HomeMy WebLinkAbout1976-4-19 - 1430 Main Street - Well Completion ReportWELL DRILLING BOARD
WDH “-69
n9 —-.
sTATE (SF CONNECTICUT
WELL DRILLING 5PERMIT
PERMIT NUMBa33738
/
LOCATION OF WELL (Town)
SOUTH WINDSOR
OWNER OF WELL
@ INDIVIDUAL D BUILDER
OWN ER‘S ADDRESS
(Street)
1430 MEIR sw.
D omen (specify)
Ga Number)DAIE
4/15/76
SKETCH OF WELL LOCATION
J77
Well Iocation on Iot and to house (if present)
~2Jz‘Z:
§"
14"
wab
£30 W/W‘A/(f7
Approximate number of,_feef from well in
nearest sourcg of possible comamjnation:
#
85'
The uhdersigned is aware Thai upon compieiion of 1he well,a ”Well Complefian Rep‘or?“
25-13]of the 1969 Supplement to 1he General Statutes must be sent to the owner,the Boar
Board.This permit is not valid until all information is filled in and it has been counter-signed by the Director of Health or his agent.
rnovén
REMAnKs
APPLICANT‘S ADDRESS REGISTRATI ON NO.
100
DATE
4 [I 9kg
InxE ST.,1wmnnmu CONN.
gimme AIS/acres
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115
THOMAS;MC ENNA
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
containing construction details and information required under Section
d and the Water Resources Commission on the fonn provided by the
@
l?CORNELL CIRCLE.E.HARTFORD.En.No.of
PROPOSED
USE OF E ”M‘s“:I'rsA'nusHMEmNEss D “RM
''
AIR
D WEu
om
People being--served.
WELL rustic D INDUSTRIAL B connmomue D (specify)5sumx
WELL COMPLETION REPORT -STAIE OF CONNEcncm'
wna 5 1249 REV 971 WEU.DRIHING BOARD
Stafe Office Building '
HARTFORD,CONNECTICUT O61 15-
Do NOT fill in
srAIE WELL No.-
OTHER N0.
OWNER .NAME THOMAS MC KENNA i
ADDRESS .17 CORNELL CIRCIE E ..HARTFORD,CONNLOCATION‘
or wsu.
‘(No.&Street)(Town)(Lot Number)”1450 _MAIN ST.‘'SOUTH WINDSOR
PROPosEn
USE or
WE'LL
BUSINESSDOMESTICESTABLISHMENT 'D FARM D fesT WELL
SUPPLY
PUBLIC D INDUSTRIAL AIR
CONDITIONING D OTHER
(Specify)
DRILLING
EQUIPMENT D ROTARY AIR
COMPREsSEo
PERCUSSION CABLE
PERCUSSION D (Specify)
OTHER
CASING
DETAILS
LENGTH ueel)a5 .52
DIAMETER (inches)
6
WEIGHT PER FOOT
19.45 l @ THREADED D WELDED
DRIVE SHoE
DYES Ewe
WAs CASING GROUTEDIBYES@No
$5?'HOURS
@ BAILED
I D PUMPED i D COMPRESSED AIR 6
YIELD (G.P.M.)18
WATER
LEVEL
MEASURE PROM LAND SURFACE-STATIC (specify fear DURING YTELD TEST (Teen
2O 3O
Depth of Ccmpleted WellinfeetbelowLandsutface:
sCREEN
DETAILS
MAKE
EVerdure Bronze Screen (Johnson)_
LENGTH OPEN To AQUTPER (Tea)
WTSLOTSIZE
2_
DIA—METER‘—(inches)
‘55/8 ll:GRAVEL‘PACKED:Diame’er of well including'gravel.
patk (inches):
‘GRAVEL sIZE (inches)FROM (Teen To (feet)
DEPTH PROM LAND SURFACE FORMATION DESCRIPTION Sketch exact locahon of well with dlslances,To at leastTwopermanen?landmarksFEETToFEET
O 1 Top Soil
A dd 6‘6/93
$
\
17 12 Sand 8c Gravel
12 35 Gravel
ll
If yield was Tesied at differeni depthsduring dTilling;llst below
FEET GALLONS PER MINUTE
ll
//§¥¢a9A/t/A¥Aa/
l ..
DATE WELL COMPLETED,4 .5/13/7§_.I PERMIT No...'z553738-REGISTRATION No;100 DATE o-E REPORT ‘w .LER Signalu )‘5/18/76 T
WEii CQ§$P£E?EQN REP§R¥STATE OF CONNECNCUT
VVDB-5 i2ré9 REV.9-71 WELL QRHLING BOARQ
Staie Office Building
HARTFORD,CONNECTICUT 061 i5
Do NOT fill in
STATE WELL NO.
/.M/,v‘
OTHER NO.
OWNER NAME ADDRESS
:i.mf
LOCATION
OF WELL
(No.&Sfreef)(Lot Number)
.I.i Q-
?ROPOSED
USE OF
WELI
E DOMESTIC
BUSINESS
ESTABLISHMENT B FARM E TEST WELL
D SUPPLY
PUBUC D INDUSTRIAL D AIR
CONDiTlONING D OTHER
(Specify)
cmLLiNG
EQUWMENT
COMPRESSED CABLE OTHERDROTARYAIRPERCUS$ION PERCUSSION ($peci'Fy)
LENGTH (feet)CA§INGi‘ET'A‘ILS 9??E E3
DIAMETER (inchesf
é
Vi/EIGHT PER FOOT
lg i3A’i“:3 I THREADED E]WELDED
DRIVE SHOE
EYES @No
WAS CASING GROUTED?
EYES
‘T’IEED
¥E$T
HOURS
BAILED D PUMPED D COMPREsSED AIR II
YIEL (GIP.M.)
L:
‘JI’ATER
LEVEL
SCREEN
MEASURE FROM LAND SURFACE—STAI’IC (Specify feei)
2‘3
DURING YIELD TEST (fee?)
§§
Depth m’Comple’red Well
in feet below Land Surface:3 ‘"f“3‘
IV\AKE
efveg
LENGTH OPEN TO AQUIFER (feef)
if
§ETAIL$SLOT SIZ’
aa:
I
ES}?
l‘PACKED;Diame’ier of well including GRAVEL SIZE (inches)IFROM (feef)TO (feet)
gravel pack (inches):
BERTH EROM
FEET i0
3y I
LAND SURFACE
FEET FORMATION DESCRIPTION Skelch exacf location of well wifh disfances,To at least
fwo permanent landmarks.
l 5"}:‘1;[VI A mg l’IQg-Igf i’V W!
J‘;{gaudé LG
F.5
IiIiI
l
lI
If yield was fesfed at differenf depfhs during drilling,list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED PERMIT NO.REGISTRATION NO.DATE OF REPORT