HomeMy WebLinkAbout1985-6-25 - 120 Newberry Road - Well Completion ReportCONSUMER PROTECTION
WELL DRlLllNG BOARD
CPR-8 REV.11-82
'l
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-'STAYE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
WELL DRILLING PERMIT
165 CAPITOL AVE;HARTFORD.CONNECIICUT 06106
PERMIT NUMBER103339
IOCATION or-WELL (fawn)SOUTH Wli‘IDSOR
OWNER or WELL
mmvuouAl aunoin
OWNER'S ADDRESS 17%
(Swat!)
HEWBERRY ROAD
D om'siz (specify)R .S .K .
(Lot Numéer)DATE
l 5/50/85
COHTRACTORS Inc .
64111—8761ELLIIIGTOHRD.,?.O.BOX 701,S.WIJ-‘IDSOR‘;CT.
D FARM '3PROPOSED
USE OF
WELL
BUSINESS TEST
Q o'o‘mzsnc ‘-"’WELI.ESTABLISHMENT
omn
(Specify)
PUBLIC AIR
INDUSTRIALSUPPLV CONDITIONING
EsL No.of
.People being
served.
4
SKETCH OF WELL LOCATION
Loewe we”with (aspen Io a!Ieast two roads.showing dislonce frgm inlelseciion and from of lm
Locolion of Iol Io at lees!two roads Well localion on Iol and Io house (if present)
9§\
\
Indicate Nanh
Approximole numbel of Tee!from we"Io
necres!souvca of .possible comominovion;
The undersxgned Is aware Ihol upon complehan of Ihe well a
IOO'+
We"Cumplenon Repon conlmmng conslrucnon delalls and mlonnahon required undgr Sechgn
25 131 af Ihe 1969 Supplemem Io The Generol Slotule:mus'he sent Io Ihe ownet the Board and the Waier Resources Commusston on Ihe Iovm provnded by Ihe
Board This permn Is nol vohd unhl all Informouon Is Illled m and n hos been counter signed by lhe Dlreclur ol Heuhh or hus agem
A
APPL T (figu r
APPROVED
.‘,REMARKS
—APPLICANT‘S ADDQESS REGISTRATION NO.
v P o O o BOX lll g S a
‘\‘IILLI‘L‘GTO‘H g CT Q 100
V BY (Town Heallb O$tet or Agenl)DATE
REJECTED é~é~f:‘
Fw/’aéxéaaazr
RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD
y
y
'7
BOARD
WELL COMPLETION REPORT $1M!OF counscncur
cmw nsv 11.52 DEPARTMENT OF CONSUMER PROTECTION
WELL DRILUNG BOARD
165 CAPITOL AVE.
HARTFORD,CONNECncuI 06m
Do NOT fl"In
SIATE WELL No‘
OTHER No.
-
_OWNER,NAM;..>ADDRESS .
l7u4 ELLINGTOh‘RD S WIDDSO&L_CT.
uknmu5orwm (No &Skee‘)'00w")(L01 Number)HmBERRv ROAD ‘“.:S WIDDSOR ‘11
PROPOSEDusE OF.wnL:_
wwm£
BUSINESSamwmwm D FARM
‘
"D D IESI WELL'
PUBLIC
sumv 'a INDUSTRIAL
ALR D (Specify)
OTHER
CONDITIONLNG
gzmE r a ROTARY
COMPRESSED
AIR PERCUSSION
-CABLEPERCUSSION _OYHER
(Specify)
CASING
'-'.Dnmu’
LENGTH (fee!)L
.150 _-DLAMETER (inches).V
WEIGHT PER FOOT
19 1+5 [.1HREADED
'DWELDED
DRLv
YES ‘
'NO
WAS CASING GROUTED7
gm N
E YIELD .TEST D mm.
‘
I
.7E'PUMD E COMPRESSED AIR
HOURS."
‘'6 .YIELD (GIRMI .'3 .
i
WATER .
LEVEL.
