HomeMy WebLinkAboutwell info WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO.
County Name WELL AND BORING RECORD 596699
Hennepin Minnesota Statutes Chapter 1031
Township Name Township No. Range No. I Section No. Fraction WELL DEPTH(completed) n.T12-17-97
Date Work Completed
Orono 117 23 4 215
House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD
❑ Cable Tool ❑`}riven 11 Dug
2605 2horou fibred Lane Orono55356 ❑ Auger Rotary ❑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 O
N
- - -i- -i-
bentonite FROM ft.to
-i i ft.
USEElMonitoring ❑ Heating/Cooling
fi/Domestic
❑ Community PWS ❑ Industry/Commercial
❑ Irrigation ❑ Noncommunity PWS
w E ❑Test Well ❑ Remedial
I i T ❑ Dewatering 11-r -7- -r- -r
'/,Mi. t:::] D CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM.
-i- - -i- -i- 1 Steel El Threaded 1.1 Welded
*Plastic ❑
,M.a-------- jy2n0`'15149,ef0 Zan/
CASING DIAMETER WEIGHT
PROPERTY OWNER'S NAME 4 in,to 206 ft, 1.9 —lbs./ft. B—in.to—3Dft.
Tony Eiden Company in.to ft. Ibs./ft. It-in.ta�Sft.
Prope owner's mailing address if different than well location address indicated above. n.to ft. lbs./ft. in.to_ft.
41 }0 Berkshire Lane
SCREEN I OPEN HOLE
P11r 1b MN 55446 Make Johnson I from ft.to ft.
Type stainleas st1 Diam.
Slot/Gauze.010 Length 41 ; ()
Set between ft.and ft. FITTINGS:
STATIC WATER LEVEL
WELL OWNER'S NAME 1.23 ft.Xbelow above land surface Date measured 12-1
—_L— 7
PUMPING LEVEL(below land surface)
Well owner's mailing address if different than property owner's address indicated above. 205 ft. after 2.5 hrs.pumping 24 g.p.m.
yWELL HEAD COMPLETIONRhi t evater
op adapter manufacturer Model
❑ Casing Protection X12 in.above grade
❑ At-grade(Environmental Wells and Borings ONLY)
GROUTING INFORMATION,/
Well grouted? fJ`Yes ❑ No
HARDNESS OF FROM TO 0 from 30 to ft. 3Grout Material 1-1 �//Neat cement Lfil3entonite ❑ Concrete ❑ High Solids Bentonite
GEOLOGICAL MATERIALS COLOR MATERIAL g ❑ yds. ❑ bags
30 from206 to ftna tura I ubtings
Clay from to ft. ❑ yds. ❑ bags
NEAR OyVN SOURCCeE OF CONTVINAAI TIO direction T)C type
Well disinfected upon completion? `Yes ❑ No
Clay/Cravel Gray m e id 111 F PUMP 5-5-98 8
_ +�e
t ❑ Not installed Date installed l
Clair/L;ravel/ mixed har(3 1.5G 195 Manufacturer's name :ted Jacket
boulders Model number —CNSI I OP I -S—Volts 23o
Sand/Gravel beide soft I1?5 "15 Length g ofP147 ft. Capacity 1$ g.p.m.
fdrop pipe
Type: &&'Submersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet ❑
ABANDONED WELLS �
Does property have any not in use and not sealed well(s)? ❑ Yes E No
VARIANCE //
Was a variance granted from the MDH for this well? ❑ Yes A4
WELL CONTRACTOR CERTIFICATION
Use a second sheet,if 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 Stofiela WP-11 Drilling, Co Inc771,72
Licensee smess N Reg.No.
S-5-98
Authorized RepresentatinS Signature Date
Chuck Moore 12-17-98
Date
LOCAL COPY
1596699 Name of Driller HE-01205-06(Rev.9/96)
3win City Water Clinic., Jnc-
61713thAveSo
• Hopkins, Minnesota 55343 • (612) 935 -3556
12/22/1997
Stodola Well Drilling
15306 Hwy 7
Minnetonka MN 55345
938-2111
REPORT OF WATER ANALYSIS
Lab 0: 34241
Our Laboratory reports these analytical results, determined on a sample taken
by CLIENT on 12/17/1997 from the following location:
Tony olden
2605 Thoroughbred Lane
Orono,Mn
Unique Well#596699
Coliform Bacteria <1/100 ml
Nitrates Nitrogen <1.0 mgA
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).
ater Clinic, Inc.
Bill
And*►WMOWY c
Wow Aedpis Rosembwnu c�.r
Lab caw' #027-053-119 Beaw