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i�/ti�' 617 13th AVF. SO. • HOPKINS, MINNESOlA 55343 • 93i-355(,
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Stodo].a Well Dril.ting ��C�����T November 7, 1987
15306 Highway 7
Minnetonka, Mn. 55345 ��T 2 9 2008
CITY OF ORONO
REPORT OF WATER ANALYSIS
received from you
Our laboratory reporis fhese analytical results, deferrnined on a sample 1 0� November �, 1987
t'�,'--�,�„�`-"'�+,s / ,
Well water
From
John Loughlin
4215 Forest Lal:e Drive
Orono, Mn.
Unique Well # 435446
Bacteria (Coliform group) less than 1/100 ml
Nitrate nitrogen 0�0 mg/1
Conductivity, Specific 430.. micromhos
'I'he results of t��fase tests indicate thai. this well is producing water
that is free of c ;ntarnination, is safe 1`ur domestic use, and meets
the standards fo;: F.H.A. , V.A. , or conventional loans.
Tw:�n City Water Clinic, Inc.
v��\���
.��� �
Bl]_1 Van Arsdale
Analylical laboralory Consultinq engineer
Wateranalysis ieayents Boilerwale�chemlcals
17.1 parlslmillion equals 1.0 gr��inlgallon
.. ....................... ......... ........... .....W...
� ��� ' ' MINNESOTA UNIQUE WELL NO. .* f a
WATER-WELL RECORD � f�" �p
Counr•�Name ��, . q "��, 4 a k`l
'F'` Minnesola Sfafufes 156A.01�.08 /or Wafer Sample , y _
Henne in
Township Name� Township Number Range Number Section No. Fraction 4. WELL DEPTH(completed) Date of Completion
N E
117 °� 23 w 07 SE �� P,W�� NE� 109' r�. 11-2-87
Dislance and Uirection(rom Road In[ersection or Street Addreas and City ot Well l.ocation 5. DRILLING METHOD
�� lO Cable tool 4O Reverse 7O Driven IOO Dug
ow exact location d well in section grid with"X." Sketch map o(well location. 2O Hollow rod 5�Air R�Bortd I I❑
N ' ,('' �L
� � � i Addilion Name � ��Jr ,���L •(�_ �L APJ Rotary 6O Jel[ed 9O Power�auger
'_r' 7_ _1�_1_ -��-�.--��/a...�__._-�-�1
i � 6. URILLING FLUID
� i � �,L�n.iL�,�
w --`- -i- �- y- E Block Number ,�..,. 7. USE
i
_1_ _1_ _'_ 1_ 1FL']IMmes[ic 4O Monitoring BO Heat Pump
I � i � � I,ot Number _,____�..__,.�. 2�Irrigation 50 Public 9O Industry
f mi.
� i i � 3O Test Well 6O Municipal 100 Commercial
'-�- �' - -r" '7�Air Conditioning I!❑
i
1 mile,—� 8.CASING HOLE DfAM.
2. PROPERTY OWNER'S NAME HEIGHT:Above/Belaw
�Black 4�7'hreaded
JOr]I7 LOUC�r111T1 Surtace tt.
20 Galv. 5p Welded
Address 4215 Forest Lake Drive 3O Plas[ic � Drive Shce? Yes X No—
Orono, Minn. 55364 ���.�a�_r�. we�gh�7=9T8���.irc. �-���. ca �"C c.
3. FORMATION LOG COLOR HARDNESS OF FROM TO in.to ft. Weight IbsJtL �n. to�t.
FORMATION
in.to tL Weight Ibs./tt. �n. to_ft.
, C1a. � O 1 9.SCREEN Or�openhole
Make
JO pSnp trom ft.to. ft.
Sand
Ty� Sta l Tll P�� 4tPPl - Dis. /.�!�
SIoVGauze l� [.enH�h Q-�---
, nr ITTINGS:
Se[be[ween�L�-ft.and �n a ft.
10. STA7'IC WATER LEyVEL
4� ft.R?below ❑above Date Measured 11-2-g7
land sur(ace
� 11. PUMPING LEVEL(below niand surface)
4 0 (l,af[er `� hrs.pumpinq 2� g.p.m.
ft.after —hrs.pumping g.p.m.
12. HEAU WELL COMPLETION
l�itless adapter.manutacturer�1��P Wc�tPY� model
2O 6asement o(fset 3�AI least 12"above ground
40 Plaslic casing proteclion
13. WELLGROU7'ED? �
Yes ❑No
lONealCemen[ 2�Bentonite �nX Na �ra��ekfi��
Grout ma[erial from to ft.cu.yds.
� 14. NEAREST SOURCES OF POSSIBLE CON'PAMINAT(ON
(ee[ direCtion type
Well disinfected upon completion? �J Yes ❑No
15. PUMP
Date installed ��-l1-S27 p Not installcd
Manufacturer's name M�er�
� Model number _HP �- Vol[s��
1
Length of drop pipe 63 f[. capaci[y 14 g.p.m.
Material of drop pipe l�� Galv_
Type:I�Submersible 3O L.S.Turbine 5�Reciproca[ing
20Jet 4O Centritugal 60
16. EXISTING WELLS
Unused wel�on property? ❑Yes �Io
Use a serond sheel,iJ needed Abandontd ❑ Permanent❑ Temporary❑ Not sealed
17. REMARKS,ELEYATION,SOURCE OF DATA,etc.
� 18.WATER WELL CONTRACTORS CERI7FICATION
J� G This well was drilled under my jurisdic[ion and this report is true m the hest of my
C /'J T7�� knowledge and belie(.
