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1994-12-08 Water Well Sealing Record
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4680 Bayside Road - 31-118-23-33-0014
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1994-12-08 Water Well Sealing Record
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Last modified
8/22/2023 4:31:04 PM
Creation date
5/9/2023 10:48:05 AM
Metadata
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Template:
x Address Old
House Number
4680
Street Name
Bayside
Street Type
Road
Address
4680 Bayside Road
Document Type
Misc
PIN
3111823330014
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Mwwwsota Well and Borvg <br />14" OR mORErID LOCATION IA 00*507A DEPARTA1ENT OF HEALTH SOB" No M 61623 <br />cwT Nam• WELL AND BORING SEALING RECORD m—letsota uno- No <br />A&Vw5ofe Stefs "CT1 ne <br />tof F031 of W-sos No <br />Renne in ..a,......,_ — <br />Tow wv Nemo — lbwttsl No JR&W No Section To 11:je~ Isrn b I Dawe Sealed AWcowWr Dab WA <br />Orono 118 23 S 0-< 4V wso" Cowfue"d <br />NMww" Strew Ao*"% a F.o Ws bw and Cay of WcA w Ow.q Locator / <br />tSa <br />468X Bayside Rd Orono Dep•,B.tweSea" „ OrgnoDpth <br />Setwe Sam beam 01 .N w Od+q Shrkh map d eea or bo.nq SINK Warn L.-,14 Actualf <br />in esaar rd so a tocal.or aMw.q propeAT t.rs <br />.Daft and NAI - s O Apppowntle <br />N <br />r � <br />S.qr Awha ❑ Ulft- ••tff h �— babte aOoM la.td <br />t r �Iti <br />_._ _ .. _ • _ _� , , I CASING TYPE <br />W r r <br />r r r <br />_r •'- •� rte. %J-4 n Rask (-I T4 ❑ Ottw <br />t Screen trim — W .L][= h Open Nob hon M — II <br />ONSTwUCT10N1DEEwISKKL <br />I Obu,KtRll ❑ OeMn ❑ !• <br />?M <br />w s NAME <br />ton aie p,IVs a pump <br />.. - T1pe d deb.s rexrutron <br />1Aea.g Adbesf � WN+e++ trvn prspMi adyMt .+dcsMb ah>.+ <br />Of»tructa..Drp.st"arwrv+..A' of ❑m. <br />c/o Edina Reality PUW <br />Wayzata/Lake Htke Office SUB pUA'lO <br />Don Gamble, 1120 E. Wayz Blvd. Mrrw..d ❑"°'° o our. _ <br />cASIIIa <br />GEOLO61CAL YAT1111ALCOIOw POIIIUTION MOI to <br />Dw ~ Dept" Se. n or.rave hotsR Arw%sW space eWsltr prou-r <br />M ttel tvws.r rrd[ab estarretad .ormalron lop hon rr.arbl' Rea a bwvrp � �_ 't'' . Yes .(t . to 1rr h O v4o O res ❑ No O U Anorn <br />Drift J <br />h O ref ONO ❑ res O No O tmw%o.rr <br />n hom to _ h O T. O No ❑ res ONO O l)rwwon <br />- METHOD USED TO SEAL ANNULAR SPACE WMEEN i CASINOS. OR CASINO ANO OOIIE HOLE. <br />- - -- - N. Amm. Spec. IF.., <br />❑ Am.Aar sr ice protAed rrs" trema• per <br />_ O Cas.." PMwat m aw"osl <br />IT O P0d0raw ❑ Aw--1 <br />It ❑ P*o,. tM ❑ %^..w <br />— GRo1rtTIID IATERu►L <br />6towq mab..M "tar 60 trom ,�— w <br />w h y.rOt —__ hpf <br />FEIAIIRS. SOURCE Of DATA. dIiICULMS IN MALMO <br />in __._ h sa•*% _-- bop► <br />hum w h prdfbap <br />UNSEALED WELLS IND SOwINOS <br />Garr u seaMd owl w bwrq on prow"' �: res <br />UCENMD OR REGISTERED CONTRACTOR CERTIFICATION <br />This well w boo - two feabd w aao.deree wilt 1Arww.4a Rubs Chsgw A US The .0co"w ". curerrd a M rpwl • <br />true.o M bs.t o." Brow Wpe <br />Don Stodo a Well drilling -ca-, dweg27179Cwwahr An -was Nair Lti. <br />M <br />�. 12-8-94 <br />Aa (//�� Jim Antonson <br />r' <br />rAl r!)VY H b61 f / 3 N.nudMwnSwWV ~at ftvV — <br />r{U,4N" <br />
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