HomeMy WebLinkAbout2006 - well and boring record MINNESOTA UNIQUE WELL
WELL/BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BORING NO.
(Aunty Name WELL AND BORING RECORD 7 3 8 3 6
Hennepin Minnesota Statutes,Chapter 1031
Township Name Township No. Range No. Section No. Fraction WELUBORING DEPTH(completed) DATE WORK COMPLETED
Orono 118 23 27 ,,, ,,, ,,, 182 ft. 512-06
GPS DRILLING METHOD
LOCATION: Latitude degrees minutes seconds
❑Cable Tool Dag riven O Dug
Longitude degrees minutes seconds ❑Auger :, otary ❑Jetted
House Number,Street Name,City,and Zip
lCode�of356
Well LocatiioonCor Fire Number ❑
1849 West Rd, Orono 55DRILLING FLUID WELL HYDROFRACTURED? ❑Yes-80oShow exact location of well/boring in section g d with"X." Sketch map of well location. bentonite From ft.To ft.
Showing property lines, USE -Kiomestic ❑Monitoring ❑Heating/Cooling
N roads,buildings, 9 9
I and direction. ❑Noncommunity PWS ❑Environ.Bore Hole ❑Industry/Commercial
i-----.j__ --
j --' . ❑Community PWS ❑Irrigation ❑Remedial
I .. - 4 r, ❑Elevator ❑Dewatering ❑
\ ',A CASING MATERIAL Drive Shoe? ❑Yes Xfo HOLE DIAM.
W t ; 1 ET ' CISteel ❑Threaded ❑Welded
i i 'h Mile �i\ lastic ❑
,04 CASING
1 •
W
Diameter Weight Specifications
i i r— 4 174 L
I--1 Mile---I !t 30
in.to ft. lbs./ft. 8 in to ff
in.to ft. • lbs./ft. in.to_vise
PROPETY OWNER'S NAME/COMPANY NAME
in.to ft. lbs./ft. n,to ft.
Anthony SCREEN -r OPEN HOLE
Property owner's
mailing address if diff‘rent than well location address indicated above. Make Jdmson From ft.To ft.
4100 Berkshire Lane Type Steal PRA Mitt Diam. 2"
Plymouth, MN 55446 Slot/Gauze .Qi0 Length 411 + 4;
Set between 174 ft.and 182 ft. FITTINGS 2b]G6�F kp
�t w/
STA ATER LEVEL q #w}+
ft.Selow ❑Above land surface Date measured 5-2--06
PUlalfj,(pIG LEVEL(below land surface
WELUBORING OWNER'S NAME/COMPANY NAME j
ft.after hrs.pumping g.p.m.
ELL HEAD COMPLETION . h wa e�
Well/boring owner's mailing address if different than property owner's address indicated above. itless Adapter Manufacturer�/�/,} •1 �M del
El-Casing Protection �.2 in ab"ove grade "
❑At-grade(Environmental Well and Boring ONLY)
GROUTING INFORMATION
Well grouted? 'Yes ❑No
Grout materials ❑Neat cement Kentonite ❑Concrete ❑Other
From_XL To ft. _ ❑Yds. ❑Bags
From _To ft. natural_fin ❑Bags
GEOLOGICAL MATERIALS COLOR HARDNESS
OF FROM TO From To ft. ❑Yds. ❑Bags
MATERIANEAREST KNOWN SOURCE OF CONTAMINATION
topsoil black soft 0 90 feet direction^ . type
Well disinfected upon completion?.f��/Yes ❑No C14.tii
PUMP J ' 41, V F`
clay/sand gray 170 C7 Not installed Date instilled
watersand gray medium 170 182 Manufacturer's name sq" r O Q
Model Number , HP�� —5 Volts C:7 ---3°C:7 ---3°Length of drop pipe /4:::: &/4:::: &/ ft. Capacity , g.p.m.
Type:‘bmersible ❑L.S.Turbine ❑Reciprocating ❑Jet ❑
ABANDONED WELLS
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? ❑Yes.Lat to 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. R,._ 9
REMARKS,ELEVATION,SOURCE OF DATA,etc. Don Stodola Well Drilling Co,. Inc. 271 j2
I_'icensee Business Name _ _- . - Lic.ori Reg.No. G
r
Aut,P e.IP::.r enta ive Signature Date
Jim_ ate''
LOCAL COPY
7 3 913 6 Name of Driller
HE-01205-09(Rev.9/05)
IC 140-0020
C Cty W ctter C , Inc/
617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556
05/04/2006
Stodola Well Drilling
3841 North Main
St. Bonifacius MN 55375
938-2111
REPORT OF WATER ANALYSIS
Lab #: 246BN
Our Laboratory reports these analytical results, determined on a sample taken
by CLIENT on 05/02/2006 from the following location:
1849 West Farm Rd.
Orono,Mn
Well #739136
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).
Twirl City Water Clinic, Inc.
Bill Vc�i0` 1rs.�d le
Lab Certification#027-053-119