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2014-1-23 - 1146 Main Street - Well Abandonment Completion Report
wvwk393%“,..DcwEm j O gr @ip SM/ile k.wt“‘E C7? WWW!“ Wm akéwQ/Ww" >Igw yk/%+::L:‘H If}:‘¥+.‘X.;x,‘$1’Ww4 édwvxfi a Hm f ma“ ”‘J‘ ‘3! . STATE OF CONNECTICUT % £9.93g K?Vi??? :1 ,1 4’0 DEBARTMENT OF CONSUMER PROTECTION 300*((1 7REALESTATE&PROFESSIONAL TRADES wgémw 4'‘-083??WELL ABANDONIWENT,VERIFICATION OF WORK COMPLETED- Procedures followed:A11 procedures used to abandon a well shall follow regulatiOns established underSection25-128-56 and 25-128—57 of the State of Connecticut We’ll Drilling Board-Regulations (seeattachment).These regulations require that a register-ed well drilling contractor perform the work. For water supply wells attach cornpleted form to Well Permit.For non-water supply wells attach sketch ofwelllocationtocompletedform.Distribution:Department of Consumer Protection,Department ofEnvironmentalProtection,Property Owner,Well Drilling Contractor,Local Director‘of Health. Well information: Towni g;uliq wrfudm!’Date work completed:‘//2‘3 //L/ Name of Owner:i /f&Luf-Vti 'kg 5 haw V Address:/kAjZL‘e yeq L Me,J\©Q~HQ a)[-we]:of Location of well (if different &om above):/i L/‘é {Hwy j7é fgUgL/q Lg/Juc/jfo/' Type of well (drilled,point,dug,'etc.):DQ (Kit—e ',Depth o'fwellg JO /2 j £0 ’ Diameter of well:/71'H r tLengthofcasing:/o ’//ZAZO' Work details and other information: Name ofregistercd well drilling contractor performing work:.C7 CJ€/f I ‘L’u é,, Registered well drilling contractor’s license type &#:W1-#4 I W3-#65 Materials Used:amount of Sand amount and type(s)ofgrout J?)/£A4q 5J5 gow‘ou 3%c/{fpnr .Ho/e p/uqDescriptionofworkcompleted:(:kwr,mm o“r/a u DOLL)Jr;i Dcuf bautvwie.n ’7 /9Ckiihf(M Lku pofuir i (wen/tie {PM QJ AJr j‘Urfgytcé. C‘Agrog:60+47 'baa-a)grade’w Signed:%/W I (well drilling contractor) 165 Capitol Avenue,Hartford,Connecticu 06106Voice:(860)713-6135 'Fax:(860)713-7239 ' An Aj}?rmative Action /Equal Opportun -1630 ‘ a.-Fom.provided by Forms On—Apisk,Inc.-Dallas,Texas -(214)34o9429 \. -: i " CPR-8 Rev.7/95 DEPARTMENT OF CONSUMER PROTECTION REAL ESTATE &PROFESSIONAL TRADES DIVISION 165 Ca WELL DRILLING PERMIT STATE OF CONNECTICUT pitol Avenue,Hartford,Connecticut 06 1 06 PERMIT NUMBER 258198 AbA/LX50N 3 LUEH PQI‘Q‘I;’#4;bgfgocw# [Of-\n \f Tf\ht‘nh mTRJF‘IKIT [TH—f"f\ LOCATION OF WELL (Town)(srmeo (LofNumber) OWLA LJIAJCIJ’ar /IL)é mmo 5+,DATE /I’/I L1- OWNER OF WELL . .INDIVIDUAL BUILDER OTHER (Specify) OWNER'S ADDRESS $§Ae+A PROPOSEDUSE OFWELL \ DOMESTIC BUSINESS FARM TESTESTABLISHMENTWELL Rwbmau"PUBLIC INDUSTRIAL AIR OTHERSUPPLYCONDITIONINGy(Specify) Est.No.ofPeoplebeingserved SKETCH OF WELL LOCATION Locate well with respect to at least two rcads,showing distance from intersection and front of Iot location of Iot to at Ieast two roads Well location on to and to house (if present) rev'icu‘gv ‘t 52 ‘a?o " Approximate number of feet from well to nearest source of possible contamination: The undersigned is aware that upon completion of the well,a ‘Well Completion Report"containing construction details and infonnation required underSection25-131 of the 1969 Supplement to the General Statutes must be sent to the owner,the Department of Consumer Protection and the WaterResourcesCommissionontheformprovidedbytheagency.This permit is not valid until all information is filled in and it has been counter-signed bytheDirectorofHealthorhisagent.CT we It;do?JCIQ 0AM: APPLI (Signature) C/i’H xy .4éw APPLICANT'S ADDRESSwHm»)/4;//Kat A/gawe/I em cc mm REGISTRATION N0.L/ APPROVED REJECTED BY (Town Health omcer or Agent) XIIid’”/ DATE_ I ’L‘l \i-t REMARKS ’O L/I l PERMIT NUMBERCPR-8 Rev.7/95 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION REAL ESTATE &PROFESSIONAL TRADES DIVISION WELL DRILLING PERMIT 1 65 Capitol Avenue.Hartford,Connecticut 06 1 06 LOCATION OF WELL (Town)$ OWNER OF WELL INDIVIDUAL '\I‘ Est.No,ofPROPOSEDDOMESTICBUSINESSFARMTESTPeoplebeing USE OF -ESTABLISHMENT WELL served,WELL w dam:Ev SUPPLY PUBLIC D INDusTRIAL AIR CONDITIONING a (SpeCIfy) OTHER SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot location of lot to at least two roads —Well location on to and to house (if present) (Street)(Lot Number)DATE ..Et E BUILDER B OTHER (Specify) OWNER'S ADDRESS \ Indicate North "! Approximate number of feet from well to E nearest source of possible contamination: The undersigned is aware that upon completion of the well,a “Well Completion Report"containing construction details and information required underSection25131ofthe1969SupplementtotheGeneralStatutesmustbesenttotheownertheDepartmentofConsumerProtectionandtheWaterResourcesCommissionontheformprovrdedbytheagencyThispermitIsnotvaliduntilallnformationisflledInandithasbeencounter-Signed bytheDirectorofHealthorhisagentLgig)#: APPLI ‘NT (Signature)i v APPLICANT'S .:G fl ADDRESS J H ’2’)m r4 s4 m.