HomeMy WebLinkAbout1990-02-08 Water Well RecordI. LOCATMWTM
Cmunty Name
Hennepin
ESOTA DEPARTMENT OF HEALTH
WATER WELL RECORD MINNESOTA UNIQUE WELL NO 4 5 8 9 3 5
Mranesaa Se.laks 156.4 01 bN /w Water Sa-Ne
mweship Name' ownahip Number
Rarter Number
Section No.
Fraction
1 WELL DEPTH tmmpMedi
late d CompkltrM
Orono - 111
23 w
5
NW '" NW " NE"
138 It
2-8-90
_._-- S
Nurne " S Addres•. and City cf Well Idwation or Distartce from Road Interaction.
5 DRILLING METHOD
3485 Christine r . , Orono
❑ Cable loci O Rnersr ❑ Driven O Due
❑ Hollur Rod O Air ❑ Bond O —_
-lion cd we 1 in se'ctton grid with
,x Sketch map of well InOtton
N
Addition Name
andary Olnted ❑ WWer Auger
L_
•-r- t - ,
6. DRILLING F1U!D
Bentonite
t
lock umber
-
7 USE
W t r t E
T
x1 Do ut O Monitoring ❑ Heal Pump
_1_ _ _ _-
1 '
1<a Number
❑ Irng.! .o O Public ❑ Industry
y -t
O Test Well ❑ Municipal O Commercial
t
❑Au Condnwnmg ❑
1 1 aak,
R CASING I
HEIGHT Above%Below
fxBlack � Threaded
HOLE DIAM
2. PROPERTY OWNER'S NAME Mallin Address if different than ro n addrevv
B P a )
indicated above.
Surface It
Betz Builders 415 Deborah Ora
OGal, ❑Welded (hive Shoe' Yes_ No -K
Maple Plain, MN 55369
❑ 19astic 4 El
124 Weight 11 Ibs ft
6_jm .138
,n 10 It
___ in to It Weight Its; 11
in to — 11 Weight Its /It
ten. Iu_Jt
- n. to_JI.
3. FORMATION LOG COLOR
HARDNESS OF FROM
FORMATION
TO
C l a,y Tan
Med 0
p
28 1
9 ,C RE Ur open 1.4,Make
Johnson from—"'° It
Clay Gray
Med 28
103
SS Main. 2"
Type _ —
Slut/Gattre -10.10.10 _ Length 16'"
FITT1 GS
—
Gravel
Soft 103
106
,et between 124_ It and 138 It
C1 �V
Gray
.7
Med 106
108
10 ,9AW LEVEL 2-8-90
It,YI below O -bone [hie Measured
SS0 __ft
la surface
Gravel138
J9
I I PUMPING I EVEL (below landsurface)
122 50
r1 after _l1 his pumping -- spin
It after hrs. pumping . - - gip in
fff���
_
WELL COMPLETION
lless adapter manufacturer Wh i towatpr Modrl Ro 1 t on
Basement offset O At feast 12" above /round
Plastic casing pro(ection
r
`
13. WELLGROUTED' RYn O No
❑ Neat Cement O Brntonur ❑ drill cuttings
Grout material from to It Cu yds.
1: NEAREST SOURCESOF POSSIBLE CONTAMINATION
-I L. feet _SE__ direction S xr r -t)pe
--
Well disinfected upon compklwo )Mft ❑ No
11 PITNP
9st,-Iii1led 2-21-9� ❑ No,rnatalled
Manufacturer's name—�►f{.YK+------ - -
Model number .I HS -41810 -SL HP—�- •. ,, s.2 an
/1
Lengthofdropp. __110 ft Capacity ��g --epm
Material of drop pipe --__ —
Type Wubmerstbk rl L S Turbinr ❑ Reciprocating
__6
01" ❑ Centrifugal a--
6 Al A.NDONED WELL:
Unused well onpeoP"W O Y- A No
Use a seroad
sAeer. rl weeded
Y+W ❑ Permanent ❑ Temporary ❑ Not sealed
is WATER WELL CONTRACTOR CERTIFICATION
This well was drilled under my;unsdtctton and this report is true to the best of my
kno.kda and belief
_hark Seel 02133
Addrn 7kTf§9t9 Ave NW, Anoka, MN' 55303
Signedl-1= Datr /
Aurhontad N•prran•rvnnn
Ste e_Aeshliman _ 2-9-90
.litme• r>I (7n14•r
HF -01205.034 Rn. 9188;
5174 30M
1176 76 30M
7/74 3MA
2/62 10M