPRESSED UBLE OTHERAIRPERCUSSIONPERCUSSION[](&mww
CASING
DETAILS
LENGTH (feel)
rn3U
DINv’\ETER (inches)
6
VVEIGHT PER FOOT
T7#Tbs D THREADED WELDED
I DRIVE SHOE
YES NO
‘NAS CASING GROUTED?
YES NO
YIELD
TEST D BAILED D PUMPED COMPRESSED AIR
HOURS YIELD (GRMJ
T?
WATER
LEVEL
MEASURE FROM LAND SURFACEvsTATIC (Specify feet)
Ev
DURING YIELD TEST (feet)Deplh of Completed Well
in fee?below Land surface:2G6
SCREEN
DETAILS
MAKE LENGTH OPEN TO AQUIFER (feel)
SLOT SIZE DIAMETER (inches)IF GRAVEL
PACKED:
Diameler of We”including GRAVEL SIZE (inches)FROM (feet)
grovel pack (inches):
TO (fee?
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exam Iocction of well wirh dislcnces,Io at Ieos?
two permanem landmarks.FEET TO FEET
S saa$3 grave?
42 EO Qrawite
EG ”WWma}aran€t€
Aia.£7),
If yield was Iesled a?differenl depths during drilling,lisl below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED
7-»Rm §&
PERMIT NO.
(WNW?
REGISTRATION NO.
TIT
DATE OF REPORT
1 ”T R-QK
WELL DRIL ER (Signature)
/I.,