HomeMy WebLinkAbout1979-10-4 - 220 Niederwefer Road - Well Completion ReportWELL DRILLING BOARD
W034 "-69
PERMIT NUMBR
58727
STATE OF CONNECTICUT
WELL Dmumé v PERM“
SIATE OFFICE BUILDING,HARTFORD,CONWICUT 06115
LOCAHON OF WELL (roum’j (Strut).
oJ NQMK ”Magma?bar)D/M;/%//7 ’
own orwsu
INDMDUAL D BUILDER D Omsk (specify)
OWNEVS ADDRESSJA/g y/‘gy‘az’a 2a ”waaIWapz/a wwsm
DI FARM
wEu.sup‘vwpuauc D mousmAL
BUSINESSESTABLISHMENTPROPOSEDOMESTIC
USE OF
CONDITIONING
SKETCH OF WELL LOCATION
TEST Esi.No.of
.People 'beingWELL
served.
OTHER
(Specify)</
Locate well with resped to at least Mo roads,showing distance from inteisection and front of lot
Location of lot to at least two roads
I
®
Indicate Nonh
Well location on lot and to house (if present)
Approximate .number of feet from well to
nearest sourge of possible contamination:
111a undersigned is aware that upon completion of the well,a "Well Completion Report”containing construction details and information required under Section
25-13!of the 1969 Supplement to the General Statutes must be sent to the owner,the Board and the Water Resources Commission on the form ptovnded by the
76‘/
REGISTRATION NO.
PROVED
Fwc’p/“a wa/392,
DATE
(0—9-99
Mz>¥mce I}7f!{yea/7L
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
va ‘d until all information is filled in and ‘it has been counter-signed by the Diredor of Health or his agent.c¢
ive/wagr
i BY(1‘ownHealth0£@w%’%¥.4 )
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79 rue wow/rims!oi!rune I;u5V¢wane
BOAR D
sun or couuzcncut'WELL COMPIETION REPORT
WDB-5 12-69 REV.9.7]WELL mm:ms n'oARn
State Offuce Bwldmg
HARTFORD CONNECTICUT 061 I5-
Do NOT fiH in
STATE WELL N0.
OTHER-NO.
OWNH NAME
Frank H .Niederwerfer ADDRESS
260 Niederwerfer Rd.South Windsor,Ct .
LOCATION -
OF WELL
(No.&Skeet)(Town)(Lot Numbel’)220 Niederwerfer Road 'South Windsor,Ct .
PROPOSED
USE OF
WELL
m DOMEsnc 3USINE$$
ESTABLISHMENT D FARM D rssr weu.
‘SUPPLYPUBLIC D INousmAL AIR
CONDITIONING OTHER
(Specify)‘,‘-f
omumc
EQUIPMENT U ROTARY COMPRESSED
AIR PERCUSSION CABLE
PERCUSSION D (Specnfv)
OTHER
CASING
DETAILS
LENGTH (feet)
115
DIAMETER (inches)WEIGHT PER FOOT
6 9 #5 E THREADED D wemso
DRIVE SHOE
Eva D No WAS CASING GROUTED?
YES NO
YIELD
TEST
HOURSE]BAILED D PUMPED a coMpesssw AIR I4,
VIELD (G‘P‘MJ
WATER
LEVEL
MEASURE FROM LAND SURFACE—STATIC (Specily Icel)
LLO
DURING YIELD TEST (fee!)
199 Depth of Completed WellinfeetbelowLandsurface:200
'SCREEN
DETAILS
MAKE IENGIH OPEN TO AQUIFER (feet)
SLOT SIZE ‘DIAMETER (inches)IF GRAVEL r’PACKED:
gracell
Dna eter
pack
of
(inches):
we"Including GRAVEL SIZE (inches)FROM (feet)TO (feel)
DEPTH FROM LAND SURFACE FohMAtION DESCRIPTION Sketch exact Iocallon of well wuth dnstances,to at IeastIFEETtoFEETtwopermanentlandmark;
0 98 Hardpan
..
QJ
U
L.IQ)
'Q)
2
98 200 Red.rock
If yield was tested at different depths during drilling,list below
FEET GALLONS PER MINUTE
Eastern Drill Co .DATE WELL COMPLETED10/25/79 PERMIT NO.REGISTRATION NO
55.727 _-31*
DATE OF REPORT
10/31/79 .
WELL DRILLER (Svgnature)
.9 g l Q u n ¢m JAL
'—