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Home My WebLink Aboutwell info._--�. _ . _ �. -�. .:y.�. . .. � MINNESOTA UNIQUE WELL WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BOR/NG NO. CountyName WELL AND BORING RECORD �] r� (�} Minnesota Statutes,Chapter 1037 t �V� �✓ � Township Na Township No. Range No. Section No. Fraction WELUBORWG DEPTH(completed) DATE WORK COMPLETED ��8 4.7 �! % Y<': � � n �an GP DRILLING METHOD LOCATION� Latitude degrees minutes seconds Longitude degrees minutes seconds ' i Cable Tool ❑Driven -,��.Dug L)Auger [�iotary .��.Jetled House Number,Street Name,City,and Zip Code of Well Location or Fire Number �, '+�+'�� 55356 DRILLING FLUID -�: ��WELL HYDROFRACTURED? U Yes � o Show exact location ot well/boring in section gri with"X° Sketch map of well/boring location. ��l� Rom,_ ft.To ft. Showing property lines, N ` ��-�� ro s,buildings,and direction. USE ��a� ` L�7+uomestic [�Monitoring ❑Heating/Cooling �. __L____1_____�__ __[__ , ❑Noncommunity PWS ❑Environ.Bore Hole ❑Industry/Commercial ❑Community PWS '�'�Irrigation 'i�Remedial � --+—--;-- ---`-- ---`-- � �Elevator ❑Dewatering [ � � . W , , � E � _— CASWG MATERIAL Drive Shoe? Ye � HOLE DIAM � � �rh [—� s [�IdVa T y� Steel I Threaded ]Welded � � � � � Mile ,_� .. , ; , , i �lastic . , --,--- ---�--- ---�----%- 1 — 1 I ' -' .�.,�,,,.,,.. CASING g � Diam er Wei ht Specifications �i Mae� � in.to 192 ft. �� Ibs./ft. �� in.lo � ft. PROPERTY OWNER'S NAME/COMPANY NAME in.to ft. ____IbsJft. �in.t� ft. ��('g�'�� in.to ft. Ibs./ft. in.to ft. �tw SCREEN OPEN HOLE Property owner's mailing address if different than well location address indicated above. � Make ��:'�� From ft. To tt. Type�� "�"� Diam. t SIoUGauze__ � � Length r�i '�' �i� Set between�_ft.and__ ��ft. FITTINGS_ �� STATIC WPT�R LEVEL I4 Measured from�� V ft.j�elow ��Above land surface Date measured WELL OWNER'S NAME/COMPANY NAME PUMPIN�L€VEL(below land surface) �+ � ft.after � hrs.pumping �� g.p.m. Well/boring owner's mailing address if different than property owner's address indicated above. WELLHEAD COMPLETION {� .{. �itless/adapter manufacturer l.�t_5��..s��^-Model 'Casing Protection ��in.above grade ��,At-grade(Environmental Well and Boring ONLY) . GROUTING WFORMAT��I/ON Well grouted ,ares ❑No Grout materials �Neat cement ',�entonite ❑Concrete ❑Other � ��' - From�To__�R. � �Yds. [�ags GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO From_�To�Q7 R. ��_�x�. �-��,Bags � MATERIAL From To fL ❑Yds. �_J Bags NEAREST KNOWN SOURCE OF CONTAMINATION 1h .. .� ..._. , ' . �`�___. -_. . .� � �� V � �i�ti.:� feet �� direction - _."-i\'i_._�.,_ tyPe Well disinfected upon completion? ;�es ❑No ' -C�.:_.�..._.. .. . . .�iC �l6 � � PUMP ; . .. _.._.__ .. . '�� ( �Not installed Date insialled �` 1 i! •J"�.�J ��e _ � _. y� g � , .��...-_.._..__, b��_ . .�1� ��9 Manufacturer's name l../�-�✓r'�"'��""" + : . , . . . .._.. t ��/olts � __.,. , _ .._.., . �-� � Model Number HP �� -�� . �...._._......... _...._...._...___.._.,_........_.. ., - } t1'"7 : - � - . . . Length of drop pipe ! 7 l ft. Capacity g.p.m. �' � --- � �- -��-- � � Type: ubmersible '��`.LS.Turbine [;Reciprocating [�Jet �� _; . ----._.. _.._._�..._.�......._.... ..