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HomeMy WebLinkAbout1965-7-22 - 1299 Main Street - Well Completion ReportState of Connecticut W§ki C®M$IEH$N REFGRT DO NOT FILL IN WATER RESOURCES COMMISSION This mport must be completad and uubmittad State We“No.sw 63o 223 Stem Office Buiiding to State Water Resources Commission rm later Hartford,Connecticu?than 30 days aftar compietlon of wail.Other No. nWELLOWNERMr.Felix L‘nsu IQ‘QQ RC.Ur Numo Strut Addrcn City Ind TownWELLg‘vier Supplies Inc.750 Fuller 3t.Ludlow,mass.DR!LLER 37"} Nam:Street Address City and Town PROPOSED USE OR USES (Check):Business _j Domestic Q Farm L]irrigation Q Establishment Q Municipal B Industrial [I Test Well WELL LOG Depth From Give description of formations penetrated,such as:peat,silt,sand,gravel.clay,hardpan,shale,sandstone, Ground Surface granite,etc.inciude size of gravel (diameter)and sand (fine,medium,coarse),color of materiai,structure (loose,packed,cemented,soft,hard).For example:O ft.to 27 ft.fine,packed,yellow sand;27 ft.to 134 ft.gray granite. 3333 3i 0p)v t0 Fr'Wig}15 ML 1334C Marin ‘3‘..’j Win/é S 32';Sff {GV‘4 [‘zdl C/?kge/15!sié’.,\/ .to FT.‘h ivy.v an .5 VI Wz m ax [L m .Sa‘rowJ'Hv V:{13,qggL:\ FT .to Fri V,A.»,I I. 31 3i :i 11 YIELD TEST DATA iN G.P.M. If Yield Was Tesied'Ai Didereni Depfhs During Drilling,Lisi Below I G.P.M. G.P.M. G.P.M. ii Wan Completed:Date of Report any EQ: .0Wn Permif Number:Well Driiier -L M ~ex.>k“v t»Le (Signature) : l : CASING DETAELS YIELD TEST WATER LEVEL SCREEN DETAILS Length:2 Feet Q Baued l 0r 1 /‘»+Hours E Pumped Or D Compressed Ail’L G.P.M. g Yield:JC-an ‘CO 49 (LEM (measure from land surface) Static:14 Feet During Yield Tesh 14 Fee? Make: SlotLengthFt.SizeDiameter:31,7 w inchaa Kind:cement DRILLING EQUIPMENT D Cabie Tool D O’hei’(SPeCiMDReiarYdugzwyall Diameter:in. ,, ITAL DEPTH OF WELL 22 FEET LOCATKON OF WELL:TOWN OF SKETCH SHOWING LOCAT'ION OF PREMXSES EN TOWN:~ (Show distance nn&direction from road interweztinn 0r Qtke?E&B&m&r3x.) DIAGRAM SHOWING LOCATION OF WELL ON yREMKSES: )ND!CATE NORTH ROUTE DIRE‘CTIONS FOR REACHING VJELL SETE FRC‘M NEJELRE$T {ii?¥‘3R VELir‘wigE CENTER: