My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
well info
Orono
>
Property Files
>
Street Address
>
N
>
North Shore Drive
>
4064 North Shore Drive - 07-117-23-44-0085
>
Land Use
>
well info
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/22/2023 5:40:53 PM
Creation date
1/10/2018 8:59:45 AM
Metadata
Fields
Template:
x Address Old
House Number
4064
Street Name
North Shore
Street Type
Drive
Address
4064 North Shore Dr
Document Type
Land Use
PIN
0711723440085
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.
/
3
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 /> � co��ri Name WELL AND BORING RECORD + <br /> �i![i2 in Minnesota Statutes,Chapter 1037 �� ���� <br /> �� Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed <br /> t)ca� 12 i 23 07 �, ,, ,, " <br /> GPS DRIL I METHOD <br /> LOCATION: Latitude degrees minutes seconds . _ . <br /> Longitude degrees minutes seconds �Cable Tool r�Driven .�Dug � <br /> — ❑Auger �iotary _Jetted <br /> House Number,Street Name,City,and Zip Code of Well Location or Fire Number � <br /> �[} N f,'"�� �► � gQ� DRILLING FLUID WELL HYDROFRACTURED? n Yes . o <br /> J <br /> Show exact location of well in section grid with"X". _,�� Sketch map of we!I location. ���r FROM ft.TO � ft. <br /> � r� Showing property lines, — <br /> � N � !f 9 Noncommunity PWS �Manitorin � <br /> # roads and buildin s USE <br /> ., �/ g ❑Heating/Cooling <br /> �-- � � � � j�.Domestic ,Environ.Bore Hole ❑Industry/Commercial '� <br /> t ���"�'—""""—^-- f] Irrigation ❑Remedial <br /> �< ; I ; ; �( �]Dewatering !L� <br /> � .I Community PWS : <br /> � � -� � �� `-� CASING HOLE DIAM. �� <br /> '� w ; ; ; ; e�- � Drive Shoe? [j]Yes�o <br /> � ' ' ' ' I I�l'Steel ��Threaded � n Ided �` <br /> � --�----�--- --F-- <br /> � '/Mile �Plastic �� ❑ <br /> ; ; ; ; 1 � -- - <br /> : --------------�-- ---.-- <br /> CASING DIAMETER WEIGHT � <br /> � � S � � � <br /> ,�P � in.to 11� ft. Z*� Ibs./ft. �+ in.ro� ft. <br /> �--i M�ie� {'' � ��'�r Q <br /> - - � ""� in.to it. Ibs./ft. �in.�`✓� ft. <br /> PROPERTY OWNER'S NAME/COMPANY NAME in.to ft. Ibs./it. in.to ft. - <br /> � rfll S9 SCREEN OPEN HOLE <br /> s Property owner's mailing address if different than well location address indicated above. Make__�(y�'[j![AR__ FROM ft. TO ft. <br /> Type et�e{wt�rsae st� Diam. <br /> � � � SlotlGauze •�li� Length �___,� ���__ <br /> Set between ft.and it. FITTINGS <br /> STATIC WAT EL <br /> OU tt�' below �J above land surface Date measured TZ�"t�! <br /> PUMPING LEVEL(bel land surface) <br /> WELL OWNER'S NAME/COMPANY NAME �H �,^ <br /> " �I1 ft.after 2 hrs.pumping '�iV g.p.m. <br /> WELL HEAD COMPLETION 1 <br /> Well owner's mailing address if different than properry owners address indicated above. ��i�less adapter manufacturer � ;,)�'�3 T w ;,,t��+��v_r�Model_ <br /> ��Casing Protection `�12 in.above grade <br /> ❑At-grade(Environmental Wells and Boring ONLY) <br /> GROUTING INFORMATION <br /> Well grouted 't Yes ❑No <br /> Grout material �Neat cement [�Bentonite �:Concrete�High Solids Bentonite <br /> from�to�ft. �_ [j yds. I�.kSags <br /> from�to__��ft ���,��, 7^,bags <br /> GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO from ro R. J yds. ���.bags <br /> MATERIAL <br /> NEAREST KNOWN SOURCE OF CONTAMINATION <br /> O �� ��&Cx ��t O � _ feet '�� direction � type _ <br /> Well disin(ected upon completion Yes ❑No <br /> PUMP <br /> �� �� � �0 � �Not installed Date installed J � �-' ���/4 � <br /> w.�,�' r y�,�, ��,t y/� �� Manufacturer's name ��� l�%"� /' - " <br /> lisitiVR i. 1J 9iJ <br /> Model number HP � � Volts <br /> t � �,� 1�' Length ot drop pipe �% ft. Capacity g.p.m. <br /> Type: - Submersible ❑LS.Turbine ❑Reciprocating ,��,�.Jet '�J <br /> V� CO1O� �O� 1VL3 �g� AB DONED WELLS <br /> Does property have any not in use and not sealed well(s) ❑Yes No <br /> VARIANCE <br /> f Was a variance granted from the MDH for this well? jJ Yes ' o TN# <br /> � WELL CONTRACTOR CERTIFICATION � <br /> This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. <br /> The information contained in this report is true to the best of my knowledge. <br /> Use a second sheet,il needed <br /> - REMARKS,ELEVATION,SOURCE OF DATA,eta �, �'�, I� s IIIC• 27�� <br /> Licensee Business Name Lic. eg.No. <br /> / <br /> ..1 ^ <br /> �- �l- c:* <br /> or' e at e Sign ure � Date - <br /> �2C�[ MOOt@ �1�`�i <br /> 7 ���� � Name of Driller <br /> LOCAL COPY <br /> HE-01205-08(Rev.S/02) � <br /> ' IC 140-0020 <br />
The URL can be used to link to this page
Your browser does not support the video tag.