Laserfiche WebLink
PHIS CARD MUST BE RETURNED TO THE VILLAGE OF SHOREWOOD <br />WIL OWNER AND ADORESS WELL RECORD <br />1��5 Village of Shorewood <br />WELL LOCATION SECTION LOT 6LOCK 20630 Manor Road <br />Shorewood, Minnesota 55331 <br />DRILL[R'S SIGNATURE DATE PERMIT NUMBER <br />OCRl�LII COMPANY .►DORESS TELEPHONE <br />31t u � s (("e 6! ev M zyk' I��G � #1 %i - 1 1 S i <br />SIZE OF WELL INCHES <br />WELL DEPTH ? FEET <br />CASING DEPTH �2 - FEET <br />WATER LEVEL (/0 FEET <br />RAW DOWN__(- FEET ATGPM <br />CAPACITY GALLONS J7 `' r' PER/HR <br />DEPTH OF IMPERVIOUS FORMATION:2_ __ .____-FEET CASED WITH ! <br />��.// WELDED JOINT p <br />SCREEN FEET— �� INCHES BY__.! _INCHES SCREWED JOINT $-- <br />MAKE AND TYPE OF MATERIAL: `y ` CEMENT GROUT 0 <br />REMARKS: <br />KIND OF FORMATION <br />COLOR <br />STARTED <br />DEPTH <br />ENDED <br />DEPTH <br />THICKNESS <br />or <br />FORMAIIOH <br />REMARKS <br />J �;c: <br />rd101k <br />C) <br />z_ <br />lJ f <br />lily e <br />A., <br />z- <br />y <br />C <br />-1 <br />a, <br />`77 <br />A) <br />- <br />A) <br />/ <br />EXTERIOR SPACE AROUND CASING SEALED WITH: CEMENT GROUT PUDDLED CLAY ❑ OTHE'T <br />DISINFECTANT USED—_P <br />HOURS LEFT IN WELL <br />;OVER) <br />