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