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a - <br /> MINNESOTA UNIQUE WELL <br /> ELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BORING NO. <br /> County Name WELL AND BORING CONSTRUCTION RECORD 823471 <br /> Henn in Minnesota Statutes,Chapter 1031 <br /> Township Name Township No. Range No. Section No. Fraction WELL/BORING DEPTH(completed) DATE WORK COMPLETED <br /> Orono 117 23 03 SW SW NW 153 tt. 6-16-17 <br /> GPS LOCATION—decimal degrees(to four decimal places). DRILLING METHOD <br /> Latitude Longitude ❑Cable Tool ❑ riven <br /> E]Auger otary <br /> House Number,Street Name,City,and ZIP Code of Well Location ❑Other <br /> Willow Dr S 55356 DRILLING FLUID...t WELL HYDROFRA <br /> Show exact location of well/boring in section grid ith'X:' Sketch map of well/boring location. bentonite From ft.To ft. <br /> Showing property lines, <br /> N roads,buildings,and direction. USE <Domestic ❑Monitoring M-JIV-tQc4liW <br /> ;_____i____ ❑Noncommunity PWS ❑Environ.Bore Hole ❑Industry/Commercial <br /> ❑Community PWS ❑irrigation ibRONO <br /> --i-----'----- ---- EI vato Dewatering <br /> p� <br /> ❑ e r CI �1' <br /> W ; T l* CASING MATERIAL Drive Shoe?ng❑Yes ;No HOLE DIAM. <br /> Steel ❑Threaded ❑Welded <br /> ❑S <br /> 'h Mile Plastic <br /> 1 ❑ <br /> r CASING <br /> s DiaLmeter Weight Specifications n <br /> —1 Mile � � `'F in.To 145 ft. lbs./ft. 8 in.To-30. <br /> PROPERTY OWNER'S NAME/COMPANY NAME in.To ft. lbs./ft. 6k in.To 1551. <br /> in.To ft. lbs./ft. in.To ft. <br /> Not—Son, Trit- <br /> Property owner's mailing address if different than well location address indicated above. <br /> SCREEN OPEN HOLE <br /> e Make $dn From ft. To ft. <br /> 700 Mast Lake St, #213 Type Stainless Qtl Di . <br /> Wayzata, W 55391 slot/Gauze _ M0 Length 6t*4 f <br /> Set between ft.and ft. FITTINGS M <br /> STATIC WATER LEVEL Measured from <br /> 62 ft. elow ❑Above land surface Date measured — <br /> 16-17 <br /> WELL OWNER'S NAME/COMPANY NAME PUMPING LEVEL(below land surface) <br /> 140 ft.after 2 hrs.pumping 30 g.p.m. <br /> Well/boring owner's mailing address if different than property owner's address indicated above. WELLHEAD COMPLETION <br /> ;WPitiess/adapter manufacturlIhitemter Model <br /> ❑Casing protection ;! <br />