HomeMy WebLinkAbout1972-7-18 - 132 Maskel Road - Well Completion ReportWELE.COMPLETEQN REPORT STATE OF CONNECTICUT
VVDB’5 1269 REV.9-7?VJELL DRILLING BOARD
Sfate Office Building
HARTFORD,CONNECTICUT 061 15
NAME ADDRESSOWNER i;J~A .L.i ‘i‘
Do NOT fiH in
STATE WELL NO.
5“{/1}4.x
OTHER NU.
LOCATION
OF W'ELL
PROPOSED
USE OF
\NELL
DRTLLING
EQLHPMENT
(No 8:Sfreef)(Lot Number)E a‘iw 5‘3
D BUSTNESS
ESTABLISHMENT D FARM E]TEST WELLDOMESTIC
SUPPLY
PUBLIC D INDUSTRIAL "'c0NDTTIONTNG:AIR D OTHER
(Specify)
a AIR
COMPRESSED
PERCUSSION
CABLE
PERCUSSION
OTHER
(Specify)ROTARY
CASEMG
DETAILS
LENGTH (feef..;,.La)~&
DIAMETER (InChes)
ET
WEIGHT PER FOOT
3%?"@THREADED D WELDED
DRIVE SHOE 'WAS CASING GOOJTED?D No [:I x Es E No
YIELD
TEST
HOURSBBAzLEDDPUMPEDE-COMPRESSED AIR gig,YIELQ (S.P.M.)If
surface:
Well 1%v'ATER
IEVEL
MEASURE FROM LAND SURFACE—STATIC (Specify fee?)DURING YIELD TE$T (feet)*:‘H‘bénié’C-‘i
Depth of CompIeTed
in feet beiow‘Land
SCREEN
GETAILS
MAKE LENGTH OPEN TO AQUIFER (fee?)
SLOT SIZE DIAMETER (inches)h:GRAVEL Diamefer of well IncludingPACKED:gravel pack (inches):I
C—RAVEL SIZE (inches)FROM (Ieea To (Es-m)
DEPTH FROM LAND SURFACE
FEET To FEET FORMATION DESCRIPTION SkeTch exac?Ioca’Iion 01"well wiTh disfances,To a?Ieasf
Two permanenf IandmarkS.
3
i;
3II
‘a
I
If yEeId was fesfed aT different depThs during drilling,Iist below
FEET GALLONS PER MINUTE
uATE WELL COMPLETED PERMIT NO.REGISTRATION NO DATE
a s2 m£—C v
OF REPORT WELL DRILLER'
7‘2‘3,A“
I "/‘/'
Ignewre)
,x I’V
y R§~:JA{~£1/
I
(/9 W Ex}WIJJJ)
DIRECTOR OF HEALTH
COMPLETION REPORT STATE OF CONNECTICUT 7W"vVDB-5 12—69 REV.9-71 WELL DRILLING BOARD
State Office Building
HARTFORD,CONNECTICUT 06115
Do NOT fiH in
STATE WELL NO.
OTHER NO.
OWNER Laiwm
ADDRESS $~s£$€§Egg.a ;
LOCATION
OF WELL w A H h (No.‘&Sireef)(Lot Number)gmms;m g
PROPOSED
USE OF
WELL
YT DOMESTIC BUSINESS
ESTABLISHMENT FARM D TEST WELL
SUPPLY
PUBLIC D INDUSTRIAL .AIR“CONDITIONING D OTHER
(Specify)
DRILLING
EQUIPMENT @ ROTARY AIR
COMPRESSED
PERCUSSION
CABLE
PERCUSSION D OTHER
(Specify)
CASING
DETAILS
LENGTH (feet)$3
DIAMETER (inches)
£
WEIGHT PER FOOT19.9%5 l EgTHREADED D WELDED
DRIVE SHOE §‘YEs NO
WAS CASING GROUTED?
YES NO
YIELD
TEST
HOURSDBAILEDDPUMPEDiEfVECOMPRESSEDAIR 4 YIELD (G.P.M.)5’
WATER gLEVELgé
MEASURE FROM LAND SURFACE—STATIC (Specify feeT)2O DURING YIELD TEST (fee?)1%Depfh of Completed Well
in feet below Land surface:1&3
SCREEN
DETAILS
MAKE J 1;LENGTH OPEN TO AQUIFER (feet)
SLOT SIZE DIAMETER (inches)H:GRAVEL
PACKED:Diameter of well incIUding
gravel pack (inches):
GRAVEL SIZE (inches)FROM (feet)TO (feet)
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least
two permanent landmarks.FEET to FEET
@aese‘é
E
m‘2d a:ilirevei
iiam m
3&1 'Reck
/
If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
§§
DATE WELL COMPLETEDWmkm PERMIT NO.
199%
REGISTRATION NO.
IQQ
DATE OF REPORT
7/léié 17 d $3
WELL DRI'LLEI2»(5§ignaturé)‘"‘*‘f"I
«Ev ,4:
Waéu DIiILuNG BOARD‘WDB—4 11—69
-
LOCATION OF WELL (Town)SOUTH HINDSOR
OWNER OF WELL
INDIVIDUAL E BUILDER
OWNER‘S ADDRESS
OTHER (Specify)
(Sfreef)
MASKEL ROAD
PERMIT NUMBER99M1
(Lof Number)
7
DATE
7/6/72
STATE OF CONNECTICUT
WELL DRllllNG PERMIT
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 061 15
T (Si afure)
x f‘%
REMARKS
Dzgm
D REJECTED
3T o o OVEREOISo Cm o
lh Officer or A I)
k j?
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 Commission 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.
REGISTRATION NO.
100
DATE
DIRECTOR OF HEALTH
APPLICANT's ADDRESS -
JAJET LAIEE
I
413-HENRY ST .,MECKESTER ,COKE .
