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1. L(N'ATION 0I WF LL <br />cnxml Name <br />STATE OF MINNF SOTA DFPANTMENT OF HEALTH <br />WATER WELL RECORD <br />e <br />MlNNFIOTA UNlQL'F M6LL NO. ., { f; (l <br />{J� <br />1WterSw/N <br />8 <br />N....mM S.— 11d <br />A.Ol..ON <br />/> <br />uc' <br />� <br />i.wn.nlp Name <br />Tnrmhip Nura.ha <br />Iteng< Numher <br />S.ctxon No. <br />1 r.a Orm <br />1, PRO►ERTY <br />OWNERS NAME <br />or=* <br />� 17-u 51 <br />23-W w <br />5 <br />ar <br />N Ue <br />Add —Sums <br />Al. <br />my <br />IMHnae and Ihaclx.n fNom NO.rI Inle.4cl..n. r0 Slrrel AJJrw enJ 111e of NNI 4Nu.0n <br />20 Greatviav <br />S1x.r..i.t h.citbn of <br />.wll m res l.m V.J ran <br />"%." <br />Sketch map of cell 1—lion. <br />•. WELL DEPTH (compNled) <br />O.I. accam floe <br />-L- -• <br />-' <br />AJJIt.m N.mr <br />00/�� <br />1W <br />n. <br />I❑l.N. hod .❑Nervy <br />❑Iln.rn .0❑rNag <br />G <br />&rrck NumMr <br />70Nrilnr noJ <br />S❑Mr <br />!❑µ.xeJ 110 <br />� <br />• - <br />Iliall. <br />Nx.r3 <br />b❑lell<d <br />.❑Purer Auger <br />• <br />Lot Number <br />6. USE <br />a�1.-- <br />a❑Pu Ma Guppy 70 lndueO <br />$ <br />w <br />1--�11.1 <br />i1 <br />2❑1... Pik.. <br />10T,,I We" <br />S❑Manx ip.l tiOC'nmmercul <br />6O Ai.­ndox m, 00 <br />7. FORMATION LOU <br />COLOR <br />HAµI1NF.SS Ot <br />f OµMA O <br />/µOM <br />TO <br />,. CASING <br />1011:lif AMerrlNlnr <br />HOLE OIAM <br />IWlak <br />7❑t..l. <br />jpThrr.JeJ <br />SOWdd d <br />S.,(. a n. <br />' <br />T.11ow <br />2 <br />M <br />)❑ <br />ILn. <br />60 <br />to <br />Ilr.re Shoa, Y.&- N. — <br />fig MU1ht �Iin /fl. <br />m.l III <br />��1itit <br />fn. N. <br />n. Mrynl Iln rh. <br />�-In. Inman. <br />-- <br />seaft (Ma <br />Ease <br />A86 <br />x <br />Mike ��sa <br />T1Pe <br />SInrlG.ure <br />S!I bHwern <br />rl..nd <br />aspen nt. <br />Irom It. to h. <br />ifl — Le.pb �i, <br />FITTINGS: <br />1100 ft. <br />alaAi <br />mad <br />Bears <br />93 <br />100 <br />fL.nJ <br />L ?asws <br />f...nd <br />". <br />lr ..ero.d peel. 11 n.eaNd. <br />.S. KN.MAfttsLLLVA1IOK.SOURvkOt_ Y�yi 1e. <br />OF0\A0 <br />�me(� ❑.huge 1>.le Ne.wred <br />10. PUMPING LEVEL (be).. l.nJ .mlael <br />hr. numrmg �A g.P.m. <br />Il..ner hn.Pumpng /P.m. <br />11.WELL "EAU COMPLETION <br />�a Plliw.d.pt i.�. Ni.rmenl ��ll.rl I��A. 1re•117"..�r< <br />w irate <br />❑Ve. wNn l'u. Vd.. <br />1❑Neel l'em.nt 70Re-ool. =❑ <br />Depth: rrnm _- fr. In It. <br />from __ h. co ft. <br />I1. Nen<.1 uwrcc. �J p�*unl<aI.,nos-on <br />�rrl d..ralMn ITO. <br />Well do.ot(Wed upon co n,lrlmn• Y. No <br />14. PUMP <br />Del, mn II.d Yii JM <br />❑ <br />Nrx nio.iled <br />kl.nul.aturel\ Nam< <br />=56n,82HJt__ <br />M,rJel Numher <br />V.11R3Q <br />Length of drop "N 63 fl. <br />c.p.c111 1%_►.p.rt. <br />r �•- <br />M.I.rI,l of drop Mpe <br />Tl" xSuh.—M. JOLL T.Iii. <br />110µaiplocel.r.E <br />7❑7.1 eOCenlnfug.l <br />bO <br />Ib. WATER WELL CONTRACTORS CENT" ICA HON <br />Tho wll rn dfdl.d under -1 J."Id—tt end thU nal atl i. trot 10 <br />Ibr be.l Of my has kr4g...d be.Mr. <br />O�0 <br />Addvviatple <br />� Y �Q - <br />/41 �E[Z9 <br />Sgned .l <br />Awhai.rd µrprte.0ulr <br />Data <br />Name of DWI. <br />LOCAL COPY I 5 711011 <br />776 10M <br />