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Home My WebLink AboutWell info .. _ __ _ T 1�1�Vv C i,t 1�(1 a,t�e�' C � � I v��,c� y � 617 13th Ave So � Hopkins, Minnesota 55343 � (612) 935 - 3556 OS/11/1999 Srodola Well Drilling 3841 North Main St. Boni facius MN 55375 938-21 1 1 REPORT OF WATER ANALYSIS Lab #: 37573 Our Laboratory reports rhese analyiica/results, deiermined on a sample taken by CLIENT on 08/09/1999 from the following location: Robert Graig 3510 Bayside Rd. Orono,Mn Unique Well #624962 Coliform Bacteria <1/100 ml Nitraies Niirogen <1.0 mg/I The resulrs of these cests indicate that this well is producing water that meets the standards for F.H.A., V.A., or c�nventional loQns. This report is an analysis for coliform and niirate only and does not include analysis of Lead and oiher contaminat�ts. (Unless as specified by clieni). i a er linic, Inc. � Bill V e i Maly�cal labora[ory Consulting Engmeer Watcr Malysis Reagents Boiler Water Chemicals Lab Certification#027-053-119 � . � WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. - CountyName WELL AND BORING RECORD 6 2 4 9 6 2 � Minnesota Statutes Chapter f 03! � Township am Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed Orono 2I7 23 �J5 ,,. ,. ,. I1Q � 8-9-99 House Number,Street Name,City,and Zip Code of Well Location or Fire Number DFiILLING METHOD 3 G t n B$ S A 1 Q n a fl�ofl� ❑ Cable Tool ❑ Driven ❑ Dug J 1 V 1C! n.l�„t ❑ Auger �otary ❑ Jetted Show exact location of well in section grid with" Sketch map of well location. ❑ Showing property lines, 1 roads and buildings. DRILLING FLUID WELL HYDROFRACTURED? ❑YES N �v � benLonite FROM h.�o h. _� � � �_ `�...� ; -,- -;- -, , USE ❑ Monitoring ❑ Heating/Cooling i i i i omestic _i_ _�_ _�_ _i_ y � ❑ Community PWS ❑ Industry/Commercial i � � i �.. �.,. ❑ rrigation ❑ Noncommunit PWS w e� � ❑ Environ.Bore Hole Y ❑ Remedial i i i i ❑ Dewatering ❑ i -, -r i ,/ZM.ia CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. _i_ _i_ _i_ _i_ ❑ Steel ❑ Threaded ❑ Welded i i i i 1 �astic ❑ �-1M,le� dl W�t-L CASIN`G DIAMETER WEIGHT PROPERTY OWNER'S NAME �t in.to 102 ft. 2��S Ibs./ft. 8 in.to R.ober t C ra3.u Ao��s ��.to n. �bs.�h. ��.to _ Property owner's mailing address if different than well location address indicated above. in.to ft. Ibs./R. in.to ft. 2�U7S BL�Z3CI�LtS Rd SCREE� _ OPENHOLE Shore�ood, �'�� 5533I Make Q"�� ! from ft.to R. Type ��$ i11C2i7S �L�$1 Diam. SIoUGauze �O1,Q Length�}� ♦ �}� Setbetween ��ft.and_}_�a__ft. FITTINGS: 9�M_��Yp " STAT ATER LEVEL WELL OWNER'S NAME �� ft.�low ❑ above land surface Date measured �_�_� PUMPI�J,€VEL(below land surface1 � �� Well owner's mailing address if different than property owner's address indicated above. tS ft. after �'• hrs.pumping g.p.m. �L HEAD COMPLETION L4 Pitless adapter manufacturer �[l1 t��a t��Model ❑ Casing Protection L�in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? �es ❑ No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement ❑ eentonite ❑ Concrete �gh Solids eentonite MATERIAL from�_to_�__ft. �_ ❑ yds�ags Clay yello�a soft 0 28 '`�"'�—`��" natur�� 45 � from to ft. ❑ yds. ❑ bags _ �lay �ra� SQl� "�� 85 NEARES (N�NSOUReetOFCr��/��Ti' direction{L��type Well disinfected upon completion? ❑ Yes ❑ No " �"� Watersanc� grsy soft 85 110 P�MP �:�- TEsTE"4 ❑ Not installed Date installed O�1 3�Q9 Manufacturer's name 8ed Ja�ice t Model number pl HP �s 5 Volt�� Length of drop pipe U`� ft. Capacity g.p.m. Type:�ubmersible ❑ LS.Turbine ❑ Reciprocating ❑ Jet ❑ ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes j�o VARIANCE Was a variance granted from the MDH for this well? ❑ Yes .