PROPOSED
USE OF
WELL
E DOMESTIC
BUSINESS
ESTABLISHMENT
SUPPLY
PUBLIC D INDUSTRIAL
-I TESTBFARMWELL
D CONDITIONING
AIR D OTHER
(Specify)
Est.No.of
People being
served.5
SKETCH OF WELL LOCATION
Locate well wiIEI respect to at Ieasl Iwo roads,showing distance frpm intersection and front of Iot (a ‘—
Location of Iot to at Iecst two roads 1"».i I Well Iocation on Iot and to house (if present)
Indicate North
N ft
”4,141 a?a :4;a
\'//I\
I
I ;I3;
I‘
”garb
_/I/I far/<1:,1 ”/60 xi p i
5K
I}.
3‘5 L
Af/Ué’T ,wué’
/v)873/”
Approximate number of feet from well to
nearest source of possible contamination:
‘32 WQ Qd .
STATE OF CONNECTICUT
WEll DRIllING ,PERMIT
STATE OFFICE BUILDING,HARTFORq.CONNECTICUT 061 15
PERM”NUMBER10965/Will .DRILUNG BOARD
WDM 11—69 .
lOCAnoN OF WELL (Town)‘‘(Shae!)(lot Number)DATE
SOUTH wINDSOR 'MASKEL ROAD =7 7/6/72
D lNDlVlDUAl E auxwER D 0mm (specify)Jun-N L'AINE .
OWNER'S ADDRESS
OWNER OF WELL
The.undersigned is aware fhatupon completion of the well,a .“Well Complefion Report"containing tonstruction details and information'required under Section 25-1 3.I
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 Board.ThlspermitisnotvaliduntilallinformationisfilledinanditIhasbeencounter-signed by the Director of Heaith or his agent.
-APPLICANTS ADDRESS ‘.REGISTRATION N0;AFFU {Si ature)
n LAgE sm.,nVERN0N,cgNN“100
"anr amt or5¢enor nt)'DATE
ROVED -D REJECTED l ’x p NZ?-\vREMARKS.'V’'.
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
44 HWY $T .,MANCHESTER ,CONN ..
PROPQSED
USE OF
WEII.
E]DdMEstIc BUSINESS
ESTABLISHMENT D FARM
-.'TEST
WELL
.
.
‘SUPPLY
PUBLIC -D INDUSTRIAL CONDITIONING
AIR B (Specify)
OTHER
Est No.of
People being
served.5
SKETCH OF WELL LOCATION
Locate‘well with resped to at Ieasf fwo roads,showing disiance from intersection and front of Iol
Locafion of lol to at Ieast two roads We"Iocalion on Iol and Io house (if presenf)
Indicate Nodh
MmZg a??o A o
I4J‘K6 z K a ,q p
LIK g L
SAX/06 T z AWE
/988/"
0 .
Approximate number of feet from well to ‘
nearest sourcé'of possible contaminofion:75
.,BOARD '
-srAtE or céunscncur
W035 1269 REV 971 'WELI.DRILLINGBOARP
WELL COMPLETION REPORT
-
State Office Byildiné.HARTFORD,CONNEcfxcm ems-
Do NOT fill in'
STATE WELL No.
OTHER’No:
s
OWNER.NAME.'
J AAILLALNE
ADDREss _.‘4-4 HENRY ST .‘,MANCEESTER,,CONN."Locxn'ON
OF WELL MASKEL (No
R
&Street)SC)1%“?WINDSOR (Lot Number)
7
Pnoposm'
‘
IusaOF-'wm
a.
-BUSINESS
ESTABLISHMENT
‘'
.7‘D FARM.
-'DOA‘ILEsrLé‘a:-'‘
.B TESL}WELL
"‘PuaLic
SUI5PLY E INDUSTRIAL AIR
CONDITIONING
.‘i'D'V .OTHER
(Specifv)
DRILLING 4EQUIPMENT ,
‘-COMPRESSED 'CABLE B omER(swim-ROTARY ,AIR PERCUSSION PERcussION’
CAs'IN‘G'
DETAIL's‘L
LENGTH (feell‘‘_I-58'
DIAMETER (inches)WEIGHT PER roor19.45 I ETHREADED B WELDED
DRIVE'SHOE
v55 No
WAs cAsme 'eRouTED?
YEs No
YIELD
TEsT
HOURSBBAILED
-D PUMPED ‘a COMPREssED AIR ''YIELD (G.P.M.)..7
WATER .
LEVEL.
MEASURE FROM LAND sUREACE—sTATIc (speafy fun
2O
DURING YIELD 155T (feee)
in
Depih
fee}
of'beiowCompIeteH
Land surface:
Wéll ‘1‘50!’
SCREEN
DETAILS .t
MAKE LENGTH OPEN VT‘OWAQUIFER (feet)
balm SIZE!..DIAMETER (IRdIes)
‘
IF GRAVEL A
PACKED:
‘Diameter of well.inclUdlng
‘gravel pack (inches):
ORAVEL sIzE (inches)FRoM (Teen To (Teel‘I ‘__
DEPTH FROM‘LAND §URI=ACE FORMATION DESCRIPTION Sketch exad locahon of well wlfh dlsfances,To a?Ieasf .‘Two permanent landmarksFEETIoFEET.
,0.1*:-Topaoil.
.4.3 .20 Sand 8c Gravel
28 ‘Hardpan
_:15o .uRed Rock
If yield was tested at different depths during dnllmg,lIsT below
FEET GALLONs PER MINUTE
'x 't,-..
-DATE,WELL COMPLETED7/1Q/72 1 .
PERMIT No-10964 wREGISTRATIONNo 'E100,DATE OF REPORT ~--
7/18 /7 2