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Home My WebLink Aboutwell info ! �y WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. County Name WELL AND BORING RECORD Q In Minnesota Statutes,Chapter 1031 L C Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed 0=111M 116 23 32 / / y 170 n 9-20-O4 GPS DRILLING METHOD LOCATION: Latitude degrees minutes seconds Longitude degrees minutes seconds ❑Cable Tool ❑Driven ❑Dug R ❑ House Number,Street Name,City, Auger otary Jetted ,and Zip Code of Well Location or Fire Number [I E] OX 3220 Watertown Rd,, Orono DRILLING FLUID WELL HYDROFRACTURED? ❑Yes X No Show exact location of well in section grid with"X". Sketch map of well IOC64N Oratec FROM ft.TO ft. Showing property N roads and bui i USE ❑monitoring ❑Heating/Cooling Domestic ❑Environ.Bore Hole ❑Industry/Commercial Noncommunity PWS ❑Irrigation ❑Remedial --'----- --L—---`-- `� ❑Community PWS Dewatering ❑ CASING w ; e T Drive Shoe? E]Yes No OLE H DIAM. ___---_________ ❑Steel ❑Threaded 11 Welded 'h Mile Plastic ❑ 1 CASING DIAMETER WEIGHT s in.to 162 ftM . LIN lbs./ft. in.to_ t. —1 Mile 4 n.to ft. lbs./ft. in.l0 M. PROPERTY O�WNER'SNAME/COMPANY NAME in.to ft. lbs./ft. in.to ft. ru�r! FineFlomm SCREEN OPEN HOLE Property owner's mailing address if different than well location address indicated above. Make__Jobn$M FROM ft. TO ft. 1844 Wayzata Blvd, B= 815 Type ,aln esti Diam. 2" Long Lake M 55356 Slot/Gauze Length Set between j70• ft.and_jf)2_ ft. FITTINGS STATIC-NfATER LEVEL ft. below El above land surface Date measured WELL OWNER'S NAME/COMPANY NAME �� PUMPING LEVEL(below land surface)n ft.after------M hrs.pumping 35 g.p.m. WELL HEAD COMPLETION �/�` Well owner's mailing address if different than property owners address indicated above. Pitless adapter manufacturer�_�C , Casing Protection �12 in.above grade ❑At-grade(Environmental Wells and Boring ONLY) GROUTING INFORMATION Well grouted Yes ❑No Grout material Neat cement ❑Bentonite ❑Concrete XHigh Solids Bentonite from _to 30 ft. - I ❑yds. )(bags HARDNESS OF from 0 to 167 ft. -an ❑bags GEOLOGICAL MATERIALS COLOR FROM TO from to ft. MATERIAL ❑yds. [I bags NEAREST KNOWN,SOURCE OF CONTAMINATION �}.. Clap yellow �!r O �q /t 1 ✓ feet l i J direction i.�` ��- type g!� p �1/� A /f• Well disinfected upon completion Yes ❑No clay gra soft 12 100 PUMP / y� ❑Not installed Date installed gravel colored soft= 100 116 Manufacturer's name clay Model number HP ��Volts clay 'gra ,�1um 116 150 Length of drop pipe rL/L� ft. Capacity 9—Type: Submersible L]L.S.Turbine ❑Reciprocating ❑Jet L]water1and brown soft 50 170 ABA DONEDWELLS Does property have any not in use and not sealed well(s) ❑Yes No VARIANCE Was a variance granted from the MDH for this well? ❑YesNo TN# WELL CONTRACTOR CERTIFICATION This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. The information contained in this report is true to the best of my knowledge. Use a second sheet,if needed REMARKS,ELEVATION,SOURCE OF DATA,etc. TSOn ltedola Well Drillings. Inc• 27172 LicensdBlusineame Llc.or Reg.No. Au Date Chuck pWre LOCAL COPY � 711481 Name ofDriller HE-01205-08(Rev.5/02) IC 