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Home My WebLink About02/23/2020 - well and boring construction record • MINNESOTA UNIQUE WELL WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BORING NO. County Name WELT AND BORING CONSTRUCTION RECORD ` 8 4 4 81 3 Hennepin Minnesota Statutes,chapter 1031 Township Name Township No. Range No. Section No. Fraction(sm.—+Ig.) WELUBORING DEPTH(completed) DATE WORK COMPLETED Orono 117 23 10 SE SE Ste 197 n. 2-23-2020 GPS LOCATION—decimal degrees(to four decimal places). DRILLING METHOD Latitude Longitude - ❑Cable Tool ❑Driven ❑Dual Rotary ❑Auger SRotary ❑Rotasonic House Number,Street Name,City,and ZIP Code of Well Location ❑Other - _ - 1525 Bay Ridge Rd, orono 55391 DRILLING FLUID WELL HYDROFRACTURED? ❑Yes [VC Show exact location of well/boring in section grid with"X" Sketch map of well/boring location. water From ft.To ft. Showing property lines, _ N roads,buildipQs, direction. USEomestic ❑Monitoring ❑Heating/Cooling U K ❑Noncommunity PWS ❑Irrigation ❑Industry/Commercial , s_ • .. ❑Community PWS ❑Dewatering ❑Remedial •--____ -----`______`___ Li Elevator ❑ w ET I CASING MATERIAL Drive Shae? ❑Yes �No HOLE DIAM. I. ID Steel ❑Threaded ❑Welded 'h Mile ----1 lastic CI --- ---__I__-- 1 CASING s Diameter Weight Specifications ) - 1 Mile ( 4 in.To 189 ft. lbs./ft. _8_in.To 50ft. in.To ft. lbs./ft. �Y" in.To 197ft. PROPERTY OWNER'S NAME/COMPANY NAME 2 Stonewood LLC in.To ft. lbs./ft. in.To ft. Stonewood fade SCREEN3� OPEN HOLE Property owner's mailing address if different than well location address indicated above. m 153 E Lake St Type st'Sinliss steel inson akeFroDiam. 2" ft. To ft. Wayaata, MN 55391 Slot/Gauze +15 Length 4' + 4 8 Set between 1R9 ft.and 197 ft. FITTINGS,a3 8 loader STATIC WATER LEVEL �f/1 45 ft. .Below ❑Above land surface Date measured 2-23-2020 Dry hole ❑Yes NriNo WELL OWNER'S NAME/COMPANY NAME PUMPING LEVEL(below land surface) , 190 ft.after 7 hrs.pumping 50 g.p.m. Well/boring owner's mailing address if different than property owner's address indicated above. W LLHEAD COMPLETION • ;Pitless/adapter manufacturer ❑Casing protection -c:?62 in.above grade ❑At-grade ❑Well House ❑Hand Pump GROUT INFORMATION(specify bentonite,cement-sand,neat-cement,concrete,cuttings,or other) Material bentoniteFrom 0 To 50 ft. 3 ❑Yds. 14r Bags Material_eut t41,18;s_From 50 To 1 s, ft. ❑Yds. ❑Bags HARDNESS OF Material From To !t7l ft. ❑Yds. ❑Bags GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO Driven casing seal From To Bags = One bag94 lbs.cement or 50 lbs.bentonite p 0 NEAREST KNOWN SOURCE OF CONTAMINATION clay/sand brown soft 16 Well is /—'O feet NiC direction from 1 type silty clay/ Well disinfected upon completion? . Yes ❑No fine sand gray soft 16 75 PUMP ❑Not installed Date installed S— I 1 — ad sandy clay gray soft 1 75 142 Manufacturer's name l caly/sand cjy/ �r8 /bl�kk soft 142 163 Model Number HP I /� Volts a 3a Y is Length of drop pipe 6 3 ft. Capacity g.p.m son Cla ra` soft 163 1R9 Type: Submersible ElL.S.Turbine El Reciprocating ❑Jet ❑ y JL ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑Yeslo gravel mix bard 189 197 VARIANCE Was a variance granted from the MDH for this well? Li Yes ,Frio TN# 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. Use a second sheet,if needed. REMARKS,ELEVATION,SOURCE OF DATA,etc. Don Stodola Well Drilling CO,. Inc. 1691 Licensee Business Name Lic.or Reg.No. " 3-9-2020 rfed wase lati -Signature Certified Rep.No. Date Rob Stodola LOCAL COPY 8 4 4 813 Name of Driller ID#52603 HE-01205-1e(Rev.3/19) Minnesota State Laboratory ID#027-053-119 Twin City Water Clinic Laboratory Test Report Wisconsin State Laboratory ID#105-10117 Wisconsin DNR Lab ID#399073400 Client: Don Stodola Well Drilling Report Number: 20-01774 Twin City Water Clinic Inc. Sample Collection Date: 02/24/20 617 13th Avenue South Address: 3841 North Main Street Sample Collection Time: 10:30 Hopkins, MN 55343 St.Bonifacius,MN 55375 Sample Receipt Date: 02/25/20 Phone: (952)935-3556 Report Issue Date: 02/26/20 Fax: (952)935-5077 Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID Date Time Date Time Results Units 20-01774 Coliform Drinking Water 02/25/20 12:07 Absent 20-01774 Nitrate/N Drinking Water 02/25/20 13:05 <1.0 mg/L 20-01774 Arsenic Drinking Water 02/25/20 9:20 02/26/20 11:13 21.10 µg/L Lead Drinking Water µg/L Well No.: 844813 X No samples were subcontracted;or the above test result(s) with'**'designation were produced by a subcontracted Sample pt: well laboratory. [Laboratory name;address;MDH Lab ID#]. The Well Adr: 1525 Bay Ridge Road;Orono, MN subcontracted laboratory maintains MDH Certification for the Owner: Stonewood LLC field(s)of testing performed. Owner Adr: Sample Conditions: Sample received on ice. Sample Temp: 5°C Discussion: Notes: Approved methods used in analyzing the samples listed above have the MCL is defined as the Maximum Contaminant Level allowed by the following reporting levels: Safe Drinking Water Act. The analyzed parameters have following SM9222B-Coliform,1 cfu/100 ml MCL: EPA 353.2-Nitrate Nitrogen expressed as NO3+NO2,1.0 mg/L Coliform,<1 cfu/100 ml Nitrate Nitrogen, 10.0 mg/L SM3113B-Arsenic,2.0 pg/L,Lead,2.0 pg/L Arsenic,10.0 pg/L Lead,15.0µg/L EPA 353.2-Nitrite Nitrogen,1.0 mg/L Nitrite,1 mg/L For further information call your state health department or call the EPA Safe Drinking Water Hotline 1-800-426-4791. Sample Collected by: X Client TCWC Approved By: ' f Bill Van Arsdale Laboratory Manager The results listed in this report apply only to the above listed samples.All routine quality assurance procedures were followed,unless otherwise noted.This analytical report must be reported in its entirety.All methods are certified by the Minnesota Department of Health,unless otherwise noted. TCWC Rev 7.0(9/19) Page 1 of 1