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Home My WebLink Aboutwell info WELLOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. County Name WELL AND BORING RECORD 639135 Henna in Minnesota Statutes Chapter 1031 Township Name Township No. Range No. I Section No. FractionWELL DEPTH(completed) Date Work Completed Orono 118 23 33 168' n 4-25-00 House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD 3020 Watertovn Road Orono, • ❑ Cable Tool F1 Driven Dug El Auger �iotary 71 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 Bentonite FROM ft.to ft. USE ❑ Monitoring ❑ Heating/Cooling �t L CXomestic El Community PWS El Irrigation ty ❑ Industry/Commercial .� ❑ Noncommunity PWS ❑ Remedial WE ❑ Environ.Bore Hole i i i i [I Dewatering ❑ CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. El Steel El Threaded ❑ Welded EXIastic ❑ s J b _ iIMile -� �c ♦ f6/� 0 CASING.DIAMETER WEIGHT PROPERTY OWNER'S NAME 4 in.to 1 60ft. lbs./ft. 7 7/ 3 Steiner & Koppel t win.to ft. lbs./ft. in.to Property owner's mailing address if different than well location address indicated above. in.to ft. lbs./ft. in.to ft. 18340 Minnetonka Blvd SCREEN OPEN HOLE Deephaven, MN.55391 Make_obn8on from ft.to ft. Type Stainless Steel Diam. 70 Slot/Gauze -O is Length Be Set between eft.and__1_6�11. FITTINGS: STATIC WATER LEVEL WELL OWNER'S NAME 90 ft.X below ❑ above land surface Date measuredd— _5_a O PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. 1,+5 g ft. after 4 hrs.pumping 2 g.p.m. WELL HEAD COMPLETION EXitless adapter manufacturer :J-,(� Model ❑ Casing Protection ❑X?in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? Eres ❑ No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement ❑ Bentonite ❑ Concrete [High Solids Bentonite MATERIAL from__to ft. 9 h ❑ yds.X bags Clay YellOv Soft 0' 20 from to ft. Elyds. ❑ bags from to ft. ❑ yds. ❑ bags Clay Gra soft 20 A 5 NEAREST KNOW SOURCE OF CONTAMINATION - 10fC Y y YJ feet `.3C"'��l.J r direction type Well disinfected upon completion? X Yes ❑ No Gravel Colorel Soft 45 70 PUMP Clay & Gravel ray [Iced. 70 138 ❑ Not installed Date installed 6-29-00 Manufacturer's name Goulds Clay & Gravel Brovn Soft 13811481 Model numberHP 1� volts 230 Length of drop pipe 105, ft. Capacity 18 - g.p.m. ..Sand Gray S 148` 168 Type: XSubmersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet ❑ ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes KNo VARIANCE Was a variance granted from the MDH for this well? ❑ Yes XNo TN# WELL CONTRACTOR CERTIFICATION Use a second sheet,i/needed T 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. ON STODOLA WELL DRILLING CO. , INC. Ll c se Business Nawe - L,g;_orReg.No. 27172 9-29-00 rATithorized _ tiv Signature Date Duane Matheve 4-25-00 6 3 913 5 Name of Driller Date LOCAL COPY HE-01205.07(Rev.2/99) rw� c - wat-er cU4/L� , z�. y 617 13th Ave So Hopkins, Minnesota 55343 (612) 935 - 3556 04/29/2000 Stodola Well Drilling 3841 North Main St. Bonifacius MN 55375 938-2111 REPORT OF WATER ANALYSIS Lab #: 38915 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 04/26/2000 from the following location: 3020 Watertwon Rd. Orono,Mn Unique Well #639135 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). in City Water Clinic, Inc. Bill l Analytcal laboratory Consulting Engineer Water Analysis Reagents Boiler Water Chemicals Lab Certification#027-053-119 r ll MINNESOTA DEPARTMENT OF HEALTH Minnesota Weand Boring A .� WELL OR BORING LOCATION _ - WELL AND BORING SEALING RECORD sealing No i H 1 {Th61897 �II County Name Minnesota Unique Well No. Minnesota Statutes,Chapter 1031 or W-series No. Hennepin (L...U-xitr.k „r) L -- Township Name Township No. Range No. Section No. Fraction Ism.-►Ig) Date Sealed Date Well or Boring Constructed Orofl0 118 23 33 33-000 C- Numerical Street Address or Fire Number and City of Well or Boring Location r 3020 Watertown Rd Orono Depth Before Sealing�_ n Original Depth 815' _h Show exact location of well or boring Sketch map of well or boring OUIFER(S) STATIC WATER LEVEL in section grid with"X". S location, showing properly Ingle Aquifer ❑ Mulhaquifer n -1 ln-iduo N WELL/BORING Measured ❑ Estimated Water Supply Well ❑Monit.Well ❑ Env.Bore Hole ❑Other If 14 below ❑ above land surface yyy_ t CASING TYPE(S) 3� F -;-- -;" --;-- --;-- Steel ❑ Plastic E]Tile ❑ Other )"mile - -- _-(-- CASING(S) ' Diameter Depth Set in oversize hole? Annular space initially grouted? $ 41 I in.from to ft. ❑ Yes No ❑ Yes E]No ❑ Unknown k f i a.As✓.