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� , Wel] Log Report - 00100240 Page 1 of l <br /> Minnesota Uni ue Well No. MINNESOTA DEPARTMENT OF HEALTH <br /> County Hennepin WELL AND BORING EntryDate oe�24�tsst <br /> 100240 �uad Excelsior Update Date 09/11/1991 <br /> �uad ID 105A RECORD Received Date <br /> Minnesota Statutes Cha ter 1031 <br /> Well Name ERIC SMITH Well Depth Depth Completed Date Well Completed <br /> Township Range Dir Section Subsections Elevation 942 ft. <br /> 7.5 minute <br /> 127 ft. 127 h. 0 5/1 711 9 7 6 <br /> 117 23 W 3 CDAADA Elevation Method topographic map Drilling Method -- <br /> (+l-5 feet) <br /> Well Address Drilling Fluid Weil H drofractured. ❑ Yes <br /> 445 BROWN RD S Y ° ❑ No <br /> ORONO MN From F�. to Ft <br /> Use Domestic <br /> Geological Material Color Hardness From To Casing Type Joint No Information Drive Shoe? �I Yes ❑ <br /> CLAY YELLOW 0 �� No AbovelBelow 0 ft. <br /> CIAY BLUE 17— 26 <br /> SWAMP SAND 26 30 Casing Diameter Weight Hole Diameter <br /> GUMMYCLAY BLUE 30 112 q �n.to 127 ft. Ibs./ft. <br /> CLAY 8 GRAVEL GRAY 112 116 <br /> DIRTY SAND R RY 116 127 <br /> 0 en Hole 6om ft. to ft. <br /> Screen YES Make JOHNSON Type stainless steel <br /> Diameter SIoUGauze Length Set Between <br /> � r ! 4 18 8 0 ft. and ft. <br /> ,r �' �. ' � , '!, � ��s—_.�,_.-,R_�.�..�. �,w�_a-�.�.. <br /> Static Water Level <br /> }`} �` � !� 112 ft. from Land surface Date Measured 05I1711976 <br /> �...,�� PUMPING LEVEL(below land suRace) <br /> ���� � i'� 0 ft after hrs. um ina 30 m. <br /> � � <br /> � �� ��:� <br /> v� � � <br /> � � Well Head Completion <br /> ��,a � Pitless adapter manu(acturer �dodet <br /> 1 <br /> L�Casing Protection � 12 in above grade <br /> C At-grade(Environmental Welis and Borings ONLY) <br /> N 0 R E M A R K S Grouting Infortnation Well Grouted? ❑ Yes ��� No <br /> Located by: Minnesota Geological Method: Digitized-scale L24,000 or larger <br /> Survey (Digitizing Table) <br /> Unique Number Input Date: O1I01/1990 Nearest Known Source ot Contamination <br /> Verification: Address verification <br /> teet _direction _type <br /> System: UTN-Nad83 Zone15. X: 454744 Y: 4979804 <br /> Meters Well disinfected upon comptetion? �. Yes ❑ No <br /> Pump �i Not Instalied Date Installed <br /> ��lanufacturers name DEMPSTER Model number DH 75___ HP 0.75 Volts 230 <br /> Len th ot dro Pi e_ft. Ca aci 25 m T e Submersible Material <br /> Abandoned Wells Does property have any not in use and not sealed well(s)? ❑ <br /> es ��I No <br /> Variance Was a variance granted from the MDH for this well? �_i� Yes �,f No <br /> Well Contractor Certification <br /> First Bedrock qquifer QuaL Buried Ar1es Aquifer $te_vens Well Co, 27194 <br /> Last Strat Sand-red Depth to Bedrock ft. License Business Name Lic Or Reg.No Name ot Driller <br /> County Well Index Online Report 100240 Printed 9/9/2009 <br /> HE-01205-07 <br /> httn•//mrih-a�ua.health �tate Trn.us/cwi/well ln¢.a�r,?welliri=l(1(1�4� qi4i�nn4 <br />