The URL can be used to link to this page

Home My WebLink About1700 Bohns Pt Rd - Well & Boring RecordMINNESOTA UNIQUE WELL WELL Oi3 BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BORING NO. County Name WELL AND BORING CONSTRUCTION RECORD 2 7 819MinnesotaStatutes,Chapter 1031Bbnnepin Township Name Township No. Range No. Section No. Fraction(sm.–y Ig.) WELUBORING DEPTH(completed) DATE WORK COMPLETED Orono 117 23 16 NW NW NRA 125 ft. 5-30-18 GPS LOCATION—decimal degrees(to four decimal places). DRILLING METHOD Latitude Longitude Cable Tool Driven Dual Rotary Auger Rotary Rotasonic House Number,Street Name,City,and ZIP Code of Well Location Other 1700 Bobns Point Re, Orono 55391 DRILLING FLUID WELL HYDROFRACTURED? Yes No Show exact location of well/boring in section grid with"X." Sketch map of well/boring location. Showing property lines, bentonite From ft.To ft. N roads,buildings,and direction. USE Domestic Monitoring Heating/Cooling El Noncommunity PWS Environ.Bore Hole Industry/Commercial Community PWS Irrigation Remedial Elevator El Dewatering w ET CASING MATERIAL HOLE DIAM.Drive Shoe? Yes No I,'-" -Steel Threaded Welded f Mile Plastic 1CASING s Diameter Weight Specifications I1 Mile n.To 115 ft. lbs./ft. 8 n.To S 1V{ t. PROPERTY OWNER'S NAME/COMPANY NAME in.To ft. lbs./ft. 1 in.To 12 . LLCrC+ in.To ft. lbs./ft. in.To ft. LDirtDevilsServices OPEN HOLE Property owner's mailing address if different than well location address indicated above. SCREENj,;hnsonMake `j From ft. To ft. t P.O. Box.... i"L 552 BAST Type stainless steel Diam2" Naward Lake, . 319 Slot/Gauze .010 Length 41 4. 41 Set between__115___ft.and 125ft. FITTINGS 21' 1,dpr STATIC WATER LEVEL 62 ft.Below Above land surface Measured from toff Af Tora1te measured 5..304R Dry hole Yes No i WELL OWNER'S NAME/COMPANY NAME PUMPING LEVEL(below land surface) g110 ft.after _ 2 hrs.pumping_ 40 g.p.m. Well/boring owner's mailing address ifdifferent than property owner's address indicated above. WELLHEAD COMPLETIONt' t hirewaterLImanufacturer Model El Casing protection 12 in.above grade At-grade El Well House Hand Pump E GROUT INFORMATIONOR (specify bentonite,cement-sand,neat-cement,concrete,cuttings,or other) Material bent niterom 0 To 50 ft. 3 Yds. Bags Material cuttings From 50 To 115 ft. El Yds. Bags HARDNESS OF Material From To ft. Yds. IIIBags GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO Drivencasing sea From To Bagsbag=94 lbs.cementOne or 50 lbs.bentonite A fA NEAREST KNOWN SOURCE OF CONTAMINATION clay brown medium 2Q Well is 85 feet N direction from c4 ty sewer type Well disinfected upon completion? El Yes El No clay tray soft 29 57 PUMP EI Not installed Date installed 5-31-18 sand brown soft 57 125 Manufacturer's name SSehaP fer Model Number HP 1.5 Volts 230 Length of drop pipe 84 ft. Capacity g.p.m Type:Submersible L.S.Turbine Reciprocating Jet ABANDONED WELLS Does property have any not in use and not sealed well(s)? Yes El No 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 Stodola Well Drilling Co,. Inc. 1691 Licensee BusinessuName Lic.or Reg.No. es r' 7-2-18 e i d Re resents ive Signature Certified Rep.No. DateP9P LOCAL COPY 827819 Name of Driller Rob Stodn 1 a*t ID#52603 HE-01205-16(Rev.5/16) 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: 18-06855 Twin City Water Clinic Inc. Sample Collection Date: 05/30/18 617 13th Avenue South Address: 3841 North Main Street Sample Collection Time: 16:00 Hopkins, MN 55343 St.Bonifacius,MN 55375 