HomeMy WebLinkAbout1994-12-21 Water Well RecordW^LL LOCAt»ON
County Name
Hennepin
Tcwmahip Name
Qrono Towp^l
MINNESOTA DEPARTMENT OF HEALTH
WELL RECORD
Minnesota Statutes Chapter 1031
MINNESOTA UNIQUE WELL NO.
548550
Range No
23
Section Na
Nwnef^ Street Address and City of WefI Location
25b ScAjth Brcwn Road, Orcno, tti. 5
Shota exact tocaUon of laeU In sectioo gnd with 'X‘.
N
Fraction
24-0008
or Fire Number5356
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Sketch map of well location
StKxaing property lines.
roa<» artd buildings.
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3
I MtJf
PROPERTY OWNER S NAME
Yerigan Crostruction
Mailing addrees if different than property address irKficaled above.
Rt. 4 Bok 385
Isanti, Ml. 55040
QEOLOOICAL MATERIALS
day
Clay
Sand, Gravel
Clay
COLOR
Yellow
Grey
Mix
Grey
Sand, Gravel Mix
HARDNESS OF
MATERIAL
S
FROM
O’
'ir. I
22
107
WELL DEPTH (cofnpletw))
15^
DRILLING METHOD
□ Cable Tool
□ Auger
□ ____
Date Work Completed
12-21-94
□ Orrven
□jfotary
□ Dug
□ Jetted
DRILLING FLUID
.USE
(X Domestic
□ Irrigation
□ Test Well
□ Monitoring
□ Public
□ Dewatering
n Heatmg^Cooling
□ Industry/Commeroal
□ Remedial
□ _________
CASINO
dC Steel
□ Plastic
Drive Shoe? □ Yes □ No
□ Threaded U Welded
□ _______________
—m—'*sag.-2r
___________In. to__________ft ____________
___________into__________ft. ____________
______ft. ____m. to
. IbsJR.
ibsTfl.
bsJft.
SCREEN^______
Mtk. HcMerd
Time
HOLED! AM.
7 7/8 30
___in. to____ “
ir..lo
OPEN HOLE
from___-ftto.
Slot/Qauze_
Set between
.Diam. .
.Length.
_ft and -1 gg ft. FITTINGS:
STATIC WATER LEVEL
__________________ft. below □ above land surface Dale measured ^
PUMPING LEVEL (below land surface)
______140 ft after _______1 hrs. pumping .gpm.
WELL HEAD COMPLETION
91 Pitlets adapter manufecturer
□ Casmg Protection _____________________________
Model
X12 n. above grade
GROUTING INFORMATION
WeH grouted? RVes □ No
from 0 to 30 n.2 □ yds. bags
from to ft.□ yds. □ bags
from to ft._ □ yds. □ bags
Sandy, Clay Red 107 137
NEAREST3^j^NO^ SOURCE OF CON^INATION
Sand^
Wek disinfected upon completion? CKXes □ No
cny
Rerl c?
Use s aecond 8h09t. it needed
REMARKS, ELEVATION. SOURCE OF DATA.
137’15«; ■»
□ Nolinslaaed
Manufacturer's name.
Model number
1-26-95
*W8|gr^
3N102-12
Lerigth of drop pipe
Pressure Tank Capacity
S4
ClnyLuli McilJc^ C^ff^Cf02“
Volts
12
^3U
.gpm.
Type i1^tA>mersible □ LS. Ti^bine □ Reciprocating □Jet □
ABANDONED WELLS
Dues properly have any not in use and not sealed weli(s)? □ Yes K No
WELL CONTRACTOR CERTIFICATION
This weu was dniled under my supervision and in accordance with Minnesota Rules. Chapter 4725.
The mformation contained m this report is true to the best of my Knowledge.
DUN STODOIA WELL DRIULING O).^ DC* 27172
Licensee Business Name Lie. or Reg. No
12-21-94
Auttxmied Repreeentattve Snafjre
Fred Leity
Dale
12-21-94
NameorOnau
LOCAL COPY 548550
Date
HE^12tXMM (Rev. 5/92)
miN