HomeMy WebLinkAbout05-12-1982 Water Well Record1 I(%'AfIl1N U1 WILL STAT( Oa MINNISOTA OI PAR [MEN 101 HEALTH (f1.%Nr.SOTAV.Sit9'£ WELL NO.
Ln"nlr N.mr WATER WELL RECORD In, Wefe,S—pk
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I.fwnMrp Nam,
InrnM,p NumMr
N.n.c Numnee
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7. PROPERTY ONNERS NAME
N E
K 4
Charles Affias
or
S
of
W
A"'1104 DuldUr i'arL
OnIs Me and VotrlN,n ntmr Nr4J lnulutlPms sir Sorer AJJrns and Lltr o(W eu L -Own
Oraw, Mian.
Shaw e.,e1 NK.INfn nl.rll
M ent..VW with -x.-- S.rleh meat of .ell LK.Nun.
A, WELL DEPTH(completed)
DR.ol Compleli n
N _
AJJrI..s Name
140 n
5-13-82
S 1❑('*Ne NNJ 413R.,.— 70mb.n 1000"{
1 1
f
- _
"
_ _
xIiML Numher
i❑HNInw N,d SOAIr {J Bmrd 11❑
- -
T
_71- {J m(,
A%ni•f! 60J,U.d v❑rower A.He
Lal NumDn
a US
E3%
• •�• .
lt
.mnlic e❑P.Mic SupptT 70 Indent[
/--1 n{L�
7❑IrrkatLM s0m...lpm 60L•mmmru4l
!❑Te.l Well 6❑AN md,linnlnt �❑ '
7. SORMATION LOG
COLON
IUNRAF ?IUNt
I114
10l'r
7. LASING HEIGHT. Abo.tlBelow
HOLE OfAM
t�ulac! �TMUJ,J
70G.I.. S❑W',IJ,d 111"* n.
Fine Tu62ftc3
sand
05
130
-
v
a_
,❑ PIe1He 60 OeMe ShwT YnQj(�3. No-
.R. to 136 fl. Wtl{h,l0.s6 l,.m•
� j��
4 .111
In. to ft. Wright Ih4ft.
—111. 10—ft.
la. to h. W'el,ht Ibsp.
_�In. to—ft.
�L t
vater Saul
r�A
30
f�
110
a aCx Paten
M.(e ilR�r�L-!1!� hom holo R.
Trp• Rf-ginlammuton't a.. din
//��
4
-
-
SInHG.iet iM Len th
���� SITTINGS:
It W.,- 36 n...d 1 0 H.
,
n.,nd n.
n..nd It.
v. STAIIL' WATEN LEVEL -
30 O.A.W. ❑ah." Data Me....d
l.nd.utf.rt
10. PUMPINGLLVEL(b,lowl.ndamfKr) a�P�'
0 Il..h,r hn.pumpint 0 S.PA.
-
fl. Mler hn. pumpint
11. %LLL HLAUCUMPLLTION
IR ISsin.aJaDl.e 7❑BRemrnl oH.t 313 At Lem I2".Nn
tr.Je
I7. Weli Voided)
. ❑ No Cu. Yd).
1❑Nra1 C'emrnl a� 70Denlnnit,
Dapro: nom n.to n.
nom n. Ip fl.
I7. Ne.tnt soutcer of pnWble tanin.•RIb11
gme
-
reel d1lie l6n IIP*
Well disinfected upon eomplOwn7 YrsFi N„❑
le. PUMP
Dal, Instilled 5-1349
_
❑Siol imHll,d .
p ,, J
M ... f.ct."I's N... et4 n kct,
Model Number IIP_ Voll*
-
L, Path of drop pip* It. upachy •�—Lpa.
MsictiAordmppfp*
Type- QSuh.,lubl, J❑L.S.TMbint S❑NerlpnN.Nnt
70,'1 e❑C,nlnfupl 613
16. WATER WLLLCONTRACTONSCERTIFICATION
Thh well was drilled under my idiltdinbn .ad this re Pon is tmt to
IS(K*r�Dellof ms Lnort<dp .nd Dellef.
Doll .iZ�=.A uifriUrnurei�nnt Nunr �� 4entr fYa
Ult•t md.httr.
IfntrJtJ
Addrt4 C />• HIM.J
y /rr i
IS. KI RANKS. ELLVAI ION. SUIJI(CL O/DATA. 111.
Aulhofifed R,puuntitht'
A1'Dole
Nome of DrWer
iiia 7/74 JOM
30M
LOCAL COPY
18 6 G? 7
5343,