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$1AIt EN- 1111111JUTA LitrAmiretn1 ur ntALln <br /> ABANDONED WELL RECORD <br /> I. LOCATta a Ycu MINNESOTA UNIQUE WELL N0. <br /> (leave bleak if not know) <br /> County Nae Hennepin <br /> Township Nae Township Number Ranh Number Seetlon M. /raction 1. WILL OVTN (completed) Gets $doled <br /> of 4 <br /> Orono 117N er 23W or 10 SE NW 110 ft. 12/26/91 <br /> s <br /> Numerical Street Address and City of Well Location or Olstanee from Mad S. DRILLING INITION (if known) <br /> Intaraetioa 10 Cable tool 40 Revers ;0 Driven Ito M <br /> 1025 South Brown Road 10%1 low Red 1Q Air t(]Pored lap <br /> 20 Notary 40 Jetted U iota►A*W <br /> Show exact location of well <br /> (1n sectlon grid with '1•) sketch map of watt location O. OISTRUCTIO" <br /> Yeti obstructed 0 Yes M <br /> Obstructions removed[]PIS [3 M If obstructions cannot M <br /> i raved, contact 1611 <br /> soolloi. <br /> 1. WSt <br /> 1E]O/mntfe 40 plealw(RD E;]Nest UES <br /> 20 Irrigation 10/abbe E7 iebstry <br /> l 20 Test Wail E0 Ihnrlapet IC0 Cesmasretol <br /> 70 Air Cemdltlesf" 110 <br /> 2. PROPERTY OWEN'S NAI[ IYillns Address if different than I. CASiM(S) <br /> 43 <br /> Northwestern propepy ddrl fr l�aM above to(lack 4[:]Threaded 7p <br /> Farm Management Prior Lake, MN 55372 s�]PlasticOl . 10 Walled <br /> Plastic Cl satela st«t <br /> NARORKSS 01 2 Ia. to ft. <br /> 1. FORFMTiON LOO COLOR FOR1NT10N /ROM TO <br /> If net known. Indicate /orrtlon loll from new wait or nearby well. In. to ft. <br /> 1. SCREEN <br /> ®Screen@ wen from_ft. to_ ft. <br /> (if known) <br /> p Open Mole from_ ft. to_ ft. <br /> 10. STATIC.7I^TER LEVEL <br /> J it.M below C]above <br /> land ansate ate Messured 12 26/91 <br /> 11. WELLHEAD COMPLETION <br /> 10 Pltless Adapter 40►orad Parted <br /> 20 tasameet offset n <br /> lj]Well Pit <br /> If. REMARKS, ELEVATION. SOURCE OF DATA - CASINGS RMV V. CA31M PERFORATED. ETC. <br /> 12. 0OU1111O 101F TION <br /> 1®Mat Cement 101eateofta 10 <br /> aewe .euriat 2 bags from 0 M110ft. cu, yds-0 <br /> Is. NEAREST SOURCES a COIFTAKIMTiON <br /> _ ffet dfrsctiew type <br /> Wali dlatofected before sonlfrgl 0 Tet <br /> la. Plea ®Romeved 13 Not Pretest <br /> l Typo: I[]Submersible 30 L.S. Tyrone SQ NoclpreuHnl <br /> Jet Q Contrffogal 40 <br /> 11. EIISTiM YELLS (Plona sketch louNons of abanoeaed and <br /> active walls to remarks section or M beck.) <br /> Other unused well(s) on proWtyf [:)Yes One <br /> n M1 Abandeneds [3 Permanent p Tsgartry []Mt sealed <br /> ,2 000 U. WATER WELL CONTRACTORS CERTRICATION <br /> This well was sealed odor my Jurisdiction and this report <br /> Is true to the best of my knowledge and belief, <br /> 6Ac - �trT West License ft. <br /> Address Maple P 2, :N 55359 <br /> s+ noe / Gets 12/26/91 <br /> Dick Stevens Gess 2 26 9 <br /> FICIAL AIAAMO YELL RECORD (May be used for Property Transfer) Naam of Driller <br /> ZONWrAIrt JPL2t NT1* Dsaw <br />