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Home My WebLink AboutWell Boring Construction Records MINNESOTA UNIQUE WELL WELL OFI_BORINS LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BORING NO. County Name WELL AND BORING CONSTRUCTION RECORD 8 2 7 8 3 2 Hennepin Minnesota Statutes,Chapter 1031 Township Name Township No. Range No. Section No. Fraction(sm.—.Ig.) WELUBORING DEPTH(completed) DATE WORK COMPLETED Orono 117 23 06 NE N SW '� 140 "' 8-1-18 GPS LOCATION—decimal degrees(to four decimal places). DRILLING METHOD Latitude Longitude ❑Cable Tool ❑Driven ❑Dual Rotary ❑Auger otary ❑Rotasonic House Number,Street Name,City,and ZIP Code of Well Location ❑Other 420 Lakeview Parkway, Orono 55364 DRILLING FLUID WELL HYDROFRACTURED? ❑Yes o Show exact location of well/boring in section grid with"X." Sketch map of well/boring location. ben0enite From ft.To ft. Showing property lines, r bu' 'ngs,and direction. USE N ( AAS omestic ❑Monitoring ❑Heating/Cooling I I . oncommPWS Environ.Bore Hole ❑Industry/Commercial 1 ---- N unity ❑ • J •w,,� . I ❑Community PWS ❑Irrigation ❑Remedial ------i- / ❑Elevator ❑Dewatering ❑ w ; ; E T CASING MATERIAL Drive Shoe? ❑Yes o HOLE DIAM. """" "' "" ❑Steel ❑Threaded ❑Welded 'h Mile ;� �. ( Plastic ---�-----T--S-[ ;-- -,,,t3 � CASING Diarge(tter 0 13Weight Specifications8 50 --1 Mile ) in.To 7t/ ft. lbs./ft. 6� in.joft. PROPERTY OWNER'S NAME/COMPANY NAME n.To ft. lbs./ft. �'2 n.To ft. n—M� s & ling in.To ft. lbs./ft. in.To ft. �Xry yea Remodeling SCREEN OPEN HOLE Property owner's mailing address if different than well location address indicated above. Johnson _ 1000 Boone Ave N, Ste 400Mstainless steel m TypeFroDiam. 2“ -ft. To ft. Golden Valley, MN 55427 Slot/Gauze .010 Length 41 + 41 Set between ft.and ft. FITTINGS STATIC WATEIA L 75 ft. Below ❑Above land surface w1 Measured from top of well.measured 8-1-18 Dry hole ❑Yes ›iflo WELL OWNER'S NAME/COMPANY NAME PUMPING LEVEL(below land surface) 40 125 ft.after 2 hrs.pumping q.p.m. Well/boring owner's mailing address if different than property owner's address indicated above. WELLHEAD COMPLETION $Pitless/adapter manufacturer WhitPW,3ter Model ❑Casing protection Ig'12 in.above grade ❑At-grade ❑Well House ❑Hand Pump / GROUT INFORMATION(specify bentonite,cement-sand,neat-cement,concrete,cuttings,or other) Material bentonite From 0 T7Q 50 ft. 3 ❑Yds. Wags Mate al cuttings From 50 Td.30 ft. ❑Yds. ❑Bags HARDNESS OF Material From To_ ft. ❑Yds. ❑Bags GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO One bag94 lbs.cement Driven casing seal From_ To Bags = or 50 lbs.bentonite NEAREST KNOWN SOURCE OF CONTAMINATION topsoil black medium 0 5 Well is /i Minnesota State Laboratory ID#027-053-119 Twin City Water Clinic Laboratory Test Report Wisconsin State Laboratory ID#105-10117 Wisconsin DNR Lab ID#399073400 Client: Don Stodola Well Drilling Report Number: 18-09852 Twin City Water Clinic Inc. Sample Collection Date: 08/01/18 617 13th Avenue South Address: 3841 North Main Street Sample Collection Time: 13:00 Hopkins, MN 55343 St.Bonifacius,MN 55375 Sample Receipt Date: 08/02/18 Phone: (952)935-3556 Report Issue Date: 08/03/18 Fax: (952)935-5077 Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID Date Time Date Time Results Units 18-09852 Coliform Drinking Water 08/02/18 13:41 Absent 18-09852 Nitrate/N Drinking Water 08/02/18 13:26 <1.0 mg/L 18-09852 Arsenic Drinking Water 08/02/18 7:30 08/03/18 12:02 4.70 µg/L Lead Drinking water I-tg/L Well No.: 827832 X No samples were subcontracted;or the above test result(s) with'**'designation were produced by a subcontracted Sample pt: well laboratory. [Laboratory name;address;MDH Lab ID#]. The Well Adr: 420 Lakeview Parkway;Orono,MN subcontracted laboratory maintains MDH Certification for the Owner: Gonyea Homes&Remodeling field(s)of testing performed. Owner Adr: Sample Conditions: Sample Temp: 8 'C Discussion: Notes: Approved methods used in analyzing the samples listed above have the following reporting levels: Maximum contaminant levels: SM9222B-Coliform,1 cfu/100 ml Coliform-<1 cfu/100 ml Nitrate EPA 353.2-Nitrate Nitrogen expressed as NO3+NO2,1.0 mg/L Nitrogen 10.0 mg/L Arsenic,10.0 SM3113B-Arsenic,2.0 pg/I,Lead,2.0 µg/L pg/L Lead,15.0 pg/L EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L Sample Collected by: X Client TC‘vC Approved By: Bill Van Arsdale Laboratory Manager The results listed in this report apply only to the above listed samples.All routine quality assurance procedures were followed,unless otherwise noted.This analytical report must be reported in its entirety.All methods are certified by the Minnesota Department of Health,unless otherwise noted. TCWD Rev 4.0 Page 1 of 1