MEASURE FROM LA'ND SURFACE—STATIC‘TSpmfy fem)
2O DURING YIELD TEST (Tea)‘z E
27S
Deplh OT Completed WON _in'fey!below land surface:"300
SCREEN
DETAILs'‘
MAKE v LENGTH OPEN TO AQUIFER (fem)
SLOT SIZE -
I t ‘DIAMETER (Inchef)'lFIGRAVEtL
PACKED;.'Dlam‘eler of w'ell a’ncludi'ng
gravel puck (inches)-
'GRAV’EL SIZE (inches)FROM‘Ueel)‘-TO (Tee!
DEPTH FROM LAND SURFACE '=.FORMATION DESCRIPTION Sketch exacT locahon of well wllh dlslances Io al Ieasl
Two permanent landmavks''FEET To FEET
O 8 Sand &Gravel
LOWE
A)Ew PQK/Q F .-‘0’.
‘/
8L 120 Clay .
12o.I 500 .C Bedrock
I
,If yield was Iesled at different deplhs dwing'drillirg,lisl belcw
FEET GALLONs PER MINUTE .
DATE wELL COMPLETED .
61L 8
PERMIT No,
103539
REGISTETLON No."
lO g
DATE OF REPORT '
6/2 9/85
PROTECTION *WATER RESOURCESDEPT.OF ENVIRONMENTAL
STATE OF CONNECTICUTWELLCOMPLETIONREPORT
CPR—9 REV.11—82 DEPARTMENT OF CONSUMER PROTECTION
WELL DRILLING BOARD
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106
Do NOT fill in
STATE WELL NO.
OTHER NOT
OWNER
NAME
R «$8.5:G‘T:u L'”Gin.‘iLiXC$GRS’7?ELI-“go
ADDRESS
l r”(4-4f EELIAIGTUH"‘.WT .v I f"!RE °,S ¢Ea.IikBSC?‘-,.G”J..
LOCATION
OF WELL
(No,&Slreet)(Town)(Lot Number)MgWgLiLRE'T1 ‘Q‘?"J‘hCEu”2 A xx ‘H 5}.LrJI—‘L'1ESQR m 3.
PROPOSED
USE OF
WELL
BUSINESS
DOMEST'E ESTABLISHMENT D FARM D TEsT WELL
PUBLIC AIR OTHER
SUPPLY INDUSTRIAL CONDITIONING (Specify)
E35'I‘II‘éir COMPRESSED CABLE OTHER
Row AIR PERCUSSION PERCUSSION D (Specify)
CASING
DETAILS
LENGTH (feet)‘1 2P4Aagu
DIAMETER (inches)
{1'U
WEIGHT PER FOOT
u r E THREADED [j WELDED$5?"i‘?
DRIVE SHOE
YEs D No
WAS CASING GROUTED?
YES NO
YIELD
TEST
HOURSBBAILEDDPUMPED:I I COMPRESSED AIR
YIELD (G Pfv‘LI
WATER
LEVEL
MEASURE FROM LAND SURFACE~STATIC (Specily feel)
x"~‘I-<L‘k}
DURING YIELD TEST (feet)-mr‘a”£l {’-:3
Depth of Compleled Well
in feet below Land surface:Jw‘u’
*'Ix
SCREEN
DETAILS
MAKE ‘LENGTH OPEN TO AQUIFER (feet)I
SLOT SIZE DIAMETER (inches)IF GRAVEL
PACKED:
Diameter of Well Including
gravel puck (inches):
GRAVEL SIZE (inches)FROM (fem)TO (feet
DEPTH FROM LAND SURFACE FORMATION DESCRIPTION
I Skelch exccl Iocoiion of well wilh dismnces,Io at Ieasltwopermanemlandmarks,FEET TO FEET
r:
AW{RRG‘g"
91f“i
g-m ”.mJ
f
E3 12$aw:Dana;
3T3
If yield'wos Tested at different depths during drllling,Iisl below
FEET GALLONS PER MINUTE
/IDATEWELLCOMPLETED
Q x”{3 f ’3 ’"
PERMIT NO,
W:amm
REGISTRATION NOV
T m
DATE OF REPORT
{gr/:3 5mg
WE IRILLER (sagnmure)f f /.
£1 MW [I ‘<,