1995 - well record - Laserfiche WebLink

Home Browse Search

I - f WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. County Name • WELL RECORD 5 613 0 3 Hennepin Minnesota Statutes Chapter 1031 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed Orono 1006117 23 07 115' ft. 3-1-95 Numerical Street Address and City of Well Location or Fire Number DRILLING METHOD 1006 Wildhurst Trail, Mcurbd,MN.5�5364 ❑ Cable Tool 0 Driven 0 Dug 0 Auger 1:i Rotary ❑Jetted Show exact location of well in section grid with'X'. 4 s ' Sketch map of well location. 0 014a? Showing property lines, N Vi 1�. roads and buildings. DRILLING FLUID I , Bentoni --r--7- _i__1- 4VcL_ L �; r ± r , I X ,USE 0 Heating/Cooling _ 19,Domestic 0 Monitoring W I , I E ❑ Irrigation ❑ Public 0 Industry/Commercial ' I T 0 Test Well 0 Dewatering ❑ Remedial I F-mi I CASING Drive Shoe? ❑ Yes 0 No HOLE DIAM. __:_ ___ ---r' I El Steel 0 Threaded 0 Welded 0 111 f:KPlastic 0 I mile-I • CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME 4 in to 105 ft. STD-21 lbs./ft. 7 7/' 3Q ,1 Robert Wade & Associates in.to ft. lbs./ft. 5 1lr�t0 115 ft. Mailing addfess if different than property address indicated above. in.to ft. lbs./ft. in.to_ft. 1487 Shoreline Drive SCREE JOhi1S071 � OPEN HOLE Wayzata, Mn. J5391 Make from ft.to ft. Type Stainless Steel Diam. _2" Slot/Gauze 10Length 9 Set between 105 ft.and 1 15 ft. FITTINGS: 1G J 8 H STATICTER LEVEL GEOLDGICAL MATERIALS COLOR FI MADTERIALNESS OF FROM TO � ft. Cit below ❑ above land surface Date measured 3-1-95 PUMPING LEVEL(below land surface) Clay Yellow S 0' 20' 102 ft. after 11 hrs.pumping 35 g.p.m. WELL HEAD COMPLETION Clay Grey S 20' 65' M Pitless adapter manufacturer WhiterWrater Model ❑ Casing Protection R 12 in.above grade Gravel White_ 1.__:, 65' 70' GROUTING INFORMATION Well grouted? N Yes ❑ No Clay Grey S 70' 100' Grout Material 0 Neat cerrt�ent IX Bentonit l from U to 3u ft. J ❑ yds. 51 bags from to ft. ❑ yds. ❑ bags _rind Tan S 100' 115' from to ft. 0 yds. 0 bags NEAREST KNOWN SOURCE OF CONTAMINATION /S----' feet .7-v td 4 direction C/if--.' type Well disinfected upon completion? Wes ❑ No SE L,_.L:rt PUMP ❑ Not installed Date installed 9--7-98 Manufacturer's name F&W Model number 4f9C1 C30.1 HP Volts Length of drop pipe 63 ft. air- 230 g.p.m. Pressure Tank Capacity V 120 i]Type: Submersible ❑ L.S.Turbine ❑ ReDEV ❑Jet 0 ABANDONED WELLS Does property have any not in use and not sealed well(s)? 0 Yes ❑)Io WELL CONTRACTOR CERTIFICATION This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. The information contained In this report is true to the best of my knowledge. DON S'I.7DOL\ WELL DRILLING CO., INC. 27172 Use a second sheet,•if needed REMARKS,ELEVATION,SOURCE OF DATA,etc. Licensee Business Name Lic.or Reg.No. `f r 3-1-95 Authorized Repreientativ�gna• Date Fred Leiby 3-1-95 Name of Driller Date LOCAL COPY 5 613 0 3 HE-01205-04(Rev.5/92)