Laserfiche WebLink
STATE OF niNNESOTA DEPARTHENT OF HEALTH <br />ABMOONED WELL RECORD <br />1. laaTii o» Ktw <br />I- <br />t <br />irlMl Strttt M«r««| «M City ef Mil Locttten or fro» »e«<1 <br />IflUfMCtlOA <br />845 Old Long Lake Roadt Wayzata, MN 55391 <br />- - - - - -ED- - -tMCt locattM <br />(Is ftcttos %rit •!•) <br />N <br />1 • <br />• L .A V *• • • <br />1 <br />• <br />• 1 <br />< <br />• • • <br />• <br />• <br />• • • <br />• <br />« m • <br />■ .••* <br />• • 4k • •» V <br />♦• <br />• • tv •• •• • • <br />t t <br />l ml# <br />s. oaiiLiNQ hcthoo (ff <br />iQ CAblt top I IQ Q icQ <br />?□ ho Mo^ Hoa SQAIf uQ___ <br />j£X«OtAry 6Q JotltO O <br />6. OiSTBUCTlCNS <br />tfoM OOftryettO 01 f«» Er <br />OOt trod tons rovovoO Q ft* Q I*®If oottryctioni Cinnot 5t <br />ro«o«00a contact K)H <br />Offor# staHnq. <br />7. use <br />O OH#4tL000 <br />:□ Irnqitlon ^ PuPMC C3 <br />jQTtltW#!' fiQ«unlc'f04l ICC <br />TQ Hr Co«0it1on*«9 iC — <br />KAva. <br />'4 <br />2. fWMm OMMK'S MU« <br />Joan S»««tser <br />I STilTiif Adprtti if 0»f?trtnt l^•n <br />proto^'ty oPOrtit inpicitfU iOOwt <br />»jiftOlii:S Of <br />3. rotMTtOa to* COLO« rc««*TU» '«0" <br />n a«t k«o«iA. in«tcat« f*r«4ti*i* '•» *•'' <br />, 8. :451kC(5) <br />;Q Hack <Q O <br />iQ R'kitic 6Q itiialetk Sltel <br />2 . 115 <br />»• <br />In. to <br />in. to <br />/t. <br />ft. <br />: %. sctcEs <br />)Q Scr«#n40 ••n fro* <br />i;U: <br />P 0O«« Holt <br />ft. to <br />ft- to <br />ft <br />( I * tno»f> <br />10. S1»t;c kAft* LlVCL <br />63 _________ft.jjjsato- □ kso-e ;/l/ /Q'9 <br />UnO iL/rfict 3*t4 PIfilurtO U/ j U/ <br />U. WtU«€AC CO«fLCTiO» <br />•.n tit\9\% AC40t«r <br />Bottmnt offitt <br />XO-" <br />4~~l TlMiAA <br />o--------- <br />u. lilMa* fUfAtlOfia SOgtCl Of OATa . CASISCJ IC«VCC. USINGS tllfOtATCO. C C ;; UOUTI n G iNfOtmTlON <br />itit ComM ^ •ontonlto C, <br />srovf •ittnti Portland f»^* Q_t4-L^^^ f®v <br />13. «IAU5T SOUNCeS Of CONTANIIUTION <br />2Q foot 5;Quth oiroctio* gewer ^ typ# <br />mn 4liiMf*ct*0 Mftro itiMnfF )Q Tot <br />M »U«t Q tomvoO ^’^*^** <br />fro. iQ Uomrililt C '►•5* C ••citroctHM | <br />jQ Joi O Cootnfufoi O ----------------------------- <br />IS. CIISTING wCLtl (^Uot# iMtet locitimi of 404*m#«o 4*0 <br />4cti«o milt I* fmyy tmnof* •• J <br />OtMr onotoO mlHt) •• ftofof^yf D "• <br />AMiiOMS: □ torm**«f □ Tomiortry JflJ Not «Oiio4 <br />l^yfUtu^ § liCVl tttONt |N#y No ¥ff< fo*' TrtMfor) <br />17. mret ocil CONTNNCrOtS CtlTinUTigi <br />Tm, mil mt toolM o###*- •y jRirtuiUtio* tsu ro»e»'t <br />*1 try* to too NOtt Of 9f t*0«lo«fO mN Otlltf. <br />Serger3on-Caswel1. Inc. 27058 <br />•ytlnoit I »co<*t# <br />444*-#«:InduF.tri.I Street <br />............. <br />C^vfxm kroe 11*? ___•#»# ___Z2i_2£ <br />Nam of &rt i lo**