HomeMy WebLinkAbout1971-10-18 - 174 Maskel Road - Well ReportsPERMIT NUMBERWillDRILLINGBOARDsrATE$7coNNEcrICUT
was-4 11-69 WEll DRlllING PERM“-68 9 BSTATEOFFICEBUItDING,HAR$RD,CONNECTICUY 061 15
(\‘5‘
LounON OF WELL (town)(Sheer (Lot Number)DATESOUTHWINDSORMASKROAD10 9/21/71
OWNER OF WELLDINDIVIDUAL @ BUILDER D OTHER (specify)JAAN LAINE
OWNER'S ADDRESS
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
1+4 HENRY ST .,MANCHESTER ,CONN .
PROPOSED
USE OF
WEIL
m DOMSI’IC BUSINESS
ESTABLISHMENT D FARM -TEST
WELL
SUPPLY
PUBLIC D INDUSTRIAL .D CONDITIONIND
AIR D (Specify)
OTHER
Est.No.of
People being
served.
5
SKETCH OF WELL LOCATION
Locate we"wnh resped to at Ieast fwo roads,showmg dlslance from Intersection and front of lot
Location cf lot Io a!|easl two roads We"locahon an Iot and Io house (if prewni)
k
Indicate Norlh
J/hZZ 6R Rd A a
£
Ai5«”I
>.
D
x /M Am/5 A ’R a ,4 a
Approximate number of feef from well to
nearcsi source of possible coniamination:9O
The undersigned is aware thai upon complefion of the well,a "Well Completion Report”containing construction details and information required under Section 6 of
Public Act 659 must be sent to the owner,the Boord and the Water Resources Commission on the form provided by the'Boord.This permit is not validruntil all informa-
tion is hlled in and it has been counter-signed by the Director of Health or his agent.
APPLICANT S ADDRESSLAKE ST .,VERNON CONN REGISTRATION NO.IOO
H _I I BY (Town Hea th cer or Agent
APPROVED ‘'‘REJECTED
DATE
BOARD
STATE OF CONNECYICUT
WD3-5 12-69 WELL DRILLING WARD
Stave O$c€¢uilding
HARTFORD,CONNECTICUT 06115
‘Do NOT fill in
STATE WELL NO.
OTHER NO.
OWNER NAME
JAAN LAI NF 4
ADDRESS
44 HENRY ST..MANCHESTER CONN.
LOCATION
OF WELL
(No.a Street)(Lot Number)I’IASKEL ROAD SOUTH WINDSOR
Pkoposeo
USE OF
WELL
E DOMESTlc
BUSINESS
ESTABLISHMENT
‘D mm E TEST WELL
PUBLIC D INDUSTRIAL
AIR
CONDITIONING OTHER
(Specify)SUPPLY
DRILLING
EQUIPMENT E ROTARY AIR
COMPREsSED
PERCUSSION
CABLE
PERCUSSION,‘
OTHER
(Spuify)
GROUTED?
NO
CASING
DETAILS
IENGTH (lee!)6C>
DIAMETERUHChES)6 WEIGHT PER FOOT191+5 i a THREADED D WELDED
DRIVE $105
EYE DNO
WA CASING
YEs
YIELD
TEST
HOURSDBAILEDDPUMPEDQCOMPRESSEDAIR 1
G.P.M.
6
YIELD (G.P,M.)
WATER
LEVEL
MEASURE FROM LAND $URFACE—5TATICfSpeCIIy {Eat}2O
DURING YIELD TEST (lee!)100 Dep'h
in feet
of
below
Compleied
land surface:
Well 150
SCREEN
DETAILS
MAKE IENGTH OPEN TO AQUIFER (199”
SLOT SllE DIAMETER (inches)IF GRAVEL
PACKED:
Diamafer of well including
gravel pack (inches):
G“v'ETsIzE (inches)FROM (met)To (rest)
DEPTH FROM IAND SURFACE FORMATION DESCRIPTION argtggrgxagncetntlofaalydogag£grell with distances,to at least
FEET Io FEET
0 15 Sandy Topsoil
4/9 JK€/O jNt)
1 5 5O Hardpan
1 50 Red Rock
If yield was fasted at diRerenl depths during drilling,Iisi below
FEET GALLONS PER MINUTE
x‘;'I
DATE WELL COMPLETED
1 O /1 3 /'7-I
PERMIT NO.
‘6896 I
REGISTRATION NO.
