HomeMy WebLinkAboutwell info HIiH-WELL MNG1,1PdT UNIT Fax:651-215-0v9 : Apr -22 '--i 14:09 F. 0..'
WEL 4 LOCATUPPPAWMA OEPARTMOW AF H"LTM MINNESOTA i11tUQC!$WELL NO.
Corm Name WELL AND BORING RECORD -�r�
Hennepin Mkvwse"SIANA"Ch pW 1001
697
Yowmhip NertM I Towr*p No. Amps No_ Seglort No. Finadon WELL DEVM(corrVked) DOM Work Corry fd d]
Orono I 11.8 23 33 ne.,,sq se.,, 82 3-10-96
HOuae N1JrrtbK.Stroh Name,Chv,and,Zip CAM Or Wall London or FIM Nuntbw DRILLING MEn4W �
Q Gqa Toon M Orlwn O buy
155 xxxxX=Z f a r O Auger l7CAWary r,J jaw
Shaw erect b Abon of wan In a*Wm grid with")C. am ehorawaiPr wel wall leads". D _
5,roads arld b ". Dniu ova FLUID
l r water
-j- -r- -- U6E ❑Monflcrkg ❑ Hoa
i r (XDW allc O CommuMly PWB Q rnduobyicommwciar
�L _i� [� Irri<jahue CIN9tr�*yPwa p Ral»adiel
W e T x ❑Teat well Ll i]rwahtfnp Q
CARING DnveShoo7 ❑ Yes ❑No HOLEMAM.
❑Shat L7 YN"ded ❑W~
s
CASING fi X4r&TFR wma"r
PROPERTY OWNER'S NAME L} ln-to 77 R 200 ,.jx 8 k ln,g f 5 R
A & T Development In,10 _—IL Ibs�1L Wn,ta$2.tt.
Property ownah molt p addraas Ir dMweM dw,area location nd*Ww wWkd.d above. —115.10—It :. II)ILM, —n.to—tl
SCREEN OPEN HOLE
M" ayco _ Irom —Rp��tL
19435 Murfi.eld Circle Tyra Pvc
Shorewood , MN 55331. $kw"No 15 tarpu, 71
Set bsww+ 77 tti ane 8 2 tt. FrrnMGrb:
STAM WAT�YKL 3 9 6
WELL OWNEF('S NAMEn.�bebw O above]ertd stxlace Date msaurvd�,
PUWINO LEVEL(below land atwraea)
wall owhsre messg addmu K Mor m then pgkWy owners adtraaa ndieatad abcra. IL anar hm.purnpnp 40 I.p.m,
WELL HEAD(;PMP uFrK>N
2v Pttteaa edaQW rnanutwurar W1jt 2wa t e r Monty
n Camino Prolactlan.� - -- Q 12 in.above Wk"
❑At Efry nrn&U Weft and 6XkW ONLY)
GROUTINO INFORMATION
Wag grovuw L)LYas Q No
HARDNESS OF amu,Materiel ❑Neat tmrtmrlt X! Barronam ❑Cenasb Q Hbh Sollds Blown"
GEOLOGICAL MA7EPL4L3 COLOR MATERIAL FROM TO
to 6 K Cl yon-Cl laaye �
sande clay brown teed. a 24 ;m'_b w o ,�.a moo.
NF. FST K1'0"80URCE OF CONTAWNATION sever
sandy clay blue mad. 2r4 65 45 root west_ waclian =j pa rv"
Wal Olsk><sA4d upon wrrK,ladon? ❑Yes ❑No
sand mix teed. 6578 2
o Not in w.a Darl vwta lea 3-10-96
ManVMKVX"r4r Ste —Y 8
Modal number HP t 1., 2
Lanydtordropp,lpa h. Capaosy
From"Tank CapWty 203
TYpW- AL Subrrraralata 0 L,$,rvegb* Q RoMpr calny ❑ W D
ABANDONED WELLS
Does pmpsRy have any"In tm arkl not waled wM(s)7 (] Yes K No
VARIANCE
Off\ J was•wrt#noa grankad from the MDH hx tnh wa17 O Yes (K No
f J WELL CONTRACTOR CEFMOCATION
[lea a rarawW MianG N r>.anrn i17 This wall was Palm+endo`i6y—por.ison and in aaoorcWnca wIh Mkxsols Aides,ChsVisr 477,
REMARKS,ELEVATION,SOURCE OF DATA std TM thidYtl&W oonWnod In this raport Is we m Ins best d my lalvaWw,
,. R.E.S.. WELL DRILLING CO. 27276
Lkenesa Btalrteas Nanrs trc a FMA No
... ..
AM"~P0Pvawaal v aW-kaaa arra
Randy Mossing
+ _ rYerrraort7�ILr
MINN. DEPT.OF HEALTH COPY .577.2u r�a,zaeoe�w.r.,As,
MDH-WELL P1PJGMNT UNIT Fax:651- '1`-0978 Hpr +'i 14:10 F. 0
. THeld Engineearin& Inc.
WATER ANALYSIS
7608 119th Lane North - Champlin, Minnesota 55316 Z-1-) February 1 y 9 U V
Telephone: 427-0826
Approved
Minnesota State Board of Health, Licensed Laboratory 027-053-113
Wisconsin Dept.of Health&Social Services Llcanaad Laboratory 994 Test if : 7 S u 714
FED. ID#411443773 'L'i are; l i ;U U Aki
froiu; 1re11
LmLe drawn ; z3 Feuruary T�oyc
mate tested: t4 Feuruary Iyyi.
`YU: It is b wLI-L CUr'1Y[►1VI Unillue e : _57ktipv7
4,.JU rlltrt1LAhi) KUAL
NI10E10Ak,A, Trti _5-)s45 Lic . e : 711 ►
c/o ,ti(�r3k;x1' k, 5'1'UVULA
XE; water test at: 1-5-1 lruffalu 1'r , Urono , rim
Owner: A 6L '1 vevelopme;tt
Uwuera adidressc 1�04s:, murfield Cir
ahorvwuod , :m
Field Lnsineerin,; tested the water that wah urawn Lq
Randy hossinh at the above aadress una the results were
as follows :
Nitrate Nltrobea-per Ulectrode h.athou lemr than l .0 ab/ 1)
(kIuxituum allowable limits, less t:haa IQ.V at6/1)
Coliform Bacteria-per NF Method less tboo 1.0 per 1UU
tMaxiruu;a allowable limits, lees thus, 1 per luu ml j
This water LUES mieet FFA, .VA, and apaci>fycations for
h1trate hitroj$,eu anu Coliform Bacteria. Field Frisineeri,n6, Inc. is
authorized to perforur these teats uy the hinne8ota Environmental.
health Division. Well Aekartment .
Bix�aerely Yours, 11113
C11 Aj
J
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