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Home My WebLink About1700 Bohns Point Rd - Well & Boring RecordMINNESOTA UNIQUE WELL WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BORING NO. County Name WELL AND BORING CONSTRUCTION RECORD 8 2 7 8 0 5HennepinMinnesotaStatutes,Chapter 1031 Township Name Township No. Range No. Section No. Fraction(sm. Ig.) WELLJBORING DEPTH(completed) DATE WORK COMPLETED Orono 117 23 16 NW NW NW v 125 TM. 2-15-18 GPS LOCATION—decimal degrees(to four decimal places). DRILLING METHOD Latitude Longitude Cable Tool Driven Dual Rotary Auger 9"Rotary Rotasonic House Number,Street Name,City,and ZIP Code of Well Location Other 1700 Bohns Point Rd, orono 55391 DRILLING FLUID WELL HYDROFRACTURED? Yes TT to Show exact location of well/boring in section grid with" ." Sketch map of well/boring location. bentonite From ft.To ft. Showing property lines, roads,buildings,and direction. USENq 6 Domestic Monitoring ElHeating/Cooling I I I I - Noncommunity PWS Environ.Bore Hole Industry/Commercial Community PWS Irrigation Remedial f___. s_____I-____ --_ Elevator Dewatering w E T CASING MATERIAL Drive Shoe? Yes No HOLE DIAM. l--"-1-- F I'- Steel Threaded Welded i 'k M'- 1.----7 Plastic, 1 CASING s I Diameter 1 Weight Specifications 81MileIm -\ 4 in.To 115 ft. lbs./ft. in.To_5_6ft. PROPERTY OWNER'S NAME/COMPANY NAME in.To ft.lbsTo 6a in.To 125ft. tlY_ in.To ft. lbs./ft. in.To ft. StonPWOOd TAT SCREEN OPEN HOLE Property owner's mailinTaddress ifdifferent than well location address indicated above. Make JOhnson From ft. To ft. 153 Lake St E Type stainless steP1 Diam.2" Wayzata, MN 55391 Slot/Gauze .010 Length A+ 4, F, I Set between —ft.and ft. FITTINGS to ' STATIC WATER LEVEL 62 fttBelow Above Ian surface Measured from€ C7_ Ia measured 2_15_19 Dry hole Yes >lo WELL OWNER'S NAME/COMPANY NAME PUMPING LEVEL(bel land surface) 110 ft.after 2 hrs.pumping 40 q.p.m. Well/boring owner's mailing address if different than property owner's address indicated above. WELLHEAD COMPLETION Pitless/adapter manufacturerWMtewater Model Casing protection2 in.above grade At-grade Well House Hand Pump GROUT INFORMATION.. R ( specify bentonite,cement-sand,neat-cement,concrete,cuttings,or other) Material bentoniterom 0 To 50 ft. 3 Yds. *Bags Material cut t 1111g4 From 50 To 115 ft. Yds. Bags HARDNESS OF Material From To ft. Yds. ElBags GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO Driven casing seal From To Bags One bag=94 lbs.cement or 50 lbs.bentonite NEAREST KNOWN SOURCE OF CONTAMINATION clay brown medius 0 29 Well is S feet N direction from r -1-1pe Well disinfected upon completion? %Yes No clay gray soft 29 57 PUMP Not installed Date installed 3 12-18sandbrownsoft57125Manufacturer's name Schaefer Model NumberQpLL HP 1.5 Volts 230 Length of drop pipe 84 ft. Capacity g.p.m. Type:15IlSubmersible L.S.Turbine Reciprocating Jet ABANDONED WELLS Does property have any not in use and not sealed well(s)? Yes XeNo VARIANCE Was a variance granted from the MDH for this well? Yes,No 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.Use a secondsheet,ifneeded. REMARKS,ELEVATION,SOURCE OF DATA,etc. Don Stodnla W011 nritlirg Co,CoIRg 1691 Licensee Business Name Iic. eB" ` 4-30-187./. ‘J,...!:, eried Representative Signature Certified Rep.No. Date Rob Stodola LOCAL COPY 8 2 7 8 0 5 Name of Driller ID#52603 HE-01205-16(Rev.5/16) 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: 18-02452 Twin City Water Clinic Inc. Sample Collection Date: 02/15/18 617 13th Avenue South Address: 3841 North Main Street Sample Collection Time: 15:00 Hopkins, MN 55343 St.Bonifacius,MN 55375 Sample Receipt Date: 02/16/18 Phone: (952)935-3556 Report Issue Date: 02/19/18 Fax: (952)935-5077 Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID Date Time Date Time Results Units 18-02452 Coliform Drinking Water 02/16/18 13:17 Absent 18-02452 Nitrate/N Drinking Water 02/16/18 14:17 <1.0 mg/L 18-02452 Arsenic Drinking Water 02/16/18 9:00 02/19/18 11:02 29.40 µg/L Lead Drinking Water g/L mg/L Well No.: 827805.X No samples were subcontracted;orthe above test result(s) with'**'designation were produced by a subcontracted Sample pt: well laboratory. [Laboratory name;address;MDH Lab ID#]. The Well Adr: 1700 Bohns Point Road;Orono,MN subcontracted laboratory maintains MDH Certification for the Owner: Stonewood LLC field(s)oftesting performed. Owner Adr: Sample Conditions: Sample Temp: 14'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 rni --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.tg/I,Lead,2.0 µg/L pg/L Lead,15.0.tg/L EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L Sample Collected by: X Client TCWC Approved By: T A' Bill Van Arsdale Laboratory Manager The results listedin this report apply only to the above listed samples.All-routine qualityassurance procedures were followed,unless otherwise noted.This analytical report must be reported inits entirety.All methods are certified by the Minnesota Department of Health,unless otherwise noted. TCWD Rev 4.0 Page 1 of 1 U4 ci . GS1,.- . 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: 18-03484 Twin City Water Clinic Inc. Sample Collection Date: 03/12/18 617 13th Avenue South Address: 3841 North Main Street Sample Collection Time: 14:30 Hopkins, MN 55343 St.Bonifacius,MN 55375 Sample Receipt Date: 03/13/18 Phone: (952)935-3556 Report Issue Date: 03/14/18 Fax: (952)935-5077 Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID Date Time Date Time Results Units Coliform Drinking Water Nitrate/N Drinking Water mg/L 18-03484 Arsenic Drinking Water 03/13/18 9:00 03/14/18 11:59 27.90 µg/L Lead Drinking Water g/L mg/L Well No.: 827805 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: 1700 Bohns Point Road;Orono, MN subcontracted laboratory maintains MDH Certification for the Owner: Stonewood LLC field(s)of testing performed. Owner Adr: Sample Conditions: Sample Temp: 7 °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,2.0µg/I,Lead,2.0 µg/L g/L Lead,15.0µg/L EPA 353.2-Nitrite Nitrogen,1.0 mg/L • Nitrite,1 mg/L Sample Collected by: X Client TCWC 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