Laserfiche WebLink
%TATEUF'MINNESOIA I)EPART-MENI Of HEALTH <br />09=0 117X s <br />M Dtrmnm from Road Interamion or Street Ad <br />in <br />W -�- - E <br />JA <br />2 PROPERTY <br />7 <br />fill <br />WATER WELL RECORD 'WIYNL:NITA I'NIQUE WELL NO. �� ? r <br />l/rasnou Sbtaks 156A 01 nX !w Wow 5000k .9 6 <br />Srctm No. I Frn•IKwr� t WtIl DEPTHiompned) Dole of etion <br />`v as "Ow tt 104 rt. a"1�i7 <br />Wrll Ia..1oe S UQH LING METHOD <br />10 C'sbh ttnl 40 Recerw 70 ;haven 100 Due <br />- %Wch map of vivil k.7troe 20 Hdlm rod SO Air to bond 110 <br />efwmwY 613kited 90Pavervuetr <br />6 DRILLING Fl.l'ID <br />I�LltatwstK <br />30 Monrtm'd <br />fO Heat Pump <br />201rrWiwn <br />50PUMK <br />90nldustry <br />_ <br />.O Test Well <br />tip Munkipal <br />100 Commercial <br />--�� <br />70AnCoWniont� <br />110—._. — <br />N CASING <br />HOLE DIAII <br />OWNER'S NAME <br />J j /�� J .- ") /''. <br />�'f �' <br />` : <br />10 Mack <br />e0 Thre�Wal <br />HEIGHT Ahowi&bw <br />Surfare 11. <br />^� <br />2 / % <br />Qom• j ` , <br />C ►- �7 : / " ` <br />YO <br />SO Welded <br />Drrvr iIM, Yew_ No = <br />lb Fr <br />to to _ -- - it <br />Weep;kJ9__- Its.41 <br />llltii, tt��Ji <br />FORMAT -ION LI Ni <br />1 COLOR <br />HARD. SS O <br />FROM <br />I TU <br />In t: It <br />Weyht IpK.41. <br />—m t._Jt. <br />clay 6 gravel <br />CU -_� <br />clay 6 gravel <br />r_ el-cand <br />Imlay <br />- <br />blM* <br />FORMATION <br />0 <br />3 <br />— ---- -- <br />_ in to ___ -.-- ft Wrof _—_-- lb i <br />_In. to- It. <br />YM.K'R�N� V�Ir <br />open ho4 <br />Iron le to h <br />yello�► <br />3 <br />14 <br />15 <br />10 <br />15 <br />20 <br />I.Y� _� -PVC — -�_ --- �• - -- <br />Slnt,..ve • - - - - -- <br />SAL TTINGS. <br />SM Izt+ee7fZ 11 ...a104 h <br />brtow <br />blue <br />10 STA)bWATER I�,YEL �1�_ s� <br />below Oabm'r Dun %I a u,,sJ <br />4nd surlare <br />blue <br />C Y 3 <br />blue <br />20 <br />$S35 <br />11 ! 1'MPING LEYEL elarlma land +urlav) <br />11 .IIw - __, _.._._- hn. w pttlR -___ _ _. - - _. 91). <br />_ - _— 11 @her ___ hex pumpeM -.. -- - - a p n' <br />p <br />6S <br />12 HEAII WEU. COMPLF. PION <br />To Pill- ada)Kq manufacturer —..- <br />20 ba+mwnt r11.ef 7rU lent 12" obwe ground <br />1 <br />n, <br />LOCAL COPY <br />40 Pta.tK rasing prammin_ <br />t.i W ELL GRILAIM 7 <br />- <br />Olen 0No <br />— <br />10 Neat 1'tmrnt 20 Beneunue 30 - -_- <br />on <br />_ Gamat"'M -- _. Insm - -. Io--- It. cu. yde.—_. <br />-- — <br />1 t %t AREST .WIRCE3 OP POSSIBLE CONTA7AINATH7S <br />-.---. duectwan ." .ype <br />Well disinfected upon amtpkt P.I10 Yr+ 0 No <br />-- <br />15 01-MP <br />- <br />ible tnsul4d <br />Manulanurer'sname.._-- _ <br />Model numhre <br />_-_. <br />_ _ .. _ <br />_- <br />__ <br />I r•ry{Ih •i Or•)p ppr ...._ , - __ _. ___-h Cawley .. _ _ -Spin <br />Malrrul d drip pipe--- <br />____ <br />Type N 4ubnwrub4 JUL S. TurMnr to RnvAut tm <br />d01rt v7(entnfugal ei7_ <br />"-- <br />-' •" <br />--- <br />to, EXISTING WELLS --- <br />r7 <br />t'nused weR m ploprttY' G Yn O No <br />Aherd•awd ❑ Pormar.�t O Temyrary U Nut xealed <br />tA. WATER WFLLCONTRACTORSCERPffICATl0.•. <br />i <br />rl rS <br />L L <br />Thu wilt wax drilled under my )un.dx•wn and this •rpxt n tru to the beat of n.y <br />I <br />i, kitKr and orIsd <br />i <br />Stave" bi&U Cc 22194.— <br />IAVW w <br />w-. 444u imy 12 u, Map" Plata♦[_ _ _ _._..... <br />Aenat�ted Re)K r.enea.. <br />Mama at Did* - -- fate <br />1436256 <br />7t>r ]ill <br />HE 01.162 Res. Id Its! ? ?a 30A <br />