{~- REGISTRATION NO, I g?BY (Town Health Officer or Agent)DATE 41 ”APPROVED I REJECTEDv’k UK:1 iiV‘ti I} REMARKS “'l ,4‘} DIRECTOR OF HEALTH z r..a,a I i t '‘e m» Publication Date:May 2009 P liiucaton N0.26:Private Drinking Water Wells Types of Canstruction Whan you turn on the faucet t0 get a drink 0r to take a shower,d0 you know where yourwatercomesfrom?It is estimated that approximately 400,000 Connecticut citizens drink groundwater supplied by a private well on their property.Groundwater is water beneath the earth’s surface that fills and saturates the spaces between sediment particlesaswellasthecracksandcreviceswithinbedrock.When rain falls or snow melts some of the water percolates into the ground and becomes part of the groundwater. The U.S.Environmental Protection Agency (EPA)does not regulate private wells.As an individual well owner,you are responsible for the quality of your own water.Individual well owners do not beneflt from the public health safeguards provided by a regulated and regularly tested public water supply system. Responsibility for wellhead protection,adequate well maintenance,and water testing falls on thehomeowner.Although your first call should be to your Local Health Department with water qualityconcerns,the Connecticut Department of Public Health’s Environmental Health Section can also assist private well owners. *A‘ii.w‘ So,what exactly is a well,where is it located and what can you do to maintain it?Simply put,your well isacircularholethatextendsintotheearthuntilitreachesanundergroundwater-bearing formation known asanaquifer.Three basic types of wells are common in Connecticut;dug wells,driven wells and drilledwells. Well Construction The Connecticut Department of Consumer Protection regulates the construction of privatewellsthroughtheirwelldrillingregulations.Additionally there are regulations in the Connecticut Public Health Code dealing with wells.A Connecticut registered well drillershouldinstallanewwellorimproveorrepairanexistingwell.These professionals are knowledgeable ofthe well construction specifications.For more information on these specifications,see the Department of Public Health and Consumer Protection’s websites. Additionally,all new wells,at a minimum,have to be tested in accordance with Section l9-l 3—Bl 01 of the Connecticut Public Health Code. Dug Wells Dug wells are holes in the ground dug by shovel or backhoe.Historically,a dug well was excavated below the groundwater table until incoming water exceeded the digger’s bailing rate.The well was then lined (cased)with stones,brick,tile,or other material to prevent collapse.It was covered with a cap of wood, stone,or concrete.Since it is so difficult to dig beneath the groundwater table,dug wells are not very deep, x’mx Produced by The State of Connecticut Department of Public Health Environmental Health Section,Private Well Program 450 Capitol Avenue,MS#51REC,PO Box 340308,Hartford,CT 06134Phone:860-509-7296 Fax:860-509-7295WWdwkuuim Page l of Publication No.26:Private Drinking \X/atcr \Vells,Types of Construction typically only 10 to 30 feet deep.Dug wells have the highest risk of becoming contaminated because they are so shallow.To minimize the likelihood of contamination,your dug well should have certain features to help prevent contaminants from traveling along the outside of the casing or through the casing and into the well. Dug Well Construction 0 The well should be cased with a watertight material (for DUG WELLexample,tongue-and-groove pre-cast concrete drainage tiles) and a cement grout or bentonite clay sealant poured along the outside of the casing to the top ofthe well. 0 The well should be covered by a concrete curb and cap that stands about a foot above the ground.o The land surface around the well should be mounded so that surface water runs away from the well and is not allowed to pond around the outside of the wellhead. 