HomeMy WebLinkAboutwell info s �e •_
ELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO.
County Name Hennepin WELL AND BORING RECORD 596690
Minnesota Statutes Chapter 1031
Township Ime Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed
Orono 117 23 04 248 <. 11-21--97
House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD
(f V U +�.�Itr4 (�hbj-ed Lane �}rUn®r1. 5 �j El Cable Tool riven El Dug
❑ Auger otary ❑Jetted
Show exact location of well in section grid with"X". Sketch map of well location. ❑
Showing property lines, /
roads and buildings. DRILLING FLUID WELL HYDROFRACTURED? ❑YES NO
N
Water FROM ft.to ft.
USE ❑ Monitoring ❑ Heating/Cooling
[Abomestic
_i_ _ _ _ _ _i_ ❑ Community PWS ❑ Industry/Commercial
❑ Irrigation ❑ Noncommunity,PWS
w El Test Well ❑ Remedial
❑
T Dewatering ❑
-r -�- -r- -r
/zwe CASING Drive Shoe? ElYes 10440 HOLE DIAM.
❑XSteel ❑ Threaded ❑ Welded
❑ Plastic ❑
s
1 Mile
CASINO DIAMETERA WEIGDR.4 1 •y 1/6 3 t
PROPERTY OWNER'S NA in.to 7 ft. lbs./ft. �/ irr 3 � t
n.to ft. lbs./ft. in.to ft.
Property owner's mailing address if different than well location address indicated above.
in.to ft. lbs./ft. in.to ft.
SCREEN Yn OPEN HOLE
Make Ga� SE�Il from ft.to ft.
Type Stainless Steel Diam.
Slot/Gauze ]1 1 0 Length
Set between _ 2_39 1 ft.and----2_4_&1ft. FITTINGS: 34
STATIC�ty�4�R LEVEL
WELL OWNER'S NAME Tony Eiden Company ))LL ft.* below ❑ above land surface Date measured 11-21-97
PUNJPIIP LEVEL(below land surface)
Well owner's mailing address if different than property owner's address indicated above. L ' ft. after hrs.pumping 25 g.p.m.
41L/0 Berkshire Larne WELL HEAD COMPLETION
Plymouth, Hn.554'46 EXPitless adapter manufacturer rWh t _W a 1' Model
❑ Casing Protection ❑ Xin.above grade
❑ At-grade(Environmental Wells and Borings ONLY)
GROUTING INFORMATION
Well grouted? ❑ Yes ❑ No yy
HARDNESS OF Grout Material ❑ Neat cement� Bentonite ❑ Concrete ❑ h Solids Bentonite
'Ai
GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO 10
LL 9
from - to ft. 2 2 ❑ yds. EX bags
{ ' 3 + from to ft. Elyds. ❑ bags
Clay Yellow S
from to ft. ❑ yds. ❑ bags
C1? `NEAREEV 90URCE OF CONT�AAIjJv y{,��} A
Clay Grey S 3( 1 1 �+5 feet ` �Y direction �C�! TIC pe
Well disinfected upon completion? ❑ Yes ❑ No •
Sand-Gravel Tan S 118' 1351PUMP
❑ Not installed qgto 1n all 1-30-98
Clay Grey Si 135 ' 2G Red Jacket
l Manufacturer's namq —
UMSIM; 230
Clay-Gravel Brow b3 '2001 �✓�. :Modelnumber t16b*
HP fe
Length of drop pipe ft. Capacity 1 rr g.p.m.
$Type: 9 Submersible ElL.S.Turbine EI EI ElSand Y l l •W 5 2301 G 11 -
ABANDONED WELLS
Does property have any not in use and not sealed well(s)? ❑ Yes ❑ No
VARIANCE XX
Was a variance granted from the MDH for this well? El Yes E No
WELL CONTRACTOR CERTIFICATION
Use a second sheet,it needed 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 knowled e.
REMARKS,ELEVATION,SOURCE OF DATA,etc. ��aa DON S`I'ODOLA WELL DRILLING Co. � INC.
RECEIVF7
Licen Business Name Lic.or Reg.No. 27172
f 11-21-97
APR 13 1999/
Authorized RepreseridtiveySignature Date
CITY O V _ iC Fred Leiby 11-421-97
5 9 6 6 9 0 Name of Driller Date
LOCAL COPY HE-01205-06(Rev.9/96)
J.i. City .ter Clinic, Jac. I
61713th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 I
12/12/1997
Stodola Well Drilling
15306 Highway 7
Minnetonka Mn 55345
REPORT OF WATER ANALYSIS
Lab#: 34157
Our Laboratory reports these analytical results, determined on a sample taken
by CLIENT on 11/24/1997 from the following location:
Tony eiden
2460 Throughbred Lane
Orono,Mn
Unique Well 0696690
Coliform Bacteria <1/100 ml
Nitrates Nitrogen <1.0 mg/I
The results of these tests indicate that this well 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 contaminants. (Unless as specified by client.
\B*illl
nic, Inc.
A-biW W—ate'
Water A-b sk Ra amb Eoiw waw c2 io.h
Lab Cc tWiwtion Y 027-053-119