HomeMy WebLinkAbout1971-9-21 - 160 Maskel Road - Well ReportsWill DRllllNG BOARD sTAT‘E i CONNECTICUT
won-4 11-69 WEll DRllllNG PERM“
SYATE OFFICE BUILDING,gARTFORD,CONNEG'ICUT 061 15
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PERMIT NUMBER
Khn
(Street)W (lot Number)DATE
SOUTH wINDSOR ymsKELEwAD 9 9/21Z'Zl
OWNER OF WELL
INDIVIDUAL @ auILDER D omen (specify)
-JAAN LAINE
OWNER'S ADDRESS
IOCATION OF WELI (Town)
APPU bum I APPLICANT S ADDRESS V REGISTRATION N0.
LAKE ET.,VERNON CONN 100_£
/.BY (Town Heal Ioero gent)DATE
APPROVE D REJECTED -::l
REMARKS r /1 I .sax u '-.-\at .4 :x .u,‘.e'
7”'
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
44 HENRY ST .,MANCIESTER ,CONN.
PROPOSED
USE OF
WELL
E DOMESTIC BUSINESSEsTABLlguMENr B FARM TEST
WELI
SUPPLY
PUBLIC D INDUSTRIAL CONDITIONING
AIR D OTHER
(Spec'fy)
Est.No.of
People being
served.
5
SKETCH OF WELL LOCATION
Locate we"with resped Io OI least fwo roads,showing disiance from inlersedion and from of Iol
Location of Io?Io al Ieast Iwo roads Well location‘on Iol and Io house (if present)4
Indicate North /M/AZ ER ;?D.
fap7lT"7‘K
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V\acAfé’\
k (1"‘I '\\§‘\\
30 k:\\\
oPy
Ax Merl
R DJ I‘m;y7?D
X ,AwéyvKEALZPoAo
>Approximate number of feet from well to
nearest source of possible contamination:75
The undersigned is aware that upon completion of the well a “Well Complehon Report contalnlng construction details and information requured under Section 6 of
Public Act 659 must be sent to the owner,the Board and the Water Resources Commission on the form provrded by the Board This permrt rs not val-d unhl all informa-
tion Is filled In and It has been countehsrgned by the Director of Health or his agent
STATE OF CONNECTICUT
VfDB—5 12-69 WELL DRILUNG BOARD
Siafe Office Building
HARTFORD,CONNECT'CUT 06115
Do NOT fm in
STATE WELL NO.
343v 1’7 G
OTHER NO.
OWNER
NAME J ADDREsS
E§f;g $4i L
[OCATION
OF WEIL
(No,&Sireet){Lot Number)
9;
PROPOSED
USE OF
WELL
BUSINESS D FARM TEST WELL1v:DOMEsnc ESTABUSHMENT
PUBUC AIR OTHERSUPPLYINDUSTR'AL CONDITIONING (Specify)
DRILLING
EQUIPMENT
COMPRESSED CABLE OTHERROTARYAIRPERCUSSIONPERCUSSION(Specify)
WAS CASING GROUTED?
YES ‘5’NO
CASING
DETAILS
LENGTH {feet}
7"1‘:
DIAMETER(/nches)
A“if;
WEIGHT PER FOOT
:1 ‘LE3;I THREADED D WELDED
DRIVE SHOE
'5?YES NO
YIELD
TEST E BAILED E PUMPED
HOURS
1?:COMPREssED AIR T;
G.P.M.YIELD {G.P.M.)
‘i‘if.
WATER
LEVEL
MEASURE FROM LAND SURFACE—STATIC(SP9C/fy feet)DURING YIELD TEST {feef}
a a Dep‘Ih of Complefed Well
In feet below Land surface:7
ECREEN
DETAILS
MAKE LENGTH OPEN TO AQUIFER (fEEI)
SLOT SIZE DIAMETER (inches)IF GRAVEL
PACKED:
Diamefer of well including
gravel pack (inches):
G RAVEL SIZE (inches).FROM (feef)TO (feet)l
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION SfMl/(gtggrgéancetnlrofaarxjonrviaiiésxjue/l with distances,to at least
FEET ID FEET
$3 JCT z”?am cit/32$5r V E
gikgéw L CC;Hm $d
L Jx an I?512%cfgi‘.
wasn‘mlgl iIfCmiII
i i itiM
Li.
m“
Allviwx /Q (I /\,l Ere m FIE/(é?