0 Ideally,the pump for your well should be inside your home or in a separate pump house,rather than in a pit next to the well. Land activities around a dug well can contaminate it.Examples include disposal of household chemicals or oil on the ground or down the drain,car or other vehicle maintenance,failing septic systems,lawn fertilization and pesticide application,roadway runoff,and pet or livestock waste.Protecting the water quality ofyour dug well means that you must monitor activities around it and reduce or eliminate potentialcontaminationsources. While dug wells have been used as a household water supply source for many years,most are “relics”of older homes,dug before drilling equipment was readily available or when drilling was considered expensive.If you are using a dug well on your property there is a greater likelihood it may go dry during a drought or ifthe water table drops.Construction requirements for dug wells are covered in Section l9-l3-B51 of the Connecticut Public Health Code (PHC). Dri en (sand-point)Wells {Like dug wells,driven wells pull water from the water-saturated zoneiat“i--, above the bedrock.Driven wells can be deeper than dug wells,typically 3O--to 50 feet deep.Driven wells are usually located in areas with thick sand Q and gravel deposits where the groundwater table is within 15 feet of the surface.In the proper geologic setting,driven wells can be easy and relatively inexpensive to install,although there may be limited locations :rx where these wells could be located in Connecticut.The soil conditions must be such that little if any large rocks,boulders or large outcroppings exist,otherwise this type of well would not be feasible. Driven Well Construction o Assembled lengths of 2"to 3"diameter metal pipes are driven into the ground.A screened“well point”located at the end of the pipe helps drive the pipe through the sand and gravel.The screen allows water to enter the well and filter out sediment. 0 The pump for the well is in one of two places:on top of the well or in the house. o An access pit is usually dug around the well down to the frost line and a water discharge pipe to the house is joined to the well pipe with a fitting. Page 2 of Publication No.26:Private Drinking \Vater \Vells,Types of Construction o The well and pit are capped with the same kind of large-diameter concrete tile used for a dug well.The access pit may be cased with pre-cast concrete tiles.The pit should be gravity drained and not subject to flooding. DRIVEN WELL V'“in”Elnannlcadmium 8“I tniwugm“ link Although deeper than dug wells,driven wells are still relatively shallow and have a moderate-to-high risk of contamination from nearby land activities. To minimize this risk,the well cover should be a tight-fitting concrete curb and cap with no cracks and should sit about one foot above the ground.Slope the ground away from the well so that surface water will not pondaroundthewell.lfthere is a pit above the well,either to hold the pump or to access the fitting,you may be able to pour a grout sealant along the outside of the well pipe. cthwxa Swan Protecting the water quality requires that you maintain proper well construction and monitor your activities around the well.lt is also important to follow the same land use precautions around the driven well as described under dug wells. Drilled Wells Most drilled wells in Connecticut penetrate 100—400 feet into the bedrock.Bedrock found at or near the surface is commonly called ledge.A drilled well must intersect bedrock fractures containing groundwatertoserveasawatersupply. Drilled Well Construction o Most wells drilled today incorporate a number of construction DRILLED wELL “mm features to help protect water quality,Harrays $ d Humo g i /‘Wm“bnn PI iwtta0Thecasingisusuallymetalpipe,six inches in diameter that [mt extends into the bedrock to prevent shallow groundwater from entering the well.By law,the casing has to extend at least 2O feet AWE. into the ground.The casing should also extend at least six inches above final grade of the ground’s