__-..,, . ABAN ONEDWELLS - -� �� Does property have any not in use and not sealed well(s)? ' ��Yes ,�lo . __� ...w_..._,...,._.._.._.,..._ . . ........... ._ — .. .. ..,,, _ VARIANCE � Was a variance graMed from the MDH for this well? �__j Yes �o TN# � . WELL CONTRACTOR CERTIFICATION . � � This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. � � � � The information contained in this report is true to the best of my knowledge. ; -� -�-•--..�__...____.__�___._� Us�g,a second sheet,if needed. ,.. REMARKS,ELEVATION,SOURCE OF DATA,etc. � J� gt�� eZ1 n�32iin� cc,,, i�• ;�I Licensee Business Name Lic.or Reg.No. '! � ��33 -- � C �tiv i natur_ Certified Rep.No. Date �y 760609 � �°� LOCAL COPY --- Name ot Driller IC 140-0020 He-oi2os-ii(aev.aio�) rw� c�-y w�� c � � � r�. 617 13th Ave So � Hopkins, Minnesota 55343 � (612) 935 - 3556 , 02/18/2008 Stodola Well Drilling 3841 North Main St. Bonifacius MN 55375 938-21 1 1 REPORT OF WATER ANALYSIS Lab #: 47BN Our Laboratory reports rhese analyrical resulrs, determined on a sample taken by CLIENT on 02/14/2008 from the following locaiion: Steve johnston 2335 Shadowood Dr. Orono,Mn Well 760609 Coliform Bacteria Absent Nitrares Nitrogen <1.0 mg/I The results of these iests indicate that this well is producing water that meets t-he standards for F.H.A., V.A., or convenrional loans. This report is an analysis for coliform and nirrate only and does nor include analysis of Lead and other coniaminants. (Unless as specified by client). Twin,�i�ater Clinic, �Inc. :: '' � B.,r`11 Va�i �sdale J; Lab Certification#027-053-119 WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring I„I ��O�� County Nam$ WELL AND BORING SEALING RECORD Mennle90 a�Unique Well No. � Minnesota Statutes,Chapter 1031 or W-series No. � in «aa�a e�e�k�,�o,k�ow�, Township Name Township No. Range No. Section No. Fraction(sm.�Ig.) Date Sealed Date Well or Boring Constructed drono 326 23 27 32�-O�bl�' 2,.1 �� r Q� Q/� , GPS Latitude degrees minutes seconds Depth Before Sealing �Q V ft. Original Depth ft. LOCATION: Longitude degrees minutes seconds � A IFER(S) STATIC WATER LEVEL Numerical Street Address or Fire Number and Ciry of Well or Boring Location ingle Aquifer ❑Multiaquifer �/.,� /�,f� - 2335 Si�+do�od Dr, �� 5535b ,�[ UBORING �Measured ❑Estimated Date Measured S /�'_ '� r� L�JVJater-Supply Well ❑Monit.Well � _ Show exact location of well or boring Sketch map of well or boring �ZC} in section grid with"X:' location,showing property �i Env.Bore Hole ❑Other _ tt. �below ❑above land surface N - �F� lines,roads,pndtbpikli�s. CASINGTYPE(S) �x�c.�_�trSSCh� !J --'-----'--- ---`-- --'-- � `�Ip [�teel �Plastic ❑Tile ❑Other �* I I I I �� ,- I I I I i ^ ' •, --'--- --'--- ---`-- ---�-- • �� WELLHEAD COMPLETION �- ��. W � � � � E� M . �;� __;___ __,___ __;__ __;__ Outside: ❑Well House �At Grade Inside: []Basement Offset ��-' :� , , , , 'h M�ie itless A p r/Und ❑Buried ❑Well Pit .. , , , , � ❑P� da te � ' --�--- –�----�-----�- .. I]Buried S []Well Pil ❑Other �i M�ie� ❑Other _ PROPERTY OW ER'S NAME/COMPANY NAME CASING(S) St��ICathleen J�t�s�ston Dia ef�r t Depth � Set in oversize hole? Annular space initially grouted? Properry owner's mailing