HomeMy WebLinkAbout1972-7-18 - 108 Maskel Road - Well Completion ReportWill DRIlllNG BOARDwas-4 11.69
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Will DRILLING HRMIT
SIATE OFFICE BUIIDING,HARTFQRD,CaNNECIICUT 061 15
PERMIY NUMBER‘10962
/
LOCATION OF WEll (Town)
OWNER OF WELLDINDIVIDUAL _V.E sUILDEII D orHER (Specify)
OWNER'S ADDRESS
(Sfree!)(Lol Number)
SOUTH WINDSOR MASKEL ROAD
JAA‘N IIAINE
5
DATE
7/6/72
The undersigned is aware that upon completion of the-we",o I‘Well Completion Report”containing construction details and information required under Sedion 25-1 31
of the 1969 Supplement to the General Statutes must be sent to the owner,the Board and the Water Resources Commission on the form provided by the Eoord.This-
permit is not valid until oil information is filled in and it has been counter-signed by the Director of Health or his agent.-
REGISTRATION NO.
100
APPLI (Si re)APPLICANTS ADDRESS’oI LAIE ST..
IVER‘’NO’N/CONN.
vm
REMARKS
W.D Rum-ED I av (‘\
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DATE
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
s
WELL COMPLETION REPORT STATE OF CONNECTICUI’‘
WD&5 1269 REV 971 ‘''WELL DRILLING BGARD
A Siate Office Euiidi‘a‘g-
HARTFORD,CONNECTICUT 061 15
Do NOT frll m
STATE WELL NO.
OTHER NO.’
‘'‘owNER NAME
JAAN LAINE
ADDRESS ‘‘w
44 HENRY S‘L ,MANCHESTER,CONE
‘iocmon :'
or WELL
~'‘(No &Slregt)(Town)A ‘‘(Lot Number)
MASEL ROAD S WINDSOR .~5 ..
‘'PROPOSED-
USE OF-
_VWELI'
a boMésnc ‘-BUSINESS
ESTABLISHMENT .U FARM .B TEST WELL E -
SUPPLY
PUBLIC '--B INDUSTRIAL AIR
CONDITIONING D'OTHER
(shecify)
DRILLING
EQUIPMENT ROTARY.AIR
COMPRESSED
PERCUSSION
CABLE-
PERCUSSION D (spwfv)QTHE.R
'
.‘CAsING ~’.
.
'DE‘I'AILS
LENOTI-Hfeet)”.-
25 'DIAMETER (inches)
I I‘.63:.-w WEIGHT PER FOOT
19 .45 THREADED D WELDED
.DRIVE SHOE
.EYES No
WAs CASING GROUTED}..
.YEE NO '
gt:
-D PIImIaEo ‘§‘coMI’REssED
AIR .v .’
HOURS
4a YIELD (G.P.M.)I 10 .
',
WATER
IEVEL.
MEASURE-FROM LAIEI’D SURFACEfsTAnc (Spgcify Igel)
25
DURING YIELD TEsT (feet)
100 beplh of.Compler‘ed wen
Ir‘I feet below Land surface:_,150
SCREEN
DE'I'I‘AILS‘_
MAKE ‘IENGIH OPEN To AQUIFER (feen
sLoI'sIZE -DIAMEIER (inches);-IF GRAVEL
PACKED!Diameter of we"Including
gravel pack‘Gnches)
GRAVEL STzE (inches)FROM ({eet)To (feet)
DEPTH FROM IAND SURFACE FORMATION DEscgIIzTION .'Sketch exact Iocafion of we"wnh dlslances,to at Ieast
Mo permanent landmarksFEEL-Io .FEET
0 .'‘15 Sand 8c Grav'el
15 r .150 .Reddish Rock
If yield was tested af dufferent depths during dnllmg,Inst beIowJ .
FEET ‘.GALLONS PER MINUTE
6‘.
.3:'1'{:3
DATE WELLTCOMPLETED‘
I r 7/13/72
PERMIT No.-:‘10962 REGISTRATION NO...
100''
DATE OF‘REPORI"'7/18/‘72
\NEEJ.COMPLE'FIGN REPGRT 5TA1'E OF CONNECTICUT
WDa-5 124:9 REV.9.71 VVELL DRILLING BOARD
Sfate Office Building
HARTFORD,CONNECTICUT 06115
ADDRESSOWNER
DO NOT fiH in
STATE WELL NO.
S LU 4’@L}
OTHER NU.
”:r \e‘,l
IOCATION
OF WELL
(Nn.R.Street)(Town)(Lof Number)
¢§‘3}
PROPOSED
USE OF
WELL
DOMESTIC BUSINESS
ESTABUSHMENT D FARM B TEST WELL
Ci E5§éi§E iNDUSTRiAL AIR
CONDlTiONiNG D OTHER
(Specify)
DRELLINGmmmmT “"ROTARY AIR
COMPRESSED
PERCUSSION
CABLE a (Specify)
OTHER
PERCUSSION
CASING
DETAILS
WELD
TEST
LENGTH (feet)I DIAMETER (inches)
{a}
WEIGHT PER FOOT
‘L
‘z Zigggx J THREADED D WELDED
DRIVE SHOE
YES D No
WAS CASING GROUTED?D YES No
YIELD (G.P.M.)1‘3DBAILED
HOURSE]PURPED COMPRESSED AIR ii‘6;
Depth of Compiefed Well
in faaf below Land surface::f i"?WATER
LEVEL
MEASURE FROM LAND SURFACE—STATIC {SpecHy feei)DURING YIELD TEST (feet)
“E
I"
$CREEN
DETAILS
LENGTH OPEN TO AQUIFER (fee?)
i
SLOT SIZE DIAMETER (inches)II:GRAVEL
PACKED:Diameter of well including
gravel pack (inches):
GRAVEL SIZE (inches)JFROM (fee?)TO (fee?)
l i
DEPTH FROM LAND
FEET f0
SURFACE FORMATTON DESCRIPTIONFEET
$ke’rch exaif
iwo permanem
locafion CT well wiTh disfances,to a?Ieas‘r
Iandmarks.
