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STATC(�MINNE50TA UYJ'ARTMCNT UY IICALTII <br /> WATER WELL RECORO w/NNESOTA UNIpUL W6LL NU. <br /> Coun�y N�mr /�r W�M Syfi <br /> Mi��as4 SLhb 136A.01�.0! <br /> Townahip Namr' o�vnship Number Ranyt NumCer $cccion Na Fraction �.WELL DEPTH(mmpleledl tt d an wn <br /> � a �4 '4 '4 <br /> W Il. <br /> U�urrr and U.ectan fran Rdd In�rrsertan or S�reN Address and City d Wdl laa��on S.DRILUNG METHOD <br /> 10 GWe�ool �O Revene 70 Drivm IU�Du� <br /> W ruc�locsiun i1 W�II in sectnn Qnd rich"X." Sknch maD y'dl �ion. 2C7 Hdlm.�rod 50 Air BO Bored I10 <br /> N <br /> � i Addi�ion Namr :10 Raary 60 Jelled 90 Po�vv'ruQer <br /> "�" T _a _L_ <br /> 6. DRILUNG iLUID <br /> i : � <br /> ._�_ _1_ _ � lock umbrr 7. USE <br /> w � E <br /> -1- -1- '�- -- T IODomestic �OMmitorin` 80Hu�Pump <br /> � I � � Ld Num6er 20IrriQstion SO PuWic 90lnduury <br /> �"". 37 Tnl Wdl 6O Municiql 1C0 Commercul <br /> -�- �- - -r- I 70AirCondilioninQ 110 <br /> 1 <br /> � i �� 8.CASING HOLE DIAM. <br /> HEIGHT:A6ow&Im.� <br /> 2. YROYE�WN� 10 B4ck �p Throded <br /> < / SuAaa It. <br /> s�� ��� 20 Galv. SO Welded p��r Shu? Yn_ N�_ <br /> �ee.R. 3 �R,�u� sa <br /> �� �?J�'L�,��/ �e.to n. wr�m �hc.�n. _;a �u_Jt. <br /> 7. FORMATION LOG COIOR HARDNE55 t ��M TO in.to 1�. Wtiaht IOa./It. _ia �o_J�. <br /> FORMATION <br /> in.to f�. WeiQht Iha./h. �n. ta_lt. <br /> 9.SCREEN O��open hok <br /> Irom (�.�a (t. <br /> Make <br /> TY� Di�. <br /> Sla/Gauu�� �^��� <br /> r ^ C/ _ � .. FfTTINGS�. <br /> $el helWKn Il.�I1d II. <br /> � ;� 10. STATIC M�ATER LEVEL <br /> It.O 6elo�r O a6ovr Due Mosured <br /> land suAace <br /> �/ I I.PUMPING IEVEL(heb�r brd sur(aal <br /> ',4,j"_ <br /> /l�✓v �• / � It.iller hn.pumpr� �.p.m. <br /> It.iller hrc.pumpnQ Q.p.m. <br /> 12. HEAD WELL COMPLETION <br /> � 10 Pi�kst sdaper.manu(atturv mada� <br /> . 20 Bacemm�dl�e� JO M kui IT"above arourd <br /> 10 Plastic psinQ praection <br /> C�� 13.WELLGROUTED� <br /> �� o� �� <br /> e,i cemmi zO&n�miu 70 <br /> Grout matetil Irom w It.cv.ydt <br /> —3�:- r, �, <br /> - � -� �'!�_ J <br /> � _ . __ .___�, <br /> '�i I !� I!.NEAREST SOURCfS OF POSSIBIE CONTAMINATION <br /> � ...� • feet dirtction tYD� <br /> Well di�inlectd upon mmp4tiont O Ya O No <br /> I5. PllMP <br /> Due inaulkd O Nd insultad <br /> Manu(acturer'�name <br /> Model numM HP Vdt� <br /> lenpth d droD PLY 1�. o{ucity I.p.m. <br /> Matni�l d drop ppt <br /> Type:10 Suhmerubk �L5.Turbine SO RedRoacinQ <br /> 201et 10 Centrifu;al 60 <br /> I6. EXISTING WEL1.5 <br /> Unu�ed We11 m property.' O Yn O No <br /> Uv a uro+J�M.�t.i/.rrded A6�ndaxd O Permanenl O Temporary O Na uakd <br /> I7. ftEMARKS.ELEVATION,SOURCE OF DATA,ecc. <br /> • I8. WATER WELL COHTRACTORS CERTffICATION <br /> This Wdl�va�dril4d uider my jundictim�nd this repat is true to the hnt d my <br /> kro�rledQt ud 6elid. � <br /> /�c��i�T E'" sP`o_� ` L .sc .�7✓'1 4. <br /> Lirtwut B�ui�ar Nnwr Lirnav No. <br /> ,,�.K. Y�r 3 0 ���d c..�-d �c+ r-r�-,E•.a, <br /> 5�snd /L �./`Z �Z�T+^r^ �-t . � :��..y- <br /> Authorired Repn+en4tive <br /> l�aa ,�'�'4�t �c r� � ��"-• `� <br /> r+.m��r o����. <br /> s��.aou <br /> WORK COPY ����� <br /> �,,.�., <br /> HEOI20S02(Rev.IW35) Ziu tpy <br />