HomeMy WebLinkAboutWater Well RecordWELL piOWNER AND ADDRESS
11
WELL LOC ATIO[A/ ALr
SECTION
— _ __& W _ b� .Cl o m 5p,
ORILLEWS SI ATURE
DRI' NO COMPANY
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WELL RECORD
LOT BLOCK V L/fCE OF ORONO
PL4 / CI CRYSTAL BAY. MINN.
DATE PERMIT NUMBER
ADDRESS
TELEPHONE
SIZE OF WELL I INCHES WATER LEVEL --/ZZ- -FEET
WELL DEPTH-__- -__FEET DRAW DOWN._ FEET ATSoGPM
CASING DEPTH _.-FEET CAPACITY GALLONS---.-- PER/HR.
DEPTH OF IMPERVIOUS FORMATION-
-FEET I
CASED WITH
SCREEN 677 FEET__ _-_INCHES,BY _!Y_ INCHES
MAKE AND TYPE MATERIAL:. > 7
REMARKS.
(OVER)
WELDED JOINT
SCREWED JOINT
EXTERIOR SPACE AROUND CASINO SEALED WITH: [] CEMENT GROUT ao-rU DDLED CLAY 0 OTHER
DISINFECTANT USED-
HOURS
SED
HOURS LEFT IN WCL'
(OVER)