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Ifintnet0�t1�11bIt�6er $ ACKNF.SUrA DSPARTmENT OF HEALTH Entry Date 07/05/1991 <br /> �� <br /> �uai4 -m-pin <br /> WELL AND BORING REPORT Update Date 04/21)2015 <br /> _ Qu xceID t05A Albmesota Statutes Chapter 1031 Received Date <br /> wt�rrs e- Ttww Wp � Dir Sextion s wen Depth Depth Completed Date Wen Coutykted <br /> PECERSEK 118 23 W 32 DCDDAC 163 f1 163 ft. 01/10/1985 <br /> Elevation 1036 Ekv.MetbW DDAR lm DEM(WDNR) Dril Method Nort spe cified Rotary nein Fluid <br /> Use die Status Active <br /> ddress <br /> Cfw 3425 WATERTOWN RD LONG LAKE MN 55356 We,Hydrefrsemred' Yes ❑ No ❑ From To <br /> Type Single Joint Threaded <br /> s"tigraphpinformation DriveSbeel Yea ® N. ❑ AlsovelBelow <br /> Geological Material From To(fL) Color Hardness Cathg Dfset r wew <br /> CLAY 0 145 4 in.To 159 R 10.8 Ib&& <br /> SAND 145 163 <br /> open Usk From tt To f1- <br /> Screen? X-1 Type stainless JOHNSON <br /> Diamctei Slot/Gauze Length Set <br /> 4. in. 10 4 R 159 f1. 163 f1. <br /> Static Water Level <br /> 130 R Lund surface Measure 01/10/1985 <br /> p� I evd Owbor land sarfam) <br /> 130 R 4 hes Pumping at 20 g-p• a. <br /> Welihead Compleftu <br /> Fides, -g 0 Model <br /> Casing Protection ❑ 12 W,"a Wade <br /> At-grade(Environmental Wells and Borings ONLY) <br /> GrotALg Iefarnuo" well Groofte Yes ❑ No ❑ Not Specified <br /> Material Amotmt From To <br /> cuttins f1 R <br /> g <br /> Nearest Known Source ofF Cotan <br /> fcet Dk=dm TWpe <br /> Well ehwfected upon cemplebm7 © Yes ❑ No <br /> ❑ Not Installed Date Installed OV14/1985 <br /> s nmae PIONEER <br /> Modd Number HP Q-U Volt M <br /> ImohafdmppVc IN ft CW—ty .12 94). TYP Snbmasibie <br /> Does property have any riot in use and not scaled wctl(sr ❑ Yes ❑ No <br /> Va>rmae t <br /> Was a vmim=UmAW from the MDH for this wd1? ❑ Yes ❑ No <br /> A <br /> FKU 8edc0ek Agtuf- Qts-buried <br /> Last Shat sand Depth to Bodeock ft <br /> Locatedby MmaesolaGeological SurveY <br /> Remarks iocaw Method CIPS SA Off(averaged) <br /> System t1TM-NAD&LZ=e15,McftM X 451847 1'49 <br /> Unique Number VeM00im Address verification T Date 07!/11211/2 <br /> 014 <br /> Angled DrM Hole <br /> Wen canaactor <br /> Stodola Don well Co. 27172 MCMAHON,F. <br /> Lia or Reg..No. Nam of Dn71ea <br /> 111014 Printed on 10/04/2017 <br /> N inneSota Well Index Report BE-01205-15 <br />