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WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO.
County Name • WELL RECORD 5 613 0 3
Hennepin Minnesota Statutes Chapter 1031
Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed
Orono 1006117 23 07 115' ft. 3-1-95
Numerical Street Address and City of Well Location or Fire Number DRILLING METHOD
1006 Wildhurst Trail, Mcurbd,MN.5�5364 ❑ Cable Tool 0 Driven 0 Dug
0 Auger 1:i Rotary ❑Jetted
Show exact location of well in section grid with'X'. 4 s ' Sketch map of well location. 0
014a? Showing property lines,
N Vi 1�. roads and buildings. DRILLING FLUID
I , Bentoni
--r--7- _i__1- 4VcL_ L �;
r ±
r , I X ,USE 0 Heating/Cooling
_ 19,Domestic 0 Monitoring
W I , I E ❑ Irrigation ❑ Public 0 Industry/Commercial
' I T 0 Test Well 0 Dewatering ❑ Remedial
I F-mi
I CASING Drive Shoe? ❑ Yes 0 No HOLE DIAM.
__:_ ___ ---r' I El Steel 0 Threaded 0 Welded
0 111 f:KPlastic 0
I mile-I
•
CASING DIAMETER WEIGHT
PROPERTY OWNER'S NAME 4 in to 105 ft. STD-21 lbs./ft. 7 7/' 3Q
,1 Robert Wade & Associates in.to ft. lbs./ft. 5 1lr�t0 115 ft.
Mailing addfess if different than property address indicated above. in.to ft. lbs./ft. in.to_ft.
1487 Shoreline Drive SCREE JOhi1S071 � OPEN HOLE
Wayzata, Mn. J5391 Make from ft.to ft.
Type Stainless Steel Diam. _2"
Slot/Gauze 10Length 9
Set between 105 ft.and 1 15 ft. FITTINGS: 1G J 8 H
STATICTER LEVEL
GEOLDGICAL MATERIALS COLOR FI MADTERIALNESS OF FROM TO � ft. Cit below ❑ above land surface Date measured 3-1-95
PUMPING LEVEL(below land surface)
Clay Yellow S 0' 20' 102 ft. after 11 hrs.pumping 35 g.p.m.
WELL HEAD COMPLETION
Clay Grey S 20' 65' M Pitless adapter manufacturer WhiterWrater Model
❑ Casing Protection R 12 in.above grade
Gravel White_ 1.__:, 65' 70' GROUTING INFORMATION
Well grouted? N Yes ❑ No
Clay Grey S 70' 100' Grout Material 0 Neat cerrt�ent IX Bentonit
l from U to 3u ft. J ❑ yds. 51 bags
from to ft. ❑ yds. ❑ bags
_rind Tan S 100' 115' from to ft. 0 yds. 0 bags
NEAREST KNOWN SOURCE OF CONTAMINATION
/S----' feet .7-v td 4 direction C/if--.'
type
Well disinfected upon completion? Wes ❑ No SE L,_.L:rt
PUMP
❑ Not installed Date installed 9--7-98
Manufacturer's name F&W
Model number 4f9C1 C30.1 HP Volts
Length of drop pipe 63 ft. air- 230 g.p.m.
Pressure Tank Capacity V 120
i]Type: Submersible ❑ L.S.Turbine ❑ ReDEV ❑Jet 0
ABANDONED WELLS
Does property have any not in use and not sealed well(s)? 0 Yes ❑)Io
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.
DON S'I.7DOL\ WELL DRILLING CO., INC. 27172
Use a second sheet,•if needed
REMARKS,ELEVATION,SOURCE OF DATA,etc. Licensee Business Name Lic.or Reg.No.
`f
r 3-1-95
Authorized Repreientativ�gna• Date
Fred Leiby 3-1-95
Name of Driller Date
LOCAL COPY 5 613 0 3 HE-01205-04(Rev.5/92)
Twin City Water Clinic, Inc.
617 13th Ave So • Hopkins, Minnesota 55343 • (612)935-3556
03/04/1995
Stodola Well Drilling
15306 Hwy 7
Minnetonka MN 55345
938-2111
REPORT OF WATER ANALYSIS
Lab#: 25270
Our Laboratory reports these analytical results, determined on a sample taken
by CLIENT on 03/01/1995 from the following location:
Robert Waade 8 Assoc
10061Nildhurst Trl
Mound,Mn
Unique#561303
•
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).
\ \• 1•• i Water Clinic, Inc.
\`• .
Bill •
Brian��4
\\
Analyical laboratory Consulting Engineer
Water Analysis Reagents Boiler Water Chemicals
Lab Certification/027-033-119