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.+.,• �... �J! �r riot_.lV�n U�_IhV� ... -., .�r Irrytir.flf <br /> �V�IANSY � I�LCIlI�L <br /> l. LOCATION Of rEll ' M(�aEi plankN�QUE M�E�L'N0. <br /> County Nue <br /> henne in <br /> Trnmshlp MaN Tovmshlp Nwb�r q�ny� Nu�Der S�ctton No. Fractton !. YELI DEPTN (co�pt�t�d) D�t� s��l�d <br /> N E 4 ti oi y <br /> Orono 118 s' 23 �� 36 S4�i ��fE SE � � � r`. � �t� l� (� <br /> Nu�r1u1 Stn�t Addnss and City of M�i,loc�Non or Otst�nc� fro� paA 5. ILLlN6 METN00 (1f known) <br /> r ` Inters�cNon �.1 1�Gb1• tool IQ p�r�rs� 7[]ONwn 1�Duy <br /> 115 Chevy Chase Ilrive Way,�ata, NL�i. 55391 zp,�,,,,, ,�.,, ���� ��,n, 11� <br /> �Slaw�:ut ioc�tton o1 wl i ��ury ��ttN �]Por��Auq�r <br /> (in s�ctton yHd ritA •II•) Sk�tc� �p of wll locatto� 6. 08STRUCTIONS <br /> � � Yell obstructed�Yts � No <br /> - ► _ _ . ._ .. Obitructtous n�swO�Y�s [�No If obstructtons unnot b� <br /> ' � ' � n�ov�d, cont�ct !nN <br /> M - - - � ' -I- - E /, "'7� <br /> � . " ' • FV �/IQS� �!/� tur s•�itnq. <br /> _ . _ , , T �. �:E <br /> , ti.�. �Do�stte �IbnlLorlM �Nac Loop <br /> ' ' ' � _ I � • ��11 2[]Ir►1gatlo� S�pu011t �Iedustry <br /> ••'- - --�.. _.� - -.. <br /> ' s ' 1 ap r.:c wii ��w�c�w� icp co�.K�.� <br /> �—1 .iL---r ][]Ai�CoMittaetny 11(] <br /> 2. PNOFERTY O�NER'S NAME Ma111ng Addnss 1f d1fl�nnt than 8. CA;IN6(S) <br /> prop�rty �ddnss 1ndlc�t�d •Dov� �Sl�ck �Thn�d�d JQ . <br /> llonald McConnon SAME �p c.�.. ep w�aa <br /> �]Plastic 6�St�tatess Sie�l <br /> HAROMESS OF � 176 <br /> 3. FORMIITION lOG COLOR FOfUMTION FRq1 TO ��• � ft. <br /> If not knorn, tndiut� forw�tlon loq fro� nw wil o� n��rDy wii. in. to ft. <br /> Drift G 180 9• S«� <br /> �s�...�w ,wi� r,n.176 rt. �,180 rc. <br /> —� (It knorm) <br /> ❑Op�n Moi• fro�_ft. W_ ft. <br /> 10. STATlC MATLR LEYE <br /> �ft. b�lor �abow <br /> l�nd u act D�q lY�sund � � � �0 <br /> 11. YELLHEAO CqiLETION <br /> 1�Pitl�ss Adapt�r �FowW Suri�d <br /> 2[]B�s�t ofls�t 'Q <br /> �Mtll Pit <br /> 16. NEMARKS, ELEVATION, SOURCE OF WITA - CASIN65 RElIOYED, CASIN65 PERFOMTED, ETC. <br /> 12.,,�RQUTIN6 INFORlMTION ' <br /> �� � 7�tNat C�nt 20 ltntonit� � <br /> Grout 3 Wel l Approx. 180 Deep 6rout ..u�t.i rro.(`Gbco c� rc. c�. ya: <br /> 7 Bags Cement <br /> 10 Ba�s Bentonite — — <br /> 2 Nen, Labor, Rig and Cement Grout P�np 1�. NEAREST SOURCES OF CONTAMINATIOM <br /> _ fNt dtr�Ctton �yp� <br /> • W11 dislnf�ct�d p�fon s�alinq7 �Y�s <br /> 11. PUNP @'Ra�pv�d �Npt Vrts�nt <br /> 7^ <br /> � � TYp�:�SuE�ntpi� �1.5. Tur01n� �R�ciprouttny <br /> YP <br /> ��f'1� '�.�. <br /> � f,�� �JK �Gntrifugal � <br /> ,� <br /> ' 15. EXISTIN6 MELLS (►l��s� sbtcA ixatta�s of aDandon�d •nd <br /> �Ct1r� rtllf 1n rwrks 1on or on b�ck.) <br /> � �f�'x�Y� Ot��r unus�d iwli(�) os prop�rtyT �r��Np <br /> ='., �wnao��a: p v�r..mmnc �Twporary � st�l�d <br /> ' Q Z 17. MATER YEIL COMTRACTORS CERTIFICATION <br /> \�� Th1s wll ws s�al�d und�r�y �uHsdiction and tMs r�port <br /> is trw W tM b�st of ry knoMl�dqe anA D�Ittf. <br /> DON STODOI� WELL DRILLING CO. , INC. <br /> � Ltc�ns�� luitn�:s N� �lcens� No.27172 <br /> Addr�ss . 7 Minne nka NII�T. 5 45 <br /> SlqnidTi� D�t� - - <br /> Mark St o a au - - <br /> FFICtAL ABANOpMED YELL RECORO (May b� used for Vrop�rty Tnnsfer) Na� of Dr111�r <br /> I1�dQSa/?t llLt MZTS DEdD <br />