address if different than well location address indicated above �� /� to��_ft. Yes No YeS No m.from ❑ � ❑ ❑ ❑Unknown a in.from to ft ❑Yes ❑Na ❑Yes ❑No ❑Unknown 2 Q� 2 in.from to ft. ❑Yes ❑No []Yes ❑No ❑Unknown WELL OWNER'S NAME/COMPANY NAME SCREEWOPEN HOLE / 1 � Well owner's mailing address it different than property owner's address indicated above SCreen from�Yi�to�ft. Open Hole from to ft. OBSTRUCTIONS ❑Rods/Drop Pipe [�Check Valve(s) ❑Debris ❑Fill �No Obstruction Type of Obstructions(Describe) GEOLOGICAL MATERIAL COLOR HARDNESS OR FROM TO ObsV�ctions removed? ❑Yes ❑No Describe - FORMATION PUMP If not known,indicate estimated formation log from nearby well or boring. f�j Type drfft � �'"" �Removed �j Not Present ❑Other � � � i METHOD USEDTO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: No Annular Space Exists ❑Annular Space Grouted with Tremie Pipe ❑Casing Perforation/Removal _. in.from to ft. ❑Perforated L�Removed - in.from to R ❑Perforated L;Removed Type of Perforator ❑Other GROUTING MATERIAL(S) (One bag of cement=94 Ibs.,one bag of bentonite=50 Ibs.) �.^ � � „" Grouting Material/�+�/-�/ ��1�%/–�iU/from� tq��.� ft.___ yards� bags � from to ft. yards bags from to ft. yards bags - � OTHER WELLS AND BOR�NGS REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING Other unsealed and unused well or boring on property? [J Yes No How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725.The information contained in this report ,t is true to the best of my knowledge. Do� Stodola We21 Dcilling Co,. I�. 1692 Licensee Business Name License or Registration No. �, �� ' 2�2/—lJ0 ,�� ertified e resentative Sigv�tu�e Certified Rep.No. Date LOC,4L CGPY H /N�Z�� ------U�I AIjLO� �L.V Name of Person Sealing Well or Boring HE-01434-10 ICn 140-0423 sio�a� . WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring I„' ��O C WELL AND BORING SEALING RECORD Sealing No p County Name Minnesota Unique Well No. Minnesota Statutes, Chapter 1031 o�rgW-seneskNo. } _� ��r _ Township Na Township No. Range No. Section No. Fraction(sm.�Ig.) Date Sealed Date Well or Boring Constructed Oro�o 118 23 27 3a�-0(�319'� 21 F=r� �`.� f/- �.�' `�'� �` , GPS Latitude degrees minutes seconds Depth Before Sealing �L�J ft. Original Depth �-�J`�J ft. IOCATION: Longitude degrees minutes seconds pUIFER(S) STATIC WATER LEVEL Numerical Street Address or Fire Number and Ciry of Well or Boring Location Single Aquifer [j Multiaquifer /� ! ` 2335 St�dowovd Dr, tic�ono 55356 WELUBORING �Measured [�Estimated Date Measured.�✓�l� �J�l� 4 �Water-Supply Well ❑MoniL Well Show exact location of well or boring Sketch map of well or boring r Env.Bore Hole in section grid with"X" �� location,showing pro�perty �-� L.i Other �� ft. �below f]above land surtace N , ' ines,roads,andbulldTas. , :y'-_•�. ,y,"s-.?�•3 d y • CASING TVPE(S) �� --'-- - �--- ---`-- ---'-- � 6 ��o �Steel �,Plastic ❑Tile ❑Other . > �. � � � , �� i .``: � --'-----'--- ---��-- ---;`` � .