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Home My WebLink AboutWell and boring construction record • MINNESOTA UNIQUE WELL WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH AND BORING NO. County Name WELL AND BORING CONSTRUCTION RECORD Hennepin Minnesota Statutes,chapter 1031 Township Name Township No. Range No. Section No. Fraction(sm.—.lg.) WELL/BORING DEPTH(completed) DATE WORK COMPLETED Orono 117 23 02 SE SFr six', 170 ft. 3/14/23 GPS LOCATION—decimal degrees(to four decimal places). DRILLING METHOD Latitude Longitude " ❑Cable Tool ❑Driven ❑Dual Rotary House Number,Street Name,City,and ZIP Code of Well Location ❑Other i 1395 Uecno Lane, Orono DRILLING FLUID ` WELL HYDROFRACTURED? ❑Yes ©No Show exact location of well/boring in section grid with"X." Sketch map of well/boring location. Ben t on i t e From ft.To ft. I Showing property lines, N roads,buildings,and direction. USE Domestic Monitoring i i l l 1.4 ® ❑ ❑Heating/Cooling __-i___ i FM ❑Noncommunity PWS ❑Irrigation ❑Industry/Commercial ❑Community PWS ❑Dewatering ❑Remedial -i-- -- ❑Elevator ❑ w E CASING MATERIAL HOLE DIAM.T x Drive Shoe? ❑Yes g No c -1---T- '-r ❑Steel ❑Threaded ❑Welded Imie Plastic ❑ CASING g - Diameter Weight Specifications r� • —t Miley 4 in.To 160 ft. lbs./ft. in.To-5fv ft. PROPERTY OWNER'S NAME/COMPANY NAME n.To ft. lbs./ft. 6. Sin. J 0 ft. ate. I John Kraemer and Sons in.To ft. lbs./ft. in.To ft. Property owner's mailing address if different than well location address indicated above. SCREEN yes OPEN HOLE Make Johnson From ft. To ft. 4906 Lincoln Drive Type stain l e s s Diam.2" Edina, MN 55436 SloVGauze .1G2 Length 8' • Set between 1 6 0 ft.and 170 ft. FITTINGS 3' l e a . STATIC WATER LEVEL 64 ft. Below ❑Above land surface ' Date measured 6/2 9/2 3 Dry hole ❑Yes No " WELL OWNER'S NAME/COMPANY NAME PUMPING LEVEL(below land surface) 155 2 40 ft.after hrs.pumping - q.p.m. Well/boring owner's mailing address if different than property owner's address indicated above. WELLHEAD COMPLETION 1 Pitless/adapter manufacturer Monitor Bu 1 1 1pe i " ❑Casing protection R 12 in.above grade ❑At-grade ❑-Well House ❑Hand Pump GROUT INFORMATION(specify bentonite, , it tcement-sand,neat-cement,concrete,cuttings,or other) Material Cut t ing'~t'rom 160 To 50ft. ❑Yds. ❑Bags ' Material e n t Ofl i t' om 50 To 0 ft. 3 ❑Yds. w Bags , HARDNESS OF Material From To ft. ❑Yds. ❑Bags GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO One bag94 lbs.cement Driven casing seal From To Bags = or 50 lbs.bentonite NEAREST KNOWN SOURCE OF CONTAMINATION a i r tested Clay Brown M 0 27 Well is 45 feet south direction from City eT Sewege .. _ .. _ Well. disinfected.upon'completion?- � --.--Yes -No- .-_-_ .- -,:..�.-- - - - Clay/Sand Gray S 27 69 PUMP / �� " ❑Not installed Date installed 7/ 1 7/2 3 _. Clay/Gravel Gray M 69 84 Manufacturer's name Shafer �1 Model Number HP 1 'S Volts 230 Clay Gray M 84 154 Length of drop pipe 84 ft. Capacity . g.p.m. Sandy Clay Bryon S 154 54 1 5 8 Type:[Submersible ❑L.S.Turbine ❑Reciprocating El Jet ❑ ABANDONED WELLS Sand Mix - S 15 8 1 70 Does property have any not in use and not sealed well(s)? ❑Yes No '- � VARIANCE Was a variance granted from the MDH for this well? ❑Yes ri No TN# WELL CONTRACTOR CERTIFICATION 4 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. Son Stodoa3. Well Drilling -1691 t Licensee Business Name Lic.or Reg.No.