3T
T
IT
i"
‘
I
III,
l
I.»—I
‘
;II’-
If yield was ies‘IEd
FEET
a?d‘fm nf
I“—I
den h;’Lw mu xrzllrng,list below ‘il
Emmms PER MINUTE I $3I
I
E
“a;{0.'DATE
I
OE REPORT
DATE WELL COMPLETED IPERMIT NO-1
I
REGISTRA‘?
I 5 ;f w,a 5L1;f
5%"
DIRECTOR OF HEALTH
WELL CCMPLETION REPORT STATE OF CONNECTICUT
WDd-5 12—69 REV.9-71 WELL DRILLING BOARD
State Office Building
HARTFORD,CONNECTICUT 06II5
Do NOT fill in
STATE WELL NO.
OTHER NO.
@giri.OWNER NAME
{Hag $§I§E
ADDRESS
#4 i:§§Y $§.,WbWéEmi,
LOCATION
OF WELL
(No.&-$’rreet)(Town)(Lot Number)~
k‘¢J£$a3i§px ‘’.;é?g f E;b 3 n WI;'wag?5
PROPOSED
USE OF
WELL
E BUSINESS
ESTABLISHMENT D FARM D TEST WELLDOMESTIC
SUPPLY
PUBLIC D INDUSTRIAL
AIR
CONDITIONING D OTHER
(Specify)
DRILLING
EQUIPMENT
T COMPRESSED CABLE OTHEREROTARYAIRPERCUSSIONPERCUSSION(Specify)
CASING
DETAILS
LENGTH (feei)
2’3
DIAMETER (inches)
EE 6
WEIGHT PER FOOT
i‘?$5 @ THREADED D WELDED
DRIVE SHOE
EYES No
WAS CASING GROUTED?
DYES No
YIELD
TEST
HOURSDBAILEDDPUMPEDCOMPRESSEDALR 3:
YIELD (G.P.M.)
m 1G _
WATER
LEVEL
MEASURE FROM LAND SURFACE—STATIC (Specify feef)
25
DURING YIELD TEST (feet)
l §i§
Depfh of CompIeTed Well
in feet below Land surface:
SCREEN
DETAILS §SLOT SIZE
MAKE LENGTH OPEN TO AQUIFER (fee?)
DIAMETER (inches)1F GRAVEL
PACKED:Diameter of well including
gravel pack (inches):
GRAVEL SIZE (inches)FROM (feet)TO (feef)
DEPTH FROM LAND SURFACE
FEET to FEET FORMATION DESCRIPTION Sketch exact location cf well with distances,to at least
two permanent landmarks.
ITe
Qwe”
O
i1:{i ieh Roek
§i
el
lf yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
§
DATE WELL COMPLETED
1"
PERMIT NO.
‘f“’3
REGISTRATION NO.
i {if
DATE OF REPORT WELL DRTLLER (STQnatuIje){Serve
rw h m lr-‘wx'7 r
PERMIT NUMBERWEII.DRE’LLING BOARD STATE OF CONNECTICUT
WEB-4 11—69 WEII.DRIllING PERMIT 1 0 9 5 2
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 061 15
(Lof Number)DATE‘/Z>MASKEL Reap 5 7/6/72LOCATIONOFWELL(Town)”w Sfreef)
SOUTH WENDEGR
OWNER OF WELLDINDIVIDUAL BUILDER I D OTHER (Specify)JANE MINE
owNER’s ADDRESS _
PROPOSED
USE OF
WELL
-Est No.ofBUSINESSTEST
DOMESTIC ESTABLISHMENT D FARM WELL People being
served.
PU BLIC AIR
SKETCH OF WELL LOCATION g
Locate well wifh respect to at Ieast two roads,showing distance from intersection and front of Iot
-Location of Iot to at least tvilo roads
SUPPLY D INDUSTRIAL CONDITIONING B OTHER
(Specify)5
.:3;IWeII Iocution on Iot and to house (if present)7‘V.
/M/;{4 5/?7%},49
Indicate North
X
L
//bl/?JW6 ,<'”AD/2.
Approximate number of feet from well to
nearest source of possible contamination:7Q.r
The undersigned is aware that upon completion of the well,a “Well Completion Report”containing construction details and information required under Section 25-1 3‘1
of the 1969 Supplement to the General Statutes must be sent to the owner,the Board and the Water Resources Commisslon on the form provided by the 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.
g
APPLIC T(5ig me)APPLICANTS ADDRESS -REGISTRATION No.
1w“A/MM .‘W/“Q/pm/f;TAKE ST“VERHOE;CONN-1 ()0
DATE(I D REJECTED
’
‘,BY%Ityuim
0%Ag’em)
ED
REMARKS \f/v-i/
DIRECTOR OF HEALTH
TOWN OF SOUTH WINDSOR.
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date........................
The Sanitary Sewer ........ " Septic System ..........
at.................. /n..........................
or lot # ............... has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By ___ _ Date