HomeMy WebLinkAbout1978-12-29 - 1445 Main Street - Well Completion ReportWELL COMPLETION REPORT STATE OF CONNECTICUT '
Wow 12w REV.9-71 .WELL DRILLING BOARD
State Office Bui}ding
HARTFORD,CONNECTICUT 06'T5
‘—-—'—~——‘—~‘Do NOT fin in ,
STATE WELL NO.
OTHER'NO.
OWNER NAME
Lee and Paula Herrington
ADDRESSm5 Main St.south Windsor
LOCATION
OF WELL
(No.&Street)(Town)(lot Number)
11.1.S Piain St.South Windsor
PROPOSED
USE OF
WELL
E BUSINESS
ESTABLISHMENT D FARM D TEST WELLDOMESTIC
SUPPLY
PUBUC D INDUSTRIAL D égNDITIONWG D OTHER
(Specify)
DRILLING
EQIIIPMENT
COMPRESSED CABLE OTHERaRotARYAIRPERCUSSIONPERCUSSION(specify)
CASING
DETAILS
LENGTH (Ieel)
118'
DIAMETER (inches)
6
WEIGHT PER FOOT
19%D THREADED @ WELDED
DRIVE SHOE
EYES DNO
WAS CASING GROUTED?
DYES @No
$5?
HOURSDBAILEDDPUMPEDECOMPRESSEDAIRIq.i YIELD (G.P.M.)10
WATER
LEVEL
MEASURE FROM IAND SURFACE—STATIC (Specify feel)
.20'
DURING YIELD TEST (feet)Demh of Completed Well
in fee!below land surface:
SCREEN
DETAIIS
MAKE LENGTH OPEN’T’O AQUIFER (feet)
SLOT SIZE DIAMETER (inches)IF GRAVEL'PAGKED:Diameter of well including
gravel pack (inches):
GRAVEL SIZE (inches)FROM (feet)TO (feet)
DEPTH FROM LAND SURFACE
FEET In FEET FORMATION DESCRlPTlON Skelch exact location of well with distances,to at least
iwo permanent landmarks.
0 110 sand and gravel
110 118 granite Mai n Shear
EQ‘D-I‘I CJ
D
/
l
118 200 granite
if yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
l
n "DATE WELL’CMPLETED
12/28/78
PERMITVNO;
S7051
REGISTRATION NO.
10
DATE OF REPORT 'WFLL DRILLER (Signature)
12/29/Y8 Llr/L x7 i 77?r.u/AL’L )Id
(.L'Z/
BOARD
Locate well with resect to at least fwo wads,showin distance from intersection and front of lotpg
Well Iocation on lot and to house if resent(p)
5 *.MCL\r\
Indicate North
5‘01?X4 o
§f&kggai'
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 information required under Section25-l3l of the 196-9 _Supplement to file General Sfatutes must be sent to the owner,the Board and the Water Resources Commission on the form provided by theBoard.This permit is not valid until all information is fild in and it has been counter-signed by the Diredor of Health or his agent.
REGISTRATI ON N0.
75'+
11").3’‘)iv
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
le
WEll.DRILLING BOARD STATE or PERMIT NUMBERwnu11-69 couNEcncur
WELL DRILLING PERMIT
STATE OFFI§BUILDING,HARTFORD,mNNECI’ICU'I OM15
-5 7 O 5 1
LOCATION OF WELL (Town)~(Strut)-'(Lot Number)DA‘IESouthWindsor1M5st.‘12/19/78OWNEROFWELLMam
mmvmuAL D nmwn D 0min (specify)
OWNER‘S ADDRESS
Lee &Paula Harrington lhhS Main St.South Windsor
PROPOSE
use or
wELL D INDUSTRIAL
WEIL COMPLETION REPORT STATE OF CONNECTICUT
WD'3»5 12-69 REV.9-71 WELL DRILLING BOARD
Sta1e Office Building
HARTFORD,CONNECTICUT 06115
Do NOT fill in
STATE WELL NO.
OTHER NO.
OWNER NAME ADDRE5S
IOCATION
OF WELL
(No.&Street)(Town)[Lot Number)
PROPOSED
USE OF
WELL
DOMESTIC
BUSINE5$
ESTABUSHMENT E FARM D TEST WELL
SUPPLY
PUBUC D 1NDUSTRIAL
AIR
CONDITIONING D OTHE-R
(Speufy)
DRILuNG
EQ'LHPMENT D ROTARY AIR
COMPRESSED CABLE OTHER
PERCUSSWON PERCUSSION (Specify)
’
CAS§NG
DETAILS
YIFLD
TESL
WATER
LEVEL
SCREEN
(inches);WEIGHT PER FOOT D THREADED WELDED
DRNE SHOE
EYES D NO
\NAS CAS!NG GROUTED?
YES
LENGTH (feet)DIAMETER
HOURSDBALLET)D PUMPED COMPRE53ED AIR r ‘
YIELD (QM/L)
i
NLEASURE FROM LAND $URFACtrrSTATIC (Specify §CCT}DURING YIELD TEST (Teel')Depth of ComDIeTed Well
In Tee?below Land surface:
MAKE
I LENGTH OPEN TO AQUIFER (feet)
EETA‘LS 5LOT SIZE DIAMETER (inches)IF GRAVEL'PACKED;
I
GRAVEL SIZE (inches)FROM (fee?)TO {feet}Diameter of well including
gravel pack (inches):
DEPTH FROM LAND SURFACE
FEET to FEET FORMATION DESCRIPTION two
Skatch
permanen’r
exacf oclarion‘
andmarLs
of’vxiell with disTances,to aT IeasT
fx I \w‘\l v/‘Tt LCQ ‘
L...i
IiI
I1
IKx
lI$7
If yield was iesTed at differen?depths during drilling,list below
FEET GALLONS PER NiiNUTE
DATE WELL COMPLETED PERMIT NO.REGISTRATION NO.DATE OF REPORT WELL DEILLER (Slgnaiure)