140-0020 T"w .01 iwv CXy, W abe' C ' , I yw 617 13th Ave So Hopkins, Minnesota 55343 (612) 935 - 3556 09/22/2004 Stodola Well Drilling 3841 North Main St. Bonifacius MN 55375 938-2111 REPORT OF WATER ANALYSIS Lab #: 735 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 09/20/2004 from the following location: 3220 Watertown Rd Orono,Mn Unique Well #711481 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). N'n.City Water Clinic, Inc. Bi rsdale Lab Certification#027-053-119 SIATE OF MINNESOTA DEPARTMENT OF HEALTH ABANDONED WELL RECORD 1. LOCATION V WELL CORRECTED COPY MINNESOTA UMYEII NO. C (have blank IfF not know.) l.._ county Name Herne in Township Name Township Number Range Number Section No. Fraction a. WELL DEPTH (completed) ate sesled N E � Is at � Orono 118N s' 23W M� 32 SE SE SE 98 ft' 06/17/91 Numerical Street Address and City of Well Location or Distance from Road S. DRILLING METHOD (if kmern) Intersection 10 Cable tool 40 Reverse 70 Brim 14[3 Bug 3220 Watertown Road Long Lake, MN 55356 CiHall"'ad i 3 Alr 10 arm IG >D Rotary 93 Jetted 9Q power Auger Show exact location of well (in sect$** Grid with •1') Sketch map of well location 6. OBSTRUCTIONS N Well obstructed 0 vis ® No _ Obstructions removed 0 yes 0 a if obstructions 96*mot be removed. COW$ No T 7. USE _ y w. in Domestic 6E3 N6mlto►ial 4(3 Most Lm - . 20 Irrigation 10 POMC 10 Industry �. . ..... _.,.. .. I Well est[] 3 1 T ED Mwlctpel 1f0 CoonsRrt1B1 70 Alr Cendltionlp 11(3 2. PROPERTY OWNER'S NAME Mailing Address If different than 8. CASiNGIS) property address indicated above 10 Black 43 Throaded 7C3 Carol Senn 940 South Brown Road 43 Gsly. 113 welded Wayzata, MLS 55391 40 Plastic 613 stainless steel MADNESS OF 3 in. to ft. I. FORMATION LOG COLOR FORMATION FROM TO If not known. Indicate formation log from new well or nearby well. In. to ft. 9. SCREEN E,]screened well from ft. to�. ft. Pit town) ❑Open Mole from_ft. to ft. 10. STATIC WA R LEVEL 6 ft-99 below Q avow ' 06/17/91 land surface Date Measured ll. WELLHEAD COMPLETION 10 Pitless Adapter Q Fou" Buried 20 Resonant offset 10 10 Vel l pit 16. REMARKS, ELEVATION, SOURCE OF DATA - CASINGS REMOVED. CASINGS PERFORATED, ETC. 12. GROUTING IMFORIATION House has been sold. 1®Neat cement 10 Bentonite 10 Grout material 4 bags free 0 tog 8 Ft. eu. yds P.I.D. 32-118-23 44 0013 17. NEAREST SOURCES Of CONTAMINATION _ feet direction type Well disinfected before angling? C3 Yes U. PUMP ®Removed ❑Not Present Type: ID Submersible 30 L.S. Turbine SD Reciprocating 20 Jet 40 Centrifugal 6Q IS. EXISTING WELLS (Please sketch locations of abandoned and active wells to remarks section or on back.) Other unused welI(a) on property? 0 Tea Mao Abandoned: 0 Permanent 0 Temporary 0 Not sealed 17. WATER WELL CONTRACTORS CERTIFICATION This well was angled under my Jurisdictlam and this report Is true to the best of my knowledge and belief, Stevens Well DrilliM 27194 Licensee Business Now License No. 6240 Highway 1� West Adareaa le MN 55359 signal as 06/18/91 Tan Stevens ate FICIAL AWIOONED WELL RECORD (May be used for Property Transfer) Name of Orlller LIFaNUM8 OPSAR Bass AM