�� WELLHEAD COMPLETION �� W ; ; ; ; ET __;___ __;___;____r_ Outside: ❑Well House ❑At Grade Inside: []Basement Offset ` ' , , , , '/M'ie � �Pitless Adapter/Unit ❑Buried [�Well Pit '� --�-----�----�- I ❑Buried ,�: , , S , , 1 I]Well Pit �- -� ❑Other I_]Other_ _ 1 Mile PR ERTY O R'S�}�1 E/COMP Y NAME CASING(S) ." ��t'j�� Diam tef� �1 � Depth , Set in oversize hole? Annular space initially grouted? Property owner's mailing address if different ihan well location address indicated above in.from to ' Q' ft. �� -/ � ❑Yes �No [�Yes ❑No ❑Unknown in.from to ft. �]Yes ❑No ❑Yes ❑No ❑Unknown - ' � `7 in.from to ft. ❑Yes ❑No j�Yes ❑No �]Unknown c�� WELL OWNER'S NAME/COMPANY NAME SCREEWOPEN HOLE � � ry/'�/� / Well owner's mailing address if different than property owner's address indicated above SCreen from� j� to G��^CJ ft. Open Hole from to ft. OBSTRUCTIONS �Rods/Drop Pipe ❑Check Valve(s) ❑Debris ❑Fill ❑No Obstruction ,� Type of Obstructions(Describe) �/l//l/�_f_��T/'"r" } �� ; GEOLOGICAL MATERIAL COLOR HARDNESS OR FROM TO Obstructions removed? Yes ❑No Describe � PORMA710N If not known,indicate estimated formation log from nearby well or boring. PUMP Type �L�G 1��n r� j - `''� [�Removed ❑Not Present ❑Other !� METHOD USEDTO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: '� � 1�10 Annular Space Exists i.�Annular Space Grouted with Tremie Pipe []Casing PerforatioNRemoval �� _ in.from to R (�Perforated [_�Removed ? in.from to_ ft. ��Perforated ❑Removed Type of Perforator _ ❑Other GROUTING MATERIAL(S) (One bag of cement=94 Ibs.,one bag of bentonite=50 Ibs.) ♦ � ^ / ' Grouting Material /VL!-�l �,'J�,L��l�om� to�[;,�� ft. yards�(�y bags from to ft. yards bags E _ from to ft. yards bags OTHER WELLS AND BORINGS REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING Other unsealed and unused well or boring on property? ❑Yes o How many? _ LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725.The information contained in this report is true to the best of my knowledge. Don Stalola Well__Ik�i.11ing Co�. I�. 1691 j' Licensee Business am "��- License or Registration No. �, „ > ',—J' ;� � �,� ; ili resentative Signature. Certified Rep.No. Date � f�.... ;��,�ai_COPY H 2 S V�O� l+�'��`v Name of Person Sealing Well or Boring z HE-01434-10 IC#140-0423 ' 5/o7a �� WELL LOCA fiiyN MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. ' Count�Name };. ^, ; WELL AND BORING RECORD � � g � � � t.�:� :�:;:_. ,; Minnesota Statutes Chapter 103/ Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed ,.._ , , n , +. 1 . � ._ . ' . _ _ � � . . i. v. v. • ` House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD � _ . _ _ ,`.�� .. .. _,.,--� •. _. �..�7 .....�: � .,. . _ . „ ';t j ❑ Cable Tool ❑ Driven ❑ Dug ❑ Auger ❑ Rotary ❑ Jetted Show exact location of well in section grid with"X". Sketch map of well location. ❑ _ Showing property lines, ; roads and buildings. DRILLING FLUID N } i _i i i i_ � �_ -�- -�- -� ' f; -�` ' USE ❑ Monitorin i i i � .C7 Domestic 9 ❑ Heating/Cooling _i_ _�_ _�_ _i_ ❑ Irrigation � Community PWS ❑ Industry/Commercial i i i i �, ❑ Noncommuniry PWS ❑ Remedial w I ' E T . ❑ Test Well ❑ Dewatering ❑ i i i _r +�ZIM1e � CASING Drive Shoe? O.>Yes ❑ No HOLE DIAM. ��. i_ _�_ L_ i_ � ��---"- -�-� �fJ Steel ❑ Threaded ❑ Welded ' -� � -� _� '�� ❑ Plastic � s � { �1Mile� I . t , .. .� j ;. .. ''�� i�'`' �� CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME �• � ":r � ' ` - :f. . . . i'i_-. ..