�Jr�+.. ��.. PROPERTY OWNER'S NAME infrom to h. ❑ Yes ❑No ❑ Yes ❑No ❑ Unknown Steiner & Koppelman Property owner's mailing address If different than well location address indicated above. in.from _ to If E] Yes E]No ❑ Yes ❑No E] Unknown 18340 Minnetonka Blvd SCREEN/OPEN HOLE �,, 55391 � t W$yz a t t) Hl�N�T l 5 39 1 Screen from_ " L-—_to_ 403 It Open Hole from to tt. 7 OBSTRUCTIONS WELL OWNER'S NAME VRods/Dro Pie Check Valves Debris Fill p p ❑ ( ) ❑ f❑ ❑ No Obstruction Well owner's mailing address if different than property owner's address indicated above. Type of Obstructions(Describe) „,6�C'j;/� �.A� Q- 4Cp1-n &(X Obstructions removed? AYes ❑ No Describe PUMP ��/ Type 5(TIc-/e_G KF— Of.4 rOr GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO Removed ❑ Not Present ❑ 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: A(N[o Annular Space Exists /❑"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 MATERIAL(S) (One bag of cement=94 lbs.,one bag of bentonite=50 lbs.) ny'' yip ' T i Grouting Material A14=19 jQE h-' om to�� ft. yards bags from to ft. yards bags from to ft. yards bags from to_ ft. yards bags REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING OTHER WELLS AND BORINGS Other unsealed and unused well or boring on property? ❑Yes WNo How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION 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 Stodola Well Drilling Co. , Inc. 27172 Contractor Business Na - License or Registration Itio. 12-7-99 Sdn.ire Date Jin Antonson LOCAL COP H 161897 Name of Person Sealing Well or Boring WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring i�� WELL AND BORING SEALING RECORD Sealing No.Unique Well No. H 8 County Name r ��{f�p ® j(� Minnesota Statutes,Chapter 1031 or W-series No. ++'wene 1 Ll Reeve Ul H not k—) Township Name Township No. Range No Section No. Fraction ism �Ig) Date Sealed Date Well or Boring Constructed Orono 218 23 1 33 1 33 .000 & Numerical/Sttreett 7Address or Fire Number and City of Well or Boring Location /74,/ , 3020 RBtertovn Lid Orono Depth Before Sealing f Original Depth ft Show exact location of well or boring S,,,ketch map of well or boring AQUIFER(S) STATIC WATER LEVEL in section grid with"X" , cation, showing property Single Aquifer [_1Multiadufer lines,roads,and buildings. N WELUBORING Measured ❑ Estimated Water Supply Well ❑Mond Well OF ❑ Env.Bore Hole ❑Other !T tt. Abelow ❑ above land surface W --�- -�-- - -- --i-- E YY � CASING TYPE(S) tom,/ -�-- - -�-- --�-- +� ; la[Steel ❑ Plastic ❑Tile ❑ Other }rimile _4_ CASING(S) t S me �Diaf Depth r Set in oversize hole? Annular space initially grouted? l in.from to ft. E] Yes o ❑ Yes ❑ No E] Unknown PROPERTY OWNER'S NAME in.from to h. ❑ Yes ❑ No ❑ Yes ❑No ❑ Unknown Pr ng re r non %dicated above. infrom to tt. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown SCREEN/OPEN HOLE 18340 Minnetonka Blvd /�ff� . �+ +�+$t+� "1tri'I 55391 �} {•.++ Screen from 1.76 to _ ft. Open Hole from to ft. OBSTRUCTIONS WELL OWNER'S NAME ❑ Rods/DropPipe p F] Check Valve(s) E] Debris E] Fill X No Obstruction Well owner's mailing address if different than property owner's address indicated above. Type of Obstructions(Describe) Obstructions removed? ❑ Yes ❑ No Describe PUMP Type GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM I TO ❑ Removed A Not Present ❑ 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 MOLE: , y >11K.Annular Space Exists 0 P71/ ❑Annular space grouted with tremie pipe ❑Casing Perforation/Removal in.from to tt. ❑ Perforated ❑ Removed in.from to tt. ❑ Perforated ❑ Removed Type of perforator ❑ Other GROUTING MATERIAL(S) (One bag of cement=94 lbs.,one bag of bentonite=50 lbs.) ♦� /� �j� ,/�` Grouting Material jV l-'-��r. tom �.i to LIZ ft, yards rte.+ bags from to ft. yards bags from to ft. yards bags from to_ tt. 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 CERTIFICATION 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 Stodols Well Drilling Co. , Inr_ 27172 Contractor Busine Name ,.� License or Registration Pao. r 12-7-99 ate,"�'• 1, or%WRqpre3&nrat,9rgn pre "' Date a Jim Antonson L UL AL :OPS H (�'*y 6 1 4 9 6 Name of Person Sealing Well or Boring