surface.A sealant,such as cement grout or bentonite clay,should be used to grout the well to C3 ":»the top of the well’s casing.The well is capped to prevent surface _water from entering the well. 0 Submersible pumps located near the bottom ofthe well,are most commonly used in drilled wells.Wells with a shallow water table may feature a jet pump located inside the home.Pumps require special wiring and electrical service.Well pumps should be installed and serviced by a qualified professional licensed by the Department of Consumer Protection. o Most modern drilled wells incorporate a pitless adapter designed to provide a sanitary seal at the point where the discharge water line leaves the well to enter your home.The device attaches directly to the casing below the frost line and provides a watertight subsurface connection, protecting the well from the frost and contamination. o Older drilled wells may lack some of these sanitary features.The well pipe used was often 8, 10,or 12 inches in diameter and covered with a concrete well cap either at or below the ground’ssurface.This outmoded type of construction does not provide the same degree of protectionfromsurfacecontamination.Also,older wells may not have a pitless adapter to provide a seal at the point ofdischarge from the well. Page 3 of Publication No.26:Private Drinking \Vater \Vclls,'l‘ypcs of Construction Hydrofracting a Drilled Well Hydrofracting is a process that applies water or air under pressure into your well to open up existing fractures near your well and can even create new ones.Often this can increase the yield of your well. This process can be applied to new wells with insufficient yield and to improve the quantity of older wells. L0cating_Y0ur Well Locating your well is the first step to protection.Start by walking around your yard.If you discover a metal pipe,six or eight inches wide,sticking up above the ground’s surface and topped with a metal cap,then you have a drilled well.If you find a large cement well cap about three to five feet in diameter at the ground’s surface,it could be a dug,driven or older drilled well.To determine what’s below the cement cap,remove it.If you see an open hole with water standing in it,you have a dug well;ifyou see a pit with a pipe and/or pump at the bottom ofthe pit,you have either a driven or older drilled well. If you’ve looked and can’t find your well or still aren’t sure what kind you have,consider enlisting the help of a registered well driller or someone with a metal detector.Even dug wells contain metal fittings and pipe that can be picked up by a metal detector.The original cover of an older well may be covered by topsoil, grass or other vegetation.If this is the case,it is recommended that the well is located and repaired with some additional casing,extending 1 to 2 feet above the ground surface,and properly capped.In some cases,old wells may be located in the basement of your home. A well driller registered with the Department of Consumer Protection (DCP)should complete new well construction,repairs to existing wells,and hydrofracting.DCP regulates the construction of private wells through the well drilling code.These regulations along with the Connecticut Public Health Code (PHC) detail procedures for the siting and construction of new wells,the improvement or abandonment of old wells,and provide for registration of well drillers and pump installers.Since 1969 all registered well drillers are required to file well drilling reports with the Connecticut Department of Environmental Protection (DEP).An agent of your local health department signs the well permit.New well owners should maintain a copy of the well driller’s report for their own files. Six Important Ways to Protect Your Drinking Water Well 1.Proper Location Locate a new well as far away from potential contamination sources as possible.CT DPH regulates the distance a private well should be from some potential contamination sources.Sources are identified in PHC Section 19-l3—B51. 