313$.V.’5m 3 J/Arvxar .’R
’)‘,I‘’J’x'zqr).ETC”;‘J
5mm t—l‘l1:arogg Sf J 43f
a Mi —)j :3 5i:é i‘P/l ,
If yield was tesfed at diRerent deplhs during drilling,list below
FEET GALLONS PER MINUTE
l
x’i/irff €g;I r”?A’fw"
DATE WELL COMPLETED
qr.53A 1!“:
PERMIT NO‘REGI5TRATION NO.DATE OF REPORT::[1 WEL‘L DRILI:£R (Sigzgatuflf’g‘
.
BOARD
WELL COMPLETION REPoRT sIATE 0's CONNEcncur
WDB-5 !2-69 WELL naming Bonn
State O$¢e Building
HARTFORD,CONNECTICUI 06115
Do NOT fill in
STATE WEIL NO.
OTHER N0.
OWNER
NAME JAAN LAINE ADDRESS 44 HENRY ST.,MANCHESTER,CONN.
LOCATION
OF WELL
(No.&Street)(Town)(Lot Number)
MASKEL ROAD SOUTH WINDSOR 9
PROPOSED
USE OF
WELL
@ DOMESTIC
BUSINESS
ESTABLISHMENT D FARM D TEST WELL
PUBLIC D INDUSTRIAL
AIR OTHERSUPPLYCONDITIONING(Specify)
DRILLING
EQUIPMENT g ROTARY
COMPRESSED
AIR PERCUSSION
CABLE
PERCUSSION OTHER
(Specify)
CASING
DETAILS
LENGTH (I99!)
5O
DIAMETER(Inches}
6
WEIGHT PER FOOT
19.45 a THREADED DWELDED
DRIVE SHOE
YES DNO
WAS CASING GROUTED?
EYES NO
YIELD
TEST
HOURSDBAILEDDPUMPEDCOMPRESSEDAIR 'l
G.P.M.15 YIELD (G.P.M.)15
WATER
LEVEL
MEASURE FROM IAND SURFACE—STATIC(Speclly Ieem
2O
DURING YIELD TEST {I992}l.100 Depth of Completed Well \in feet belaw Land surface:125
SCREEN
DETAILS
MAKE LENGTH OPEN TO AQUIFER (Tee!)
SLOT SIZE DIAMETER (inches)IF GRAVEL
PACKED:
Dinrnefer of well including
gravel pack (inches):
GRAVE].SIZE (inches)FROM (feef)TO (Tee!)
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketchma permanentaxacl locationlandmark:of all w‘"h d islances,to at least
FEET Io FEET
C)15 Sand &Géavel
ArKg A 7?m o
1 5 4O Hardpan
4C)125 Red.Rock
If yield was tesled M diffeten?deplhs during drilling,Iist below
FEET GALLONS PER MINUTE
J ‘;3’wLA.—a
‘J ,3 .:.w;--r -~
DATE WELL COMPLETED
10/14/‘7 l
PERMIT NO.'6911
REGISTRATION NO.
IOO
DATE OF REPORT
10/18/71
WELL R (SI ature
PERMIT NUMBERiWELLDRllllNG'30ARD
STATE OF CONNECTICUT
,woa-4 11—69 WEll DRIlllNG PERMIT
STATE OFFICE BU!LDING,HARTFORD,CONNECTICUT 061 15
The undersigned is aware that upon completion of the well,a ”Well Completion Report”containing construction details and information required under Section 6 of
PubIiC Act 659 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 informa-
tion is filled in and it has been counter—signed by the Director of Health or his agent,
APPLICANT S ADDRESS REGISTRATION NO.
APPROVED D REJECTED
REMARKS
§gnaw”TERTION form.
BY (Town Health/flcer or ent)xe DATE
\
/'/V v
DIRECTOR OF HEALTH
LOCATION OF WELL(Town)§@ (Sheet)(Lof Number)
SOUTH;3.4 INDSOR EW$SKEL ROHTD 9
DATE
9/21/71
OWNER OF WELL
INDIVIDUAL E BUILDER D OTHER (Specify)JMN MINE
OWNER'S ADDRESS 44 EENRYM.,'mNcKESTER ,303m .
PROPOSED
USE OF
WELL
E DOMESTIC BUSINESS
ESTABLISHMENT D FARM
SUPPLY
PUBLIC D INDUSTRIAL CONDITIONING
AIR D (Spectfy)
OTHER
Esf.No.of
People being
served.
5
£‘4WKETCH OF WELL LOCATION r
Locate well Wlfh respect to of i T f roadspshowmg dlsta ce f om Intersechon and fronf of IOT‘w m an”Location of IOT To at Ieast two roads a Well Iocahon On Iof and to house (If presenf)
Indicate Norfh W¢Z (2??O.
/M rN‘Kc‘A 7%A .0
,0!IA‘J‘KR D :1,1465 y7?b
X
:‘W‘Ki’v
Approximate number of feet from well to
nearest sOurce of possible contamination:7§