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Home My WebLink About07/16/2020 - well and boring construction record „ ,4 '-t-''.7( .w f�.3 �rA,A. ''rftk' tv,"`y r x e' z ''' Rx a e ir- l ' w t ,,. s ' 'S' _., . # '+c .� 8 r;� fa.,'"¢ .-;,,,,,,,p.-,-,.. v- ,.?-,?.'1,.F' If 1x ? �'” ^� ; _ ,7t.:r o 3 .:,,..,`:,..,0,',-,4!t:—..,1',',,,,` e - x } '"- u,^ � ,fy"1w r e•414, 4N� x.,. „$ ,...A-k--„,..,.,,L, r'. ,1, -,-,-1,,,..,?,,,,..-„,ler°f..tie: ,. :_„, 1, C,,,,,,,-..n . A..,y _f'. x- _ ? .11 ; .,.. t, t,: . .'....,,. 4 ,' x ?,w, 1,� �R, r',' MINNESOTA UNIQUE WELLS ;;` WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BORING NO. County Name WELL AND BORING CONSTRUCTION RECORD 8485 2 6 Tnnepin Minnesota Statutes,chapter 1031 Township Name Township No. Range No. Section No. Fraction(sm.—+Ig.) WELUBORING DEPTH(completed) DATE WORK COMPLETED Orono 117 23 06 SE SWy.SE ,A 140 ft 7-16-20 GPS LOCATION—decimal degrees(to four decimal places). DRILLING METHOD Latitude Longitude ❑Cable Toot . ❑Driven ❑Dual Rotary ❑Auger otary ❑Rotasonic House Number,Street Name,City,and ZIP Code of Well Location ❑Other Lakeview iakeview Pa kway, Orono 55364 RILLING FLUID WELL HYDROFRACTURED? ❑Yes �fJo Show exact location of well/boring in section grid with"X.” Sketch map of Kt4H/boring lo.stiiq bentonite From ft.To ft. Sh ing property nes, N oad�b dings,and dir. USE `Domestic ❑Monitoring ❑Heating/Cooling _-__ --- . ❑Noncommunity PWS ❑Irrigation ❑Industry/Commercial N ❑Community PWS ❑Dewatering ❑Remedial II] ❑ W ECASING MATERIAL Drive Shoe? III Yes Ago HOLE DIAM. i --"--------- - T ❑Steel ❑Threaded ❑Welded ,,.‘ h Mile lastic ❑rF---- --- I ,", CASING S Diameter Weight Specifications c I- 1 Mile 4 in.To 130 ft. lbs./ft. 8 in.To 50 ft. z_ PROPERTY OWNER'S NAME/COMPANY NAME in.To ft. lbs./ft. � in.T ' ft. in.To ft. lbs./ft. in.To ft. Homes omes OPEN HOLE Property owner's mailing address if different than well location address indicated above. SCREEN A t Make •/Vs[�1 From ft. To ft. 1�821�5 45th N Ste D Type stailess steel Dom. 2" ry• Plmmouth, MN 55446 Slot/Gauze •15 Length 4' + 41 Set between 130 ft.and 140 ft. FITTINGS 2tx3' LaMar STATIC WATER LEVEL 52 ft., Below ❑Above land surface Date measured 716—!0 Dry hole ❑Yes$No WELL OWNER'S NAME/COMPANY NAME PUMPING LEVEL(below land surface) r e 125 ft.after 2 hrs.pumping__ q.p.m. Well/boring owner's mailing address if different than property owner's address indicated above. WELLHEAD COMPLETION shite ter Pitless/adapter manufacturer _ Model ❑Casing protection A'12 in.above grade ❑At-grade ❑Well House ❑Hand Pump GROUT INFORMATION(specify bentonite,cement-sand,neat-cement,concrete,cuttings,or other) Materialbent0nite From 500 To 50 ft. 3 ❑Yds. Bags Material alt t in ;s From To 130 ft. ❑Yds. ❑Bags HARDNESS OF Material From To ft. ❑Yds. ❑Bags GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO Driven casing seal From To Bags One bag94 lbs.cement or 50 lbs.bentonite NEAREST KNOWN SOURCE OF CONTAMINATION clay breva medium 0 17r Well is / r-a _feet___ ✓ C► direction from*• 'Y type clay medium 17 4U 6 Well disinfected upon completion? Yes El No ,Fjraly 1PUMP clay/stand bray medium 46 84 ❑Not installed Date installed ,�� 8-4..20 1 cuaA (3°t Manufacturer's name Schaefer 6:K ' brown r 230 sand soft 84 t 40 Model Number HP 1.5 Volts � INJ42 Length of drop pipe ft. Capacity g.p.m „ ,K-`'' TypeSubmersible ❑L.S.Turbine ❑Reciprocating ❑Jet ❑ W' ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑Yes ArNo VARIANCE Was a variance granted from the MDH for this well? ❑Yes_lo 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 Drill.in, Co,. Inc. 1691 Licensee Business Name Lic.or Reg.No. , 8-4-20 6 ertified Represdtrtatfve Signature Certified Rep.No. Date 848526 Rob Stodola ' LOCAL COPY 'N.--- Name of Driller ID#52603 -01205- 7 (Rev 3119 ..si)., _ .. H F 8 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: 20-07372 Twin City Water Clinic Inc. Sample Collection Date: 07/16/20 617 13th Avenue South Address: 3841 North Main Street Sample Collection Time: 15:00 Hopkins, MN 55343 St.Bonifacius,MN 55375 Sample Receipt Date: 07/17/20 Phone: (952)935-3556 Report Issue Date: 07/20/20 Fax: (952)935-5077 Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID Date Time Date Time Results Units 20-07372 Coliform Drinking Water 07/17/20 13:39 Present 20-07372 Nitrate/N Drinking Water 07/17/20 13:12 <1.0 mg/L 20-07372 Arsenic Drinking Water 07/17/20 10:05 07/20/20 11:02 3.70 pg/L Lead Drinking Water pg/L Well No.: 848526 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: 775 Lakeview Parkway;Orono, MN subcontracted laboratory maintains MDH Certification for the Owner: Norton Homes field(s)of testing performed. Owner Adr: Sample Conditions: Sample received on ice. Sample Temp: 6°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,2.0µg/L,Lead,2.0 pg/L Arsenic,10.0 µg/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: 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 • 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: 20-08330 Twin City Water Clinic Inc. Sample Collection Date: 08/04/20 617 13th Avenue South Address: 3841 North Main Street Sample Collection Time: 12:00 Hopkins, MN 55343 St.Bonifacius,MN 55375 Sample Receipt Date: 08/05/20 Phone: (952)935-3556 Report Issue Date: 08/06/20 Fax: (952)935-5077 Laboratory Analyte Client ID Parameter Sample Prep Sample Analysis Test Sample ID Date Time Date Time Results Units 20-08330 Coliform Drinking Water 08/05/20 13:18 Absent Nitrate/N Drinking Water mg/L Arsenic Drinking Water µg/L Lead Drinking Water µg/L Well No.: 848526 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: 775 Lakeview Parkway;Orono,MN subcontracted laboratory maintains MDH Certification for the Owner: Norton Homes field(s)of testing performed. Owner Adr: Sample Conditions: Sample received on ice. Sample Temp: 6°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,15.0 pg/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: 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