Laserfiche WebLink
.. ....................... ......... ........... .....W... <br /> � ��� ' ' MINNESOTA UNIQUE WELL NO. .* f a <br /> WATER-WELL RECORD � f�" �p <br /> Counr•�Name ��, . q "��, 4 a k`l <br /> 'F'` Minnesola Sfafufes 156A.01�.08 /or Wafer Sample , y _ <br /> Henne in <br /> Township Name� Township Number Range Number Section No. Fraction 4. WELL DEPTH(completed) Date of Completion <br /> N E <br /> 117 °� 23 w 07 SE �� P,W�� NE� 109' r�. 11-2-87 <br /> Dislance and Uirection(rom Road In[ersection or Street Addreas and City ot Well l.ocation 5. DRILLING METHOD <br /> �� lO Cable tool 4O Reverse 7O Driven IOO Dug <br /> ow exact location d well in section grid with"X." Sketch map o(well location. 2O Hollow rod 5�Air R�Bortd I I❑ <br /> N ' ,('' �L <br /> � � � i Addilion Name � ��Jr ,���L •(�_ �L APJ Rotary 6O Jel[ed 9O Power�auger <br /> '_r' 7_ _1�_1_ -��-�.--��/a...�__._-�-�1 <br /> i � 6. URILLING FLUID <br /> � i � �,L�n.iL�,� <br /> w --`- -i- �- y- E Block Number ,�..,. 7. USE <br /> i <br /> _1_ _1_ _'_ 1_ 1FL']IMmes[ic 4O Monitoring BO Heat Pump <br /> I � i � � I,ot Number _,____�..__,.�. 2�Irrigation 50 Public 9O Industry <br /> f mi. <br /> � i i � 3O Test Well 6O Municipal 100 Commercial <br /> '-�- �' - -r" '7�Air Conditioning I!❑ <br /> i <br /> 1 mile,—� 8.CASING HOLE DfAM. <br /> 2. PROPERTY OWNER'S NAME HEIGHT:Above/Belaw <br /> �Black 4�7'hreaded <br /> JOr]I7 LOUC�r111T1 Surtace tt. <br /> 20 Galv. 5p Welded <br /> Address 4215 Forest Lake Drive 3O Plas[ic � Drive Shce? Yes X No— <br /> Orono, Minn. 55364 ���.�a�_r�. we�gh�7=9T8���.irc. �-���. ca �"C c. <br /> 3. FORMATION LOG COLOR HARDNESS OF FROM TO in.to ft. Weight IbsJtL �n. to�t. <br /> FORMATION <br /> in.to tL Weight Ibs./tt. �n. to_ft. <br /> , C1a. � O 1 9.SCREEN Or�openhole <br /> Make <br /> JO pSnp trom ft.to. ft. <br /> Sand <br /> Ty� Sta l Tll P�� 4tPPl - Dis. /.�!� <br /> SIoVGauze l� [.enH�h Q-�--- <br /> , nr ITTINGS: <br /> Se[be[ween�L�-ft.and �n a ft. <br /> 10. STA7'IC WATER LEyVEL <br /> 4� ft.R?below ❑above Date Measured 11-2-g7 <br /> land sur(ace <br /> � 11. PUMPING LEVEL(below niand surface) <br /> 4 0 (l,af[er `� hrs.pumpinq 2� g.p.m. <br /> ft.after —hrs.pumping g.p.m. <br /> 12. HEAU WELL COMPLETION <br /> l�itless adapter.manutacturer�1��P Wc�tPY� model <br /> 2O 6asement o(fset 3�AI least 12"above ground <br /> 40 Plaslic casing proteclion <br /> 13. WELLGROU7'ED? � <br /> Yes ❑No <br /> lONealCemen[ 2�Bentonite �nX Na �ra��ekfi�� <br /> Grout ma[erial from to ft.cu.yds. <br /> � 14. NEAREST SOURCES OF POSSIBLE CON'PAMINAT(ON <br /> (ee[ direCtion type <br /> Well disinfected upon completion? �J Yes ❑No <br /> 15. PUMP <br /> Date installed ��-l1-S27 p Not installcd <br /> Manufacturer's name M�er� <br /> � Model number _HP �- Vol[s�� <br /> 1 <br /> Length of drop pipe 63 f[. capaci[y 14 g.p.m. <br /> Material of drop pipe l�� Galv_ <br /> Type:I�Submersible 3O L.S.Turbine 5�Reciproca[ing <br /> 20Jet 4O Centritugal 60 <br /> 16. EXISTING WELLS <br /> Unused wel�on property? ❑Yes �Io <br /> Use a serond sheel,iJ needed Abandontd ❑ Permanent❑ Temporary❑ Not sealed <br /> 17. REMARKS,ELEYATION,SOURCE OF DATA,etc. <br /> � 18.WATER WELL CONTRACTORS CERI7FICATION <br /> J� G This well was drilled under my jurisdic[ion and this report is true m the hest of my <br /> C /'J T7�� knowledge and belie(. <br /> ,,�� <br /> � DQN STODOLA WFT,T, DRTT,T,TNG C'O_ � TNC._ 1'72 <br /> � 1}�re-,� W�''��', 15306�His�hwa Q 7 Mtka Mn��e 5� <br /> naa��s <br /> ,� <br /> SiHn � - , . " -'Da[e 11-5-87 <br /> u[horized�Represen[alive <br /> . P. MCM�-ttlOri Datr 11-5-$7 <br /> Name o(Driller <br /> {��f.�1���1.�3��: ``) �"' ` 5/74 30M <br /> �r`_� �rs�rt� r�r��r�--o�?4F:E_� �,a��An�.�� �������� .���a.) �. A.(.� — ���a� <br />