HomeMy WebLinkAbout1977-4-12 - 154 Long Hill Road - Well Completion ReportC 13"-_.%~~i
rs WEll COMPLETION REPORT 5TA'I'E OF CONNECI‘CUY
WD8~5 12-69 REV.?~7l WELL DRILIING BOARD
Staie Office Building
HARTFORD,CONNEC'HCUT 061 15
Do NOT fill in
STATE WELL NO.
OTHER NO.
OWNER
IOCA‘I'ION
OF WEll
ADDRESS
iI
PROPOSEO
USE OF
WELI
‘DOMESTIC
SUPPLY
PUBLIC a INDUSTRIAL AIR
CONDITIONING
‘D OTHER
(Spec'fv)
DRILLING
EOUIPMENT D ROTARY COMPRESSED
AIR PERCUSSION
CABLE
PERCUSSION U OTHER
(Spec'fv)
'
.CASING
DETAILS
LENGTH (fee!)
/
DIAMETER (inches)é III,DI.WEIGHT PER FOOT
/?i $THREADED“.D WELDED
DRIVE SHOE
YES D No
WAS CASING GROUTED?
95$D No
1:5?
HOURSDBAILEDEPQMPEDCOMPRESSEDAIR
YIELD (G.P.M.)
WATER
LEVEL L
MEASURE FROM LAND SURFACE—STATIC
I (Sp_e fy fee’)DURING YIELD TEST (feet)Depth of Comple‘ed We"
/1 5 ’
in fee!below Land surface:
SCREEN
DETAIIS
KE LENGTH OPEN TO AQUIFER (feeT)
SLOT STZE DIAMETER (inches)IF GRAVEL.PACKED:Diameter of well inclizding
gravel pack (inches):
GRAVEL SIZE (inches)'FROM {feell TO (feet)
DEPTH FROM LAND SURFACE
FEET Io FEET FORMATION DESCRIPTION Sketch exact location of well with distances,to at least
two permanent Iandmarks.
C
’
I 'J
If yield was tested at differeni depms duringVdrilling,list below
FEET GALLONS PER MINUTE
V DATE WELL COMPLETED
.é—2 E ’7 PERMIT NO:3 5/If REGISTRATION _O.
//-
DATE OF REPORT-L/4:2-
BOARD '