2.Proper Construction Construction of a new well or maintenance of an existing well should be performed by a well driller or pump installer registered with the CT DCP.Periodically inspect exposed parts ofthe well.Look for: 0 Cracks,corrosion,or damaged well casing o Cracked or missing well cap o Settling or cracking of surface seals.When placing your hands on the well,you should not be able to move it. Page 4 of Publication No.26:Private Drinking Water \Vclls,Types of Construction *Keep accurate records of well maintenance,such as disinfection or sediment removal*Inspect your well at least annually;consider an inspection by a professional every 3 to 5 years (well driller,local health authorities,state health department,etc.)*Slope the area around the well to drain surface runoff away from the well.Do not allow surface water to pond around the well. 3 Keep Contaminants Away Keep potentlal contamlnants as far away as poss1ble from your well Av01d m1x1ng or us1ng pest1c1des fert111zers herb1c1des degreasers fuels and other pollutants near the well. Do not dispose of wastes in dry wells or abandoned wells. Inspect your septic system every 1-3 years and pump as needed. Never dispose of hazardous materials in the septic system Do not allow runoff from the road,driveway or rooftop to pond around the well. Keep the area around the well clear and free of debris. Keep pet waste,dog runs and other livestock away from the well. 4.Prevent Backflow Use backflow prevention devices on all outside faucets with hose connections.This is especially important if you fill pesticide Sprayers,other chemical container or swimming pools.Backflow devices prevent these chemicals from being drawn into the household water supply in the event of a drop in water pressure.You can purchase backflow prevention devices at a hardware store. 5.Seal Abandoned Wells Abandoned and unused wells are a potential source of ground water contamination as they provide a direct access or conduit from the ground surface to the groundwater source.They can also be a safety hazard on your property.These wells should be properly sealed when no longer in use.The well drilling code regulations state that a Connecticut registered well driller should properly abandon wells. 6.Test Well Water Test your well semi-annually (spring/fall)for nitrates,bacteria,physical parameters (color,odor,turbidity,pH)and other constituents of concern.Test whenever you notice a change in taste,color,or odor of your drinking water.For more information see Publication #24 Residential Well Water Testing. For more infonnation please click on the following links: EPA Ojy’lce ofGroundwater and Drinking Water http://wwwepagov/ogwdw/ EPA New England http://www.epa.gov/regionO 1/ Adapted from Healthy Drinking Watersfor Rhode Islanders,University of Rhode Island Cooperative Extension,April 2003. Page 5 of Publication No.26:Private Drinking \Vater \Vells,Types of Construction §25-128-55a.Period ofresponsibility The well dnlhng contractor shall be responSIble for a penod of one (1)year from the date of completmn of work performed on the well to msure that the physwal constructmn of the well meets the requlrements of th1s code The contractor shall not be responSIble 1f work has been performed on the well by others or 1f act1V1t1es by others 1n the v1cm1ty of the well have adversely affected the well (Effectwe May21,1993.) §25 128 56 Abandonment of wes respons1b111tyll Any well that ls abandoned shall not be a source or cause of contamlnatlon or pollut1on of ground water resources Abandonment procedures shall be performed or d1rected only by a reglstered well drlller The regIStered well drllhng contractor who performs the work of d0dl1d0DJI1€Ill bndll D€1‘6bp0HblUl6 IUI bUIuplldHb€WlLh “16 prOLCUUI6 ()1 dbdDUUIlIll6IIL UL the well as prov1ded m thls part and shall notlfy the local health authorlty of the ’" abandonment of the well 111 (Effective September27,1978;Amended May 21,1993.) §25-128-57.Procedure of abandonment In the event of abandonment of any water well or other type of well the proper procedureandmatenalsshallbeusedasfollows (a)The well shall be plugged to prevent the entrance of surface water c1rculat1on of water between or among producmg zones or any other process resultlng m the -' contammatlon or pollutlon of ground water resources (b)In the event of temporary abandonment or d1scont1nuance of the use of any well the well shall be sealed w1th a watertlght cap or seal as prOVIded by Sectlon 25 128 4z (c) (c)The well shall be chlormated prlor t0 