100
DATE OF REPORT
10/18/71
WEI.l (Sig lur
l LO,
WELL CUMPLETION REPORT STATE OF CONNECTICUT
\NDB~5 12-69 WELL DRILLING BOARD Do NOT f?”in
STATE WELL NO.State Omce Building
HARTFORD,CONNECTICUT 06115 §W 2f /L 8<
OTHER NO.
OWNER ADDRESS
Q‘q.
LOCATION
OF WELL
(No.&Street)(I nf Numher)‘3 A.Mk:
pRopQSED
USE OF
WELL
E DOMESTIC
BUSINESS E]TEST WELLESTABLISHMENTFARM
PUBLIC AIR OTHERSUPPLYINDUSTRIALCONDITIONING(Specify)
DRILLING
EQUIPMENT
CASING
DETAILS
COMPRESSED CABLE OTHER*"ROTARY AIR PERCUSSION PERCUSSION (Specify)
GROUTED?LENGTH (feef)DIAMETER(inChes)
”V
WEIGHT PER FOOT
:E.F:5‘:f;THREADED DWELDED
DRIVE SHOE
YES NO
WAS CASING
YES
YIELD
TEST E BAILED
HOURSDPUMPEDQ:COMPRESSED AIR
G.P.M.E YIELD (G.P.M.)
WATER
LEVEL
MEASURE FROM LAND SURFACE—STATICI’SpeCHy feet)DURING YIELD TEST (feet)Deplh of Completed Well
in feef below Land surface::i 2"it?
I
SCREEN
DETAILS
MAKE V LENGTH OPEN To AQUIFER (IEEIJ
DIAMETER (inches)IF GRAVEL
PACKED:
GRAVEL SIZE (inches)SLOT SIZE Diameter of well including
gravel pack (inches):
FROM (feel)TO (feEI)
DEPTH FROM LAND SURFACE Sketch exact location of we/l with distances,to at /eas!two permanent landmarks.FEET to FEET FORMATION DESCRIPTION
!’”\ans
M AméI/Iésl‘U‘A’v'is:
l;
{3;1L 14 cusa C;i4 I:
[ix/n Q ‘4 CI,
g
I
I
WW /A'5 Rt A.A 5;“:/83;I
I:
1 ;
T “O
T‘Jm /“I II ii M‘{j C [V AMI/
{AXI [ab];{M In Gém f J‘Q/LI.géI‘j
z,was w“t!a n éqr-yu'“Nd \A;
(9H LI rJI‘[23min iii“EDI .Awfm
Rig i‘aL H2 e113.‘J
If yield was tested at diEerent depths during drilling,list below
FEET GALLONS PER MINUTE
DATE WELL COMPLETED PERMIT NO.REGISTRATION NO.
a :‘xg‘n
DATE OF REPORT
-‘_WEI.l DRllllNG BOARD
~WDB-4
STATE OF CONNECTICUT
WEll DRlllING PERMIT14-69
PERMIT NUMBER
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 061 15
‘68‘96
lk‘-
containing construction details and information required under Section 6 ofTheundersignedisawarethatuponcompletionofthewell,o ”Well Completion Report”
Public 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 oll informa—
tion is filled in and it has been counter-signed by the Director of Health or his agent.
AP%yigna?
@ JM’QJ/
“r.,remit,comAPPLICANTSADDRESS
7 APPROVED
REMARKS
REGISTRATION NO.
,I BY (Town Heal Off er or Agent)D REJECTED
DATE
DIRECTOR OF HEALTH
-ké‘
LOCATION OF WELL (Town)(Streel)(Lof NumberbOUTEQII‘IDSOR I‘MSKEL RCHu)DATE 9/21/71
OWNER OF WELL
@ BUILDER E OTHER (Specify)JA”AN LAINEINDIVIDUAL
OWNER'S ADDRESS 44 HENRY ST .,MANC}EbT}3 CQNN
PROPOSED
USE OF
WELL
DOMESTIC
BUSINESS
ESTABLISHMENT D FARM TEST
WELL
SUPPLY
PUBLIC Lag”D INDUSTRIAL CONDITIONING
AIR D OTHER
(Speafy)
Esf.No.of
People being
served.
5
SKETCH OF WELL LOCATION
Locate well wuth respect to at Ieasf Iwo roads,showmg distance from Intersection and front of Iof
Location of Iot to at least two roads M Well Iocatlon on Iot onfo housé—(Irpresent)m"v"‘‘~
Indicate North
_/II4/zz 5R I?0 i4 O
/MA./></£,A ’?ma
Approximate number of feet from well to
nearest source of possible contamination:90