Sample Receipt Date: 05/31/18 Phone: (952)935-3556 Report Issue Date: 06/01/18 Fax: (952)935-5077 Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID Date Time Date Time Results Units 18-06855 Coliform Drinking Water 05/31/18 12:17 Absent 18-06855 Nitrate/N Drinking Water 05/31/18 12:59 <1.0 mg/L 18-06855 Arsenic Drinking Water 05/31/18 8:00 06/01/18 11:23 21.30 pg/L Lead Drinking Water I Ltg/L Well No.: 827819 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: field(s)of testing performed. Owner Adr: Sample Conditions: Sample Temp: 11 '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 pg/`L pg/L lead,15.0 p.g/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 inthis report applyonly 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 WELL OR.BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring H 3 55 57 Q County Name WELL AND BORING SEALING RECORD MSota Well No. I ,J KT Minnesota Statutes,Chapter 1031 or W-series No. rifle in P Leaveblank if not known)P27g05 Township Name Township No. Range No. Section No. Fraction(sm.-»Ig.) Date Sealed Date Well or Boring Constructed Orono 117 23 16 NW NW NW w - . / - /6.) 2-15-15 GPS LOCATION-decimal degrees(to four decimal places) Depth at Time of Sealing / _ 'ft. Original Depth /.i' '.-_• ft. Latitude Longitude A9UIFER(S) STATIC WATER LEVEL Numerical Street Address or Fire Number and Cityof Well or Boring Location Single Aquifer Multiaquifer y / /e...--J WELL/BORING Measured Date Measured ,11.:‘,01,. Estimated 1700 I;ohns Point Rd, Orono 55391 Water-Supply Well Monit.Well ft.Show exact location of well or boring ketch map of well or boring Env.Bore Hole Other l 7 below above land surfaceinsectiongridwith"X" cation,showing property li es,roads,and buildings. Steel E Plastic Tile Other 1-----+--"'`"-"':"' WELLHEAD COMPLETION W ET Outside:pItless Adapter/Unit At Grade Inside: Basement Offset h Mile l J Well Pit Buried Well House Well Pit s T 1 Other Buried I1 Mile Other PROPERTY OWNER'S NAME/COMPANY NAME CASING(S) ni t D@V 1Q i((A$Diameter in.from o to 4> ft. Yes 'No Yes r]No Unknown P.O. Box 552 in.from to ft.Yes No Yes No Unknown Tioward Lake, M 55349 in.from to ft. Yes No Yes No Unknown WELL OWNER'S NAME/COMPANY NAME SCREEN/OPEN HOLE Wellowner's mailing address if different than property owner's address indicated above Screen from % J to ft. Open Hole from to__ ft. OBSTRUCTIONS Rods/Drop Pipe CheckValve(s) Debris Fill No Obstruction Type of Obstructions(Describe) <4........---1..) ...k) jbi GEOLOGICAL MATERIAL COLOR HARDNESS OR FROM TO Obstructions removed? 'Yes No Describei ` FORMATION PUMP If not known,indicate estimated formation log from nearby well or boring. j- Not Present Present,Removed Prior to Sealing Other f,.J /,- vf.Type METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLEt.Jo Annular Space Exists Annular Space Grouted with Tremie Pipe Casing Perforation/Removal asing Diameter in.from to ft. Perforated Removed in.from to ft. Perforated Removed Type of Perforator VARIANCE Was a variance granted from the MDH for this well? Yesj`F o TN# GROUTING MATERIAL(S)One bag of cement=94 lbs.,one bag of bentonite=50 lbs.) Grouting Material ei..1- ,J'-'"•-• ri from 0 to /2_ft. yards /0 bags from to ft. yards bags 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'' Jo 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 istrue to the best of my knowledge. Don Stodola tell Drilling Co,. Inc. 1691 Licensee Business Name License or Registration No./ 1 :