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HomeMy WebLinkAboutwell info i WEL LOCATI(,N MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. ` WELL AND BORING RECORD County Name 573596Hennepin p Minnesota Statutes Chapter 1031 Township Name Township No. I Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed )rono 117 2 Ula 277 ` House N,mber,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD 257t) Thoroughbred Lane ©rono,MN. ❑ Cable Tool ❑ Driven ❑ Dug ❑ Auger X1 Rotary ❑Jetted Show exact location of well in section grid with"X". 553-56 Sketch map of well location. ❑ _ Showing pr erty lines, road uildings. DRILLING FLUID N 4, Bentonite USE ❑ Monitoring ❑ Heating/Cooling 41 Domestic ❑ Community PWS El Irrigation y ❑ Industry/Commercial ❑ Noncommunity PWS ❑ Remedial WE ❑ Test Well El Dewatering ❑ CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. ❑ Steel 11 Threaded El Welded X Plastic ❑ s �- 1 Mile X e CAST,!G DIAMETER WEIG§ I- PROPERTY OWNER'S NAME . 26DR. 21 7 7�8 30 into ft. lbs./ft. n. o. Tony , a � �: Company6� /1 in.to ft. lbs./ft. id to �. Property owner's mailing address if different than well location address indicated above. in.to ft. lbs./ft. in.to ft. 411,10, Berkshire Lune SCREEN OPEN HOLE Plymouth, Mn.5 5 Q 4 b Make from ft JQ nson .to ft. Type _a l nl s+c" st _ 1 Diam. 1 Slot/Gauze ' Length 11 1 + 4 1' _ _ Set between ft.and L � FITTINGS: 1 STATIC WATER LEVEL I WELL OWNER'S NAME 1 L�' ft. below ❑ aboLeland„Wace Date measured2-23-96 PUMPING LEVEL(below land surface)^ Well owner's mailing address if different than property owner's address indicated above. 264 ft. after hrs.pumping 50 g.p.m. WELL HEAD COMPLETION witless adapter manufacturer W b 1 t enw'i t'>r r Model ❑ Casing Protection YC 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? CXYes ❑ No HARDNESS OF Grout Material ❑ Neat cement Bentonite ❑ Concrete ❑ High Solids Bentonite GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO oto �1 ft. 1 g ❑ yds. bags from C1 y ye 1 l t} IS Ci ' In ' from to ft. 11 yds. Ll bags from to ft. ❑ yds. [I bags lay Gre J C 3�- 1 ?�, IINEARE T KNOWN SOURCE OF CONTTq�p�IN TIO-Nye t fid l feet 9cl -5 direction �`�" �' type Sand, Gravel Tan S 7C 957, Well disinfected upon completion? LAIes I-] No' PUMP �14�` Clay--Gravel Grey S J` 1 1)- s❑ Not Curers Datgi stalled L7 Manufacturer's name �� e Model number HP .J Volts 230 Clay-Gravel Brown M 15-5 : 20C, 'Length of drop pipe 147 ft. Ci apacity g g.p.m. Pressure Tank Capacity Xtrol Ca y, Gravel Bou :1 e r S Mixed M--11 2 0( 1 2 2 OTtpe: 19 Submersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet ❑ ABANDONED WELLS Clay-Gravel Yellow M 220 ' 239 1 Does property have any not in use and not sealed well(s)? ❑ Yes LQVo 't C VARIANCE Clay Grey M 235 ' �.v J 'Was a variance granted from the MDH for this well? ❑ Yes EDQJo I .-7 1 WELL CONTRACTOR CERTIFICATION Gravel YellM t6' � / Use a second sheet,it 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. DON ISTODULA WELL DRILLING CO. , INC. Licensee Business Name Lic.or Reg.No. 27172 2-23-96 Authorized Representative Signature Date FredLeiby 2-23-96 Nameo/Driller Date LOCAL COPY � 573596 HE-01205-05(Rev.1/95) J.i. city W.t., clinic, Jnc- 617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 03/01/1996 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS Lab#: 28862 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 02/22/1996 from the following location: Tony Elden 2575 Thoroughbred Ln Orono,Mn Unique Wall#673596 Coliform Bacteria <1/100 ml Nitrates Nitrogen <1.0 mg/l 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). n Tty r linic, Inc. Bill V e Aoslyiaal kb—U" Coo.uM WU-A-buis R-0-0 Boiler Wa a Chemimb Lab Ca imfim 0 027-053-119 J.i. city Wd., Clinic, Jnc. 617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 07/03/1997 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS L ab#: 32937 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 06/30/1997 from the following location: Tony Eiden 2675 Thoroughbred Lane Orono,Mn Coliform Bacteria <1/100 ml Nitrates Nitrogen <1.0 MO/1- , 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 coliforen and nitrate only and does not.include analysis of Lead and other contaminants. (Unless as specified by client). *BiliaWe c, Inc. Anslyie.i W-ra«r Ceoafta Emsino- W9-A-lysk Resea4 Boiler www Chemiab LAb Ced i"im i 027-033-119