abandonment usmg a chlorme solut1on w1th a mmlmum concentratlon of one hundred fifty parts per mllhon (150 ppm)of chlorme Thls 1s equlvalent to 5 5 quarts of bleach 'at 2 25%ayallable chlorme to flve hundred (500)gallons of water or three hundred thlrty three (333)feet of 51x (6)1nch dlameter well (d)The well shall be checked from land surface to the entlre depth of the well before 1t 1s sealed to Insure agamst the presence of any obstructlon that W111 mterfere w1th seahng operat1ons ' (e)The well bore shall be filled and sealed w1th any of the followmg materlals heat cement grout sand cement grout bentonrte clay grout or sand clay or benton1te cement grout (f)The grout matenal shall be placed tn such a way to prevent vords 1n the grout or Well Abandonment I Permanent Abandonment O Q Remove pumping equipment and check to ensure that there are noobstructionswithintheWell,which could interfere with filling it. Chlorinate the well to 150 ppmi (Each gallon of 5%bleach willtreatapproximately200feetofasix-inch diameter well.) Fill the well,h'om the bottom up,with an impervious material.Approved materials include neat cement (no sand),sand cement,bentonite clay,sand clay and ben‘tonite cement. Bedrock wells may be filled with fme sand,to a point ten feetbelowthecasing,then filled with impervious material to the top. The abandoned well mav be cut OE at four feet below surfaces 26 Driven or sanb poim wells shoulb be removcb if their Diameter is 2 inches or less aim flieir Depth is 25 feet or less.The hole shoulb be filleb with a bemonite~eement grout.lf greater than 25 in Depth,larger fhan 2 inches in Diameter,or cannot be removeb,the well shoulb be filleb with a bentonite~eement grout from bottom to top using the pwnp~bown methob using a tremie pipe. Drilleo Wells-Diameters of 2 to 2o inches are tupieal for these wells which are installeo with the use of a Drilling rig anD mau be several tens to several thousanD feet Deep.in Alabama,DrilleD Domestic wells are generallu less than 250 feet Deep. DrilleD Domestic wells are often unique in Design anD Depth ano shoulo be -'.r ". r.- r':J33:I.“.k /3' Grout/Bentonite Minimum Seal Ciean Treated Sand &Gravel Water Table Clean Treated Sand &Gravel abanDoneD only by a licenseb well Driller. Ifpossible.the easing shoulD be removeD anD the borehole filleD with a cement- bentonite slurru.If the casing cannot be removeD,the entire well shoulD be filleD with a cement-bentonite slurru using the pump-Down methoD with a tremie pipe.In areas subject to subsiDence anD/or farming, the top of the easing shall be cut offa minimum of three (3)feet below the surface ofthe grounD before plugging operations begins.After filling the well with the cement~bentonite slurru,the excavation above the top of the cement plug shall be filleD with compacteD soil to minimize future hazarDs to farming equipment etc. ln other areas,the top ofthe casing;shall be cut off at or below the grounD surface. Prolecling O u r groundwater For more information on well abanDonment anD otherwater qualitu issues,please eontact: Alabama Department of£nvironmental Management GrounDwater Branch 1751 Cong.W.L.Dickinson BlvD MOWISOMW,AL 36l09'2608 (334)271-7862 7ANRDIA ./w l‘é m pi “C\ Quidetines {or Well Mandonmeni P.O.Box 30146; Montgomeru,AL 30130-1463 334-271-7362 + dqévE‘vc Alabama Department ofEnvironmental Management I ' Ctvsure v!unused welts Wells that arc wmseb anb have bew improperlu becommissioneb (abanboneb) pose a serious risk to Abbama’s grounbwatcr qualim.Improperlu becommissicmeb wells provibc a bircct conbuit for cov‘taminatcb surface waters to cmcr grounbwatcr.This can contaminafe wot in st an inbivimlal wafer supplu.but the water supplies of some or all oftlae well owners iu {he area.The threat of contamination is heishteneb since the surface water can move birectlu into srounbwater,bupassins the filtering action ofthe soil.Extremelu high levels of biological ano chemical contamination can be reacheb veru quicklu. Well owners are sometimes tempteo to use abanboneb wells to bispose of sewage ano other wastes.This is NEVER acceptable;it is literallu like pouring waste birectlu into uour brinking water,ano the health risks cannot be overstateb. Native Earth M aterial Grout/Bentunite Sed 3’Minirn Water Table Clean