HomeMy WebLinkAbout1995-06-06 Water Well RecordulAr lG IAICI I him
WELL LOCATION
MINNEWA DEPARTMOfT OF HM 11
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5 613367
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WELL RECORD
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Tswrwv Name
ToWWV No,
Range No.
Section No.
Fract,on
WELL DEPTH (Calf ed) ( n
DW Work
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Ntarrrteal Snsr Address and car or Was LOMW
or Fre Number
DRILLING METHOD
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❑ Cabe Toa ❑ Dr,t ❑ Dug
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❑ Auger ❑ Flo" ❑ Jslyd
❑ —
Stow exact Iorof was in wetion grid wth 'X'. '. SMakShf�mwW of wMI bWbW.
DRILLING FLUID
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.USE n Domestic ❑ Monlwr,r,y - ° "duis"l Orrwri
° IndlletrylCorrrrrerolel
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❑ a,ga,bn ❑ Pubic
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❑ Teel WN ❑ Oewaserng 0
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CASING Drive 91fos7 ❑ VM ❑ No
HOLE DIAM.
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O SMN O Threaded ❑ WeWed
CL Plwlic (71
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CASING DIAMETER WEIGHT
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PROPERTY OWNER'S NAME
aGll�' Wier) I CTI pU 1Y
in. Io n.
in. to n. _ Ib&A.
_ in. to _ n.
Meng address I d weer elan Paperer address indlcard above.
SCREEN OPEN HOLE
1(;l, Perrsnire Lv-ne
1'irmth, Ki. a .f,
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Type +J.f1lP_S�; �.L�'H'1 - Dlrn, t
SwxIdum jyr! 7l: Langtn 4
eel flst.reen �, TTn. and n. FnTINGS: ---f+L--*AL—
STATIC WATER LEVEL
`MATEIAL_
OF
WOLOOICAL MATERIALS
COLOR
qSS
FROM
TO
n. p bebw ❑ ebore ww aurfam Der meeeuee 6-0-- J
PIIMPIIG LEVEL (mow and surraoe)
Clay
Yeli(A-'
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1 , t
/
,
174 n. atw 1 hers. purrpap
WILL HEAD COMPLETION
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olvr.r■e.pH.rn,rxeacn,r.r hli 't t �,r r.r Hoar
❑ Casing mcaschm p 12 in. above Weds
Grev
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1'Z(
O"OUT"a INFORMAT,DN
Was growdT M Yes o No
Grout VAWIM ❑ Neal ON Him )y sr+Horrr
1LQ
1of.
"m C to >1 n. O yds. IM begs
flan to n. ❑ yds. ❑ Image
from to _ n. ❑ yde. ❑ bps
NEAREST KNOYYq SOURCE OF CONTAMINATION
SEP; ��
?!�'- l..l 6.4s>- dr.utwn exp•
WN dekMecled upon corrprlan7 fq Yee O No
PUMP
❑ Not nelsMd OMe
L !r
MenAetvses rwrr
Moder number 1 SC :• t 1 HIS 1 Vdr
Lerlgal d dray ppe i f �; r h. cap"
Pnwun Tarar Capseelr : `. i _ -' f T'r I
Type: m Subnws6r ❑ L.S. Turbo* ❑ RedPoc+hp ❑ JM ❑
ABANDONED WELLS
Doss property have stw nal n uw "not sealed w9f(s)7 ❑ Vw M No
WELL CONTRACTOR CERTIFICATION
Ttra wN wY drlae0 under my Wpervem and n wwrdrrta wllh Mkrmata Rules, Chipfer 4725.
The nbrmtllon oelea wd in Oft report u true to On bell of my krawledgs.
Cy YJ SV -0,141 Sv�'LU DRlIyrl;vi; LU. g Its:.
UIe a seenno In..r. err rweded
REMARKS, ELEVATION, SOURCE OF DATA, em.
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_ trwreae Br/srMss IvarrM O1 No. ]r• %
h-5-95
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i'LI:It� 1A'1. J.
Wamw or Driller DIM
HE-01205-e4(R".S092)
LOCAL COPY
5 613 3 6
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