HomeMy WebLinkAbout2002 well & boring record WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO.
County Name WELL AND BORING RECORD 6 8 6 5 6 2
Hennepin Minnesota Statutes Chapter 1031
Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed
Orono 117 23 07 148 n 10-11-02
House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD
1074 Wildhurst Trl, Orono 55364 0 Cable Tool 0 Driven El Dug
❑Auger 5erotary El Jetted
Show exact location of well in section grid with"X". Sketch map of well lo .ion. 0
Showing prop-Ctiods.•.buildings. DRILLING FLUID WELL HYDROFRACTURED? (DYES
N i
--4/-7- water FROM ft.to ft.
USE 0 Monitoring
0 CommunityPWS 0 Heating/Cooling
1 omeslic 0 Industry/Commercial
u Yr V ❑ Irrigation
!l ❑ Environ.Bore Hole ❑ Noncommunity PWS ❑ Remedial
W e C 0 Dewatering 0
- i --� �y�, _ s.-e-.4 l t CASING Drive Shoe? 0 Yes j�}�'No HOLE DIAM.
L ❑ Steel 0 Threaded0 0 Welded
S
I---1 Mn.
CASING DIAMETER WEIGHT
PROPERTY OWNER'S NAME 4 in.to-1-4A_ft. lbs./ft. 6 in.to_'0.
in.to ft. - lbs./ft. in.tot.
Jnhn Thomas CnatnisfF'+S4 Frames TOc.
Property owner's mailing address if different than well location address indicated above. _ in.to ft. lbs./ft. in.to ft.
1161 Wayzata Blvd, 0218 SCREEN OPEN HOLE
yU Make Johnson from ft.to ft.
Wayzata, MN 55391 Type stainless stl Diam. �»
Slot/Gauze •010 Length ,,, t 4,
Set between 14Q ft.and ft. FITTINGS: 2 w x3o„ w/kp
STATIC WATER LEVEL G
WELL OWNER'S NAME 25 ft.j>k•llelow ❑ above land surface Date measured 10-11-02
PUMPING LEVEL(below land surface)
Well owner's mailing address if different than property owner's address indicated above. 136 ft. after 1 hrs.pumping 60 g.p.m.
WELL M
Pitless adapterHEADCOmanufacturerPLETION vhf t eva t e r Model
r jr'j c.: El Casing Protection t2 in.above grade
$ .)
0 At-grade(Environmental Wells and Borings ONLY) /`
GROUTING INFORMATION
(:1f Y Luis iii., Well grouted? Yes 0 No
HARDNEgg jy'
ba Grout Material 0 Neat cement 0 Bentonite 0 Concrete igh Solids Bentonite
GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO
from to_30_ft. ❑ yds. *bags
from 30 to4_40_ft. natural Cfls11 bags
fill black soft 0 10 from to ft. ❑ yds. 0 bags
NEAREST KNOWN SOURCE OF CONTAMINATION
peat black soft 10 20 feet 4-4J direction type_,
Well disinfected upon completion? fYes 0 No _ + a
sand gray soft 20 30 PUMP
❑ Not installed Date installed 1-7-03
clay gray soft 30 135 Manufacturer's name Aermotor
graysoft 148 Model number HP 1•5 Volts 23$ -
sand
135Length of drop pipe 63 ft. Capacity •7 g.p.m.
Type: '6a/tubmersible 0 L.S.Turbine ❑ Reciprocating 0 Jet 0
ABANDONED WELLS
Does property have any not in use and not sealed well(s)? 0 Yes XIClo
VARIANCE
Was a variance granted from the MDH for this well? 0 Yes >10No TN#
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.
Don So
ul •o].ae W,�ll D llin Lsorce5,lb. Ina. 2717.
77"/9 �� �� 1-10-0
Authored Represent.,ve Signa ure Date
Chuck Moore 10-11-02
6 8 6 5 6 2 Name of Driller Date
LOCAL COPY HE-01205-07(Rev.2/99)
i th -
Tw( vv Cc y weer C LIvuc,, I v c
617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556
10/15/2002
Stodola Well Drilling
3841 North Main
St. Bonifacius MN 55375
938-2111
REPORT OF WATER ANALYSIS
Lab #: 1064
Our Laboratory reports these analytical results, determined on a sample taken
by CLIENT on 10/14/2002 from the following location:
1074Wildhurst Trail
Orono,Mn
Unique Well #686562
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).
Water Clinic, Inc.
Bill \f1 •'le
Lab Certification tt 027-053-119