Treated Sand &Gravel Producing Zone Preventing grounowater contaminati on is the main issue associateo with well abanbonment,but there are seconbaru concerns as well.An improperlu filleb or cappeo well can be a phusical hazarb: recall the infamous babu ]essica incibent from the late 1950.5.An improperly; abanboneo well can also have neg ative effects on a small aquifer's uielb, huorostatic pressure anb other factors that will affect future Well performance. Proper Welt Decommissioning Procedures Having a licenseo well Driller becommission a well while he is on the propertu to brill a new well is often the quickest,easiest ano safest wau of abanboning a well.\Nhile it is recommenbeb that a well briller oo the iob. it is not requireo unoer current guibelines. lf uou Decibe to bo the work uourself, uou will probablu neeb to seek the aovice of an outsioe authoritu at some point.The state agencies listeb in the back of this brochure will be able to help uou;natural resource Districts,certifieo well brillers ano local officials mau be of assistance. The following are a broao set of guioelines for becommissioning wells;the exact procebures will oiffer bepenbing on the tupe of well ano local geologic con‘oitions. lnbivioual water supplu wells are relativelu shallow in Depth ano serve one to several householos with enough water for bomestic purposes.These wells are mpicallu one of three tupes:shallow bug wells,oriven or sano point wells or brilleo or augureb wells.As with other tupes of wells,the tupe ano oepth ofwell shoulb be betermineo prior to plugging.Anu obstructions in the well shoulo be rcmovcb prior to plugging.Vnber no circumstances shoulb an»;part ofthe casing be alloweb to remain above the surface ofthe grouno after plugging. Shallow Dug Wells are hanb bug wells that extenb bown to the aquifer anb are sometimes blasteb or chippco into beorock to reach the aquifer.Stone or concrete walls calleo curbing is sometimes necessaru to keep the well from collapsing. These wells are rarelu beeper than a few tens of feet ano have oiam eters that are usuallu several feet across. Pumps,piping or oebris shoulo be removeo ano the top 3 to 5 feet of curbing shoulb broken up prior to filling.Anu portion of the well that extenos into beorock shoulo be filleo with a concrete- bentonitc grout.The remainoer of the well shoulb be filleb with clean native materials that approximate the permeabilitu of the aquifer ano overluing soils near the well. The soil shoulo be compacteo to prevent settling ano ponoing ofwater in the location of the former well. Driven or Sano Point Wells is a well that is Driven to the Desireb bepth,either bu hano or machine ano mau emplou a wellpoint,or alternative equipment.These wells tupicallu have a small biamcter (2 inches or less)with a short screen near the pointeo enb anb can onlu be useb in soft sanou seoiments or soils. 9t TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT South Windsor,C onnecticut Application for Permit to lnstall or Repair Individual Sewage Disposal System Applicati0£No.0'7I4é 9-i Date I ¥J“I LV 19 6 9r A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 1.Owner of Property‘UILLI M A N Address of Owner [/40 MAIN gmzi'r 2.Location of Property 314mg,Lot.No. 7.Soil Conditions:Type of Soil -Maximum ground water table (Sand,Gravel,Clay,etc.) 8.If not served by public water supply:Distance from Owner’s well from adjacent well 9.Distance to nearest water course,drainage ditch,storm drain or embankment 10.Percolation Tests:Time for 1"drop in soil test 3 mrau?1$Classification of soi 11.Minimum square feet of effective seepage area required 12.Leaching System:Number of trenches 3 Lengthawbg [@3&Width-2'faer Tota1375’S9 a—r Maw Swessr [V xzLy 19 $9 B §2yPermitIssued Installation Completed,Inspected and Approved i4 Jztcy 1 9 a?Y s l 3.Type of Structure “$wiLuIV (Dwelling,Commercial Building,Store,etc.)No.of Bedrooms 4.Number of Families or Persons to Occupy Premises ONS’.{Ann}!I — 5.Plumbing Fixtures:Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Eaundry Tubs I Garbage Grinder Other 6.Liquid Capacity of Septic Tank Material of Septic Tank Other J!flum +a d 1e/4_ Signature mm(Licen i2.rega‘dire‘ Installer)I wsmbelow!-assay.howing all minimum distances and ot e-r details o: