HomeMy WebLinkAbout1991-06-19 Abandoned Well RecordSTATE OF NINNESOTA OEPARTNENT OF HEALTH
NELL RECORDr
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MINNESOTA UNIQUE NELL NO.
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Stctloo No.Fficiloo
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NuMflcil Strtol ANNrttt ooN CUy of Moll locaklofi or Olatioct fro« Noad
lotortictloii
940 South Brown Road,Orono 55356
Show tiacl localloo of noil
(In faction |r1d »ICN *1*)
N
SkotcN mp of noli location
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120
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06/19/91
S. MIILIM ICTNOO (If I mm)
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2. Mofcin owia's
Carol Senn
Nitlinf Addrttt If difforont than
proptrty addrtti Indicated above
3.
HOiONCSS OF
COiOt FOflMATION FNON TO
If not knoMi, Indicate feraatlon lof froa new veil or nearby netl.
FONNNTIOM LOO
4. OISTiUCTlOit
Mall obatmeudQ Vet Q No
Obitnictlent rtvad Q Tea Q He If obttmctlena cannot be
ntvad, contact NON
before aoalinf.
7. USI
iQ OOMltlC <3 ItoOf tOffNf C] ^
2Q irrlfotlon fQFobllc lQ Indoatry
3Q Teat Moll G ibRiUfool UO CoMrclal
7Q Air Coodltlonlof lOH ‘ V . ^ "w-
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iQllacfc ^Tbroadod iQ
^Q Fiaatic iSQ SUlnloii Stool
3 In. U
In. to
,ft.
ft.
f. scara
QSc well free
□ Ooon Nolo free
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ft. u
ft.
ft.
10. STATIC NATfl LCm
__31]____□•tew 06/19/91
land aorfaco OaU NMonrod
IS. KNAIU. CLCVATIOi, SOUNCC OF DATA - aSINfiS ACNOTIO. aSINOS FCRFOAATID. CTC.
11. MCLUCAO CQNFUTION
IQ Fitloaa Adaour
43 Oifoeant offaet
12. gNMlTlHO IHFOMATION
iQ Neat Caaont 4D Otntenito 43
Sroyt aaterlal 4 b^QS fry 0 tJ»20 ft. cu. yda * '
13. NUNIST SOUNCCS of CONTANlNATIOi
_ _ feet _ _ _ _ _direction
doll diainfocted before aealinf? Q Tea
14 FUNF Q Ne««od □ Mot Freaont
lype: O Subaoralblo Q Tvrbino 43 Aoclprocatlof
G Jet 43 Cl
IS. UISTINO MILLS (Fleeao afcetcb locetloea of abandoned and
active nella In reairba aoctlen or on back.)
Other unvaed Ml 1(a) on property? O ^*4 BD Ho
Abandoned: Q Feraanent Q Teeporary Q Not aea«od
17. MATCH MILL CONTNACTONS CCITIFlUTlOi
This well waa sealed under ay jurladictlon and thia report
Is true to the bast of ny knowledfo and belief.
Stevens Well Drilling 27194
ICUl maOOWJ UCU neon (ll»y W Ultf for Oroport; Trimftr)
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6248 ‘"'RjB;35 *n itest License No.
AddraaaMa
Slpned 1
iaple Pl^y,55359
Dick Stevens
06A9/91
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Naan of Driller
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