HomeMy WebLinkAbout06-08-1987 Water Well Record 431441unwaircnra iwPAQTjvmT nF HFAI_Tt
MINNESOTA UNIQUE WELL NO
WATER WELL RECORD
4 3 1 A4 t
lar Walter Saaiple
.�y MrwaraW Sarraso 156A 0) OB
osraahip Naar'
o ro Ii Ngmkae Raner Numb" Sft1wn N0
Fr11ctm
a WELL DEPTH Immpktedi
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Dwance ab" Prectm from Road Intersect K stet std` y Weffrralon
5 DRILLING METHOD
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IO Cable Imen l a0 Itimerse 70 D"r100D
LO Ho11tw rud 50 Air MO Buret 110
muttbriatitan of well in ream Reid with.'x .. Sketch map of %ell (Katon
M
1 r i Addnm Name
JO I(alary 60 Jetted 90 Fairer slyer
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6 DRILLING FLUID
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7 USE
'- _ Block Numb"
EY i 11 E
11
10 Ibeneslia 10 Monitoring 00 Hetfl Pump
�- - -,- 1- la Numb"6. •i 1 �• +
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20 lrrgst on 50 Public 90 Indust r)
i t± �' p..
IT 1es1 Well 60 Municipal ICIO Canmerrral
H- i - � -r • V �
TLl Gr Conditioning I I❑
N CASINI,
HOLE DIAM
HEIGHT AbuveiBelcew
10 Black AID'Tbrobilid
2. PROPERTY OWNER'S NAME
_
Surface---. _ It
20 Gish 50 Welded
Ihnr Shue' Yes- . Nn_
Address '. !� �(
:101`11151114 60
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in 110 _,L____ It ,hl ft At
Ott. ta_:..Jf.
-------- in I._ __ h Weight Ili. it
in to It Weight —__--. the ill
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ten. 10 -JI
J FORMATION LIX COLOR
HARIINF.SS OF
FORMATION
FROM
1 O
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v �L RF:FN O. open hob
Irom It to --It
-
Itplr __�— - -_ Drs
Latrh FI INGS
set between and ._—. It
10 SI AT It WATER LEVF.i.
It. O brkra O abo.e Date M ssiand _..�L.--�.----
-
land sada.,
It PUMPING LEVEL i"in, lard surface s
It all" het pumpriR y - a p m
If, after --- his pttmpng __-_-- aLp m.
It HEAD WELLCOMPLETION
IJ3Pitt- adapt" manulacturer n1deL
20havrtent •Ile! JO At leu( 12 'abow ground
IO Plaslu .,.,rg proteclion
\
Id WELLGROUTF.D'
Q No
i
IOSraI Current 30eetivatde :O
!
(.tail nwerial _-__.. _. - IeL In '^. CY_ F'd'�✓
—47
Nf�RES I OPCES OF SSIBI1 CONTWLNAT10
i L_
X1-1 dares len pe
Well d.sm.nted upwt compklori' n O No -
Dal, O No installed
Manululure-name _—•�' - t ------
Y
%drl number __— --- .-HP_� -
I-xihddn.ppp•_. - 11 capacity --Rpm
MAinuln(dropppr -- - - --
I c pr 1j4Subm"cibk JO L S Turbrelr 50 keciprocatinR
<D Jct 40 CenlyduRal 60 _ - -
L, F.%ISI ING K'FLI S
I'liwed %ell on pup"t)' Ole, Q?ru
t v a reeuwd
i&M rr urrd d
-
'luridlirttd O P"manent O Trmpwary O Nut xAkd
17 REMARW, FLEVAT 10%* sot'RCF.Of )AT A.rt,
Ili WATF.k W'F7LCONTItACTOk5CFR1lFTCATIUN
I hi. *ell wa%drdkd under m% iuri%dictnn and this reprt i, it r t,. Itr bet d my
krtu%tedge and MM
Limaw Hraiaa5 N�we f.wrwv Ni,
Addrr55 ----------- -
Date --
� �'-.' -rte.•----�--=- - - - -- - ,
Au11hlniaad lanae
. .. - - - ------'-- --- Dale------
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!Name of Dirdkt
Name
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LOCAL COPY
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