�Jo TN# WELL CONTRACTOR CERTIFICATION Use a second sheet,il 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. Ik�n Stodo2� We1I Drillin� Cv. , INc. 717: Lice ee Busines ame� � Lic.or Reg.No. �._,..�� i > .- �--- - 8-29-99 Authorized Repres ative Signature Date Chuck MQore 8-9-99 6 2 4 9 6 2 Name ol Driller Date LOCAL COPY HE-01205-06(Hev.7/98) wELL OR BORING LOCATiON MINNESOTA DEPARTMENT OF HFALTH M�nnesota Well and Bor�ng H �� WELL AND BORING SEALING RECORD Minne oNa Unique No. County Name — — - Mmnesota Statutes,Chapfer 7031 or W-senes No � i�ennepin ILeave biank d not known� �� Township Name Township No. Range No. Section No. Frection(sm.-►IgJ Date Sealed Date Well or Bonng Consiructed Orono 317 23 OS 33-�0(}� 7 ,.lU�� C�� Numerical Street Address or Fire Number and Gry of Well or Boring Location /�O � //h � �510 B�ys ide Ad� �r�n0 Depth Before Sealing n Onginal Depth L� n Show exact Ixahon of N-ell oi boring SketchJnap of well or bonng q01lIFER(S) STATIC WATER LEVEL in section grid with'X'. bc�uon, howing property Ji Smgle Aywfer ❑ MultlaquAe� lines,roads, nd buildings. ; N WELL/BORING (�Measured ❑ Estimated ,,a ,�\ �Water Supply Well ❑Monit Well � � - '� `�� ❑ Env.Bore Hole ❑Other _ � ft. �low ❑above land surface � � � � �' i' � W —i-- -i-- -i-- --i-- E , CASING TVPE(S) � � � � \ —�- ---- -�-- --�- � �, �'� �,teel ❑ Plastic ❑Tile ❑Other s mee : �-'� � � CASING --�- -�-- -�-- --i— ' ' `� Diametgr f /r Depth � Set in oversize hole7 Annualar space iNtially grouted? ` i ��m;�� \ �� in.irom �� to /� fl. ❑ Yes �(No ❑ Yes ❑No ❑ Unknown t � ♦ PROP RTY OWNEA'S NAME in.trom to tt. ❑ Yes ❑No ❑ Yes ❑No ❑ Unknown Ro�bert Crai �bi?1P.3 Proparty owner's mailing address If tlilferent than well loca6on address Intlicated above. in.from to tt. ❑ Ves ❑ No ❑ �es ❑No ❑ UnknOwn 2ZQ�� B��C�EtS R� SCREEWOPENMOLE y ithorewood RiN 55332 1C1 //d � � Screen irom to R. Open Hole irom to fl. OBSTRUCTIONS WELL OWNER'S NAME �Rods/Drop Pipe ❑ Check Valve(s) ❑ Debris Fill ❑ No Obstru�n .1�R/�/' L�/�< 4� .1 Y i'.. Well ownefs meiling aAOress it diflerent Man properry owner's aadress indicatetl above. Type Of ObstruClions(DOSC�ibe) f Obstructions removed? �Yes ❑ No Describe PUMP h 7y� If- / �l✓Yl� OEOL061CAL MATERIAL COLOR HARONESS OF FROM TO �Removed ❑ Not Present ❑ Other FORMATION �7MOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: If rat krawn,indicate estimated tormatbn log trom nearby well or bonng. �� J�,No Annular Space Exists ,i � � ❑ Annular space grouted with tremie pipe � ❑ Casing PerforatioNRemoval in.from to R. ❑ Pertoreted ❑ Removed in.from �o ry. ❑ PeAorated ❑ Removed Type of peAorator ❑ Other GROUTING MATERIAL(S) 1Uc�'1' �i- y ,�7� ��/�� Grouting Material �T��-a� .� to 1 f r� h. yards � begs irom to fl. yards baga from to ft. yards begs from to__ ft. yards bags REYARKS,SOURCE OF DATA,dFFICULTIES IN SEALING OTHER WELLS AND BORINGS Other unsealed and unused well or boring on property? ❑Yes �Jo How many? LICENSED OR HEGISTERED CONTRACTOR CEFiTIFICATION This well or boring was sealed in accordance wiM Minnesota Rules,Chapter 4725. The infortnation conteined in this repat is true to�he best of my knowledge. dan SCor3ala�ieli Drillin� Co. , Inc. 27172 Contrecfor Business Na �-� License a Regishation fvo. .+` �� s. .� -.fda - .- � � ^��.. f. � .. Authon ��Re resentative Signature-�' � Dete � . -..r` , . . ' '� . :'� :- �� ' �e�. "' Neme o/Person Sealing Well or Bonng �ocucoPv H HE-01434-04 $�98 R