HomeMy WebLinkAbout1999 Well & Boring Record WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO.
County Name WELL AND BORING RECORD 6 2 4 9 6 7
Hennepin Minnesota Statutes Chapter 1031
Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed
Orono 118 23 27 202 ' 8-19-99
House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD
850 Willow Drive North Orono,Mn. 0 CableueTool 0 Drivenotar0 Dug
❑ Auger �Rotary 0 Jetted
Show exact location of well in section grid with'X". 55356 Sketch map of well location. ❑
Showing property lines,
roads and buildings. DRILLING FLUID WELL HYDROFRACTURED? ❑YES 0 NO
" Bentonite
____ j ___ FROM ft.to ft.
USE 0 Monitoring ❑ Heating/Cooling
Domestic
-I 1 ''. _a
❑ Irrigation ❑ Community PWS 0 Industry/Commercial
0 Noncommunity PWS 0 Remedial
IN I E ❑ Environ.Bore Hole ❑ Dewatering 0
-i r r
/ZMu, CASING Drive Shoe? 0 Yes ❑ No HOLE DIAM.
____ ❑ Steel 0 Threaded
0 Welded
N)), x WELL �Plastic 0
S
1 Mile
CASING DIAMETER WEIGHT
PROPERTY OWNER'S NAME 4 0.098'198' n. SDR21 lbs./n. 7 71 3(1,
Erotas Building Corp. in.to ft. lbs./ft. V in.202_ft.
Property owner's mailing address if different than well location address indicated above. in.to ft. lbs./ft. in.to ft.
3436 40th Street NE SCREEN OPEN HOLE
Buffalo, Kn. 55313 Make Johnson from ft.to ft.
Type Stainless Steel Diam._3R
Slot/Gauze ir8 Length 4'
Set between in ft.and 202 ft. FITTINGS:
STATIC WATER LEVEL
WELL OWNER'S NAME 1101 ft. L�+y
below 0 above land surface Date measured 8-19- ri
PUMPING LEVEL(below land surface)
Well owner's mailing address if different than property owner's address indicated above. 1 94 ft. after 2 hrs.pumping 2 5 g.p.m.
WELL HEAD COMPLETION
❑ Pitless adapter manufacturer Model
❑ Casing Protection 0 12 in.above grade
❑ At-grade(Environmental Wells and Borings ONLY)
GROUTING INFORMATION
Well grouted? J Yes ❑ No
HARDNESS OF Grout Material 0 Neat cem t 0 Betgqite ❑ Concrete 11 High Solids Bentonite
GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO
from to 4 v U ft. 0 yds.8 bags
CLay Yel low S 0' 30 I from to ft. El yds. 0 bags
from to ft. ❑ yds. 0 bags
NEARFy�F T KNOWN SOURCE OF CONTAMINATION)l
Clay, Gravel Grey S 30 ' 120' 4OO feet �./604-Ts^i direction ''S--- /421.67– type
Well disinfected upon completion? XYes 0 No
Sand, Gravel Tan S 12012021 PUMP
CINot installed Date installed 11-3-99
Manufacturer's name Goulds
Model number HP 1•5 Volts 230
Length of drop pipe 147 ft. Capacity g.p.m.
Type:,'bmersible El L.S.Turbine 0 Reciprocating El Jet 0
ABANDONED WELLS
Does property have any not in use and not sealed well(s)? El Yes No
VARIANCE
Was a variance granted from the MDH for this well? 0 Yes O 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. The information contained in this report is true to the best of my knowledge.
DON STODOLA WELL DRILLING CO. . INC.
Licensee'usiness N. e ic.or Reg.No. 27172
Authorized Repregentlltide Signature Date
fred Leiby 8-13-9
Name of Driller H E-01ate
205-06(Rev.7/98)
LOCAL COPY 624967
..
Tw iIAA/ City Wafter C , I vtc'.
617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556
08/26/1999
Stodola Well Drilling
3841 North Main
St. Bonifacius MN 55375
938-2111
REPORT OF WATER ANALYSIS
Lab #: 37648
Our Laboratory reports these analytical results, determined on a sample taken
by CLIENT on 08/23/1999 from the following location:
850 Willow Dr.
Orono,Mn
Unique Well #624967
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).
i• ity W ter Clinic, Inc.
Bill V• .` sda 0
Analyical laboratory Consulting Engineer
Water Analysis Reagents Boiler Water Chemicals
Lab Certification#027-053-119