,,��
� DQN STODOLA WFT,T, DRTT,T,TNG C'O_ � TNC._ 1'72
� 1}�re-,� W�''��', 15306�His�hwa Q 7 Mtka Mn��e 5�
naa��s
,�
SiHn � - , . " -'Da[e 11-5-87
u[horized�Represen[alive
. P. MCM�-ttlOri Datr 11-5-$7
Name o(Driller
{��f.�1���1.�3��: ``) �"' ` 5/74 30M
�r`_� �rs�rt� r�r��r�--o�?4F:E_� �,a��An�.�� �������� .���a.) �. A.(.� — ���a�
WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring '„' _ '+ °� g� �
County Name
WELL AND BORING SEALING RECORD Menn'ego a�Unique Well No. O
Minnesota Statutes, Chapter 1031 or W-series No.
t* (Leave blank it n01 known�
�
Township Name Township No. Range No. Section No. Fraction(sm.-�Ig.) Date Sealed Date Well or Boring Constructed
� � �I�',� �. S OCT - 1
GPS LOCATION- decimal degrees(to four decimal places)
Depth Before Sealing_ �O� • _fL Original Depth _ _ft.
Latitude____ ______ Longitude
IFER(S) STATIC WATER LEVEL
Numerical Street Address or Fire Number and City of Well or Borin LCocatLion� . .Single Aquifer �, ;Multiaquifer �/ /1�/
42i 5 Farest Lake nC� �rQ� �1�C7�f WELUBORING ,/?Measured ',_ Estimated Date Measured��f �f"�r
_ Water-Supply Well i ,�Monit.Well ,�j r
Show exact location of well or boring Sketch map of well or boring r-,Env.Bore Ho�e ]Other �r ft. below
in section grid with"X:' lo ation,showi property __ _— �' �._�above land surface
N .� li s,ro ds, r�p.suiqdiM1�S�_ ,�ASINGTYPE(S)
t�.n
� � � � ..
--'-- -'-- � � ,
---"- -_'_ i� 1
� �Steel . ,Piastic . .Tile _J Other ___ __ __ __
--'--- -�'--' '--�-----�-- WELLHEAD COMPLETION �
W � � � � E ��
� � � � T `- Outside: �.]Well House � 1 At Grade Inside: ❑Basement Offset
--;--- -�--- --�-- --%-- I . .
� � � � '/Mde � A � I � uried �I Well Pit
--;--- --;--- ---'-- ---;-- � � �Wtess p r/ nrt �Buried
i da te B
�
ell Pit
S , ❑Other - -- -�-- -----
�—�Mile—� I J�ther _ _
PROPERTY OWNER'S NAMEiCOMPANY NAME CASING(S)
r Diameter � Depth � Set in oversize hole? Annular space initially grouted?
Propeny ownefs mailing address if different Ihan well location address indicated above � -
� In.from_� to��� ft �;Yes `�o _._Yes ��,,i No ❑Unknown
in,from__ _ to__ _ft. ❑Yes '� �No �_Yes ','�'��No r...,Unknown
__ In.from to ft []Yes � I No ❑Yes I�No ���Unknown
� WELL OWNER'S NAME/COMPANY NAME SCREEWOPEN HOLE � -
/
Well owner's mailing address�d dlfferent ihan properry owner's address indlc�ted above SCreen from �_to��y��it. Open Hole from t0 ft.
OBSTRUCTIONS
i�Rods/Drop Pipe I Check Valve(s) f �.Debris , ..Fill �, ;No Obstruction
)� �-(L_.� �_�� ..
Type of Obstructions(Describe /Vl� 1/''r T
GEOLOGICAL MATERIAL COLOR HARDNESS OR FROM TO Obstructions removed? �� Yes I.j No Describe ��
FORMATION ""----�--"---- � --- '
PUMP
If not known,indicate estimated formation log from nearby well or boring.
' ` J� TYPe-__ __--- --
C....� '�. 1 Removed �� ,�jVot Present [,Other .
METHOD USEDTO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE:
�lo Annular Space Exists �. �Annular Space Grouted with Tremie Pipe '..,Casing Perloration/Removal
in.from to_ ft �_)Perforated []Removed
. _____________in.trom. _. . .__. to__ .___ ______ft. [_]Perforated �_I Removed `
Type of Perforator
VARIANCE
Was a variance granted from the MDH for ihis well? '_ Yes �No TN#___ _ . __ _
GROUTING MATERIAL(S) (One bag of cement=94 Ibs.,one bag of bentonite=50 Ibs.)
/ /' �
Grouting Material�f�/ �i�_f��(/ hom � to 1�,�!� ft.___ . ._ yards__�__ bags
from to . ft. yards___ bags (
____ from_ to___ ft. yards_ bags
OTHER WELIS AND BORINGS
REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING Other unsealed and unused well or boring on property? � i Yes ' o How many?____
LICENSED OR REGISTERED CONTRACTOR CERTIFICATION
This well or boring was sealed in accordaoce with Minnesota Rules.Chapter 4725.The information contained in this report
is true to the best of my knowledge.
1I� Stodola s,rell ?3ril�i�; Co., Inc. 1691
Licensee Business Name - . License or Registration No.
£,'"'
.__�
� r'
" c�'-� � - t�
- -- "' �- ---- — _ _
htative Signatur�,.:� � Certilied Rep.No. Date
" 3 3 3118 � r-�"-�`"�.r`,
LOCAL COPY -- _. _ — -- _-- - -------- . ___ - ----- - — -
Name ol Person Sealing Well or Boring
HE-01434-14 IC#140-0423 � 5;iaa