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HomeMy WebLinkAbout1556DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -4 -60 BOX 14 11V L' 1171 1 j5 Lr IL , ye am , ` 01556 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL- COMPLETION REPORT WeILLocation -77 Street Address: - Victorian Heights, Lot #4 Town/Village: Brewster Tax Grid# '-- Map Y Block Lot(s) W/o Well Owner: Name: Address: HYH Associates, 12. Old Forge Road, Greenwich, CT 06830 Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock _ Other Casing Details Total length 32 ft. Length below grade 31 ft. Diameter .. -... 6 in. Weight per f6ot 19 lb /ft. Materials: X Steel Plastic. Other Joints: _ Welded X Threaded _ Other Seal:. X Cement grout _ Bentonite_ Other - Drive shoe: X Yes No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed ?' First -.Yes-No Hours Second Well Yield Test _ Bailed __L Pumped X Compressed Air _ Hours 6" Yield 20 gpm Depth Data Measure from land surface- static (specify ft) 60' During yield test(ft) 265' Depth of completed well in feet 305' Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 10 Drilling in overburden clay and boulders Hit rock at 10' --- 10 32 Drilling in rock, set casing,-grouted 32 305 Drilling in rock Fq granite' If yield was tested at different depths, durin g drilling, � list: Feet Gallons Per Minute Pump /Storage Tank InformatIM .� Pump Type Capacity _ cn De th Model p Voltage HP Tank Type Volume Date Well Completed 5/10/04 Putnam County Certification No. 004 Date of Report 4/26/05 Well Driller (signature) Matthew L. Beal i ,qv i z. rxact iocatnon of weir wttn atstances to at Least two permanent lanamarxs to oe proviaea on a separate sneevplan. Well Driller's Name P. F. Beal & Sqns, Inc. Address: 4 Putnam Ave.. Brewster,NY 10509 Signature: l✓ Date: 4/26/05 Matthew L. Bea . White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 MrA w, ,-s