The URL can be used to link to this page

Home My WebLink AboutWell info .. " ' r WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. - CountyName WELL AND BORING RECORD � 9 -�� L ? fi�nnepin Minnesota Statutes Chapter 703/ Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed Orono 117 23 �6 ,. ,. , �OS " 5-22-9� House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD 4725 Bayside �d.� �rOtl� 553 9 ❑ CableTool ��l Diven ❑ Dug ❑ Auger �3'flotary ❑ Jetted Show exact location of well in section grid with"X". Sketch map of well location. C7 Showing property lines, � u�r j�E roads and buildings. DRILLING FLUID WELL HYDROFRACTURED7 ❑YES �'MO " �(,� R, t� �t t3 it t O II l t 4� , , i , 1�� /�Q FROM__ ft.to ft. i _i_ _i_ _i ��, � USE / ❑ Monitoring ❑ Heating/Cooling i i i i \ '6 Domestic i � � _i_ ❑ Community PWS ❑ Industry/Commercial � i � i ❑ Irrigation ❑ Noncommunity PWS ❑ Remedial w E T ❑ Test Well � � i i 1 ❑ Dewatering ❑ i i i i �2IM_�e �6`"' CASING�' Dri�ve!Shoe? Yes ❑ No HOLE DIAM. _i_ _ i_ _i_ _i_ I ,K�`-� y�steel .�[J'Threaded ❑ Welded � � � � l �� ❑ Plastic ❑ s �1 Mile-� CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME � in.to �'�� ft. j'1 Ibs./ft. ��-�—in.to 34 Aiaraan Builders in.to ft. Ibs/ft ��f"4 in.to�. Property owner's mailing address it different than well location address indicated above. in.to ft. Ibs./ft. y, �i f$��, 13233 Hudson Rd SCREEN OPEN HOs1LE L Aftan, C�l�t 15V01 Make from L�v ft.to 305 ft. Type Diam. SIoVGauze Length Set between ft.and R. FITTINGS: - STATI6 V(,4iER LEVEL . ��}��,n r WELL OWNER'S NAME 1 {� ft.�below ❑ above land surface Date measured L � PUMPING LEVEL(below land surface) Well owneYs mailing address if diRerent than property owner's address indicated above. Z�s ft. after 3 hrs.pumping �� g.p.m. WELL HEAD COMPLETION Whi tewa ter ,,E�A Pitless adapter manufacturer Model ❑ Casing Protection ,�12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? ,� Yes ❑ No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement ❑ eentonite ❑ Concrete ,p5 High So�ids Bentonite MATERIAL g from�to�ft. .,7�� ❑ yds.�`bags n n from_�_to'�,(��_ft. �8��_�J�y�s10 bags C�� irown $�f� �! 7 from to tt. ❑ yds. ❑ bags NEAFC�./[/�JJyC N SOURCE OF CO INATIOpL��J/ �7'� C�.Bp �r8y $�ff C�� ,(} / v feet ��v� rl direction �� / j�rrype J Well disinfected upon completion? �Yes ❑ No �ravel colored mediur� 140 16 PUMP ❑ Not installed Date installed ��J� CZS� �;ray $Qf� 1�� 2� Manufacturer'snaeme �e� `��'C��t 1., �1�y Model number D� _039 HP � Volts clay!sand L1�� g�f� L 1� �� Len th of dro i e ft. Ca aci 9 P P p P b' 9.p.m. r� Type:�l Submersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet ❑ ehale ��reen sof t 240 24 ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes �No sandstone rra w/ t�srd 2�6 3d VARIANCE lack sp cks Was a variance granted from the MDH for this well? ❑ Yes `�No / WELL CONTRACTOR CERTIF�CATION 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. �on Stodola j°�ellDri2lin�; Co. , I��c. L�censge Busines/s Name a Lic.or Reg.No. �..f f��✓'f�.:../��" �:`��-�"''�.,��j�� L7��3�7L� � Authorized Representative Signature Date Chuck t�ioore �-21-��5 Name of Dri/ler Date 9�6) LOCALCOPY 597222 Jcvirc �itc� 1/Vater C��inic, J"rcc. 617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 05/26/1998 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS Lab#: 34938 , Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 05/21/1998 from the following location: Morgan Builders 4725 Bayside Rd. Orono,Mn Unique Wiell#597222 Coliform Bacteria <1/100 ml Nitrates Nitrogen <1.0 mg/l The results of these tests indicate that this w�ell 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). wi �ty a er Clinic, Inc. �� '� � � � �Bill r�e Aoalyioal labonwry Coosultitg 6agtoeer Water Analyeis Reagente Boilm Water Chemiaala Lab Certificatioo M 027-053-119