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• STATE OF MINMESOTA DEPARTMENT OF NEALTH <br /> � � � ABANDONED NELL RECORD <br /> 1. IOCATION Of MELL M(��E� blankNfaeoE known)N�• <br /> co��cy n.�. Henne in <br /> Tounshtp M�rr TownsMp Nwb�r R�ny� NwD�� S�ctton No. Frattlon �. WELI DEPTM (ewpl�t�d) Datt sul�d <br /> N E 4 # oi M <br /> Orono 117 5'' 2 3 w' 17 s�„�.s w N 13 � rc. � I ,..+ 1 c� � <br /> I <br /> Nuu�Nc�l Stnet Addnss and City of W�11 Lotttlon or Dtstant• frw� Ro�d 5. OIi1LLIN6 METNOD (tf known) <br /> Intersectton 1(]Cabl� tool 40 Revtrs� 7[]Dr1v�n 1�]Duy <br /> 3525 Lyric Avenue Wayzata, Mn. 55391 Zp�wi,o„ a,e ,�„�,. �gpred i�p <br /> �Roiary 60 Jttt�d �PovKr Augtr <br /> Show exact tocttlon of well 7� <br /> (1n s�ction yrid ritA '1`) Skttth wp of wil lotatton 6. OBSTRUCTIONS <br /> N IM11 obstruct�d Q Y s No <br /> _ � . _ ._ �_. � �'1 C- �V E ' oestructions n�ored Y�s ❑No It oDstructtons cannot De <br /> � � � re�ov�d. contut MOM <br /> � �1 <br /> � � � '�' �. _ C l �! 4 � uJf.'�� <br /> y _ . _. 19 7 tor su�inq. <br /> c <br /> , . � • 7. � <br /> ;. - • •- " I I a.'' �C�f 1 Do�estte �Monitortnq �N��t Loop <br /> ', y,:. <br /> ' � I 2[�Irrigatton 50 Pub11c �Industry <br /> ._�. . __�.. _.�.. ...- I <br /> ' S ' . 1 30 T�st Wll 60 Munitlpal 1[Q Cowirrciat <br /> �--1 .iL---� 7[]A1r Co�dittoninq 11(] <br /> 2. PfIOVERTY OMNER'S NAME Ma111ng Address if dlfferent than r� 8, S N6(5) <br /> property �ddr�ss indtc�ted abow �Black �Thn�dtd 70 <br /> T� 7'� <br /> Tim Logeais SANIE ���"• �]wi°'a <br /> 3[]vi,:cto �p sa���.:: sc�.t � <br /> HARDNESS OF � �p, �p �3 2 ft. <br /> 3. FORXIITION L06 COLOR FOtiM11TI0N FROM TO <br /> If not known, indtcate fonaatlon 1og fro� n�wr wll or n�arby wll. tn. to ft. <br /> Drift 0 136' 9. scRE�n 13 136 <br /> �StnenW wl l fro�_�, W_ ft. <br /> • (ff known) <br /> �Open Hole fra�_it, to_ ft. <br /> 10. STAiI�j WITEN LEYEL� " <br /> "l� ft.Y��{�Mlor �a0ow (� <br /> land suHac� Data Measund `� �� <br /> 11.�HEAD COIIPLETION <br /> , 1 Pitl�is Ad�pt�r �Found Buritd <br /> 2(]B�se�nt ofts�t '� <br /> 3(]W11 P1t <br /> 16. REMIIRKS, EIEVATION, SOURCE OF DATA - LASIN6S REMOVEO. CASINGS PERFORATEO. ETC. <br /> 12. GR UTIN6 INfORINTION <br /> Grout 4" Well 136' Deep ""` �"'"` �BinLon/i '� <br /> 12 BagS Ce171erit 6rout .�urial fro��3�to� ft. tu, yds <br /> 14 Lbs. Bentonite — — <br /> 2 N?en, I,r-�bor, Rig and Ceir�nt Grout Pump 17. NEAREST SOURCES OF CONTAM(NATION <br /> � fe�t dtnction ;ypQ <br /> IM11 disinf�etad p�ton sNllnyi [�r�t <br /> 1�. VUlli �RdovW Not Pnunt <br /> Typ�: 1[I SuO�rstblt x]L.S. Turbin� �R�clprocating <br /> 2Q J�t �C�ntNfuyal 6� <br /> 15. EXISTIN6 MELLS (it��s� slutch locatlons of abandoned �nd <br /> �tt1v� vNlls 1n nYrks i�c o or on Wck.) <br /> OtMr unu�d�11(s) on proptrtyt �T�s No � <br /> ` ADandon�d: �P�r�n�nt �T�a{wrary �N t s ted <br /> !� <br /> 11. WTER MELL CONTRlICT00.S CERTIFIGlT1pN <br /> This w�ll ws t�alW under q �uNsdtetton �nd thls nport ' , <br /> 1s tru� W tA� b�st of 4y knorl�dqe and beltef. <br /> ��N � � DON STODOLA WELL DRILLING CO., INC. <br /> ���;.�'�. <br /> , Lteense� 6uiin�ss MaM lic�ns� No.2 7�7 2 <br /> '•� Addnss nne o a, . 345 <br /> � <br /> Sign� �: �+ ; Oatt — — <br /> Mar . — — <br /> au <br /> FFICIAI ABANppNED YEII RECOftO (!4y b� us�d for Proptrty Tr�nsf�r) N�r of Drtll�� <br /> LrpQtT111R't PIId NZTS ARiD <br />