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HomeMy WebLinkAbout1972-7-18 - 120 Maskel Road - Well Completion ReportWELL COMPLETION REPORT -SYATE OF C NNECTICUT wuss 12w Rev 971 i WEU.DRILI NG BOARD State Offwe EUIIdIng HARTFORD CONNECHCUT 06115 Do NOT flll m SI'ATE WELL N0. OTHER NO. -_OWNER _NAME -. JAAN'MINE ADDRESS ~ 44 ENRY ST .,MANCHESTER CONN. ‘Locmlon- OF WELL .(No &Sheet)(Town)-(Lot Number) MASm ROAD SOUTH WIKDSOR -6 "PROPOSED USE OF ' way; QOMESTIC’ BUSINESS ESTABLISHMENT v D EARM '*-:E TEST WELL -‘'Puau'c SUPPLY‘D INDUSTRIAL AIR CONDITIONING E._OTHER(3mm DRILLTNG v EQUIPMENT COMPRESSED CABLE r E . (Specify) OTHER .a Ré-Il-A'RY AIR PERCUSSION PERCUSSION CASING DETAILS LENGTH (fget) 36 DIAMETER (inches) 6 .'WEIGHT PER FOOT ‘ 19.45 l §THREADED D WELDED DRIVE SHOE ~ "YEs .'I‘vo-WAS CASING GROUTED?..rvEs A ''NO YTEID TEST‘ WATER IEVEL D EAILED D PUMPED I COMPRESSED Houas .‘'aAIR ‘YIELD (G.P—.M.I .5 5 8 ‘; MEASURE-FROM LAND EURFACE-fSTATlC-(Speglfy feet) 25 DURING TIELD TEST (fee?) 100 >lie'pth of CompIeTed Well'..T"" -'I -' In feet below Land surface:.1 5O' ‘SCREEN ‘.DETAILs .MAKE LENGTH OPEN To AQUIFER (Teen SLOT SIZE DIAMETER Iindlesb-_IF'GRAV EL PACKED:Diameter of well including gravel pack (inches): GRAVEL SIZE (inche’s)FROM (Feet)‘.TO (feet) DEPTH FROM LAND SURFACE FEET,Io‘FEET -FORMATION DESCRIPTION .Sketch exact |0catlon of well wtth distances,to at least two pevmanent Iandmarks O 2 Tbpsoil _ II-I M 6-'04 D ..2 .I "2G '"Sind'8c Gravel 20 I ‘26 Hardpan 15o;Reddis‘hi Rock V ‘If yleld was tested at different depths durlng drllllng,Ilst beIOw ‘FEET'GALLONS PER MINUTE DATE WELL COMPLETED 7 /'I 2/79 .REGISTRATION NO.DATE OF REPORT El (Signa e)y Will DRllllNG BOARD .WDH 11-69 LOCATION OF WELL new,» SOUTH WINDSOR OWNER OF WELI ‘STATE OF C NNECTICUT Will DRIll G PERMIT STATE OFFICE EUILDING,HARTFORD,CONNECNCUT 06]15 é (Smef)MASKEL ROAD (lo!Nuinber)DATE 6 7/6/72 1&0 W§LQQ Qd PERMIT NUMBER10983 ‘-”4/?(5’4 ?04& Approximate number of feel from well Io nearest source of possible conlaminafian: The undersigned Is aware Iha1 upon compleflon cf the well a “Well Complehon Repor?conlalnmg construchon details and Informahon requnred under Sechon 25-1 31ofthe1969SupplementtotheGeneralStatutesmustbesenttotheownertheBoardandtheWaterResourcesCommrssronontheformprovudedbytheEoardThis permit Is not valld untrl all Information Is filled rn and rt has been counter-stoned by the Director of Health or hrs agent APPLICANTS ADDRE$5 75 Ignature) LAKE 19$.,VERNO$,C.ONN._ BY {Town Phalth OFF!cero nt)DATE OVE U memo -.|,z z V . REMARKS /\/V REGISTRATION NO. 100 RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD ‘ INDIVIDUAL E BUILDER D OTHER (Specify)JAAN LAINE ADDRESS 4:4 HENRY ST.MANCHESTER,CONN .. PROPOSED , E BUSINESS D TEST Es}.No.of_DOMESTIC ESTABLISHMENT mm WELL beingOF WELL SUPPLYPU3LIC D INDusnuAL CONDITIONINGAIR D OTHER ’6(Spoafy)_ SKETCH OF WEIL IOCATION Locate well wilh rgsped to a1 least two roads,showing distance from intersecfion and from of lo: North ¥I E WELL COMPLEHQN REPCRT WDB-5 12»69 REV.9-71 VVEEJ.§RILLING B$ARD Stafe Office Building HARTFORD,CONNECTICUT 06115 SIATE OF CONNEC'HCUT Do NOT fill in STATE WELL NO. K f“"‘ D L/v'Ljvf) OTHER NO‘ OWNER NAME ADDRESS ‘i.‘A3 3: lOCATlON OF WELL (No.v&Street){Lot Number) :47:3 PROPOSED USE OF WELL DOMESTIC BUSINESS ESTABUSHMENT D FARM D TEST WELL SUPPLY PUBUC D INDUSTRIAL E égNDlTiONiNG D OTHER (Specify) DR'HLLING EQLILFMENT @ ROTARY AIR COMPRESSED PERCUS5ION D CABLE PERCUSSTON OTHER (Specify) CASING DETAILS LENGTH (fee?)DIAMETER (inches) g; VVEIGHT PER FOOT £§$uk§THQEADED D WELDED DRIVE SHOE EYES BNO I WAS CASING GROUTED? EYES YIELD TEST HOURSDBAILEDDPUMPED@COMPRESSEDAIR ‘3‘.w YIELD (G.?.M.) WATER LEVEL MEASURE FROM LAND $URFACE—5TATIC (Specify feef)DURENG YIELD TEST (feeT) I Depf'n of Compleied Well Eh feef below Land surface: SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (feef) SLOT SIZE DIAMETER (inches)I lF GRAVEL PACKED:Diameier of WEI!including gravei pack (inches): GRAVEL SIZE (inches)FROM (fee?)TO (fetaf) I DEPTH FROM LAND SURFACE FEET to FEET FORMATION DESCRIPTION Skefch exacf Io:aiion of well with dis'rances,f0 a‘r IeastMIGpermanentlandmarks. i} xxr’a;gi‘v I li if ,r/iffa ax?