My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
well info
Orono
>
Property Files
>
Street Address
>
D
>
Deer Run Trail
>
2995 Deer Run Trail - 04-117-23-23-0033
>
Land Use
>
well info
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/22/2023 5:10:39 PM
Creation date
6/20/2016 11:26:31 AM
Metadata
Fields
Template:
x Address Old
House Number
2995
Street Name
Deer Run
Street Type
Trail
Address
2995 Deer Run Tr
Document Type
Land Use
PIN
0411723230033
Supplemental fields
ProcessedPID
Updated
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
� � <br /> WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. <br /> CountyName ��,�ne�,�ri WELL AND BORING RECORD 5 ��; �j �j l <br /> Minnesota Statutes Chapter 103/ <br /> Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) � Date Work Completed <br /> fl. <br /> ���';'�r�;� I 1 "t �;:.. 1.�� � �;_'; o �r' �_c — <br /> ��, �, �. - <br /> House Number,Street Name,City,and Zip Code o1f Well Location or Fire Number DRILLING METHOD <br /> �:��":; DE?f�Y' �Zl,ij'! �j"r41.11 (,I�L��I��r �1 2. `_.�. :rif> ❑ CableTool ❑ Driven ❑ Dug <br /> ❑ Auger C�SRotary O Jetted <br /> Show exact location of well in section grid wit "X;',�� �J yJ Sketch map of well location. ❑ <br /> c Showing property lines, <br /> �'Toads and buildings. DRILLING FLUID WELL HYDROFRACTURED? ❑YES ❑NO <br /> N <br /> ���� BEJ'li.�.��Il� : .. FAOM n.to h. <br /> -�- -�- -�_ -�- x �' USE ❑ Monitoring ❑ Heating/Cooling <br /> i i i � C]xDomestic ❑ Communit PWS <br /> _i_ _�_ _�_ _i_ ❑ Irrigation y ❑ Industry/Commercial <br /> i i i i ❑ Noncommunity PWS ❑ Remedial <br /> W I i I 1 E� ❑ Test Well ❑ Dewatering ❑ <br /> i i i r ,/ZMie CASING Drive Shoe? ❑ Yes o HOLE DIAM. <br /> _i i � _�_ � ❑ Steel ❑ Threaded ❑ Welded <br /> i - i- -i - i <br /> C37'Plastic ❑ <br /> s <br /> �-1 Mile� <br /> CASING DIAMETER WEIGHT <br /> i <br /> PROPERTY OWNER'S NAME � in.to � � ft. � '� Ibs./ft. �� in.io `6ft. <br /> �f,._-'t�-'I_ [-iT'.:�2i��.:"r`, �7.:tiit�3c1T���' in.to n. �bs./n. ��irf:�to�—�'�ft. ' <br /> Property owner's mailing address if different than well location address indicated above. in.to ft. Ibs./ft. in.to ft. <br /> SCREEN -r.1,.........�. OPEN HOLE <br /> �:.TI7TS�u\ST�- <br /> Make from ft.to ft. <br /> Type -��'t�'.' {.�. �'tC..''LZ Diam. ` <br /> SIoUGauze • } } �p�" �Length <br /> Set between � /7 � ft.and��ft. FITTINGS !.n � 5O� S+.'; � <br /> STATIC WATER LEVEL <br /> t�' t �t_.'. <br /> WELL OWNER'S NAME `_1 ft.2� below ❑ above land surface Date measured _;{i—� <br /> PUMPING LEVEL(below la�d surface) <br /> Well owner's mailing address if different than property owner's address indicated above. � i.i F ft. after ! . �� hrs.pumping c'.^ c i 1 1"�g.p.m. <br /> v�tFLL HEAD COMPLETION <br /> �x G�1�2�.�4i'�i'i:E:Z <br /> Li Pitless adapter manufacturer 'Model <br /> ❑ Casing Protection �12 in.above grade <br /> ❑ At-grade(Environmental Wells and Borings ONLY) <br /> GROUTING INFORMATION <br /> Well grouted? C��Yes ❑ No <br /> GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement ❑ eentonite O Concrete ❑ddigh Solids Bentonite <br /> MATERIAL � from to ft. ❑ yds. ❑ bags <br /> ��C>�3 5C�]..� �i�'r:C fC `; �. ' � � irom to_ ft. ❑ yds. ❑ bags <br /> ~ from to ft. ❑ yds. ❑ bags <br /> '� r ^ i �NEAR �0 lSOURCE OF Cpp�,MINATION <br /> ti y<'i� bZ'Ob;F'i .� _, �_ `�.,, �. -rcf � <br /> feet '---�G�✓/ )� direction'J� �� type <br /> Well disinfected upon completion? ❑ Yes ❑ No <br /> c�, y Gr��y �: . _ t �: i <br /> PUMP <br /> .�'ii4(: �z2 : VFT'1. l:(-�Z(:�' -�'tt �i i'- <br /> � t �c- o❑ Not installed Date installed ��`��' <br /> Manufacturer's name ��'f.! a��aC�CE.`� <br /> i.t<1�� G7.��„'ti" �.; };: E j t��!. �odel number HP �� Volts ?'��� <br /> Length of drop pipe �� ft. Capacity 1�`� g.p.m. <br /> ;�t3,TlC�. � i.],T�r?j r9ZQy .��i �!.'!.! + � �J� tType: �T'6ubmersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet ❑ <br /> 3 ABANDONED WELLS <br /> :'�.�:il(� �C 1 t.�(�1 F.!`1I i �'i � :r i F ��S`' tDoes property have any not in use and not sealed well(s)? ❑ Yes �o <br /> VARIANCE <br /> Was a variance granted from the MDH for this well? ❑ Yes �TJo <br /> WELL CONTRACTOR CERTIFICATION <br /> Use a second sheet,il needed This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. <br /> REMARKS,ELEVATION,SOURCE OF DATA,etc. „ '� The information contained in this report is true to the best of my knowledge. <br /> �2`-,Ft �.J�i�: :;�."tf'����rL`. L"v3Z"�.il� ��'1�.L1.ZlvV L.ls. � IjVC. <br /> � �9�v Licensee Business ame Lic.or Reg.No. �� ~� <br /> `�.iL� � -'� ",�� ; . _:-9� <br /> . �.,�- <br /> fi-�%�i%�'�� Authorized Representative Signature Date <br /> ..,} � <br /> �%�° C�tti�i"1ri I�Sr7c,Y� '� (.;... i_`i'i <br /> Name ol Driller Date <br /> LOCAL ��r Y 5 9 6 d � � HE-01205-06(Rev.9/96) <br /> , <br />
The URL can be used to link to this page
Your browser does not support the video tag.