My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
well info
Orono
>
Property Files
>
Street Address
>
V
>
Vine Place
>
1360 Vine Place - 07-117-23-42-0037
>
Land Use
>
well info
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/22/2023 5:38:34 PM
Creation date
7/8/2019 11:02:15 AM
Metadata
Fields
Template:
x Address Old
House Number
1360
Street Name
Vine
Street Type
Place
Address
1360 Vine Pl
Document Type
Land Use
PIN
0711723420037
Supplemental fields
ProcessedPID
Updated
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
STATE OF MINNESOTA DEPARTMENT OF HEALTH <br /> 1.LOCATION OF WELLI MINNESOTA UNIQUE WELL NO. V <br /> County Name WATER WELL RECORD <br /> llemepip Minnesota Statutes 156A.01.08 for Water Sample <br /> 478352 <br /> Township Name Township Number Range Number Section No. Fraction 4.WELL DEPTH(completed) Dale of Completion <br /> t3lror�cl 1175 23W W 7 SK 1!�T SE / 2X5 rt. :Z/32/91 <br /> Numerical Street Address and City of Well Location or Distance from Road Intersection. 5. DRILLING METH015 <br /> 1360 Vine Place Mound, M 55364 ❑CableTool ❑Reverse ❑Driven ❑Dug <br /> Show exact location of well in section grid with'X- ��Li Sketch map of well location. ❑Hollow kod ❑Air ❑Bored ❑ <br /> N <br /> 1 t t Addition Name SkRotary ❑Jetted ❑Power Auger <br /> ��DIj�LLING FLUID <br /> }MaT�it._' _ <br /> W i Block Number <br /> E 7.USE <br /> t 2 Domestic ❑Monitoring ❑Heat Pump <br /> 1 1 t Lot Number ❑Irrigation O Public ❑Industry <br /> t ❑Test Well ❑Municipal ❑Commercial <br /> —�— — —�- I ❑Air Conditioning ❑ <br /> 1 mile's 1 8.CASING HOLE DIAM. <br /> 2.PROPERTY OWNER'S NAME Mailing Address if different than property address ❑Black ❑Threaded HEIGHT:Above/Below <br /> indicated above. Surface ft. <br /> Earl MmwoOB ❑Galy. ❑Welded <br /> Drive Shoe? Yes—Nom <br /> QVIastic ❑ <br /> 4 in.to n ft. Weight 1_9lbs./ft. n. UGLL(t. <br /> 3. FORMATION LOG COLOR HARDNESS OF <br /> FORMATION FROM TO in.to ft. Weight lbs./(t. in. to---Jt. <br /> in.to ft. Weight- lbs./(t. in. to—Jt. <br /> Topsoil Black, Q 1 9.SCREEN Or'open hole <br /> T from ft.to. It, <br /> clay <br /> ,-w ��y Make J� � ,{ <br /> Clay Yellow 1 30 Type C Vl. t Diam. +3 111. { l <br /> Slot/Gauze 16 slot Length 5 r..:a�.lft- <br /> �/� � 21� F}TTING�� <br /> Clay uCw -3Q �2 21 Set between�.l\L ft.and�.i.�ft. j'� <br /> B1Lzc 10. STATIC (ASTER LEVEL <br /> lay AgraVel y) in 42 152v ft.X below ❑above Date Measured? 7 <br /> ,��., land surface <br /> ',1,^, FCCti,ld.l.l:iii 11.PUMPING LEVEL(below land surface) '^ <br /> Clay/gravel rav l s fl.after hrs.pumping j,y0+ g.p.m. <br /> lite Y ft.after hrs.pumping g.p.m. <br /> Gravel brawn 12.HEAD WELL COMPLETION L�.�., <br /> XPitless adapter manufacturer_i7IA Model <br /> '❑Basement,offset ❑At least 12"above ground <br /> ❑Plastic casing protection <br /> 13.WELL GROUTED? 2]Yes ❑No <br /> .�Neat Cement ❑Bentonite ❑ ��y <br /> Grout material from 0 to M ft.cu.yds.— <br /> 14. NEAREST SOURCES OF POSSIBLE CONTAMINATION <br /> feet direction type <br /> Well disinfected upon completion? *Yes ❑No <br /> 15. PUMP <br /> Date installed ❑Not installed <br /> Manufacturer's name <br /> Model numberHPHP-1/2-Volts 7*40 <br /> ppryry <br /> Length of drop pipe G1�/ ft. Capacity g.p.m. <br /> Material of droppipe <br /> P <br /> Type:$Submersible ❑L.S.Turbine ❑Reciprocating <br /> ❑Jet ❑Centrifugal ❑ <br /> 16. ABANDONED WELLS '-tP <br /> Unused well on property? IiYes ❑No .; <br /> Use a second sheet,i/needed Sealed Permanent ❑ Temporary ❑ Not sealed <br /> 17.REMARKS,ELEVATION,SOURCE OF DATA,etc. 'S <br /> 18.WATER WELL CONTRACTOR CERTIFICATION <br /> This well was drilled under my jurisdiction and this report is true to the best of my <br /> knowledge and belief. <br /> GtlMimi WPl1Drillim ()p_ 27L94 <br /> icensee Business Name License Na. <br /> Address 6240 1 Q plain_ M 1, 59 <br /> Signed 1 � / I. _ Date713 891 <br /> Authorized WppreVntatlue <br /> Mike]R.Iir xii DaleF tt1", <br /> Name o(Drtlfer <br /> LOCAL COPY T4783521 5/7430M <br /> 7/76 30M <br /> 7/7830M <br /> HE-01205-03(Rev.9/88) 2182 IoM <br />
The URL can be used to link to this page
Your browser does not support the video tag.