The URL can be used to link to this page

Home My WebLink Aboutwell info WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. County Name WELL AND BORING RECORD 660595 Hennepin Minnesota Statutes Chapter 1031 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed Orono 117 23 7 216 n 8-22-01 House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD ❑ Cable Tool q Driven ❑ Dug 1355 Vine Place Orono 55364 ❑ Auger /�6 Rotary ❑ Jetted Show exact location of well in section grid with'X". JSketch map of well location. E)Showing property lines, \ roads and buildings. DRILLING FLUID WELL HYDROFRACTURED? ❑YES 11XNO N water FROM ft.to ft. f USE ❑ Monitoring ❑ Heating/Cooling ff X Domestic ❑ Community PWS ❑ Industry/Commercial _ _ _ _i_ o ! ❑ Irrigation i i i i tf��Y- J ❑ Noncommunity PWS El Remedial w E T ❑ Environ.Bore Hole "`",., '� El Dewatering ❑ _— Vzmae CASING Drive Shoe? ❑ Yes No HOLE DIAM. Steel ❑ Threaded ❑ Welded 1 Plastic ❑ s 1 _`,` CASIN DIAMETER WEIGHT PROPERTY OWNER'S NAME in.1.208 ft. 2.05b /ft. in.to 3Q Daniel Ventres in.to ft. Ibs./it. in.to_M6 Property owner's mailing address if different than well location address indicated above. in.to ft. lbs./ft. _in.to ft. same as above SCREEN Johnson OPEN HOLE Make from 'to-ft. Type �'8 $ steel Diam. J. L t SloVGauze •010 Length 9 t ♦ 4 Set between 20_ft.and__2 1_6 _ft. RTTINGS:2*x30M w/-k STATIC WATER LEVEL / WELL OWNER'S NAME 40 ft.)fiJ below ❑ above land surface Date measured 8-22---01 PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. 7n7 ft. after 2 hrs.pumping ?� g.p.m. LL HEAD COMPLETION Whitewater Pitless adapter manufacturer ,M,{odel El Casing Protection /0 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? X Yes ❑ No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement ❑ Bentonite ❑ Concrete ' High Solids Bentonite MATERIAL from__to 30 ft. 2* ❑ ydsX bags from 30 to 208._-tt. natural rytsI p bags Clap rown soft 0 60 from ft. yds.D bags NEyAJOWN SOURCE OF C�[[FA�pyJl> CT / j sand/gravel rows medium 60 80 U feet CC�� direction- bpe Well disinfected upon completion?� Yes ❑ No sand (fine) Eray soft 80 160 PUMP El Not installed Date installed 8-27-01 clay ray soft 160 200 Manufacturer's name L ! Model number i HP hp Volts 230 sand ray soft 200 216 Length of drop pipe $$ ft. Capacity g.p.m. Type: Submersible ❑ L.S.Turbine ❑ Reciprocating ❑Jet ❑ AB NDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes XNo VARIANCE Was a variance granted from the MDH for this well? ❑ Yes tX No TNS 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. DonStod;la Well Drillin o. Inc 27172 Z4ensee Bu 'ess N e Lic.or Reg.No. 9-28-01 Authorized Represrentative Signature Date Chock Moore 8-22-01 Name of Date LOCAL COPY � 660595 /DillHE-01205-07(Rev.2/99) IC#140-0020 riv Cnl C Xy W abw' CU*14CI, I vtiAcl. 617 13th Ave So Hopkins, Minnesota 55343 (612) 935 - 3556 08/29/2001 Stodola Well Drilling 3841 North Main St. Bonifacius MN 55375 938-2111 REPORT OF WATER ANALYSIS Lab #: 932 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 08/27/2001 from the following location: Dan Ventres 1355 Vine Place Orono,Mn Unique Well#660595 Coliform Bacteria <1/100 ml Nitrates Nitrogen <1.0 mg/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 coliform and nitrate only and does not include analysis of Lead and other contaminants. (Unless as specified by client). *.IWater Clinic, Inc. Billale Lab Certification N 027-053-119 l MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring 184731 WELL OR BORING LOCATION Sealing No. H County Name i _ WELL AND BORING SEALING RECORD Minnesota Unique Well No. �ener Lit Minnesota Statutes.Chapter 1031 or W-series No. ,� fL—aank n-t k—,) Township Name Township No. Range No Section No. Fraction ism.-►Ig.) Date Sealed Date Well or Boring Constructed Orono 117 23 7 Num encal Street Address or Fire Number and City of Well or Boring Location ^ 1355 Vine Place, Orono 55364 Depth Before Sealing i/ ft Original Depth ft Show exact location of well or boring Sketch map of well or Dring AQUIFER(S) STATIC WATER LEVEL in section grid with'X' location, showing pr eny Single Aquifer ElMulhagwter lines,roads.and buildi s N WELL/BORING )(Measured ❑ Estimated ( YWater Supply Well ❑Mond.Well ❑ Env.Bore Hole ❑Other ft below ❑ above land surface ( W -T- - -- - -- -- -- E J CASING TYPE(S) , --�- - -- ---- ----- y Steel ❑ Plastic ❑Tile ❑Other Yemile , CASING(S) 1 Diameter Depth Set in oversize hole? Annular space initially grouted? ll S IIt�t mde #L t infrom o /0 ft. ❑ Yes XNo ❑ Yes ❑No ❑ Unknown PROPERTY OWNER'S NAME infrom to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown Property owner's mailing address it different than well location address indicated above. in.from to ft. ❑ Yes ❑ No E) Yes E] No El Unknown sapie as above SCREEWOPENHOLE , k� Screen from f C"' to �O f ft. Open Hole from to ft. OBSTRUCTIONS WELL OWNER'S NAME Rods/Drop Pipe ❑ Check Valve(s) ❑ Debris ❑ Fill ❑ No Obstruction Well owner's mailing address if different than property owner's address indicated above Type of Obstructions(Describe) - /�/LJ=.+x %''T 4' ✓`/ Obstructions removed? XYes ❑ No Describe PUMP 7Type ..} f iP a)w E GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO Removed E] Not Present El Other FORMATION If not known,indicate estimated formation log from nearby well or boring. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: Jo Annular Space Exists y 4 ❑Annular space grouted with tremie pipe ❑Casing Perforation/Removal in.from to ft. ❑ Perforated ❑ Removed in.from to ft. ❑ Perforated ❑ Removed Type of perforator ❑ Other GROUTING MATERIALS) (One bag o�f/cement 94 Ibs.,one bag of bentonite=50 lbs.) Grouting Material N��j �� "tt to N. _ yards — begs 9 from to ft. yards bags from to ff. yards bags from to— h. yards bags REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING OTHER WELLS AND BORINGS Other unsealed and unused well or boring on property? ❑Yes XNo How many? LICENSED OR REGISTERED CONTRACTOR CERTirICATION This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725. The information contained in this report is true to the best of my knowledge. Don S a Warlljllirilljn�4 Co- 27177 Contractor Business Name _ Ucenfse or Registration Pio. 1!�5TdVbd Repro§antetive Signature Ditte LOCAL COPY H .q wName o/Person Sealing WeN or Boring 184731