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Home My WebLink About2000 well record WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. County Name WELL AND BORING RECORD 643'160 Hennepin Minnesota Statutes Chapter 103! Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed ft. Orono 117 23 07 234• 2-21-00 House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD El Cable 1200 Wildhnrst Trail Orono, lin. 55364 ❑Auger Tool t Ror i taryo Dug ed Show exact location of well in section grid with'X". Sketch map of well location. 0 Showing properly lines, `' roads and buildings. DRILLING FLUID WELL HYDROFRACTURED? El YES 0 NO N i. Water I I �� FROM ft.to ft. I I i e � USE 0 Monitoring 0 Heating/Cooling 9 t Domestic ❑ Community PWS 0 Industry/Commercial k ❑ Irrigation 0 Noncommunity PWS 0 Remedial I I w - ET T 0 Environ.Bore Hole I I `� 0 Dewatering ❑ r r I I Q CASING Drive Shoe? 0 Yes cXto HOLE DIAM. I 1 1/ZMile 0 Steel rXPlastic 0 Threaded ❑ ❑ Welded l 3 s 1-1 Mile--I CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME in.to ft. lbs./ft. in.to ft. Nike Hollenhorst in.to ft. lbs./ft. in.to_2_34 Property owner's mailing address if different than well location address indicated above. M.to ft. lbs./ft. in.to ft. SCREEN OPEN HOLE MaJohnsQ D from ft.to ft. Type Statinlens Steel Dia, 2a8' Slot/Gauze .010 Length Set between 226 ft.and 234 ft. FITTINGS: 2• X 30"_v/kp STATIC WATER LEVEL WELL OWNER'S NAME 90 ttX below 0 above land surface Date measured 2-21-00 PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. 220 ft. after 2 hrs.pumping 30 air g.p.m. Ltl HEAD COMPLETION whi terater del NAL Pitlessadapter manufacturer ❑ Casing Protection 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? a Yes 0 No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement 0 Bentonite 0 Concrete I High Solids Bentonite MATERIAL from 0 to 30 ft. 2.5 0 yds. L bags from to ft. 0 yds. 0 bags Clay Brown S 0' 18 Ifrom to ft. ❑ yds. 0 bags Clay Grey S 18' 105 1 NEAROWN SOURCE OF CONT�►�IN TION feet c)7 direction T`ecrf type Well disinfected upon completion? f�'!es 0 No �� Clay Sand Grey S 105'2201 PUMP ❑ Not installed Date installed 2-23-00 Water Sand Grey S 220'230. Manufacturer's name Goulds Model number HP 1 Volts 230 Length of drop pipe 126' ft. Capacity 12 g.p.m. Type: fubmersible 0 L.S.Turbine 0 Reciprocating 0 Jet 0 ABANDONED WELLS Does property have any not in use and not sealed well(s)? 0 Yes arNo ' VARIANCE Was a variance granted from the MDH for this well? 0 Yes No 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-. a ,a The information contained in this report is true to the best of my knowledge. E' ED DON STODOLA WELL DRILLING CO. , INC. Licensee Business Name .-- Lic.• Reg.•••• 27172 MAR .3 0 2nnn Li ' rillr.o.oir'Ampo 2-28-00 CITY Ur Unt3N0 Authorized Representative S. ature Date Chuck 64316 0 Name of Driller Moore 2-21-00 Date LOCAL COPY HE-01205-07(Rev.2/99) / TsW Ci't' C £ty WaU'vtI,c', uter C Ivc 617 13th Ave So Hopkins, Minnesota 55343 • (612) 935 - 3556 02/25/2000 Stodola Well Drilling 3841 North Main St. Bonifacius MN 55375 938-2111 REPORT OF WATER ANALYSIS Lab #: 38586 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 02/22/2000 from the following location: Mike Hollenhorst 1200 Wildhurst Tr Orono,Mn Unique Well #643160 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). T Water Clinic, Inc. Bill V sale t✓�tv!- VI!'p)I�iV Analyical laboratory Consulting Engineer Water Analysis Reagents Boiler Water Chemicals Lab Certification#027-053-119 MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring WELL OR BORING LOCATION Sealing No. H 164455 County Name WELL AND BORING SEALING RECORD Minnesota Unique Well No. — Minnesota Statutes,Chapter 1031 or W-series No. Rene p i rt....tr.kxnakr.r.1 Township Name Township No. Range No. Section No. Fracctionn(Sm...-+.wIg.) Date Sealed Date Well or Boring Constructed Orono 117 23 07 �1''4OO 3 L 60 Numerical Street Address or Fire Number and City of Well or Boring Location f at.,0 it 1200 Wildhurat Hyl, Orono Depth Before Sealing 34.3 ft. Original Depth 3a n Show exact location of well or boring ;55ce Sketchkemapof well or boringAO IFER S STATIC WATER LEVEL in section grid with"X". � location, showing property Single(Aquifer ❑ Multiaquifer lines,roads,and buildings. ..S.��Y""""___ N WELL/BORING Measured ❑ Estimated Water Supply Well ❑Monit.Well ❑ Env.Bore Hole ❑Other 90 f ft. below ❑above land surface W--�-'-'-�'---� E CASING TYPE(S) ---r- i----; 1 NA Steel ❑ Plastic ❑Tile ❑Other 1 I I I j`1mi \\ CASING(S) I • 0 Diameter Depth rf Set in oversize hole? Annular space initially grouted? LLLL�� S , `' yam—r mile 9 in.from 0 _,3 ,,fivto ft. ❑ Yes I=No ❑ Yes ❑ No ❑ Unknown PROPERTY OWNER'S NAME in.from to ft. ❑ Yes ❑No ❑ Yes 0 No ❑ Unknown Mike Holleabstat 495-9897 Property owner's mailing address if different than well location address indicated a ove. in.from to ft. ❑ Yes ❑No ❑ Yes, ❑No ❑ Unknown SCREEN/OPEN HOLE Screen from to ft. Open Hole from g�j' rto 365 h. OBSTRUCTIONS WELL OWNER'S NAME 0 Rods/Drop Pipe ❑Check Valve(s) 0 Debris 0 Fill No Obstruction Well owner's mailing address if different than property owner's address indicated above. Type of Obstructions(Describe) Obstructions removed? 0 Yes 0 No Describe PUMP Type GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO 0 Removed 'X Not Present CIOther 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: do Annular Space Exists ❑Annular space grouted with tremie pipe `J r -UV}',..,--..b1.... . 35..10,5,0 Casing Perforation/Removal in.from to ft. 0 Perforated 0 Removed in.from to ft. 0 Perforated 0 Removed Type of perforator ❑ Other GROUTING MATERIAL(S) (One bag of cement=94 lbs.,one bag of bentonite=50 lbs.) ar 45/#1 Grouting MaterialT Lf _ 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 y� Other unsealed and unused well or boring on property? 0 Yes IXJI��1\No How many? LICENSED OR REGISTERED CONTRACTOR CERTIFICATION L,-,�+4' E' 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. MAR 3 0 2404 Don gtadola Weil Drilling Co., Ise. 27172 Contractor Busine Name ' License or Registration No. Glc ur iJ11C3iV0 /riS/ 4 o u -• •epresentative '•-,ture Date j LOCAL COPY H 164455 Name of Person Sealing W Boring