é”f‘ Wiegfji,E f iI N u"é si V9351“ AAéixL?J‘f’ié-‘A 2 /J ER gg 1E If yield was fasten!at differenf depfhs during driliing,lis?below FEET GALLONS PER MINUTE DATE WELL COMPLETED PERMIT NO 'T ”Ti f3;,.I g DIRECTOR OF HEALTH WELL COMPLETION REPORT STATE OF CONNECTICUT WDB-5 12—69 REV.9-71 WELL DRILLING BOARD State Office Building HARTFORD,CONNECTICUT 06115 § Do NOT full In m STATE WELL NO. OTHER NO. OWNER NAME §w§mgiiigé; ADDRESS §a“ii 1kg?;§'§.,Jiii "ék‘fWmg w‘iaiE!L W LOCATION OF WELL (No.&S’rreet)(Town)(Lot Number) §R§$KEL é?i;u~z.,§§§§i§i§§i§a1§§g 1%;$1 PROPOSED USE OF WELL DOMEST'C 1 BUSINE$S ESTABLISHMENT D FARM D TEST WELL SUPPLY PUBLIC E INDUSTRIAL AIR CONDITIONING D OTHE.R (Speqfy) DRILLING EQUIPMENT ROTARY AIR COMPRESSED PERCUSSION CABLE PERCUSSEON D OTHE.R (SpeCIfy) CASINGDETAILS g LENGTH (feef) §é3 DIAMETER (inches) é WEIGHT PER FOOT 33.1195 THREADED D WELDED DRIVE SHOE YEs DNO WAS CASING GROUTED? EYES @No YIELD TEST HOURSDBAILEDDPUMPEDECOMPRESSEDAIR E, YIELD (G.P.M.) g WATER n LEVEL a MEASURE FROM LAND SURFACE—STATIC (Specify feef) 2‘5 DURING YIELD TEST (feef)_ 1’39; Depth of Comple’red Well in feef below Land surface:1% SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (feef) SLOT SIZE DIAMETER (InChes)IF GRAVE L PACKED:Diameter of well including gravel pack (inches): GRAVEL SIZE (inches)FROM (feet)TO (feet) DEPTH FROM LAND SURFACE FEET to FEET FORMATION DESCRIPTION two Sketch permanent exact Iocatio I andmarks. n o f w e II w'Ith distances,to at least Ewmeil DMDSEKE’A 7‘?§f§“wF1 {him EIEEIéRravel iier&ma Re§§i3§z Eeak If yield was tested at different depths during drilling,list below FEET GALLONS PER MINUTE g DATE WELL COMPLETED :Ha PERMIT NO. 1&965 REGISTRATION NO. 1‘39 DATE OF REPORTi?I18/’72 WELLI'D’RILLERI x . (Signature),I?“ """’y 3' ’J 555‘ PERMIT NUMBERWE“.DRIlllNG BOARD STATE OF CONNECTICUT was-4 11—69 WEll DRIllING PERMIT USE OF WELL SUPPLY PUBLIC D INDUSTRIAL CONDITIONING AIR D OTHER (speafyl 6 SKETCH OF WELL LOCATION _Locate well with respect Io cf Ieasf fwo roads,showing distance from intersecfion and front of Iof Location of Iof to at Ieast fwo roads IR ,g I /Well'Iocafion on Iof and Io house (if presenf) lzzgle ?>614& Indicate North %/§AfIK I 4 a X ”Of/(6’4 ?r)/9& Approximate number of feet from well to nearest source of possible contamination:'76 — The undersigned is aware that upon completion of the well,a “Well Completion Report”containing construction details and information required under Section 25-1 3T d.Thisofthe1969SupplementtotheGeneralStatutesmustbesenttotheowner,the Board and the Water Resources Commission on the form provided by the Boar permit is not valid until all information is filled in and it has been Counter-signed by the Director of Health or his agent. REGISTRATION NO.APPLI T(ignature)APPLICANT'S ADDRESS ..I '[4/11 LAKE Sf..VERHOR.CORN.100 VED D REJECTED I .I BY (Town H alth Offlce‘Iygent)i DATE \/REMARKS /"\/ CHCcK 9$$I WECTQ?OF H%TH O STATE OFFICE BUILDING,HARTFORD,CONNECTICUT OéI 15 LOCATION OF WELL (Town)_(Sfreef)(Lof Number)DATE SOUTH WINESOR MSKEL ROAD 6 7/6/72—‘ OWNER OF WELL — INDIVIDUAL Q EUILDER D OTHER (Specify)JAKN LAIITE OWNER’S ADDRESS 44 HEERY $T.,MANCHESTER,CONE . Est.No. PROPOSED i a DOMESTIC BUSINESS ESTABLISHMENT D FARM TEST WELL People being