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WELL OWNER AND ADDRESS <br />L Cq�7 C_ s . 4; <br />,T /l_ 1,'I,b Avq �1N WELL RECORD <br />WELL LOCATION''? SECTION LOT BLOCK VILLAGE OF ORONO <br />CRYSTAL BAY. MINN. <br />CCMILLER'S SIC- NATURE DATE PERMIT NUMBER <br />9%4_ _y►�► N <br />toy LV' 1= G 6 C-, .1 . _ _ _ �!- /3S ' <br />- -- __ — _ <br />DRILLING COMPANY ADDRESS TELEPHONE <br />SIZE OF WELL—l/ __INCHES WATER LEVEL- - _ _ .._ _-_FEET <br />WELL DEPTH___,!C____. _- .__ _FEET DRAW DOWN_ X ..-FEET AT___A_!.l__GPM <br />CASING DEPTH. _!_ /__/_j -_FEET CAPACITY GALLONS__�IA PER/HR. <br />CASED WITH <br />DEPTH OF IMPERVIOUS FORMATION_/ -- --- -- LIFT <br />/ ELDED JOINT ❑ <br />SCREEN 6 FEET---------- INCHES BY___ _-_ INCHES i <br />MAKE AND TYPE MATERIAL: %v,A f A s AN a SCREWED JOINT, <br />PEM ARKS <br />(OVER) <br />KIND OF FORMATION <br />COLOR <br />BDEPTND <br />DEPTH <br />TNICKNE89 <br />FORENDED M TION <br />REMARKS <br />C-1A� <br />:� <br />a <br />Jr <br />_C -G Ay <br />o$ <br />N b <br />'"Nile <br />/e <br />1 <br />i <br />EXTERIOR SPACE AROUND CASINO SEALED WITH: 0 CEMENT GROUT C] PUD:rL[D CLAY 0 OTHER <br />I DISINFECTANT USED <br />I CURB LEFT IN W[LL__ <br />L-_ - <br />(OVER) <br />