=� E. .. _,. �4��1:w. . t_� in.to ft. Ibs./ft. in'to �ft. in.to ft. Ibs./tt. in.to ft. Property owner's mailing address if different than well location address indicated above. in.to ft. Ibs./tt. in.to_R. . ,! � , r t �;' t �� . SCREEN OPEN HOLE ...,:�..:c. . ' �, -� � _ .. .. .. . Make k � i.` ��a. from ft.to ft. - TYPe i 1 F`:1 E.'.`- i - .� Diam. SIoUGauze l ,% � ` length +; Set between '�,�.;`- ft.and_�_•,�3t. FITTINGS: r �� 3: +"'/�;� e STATIC WATER LEVEL ' WELL OWNER'S NAME i } ' ft. G3.below ❑above�and surtace Date measured i ' - - - �'-' PUMPING LEVEL(below land surface) �� Well owner s mailing address if different than property owner's address indicated above. R. after hrs.pumping � ��' ��g.p.m. WELL HEAD COMPLETION ❑.F>itless adapter manufacturer -'� � "�`� �" �� Model a ❑ Casing Protection �J 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) t GROUTING INFORMATION Well grouted? �❑ Yes ❑ No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement ❑ Bentonite_.O Concrete Q;High Solids Bentonite MATERIAL from ro ' `it. ❑ yds.� bags j 1 r�,t , x from to ft. ❑ yds. ❑ bags - � from to tt. ❑ yds. ❑ bags NEAREST KNOWN SOURCE OF CONTAMINATION ... ,_�; . ,"i'- - f� , � �.:r � feet '�. direction !' v'� M,h'Pe Well disinfected upon completion? Q�.Yes ❑ No 1.� . . � .,. 7�w:. .`7 l ..:f' 1_.�. PUMP I � � ^ . r . ' O Not installed Date i�4all�d - , -.., - .,.: ., i-; � Y�++ � � -�� ` ,;-,�;. ' Manufacturefs name . _ . � _'i'�; / f::_..... . ..-.'.S_ ' �:`.;i i�: � __ . . .. � . :'. ._ .. ; t;.�._ Model number t � u ' HP � Volts ' ` Length of drop pipe �� ft. Capacity �- g.p.m. Pressure Tank Capaciry _L'l_ ! �' Type: O.Submersible O LS.Turbine ❑ Reciprocating ❑ Jet ❑ ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes L`I�1�0 VARIANCE Was a variance granted from the MDH for this well? ❑ Yes [],No WELL CONTRACTOR CERTIFICATION Use a second sheet,if needed This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. REMARKS,ELEVATION,SOURCE OF DATA,etC. The information contained in this report is true to the best of my knowledge. ��VE�V�v l . . i;t : ; .'.� I ,_ , . _. . ,. , , Licensee Bus�ness Name � Lic.or Reg.No. , „ , �EB 2 01997 ;j �'� �--��`,-. 4 !- _ V . i �;.. �`� Authorized Representahve Sgnature Date �I r��C�ORONO . , _ .. ._ti: � . � . __.� - �..- �, ,� Nameo/Driller Date _ . �, � � �� b HE-01205-OS(Rev.t/95) �. c-� q� / D n � Jwin �itc� UVater �6inic, J'`nc. 617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 12/03/1996 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS Lab#: 31631 Our Laboratory reports these analytical results, determined on a sample taken by CUENT on 11/25/1996 from the following locatian: R. C.Johnson Const 2335 Shadowood Dr Orono�Mn Unlque 1Mall#588946 Coliform Bacteria <1/100 ml Nitrates Nitrogen <1.0 mg/I The results of these tests indicate that this w�ell is producing water that meets the standards for F.H.A., V.A., or conventional loans. This report is an analysis for coliform and nitrate only and does not include analysis of Lead and other«�nntaminants. (Unless as specified by client). � . , Ci Wat r Clinic, Inc. �'\ Bil ale �� wuer a�ly.is xa,g�t. Eo;ler w.tw c6emio.t. Lsb CeR�"iation 1�027-0�3-119