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Home My WebLink About1995-01-13 Water Well RecordSWGauze 1U/ 1U L-10 -- Set between _.._ 186 h. and s 5 n. FrMNG8: 11w --- STATIC WATER LEVEL 'GEOLOGICAL MATERIALS I COLOR HAMA EESS RIALOF FROM TO - - _ n .X below CJ above land surface Dete rnea-wed 1-13-9 ChAy Blc-ck S Clay Yellcm S Clay Grey S &uxi-gavel I rian I51W Use a second sheet, if needed REMAF :S. ELEVATION. SOURCE OF DATA, etc LOCAL COPY PUMPING LEVEL (below lend surface) AW n. an- 1 his. pumping - 3� _ i P.m. WELL HEAD COMPLETION ': WnWss adapter manufacturer _ t- j--VAn-t jinkr_ Model Casing Protection. - _-_-_ `�e2m above grade 1 b HL r GROUTING INFORMATION Well grouted? x Yes No Griot Material i Neat cement rentonile from _L i-- to---2L'ft. — 2 ❑ yds. X bags from. -- _ lo— n. _ _.._._—. U yds. ❑ bags from to It. ❑ yds. ❑ begs NEARES KNOWN SOURCE OF CONTAMINATION ----feel S.O/MIf rL _ diectbn �7z- /- p %At: rype Well disinfected upon completion? XJ Yes ❑ No PUMP f.. �i C /� IJ Nol inh stalled Date installed 2-15-75 Manufacturers name AQ, ,,or --_ Model number FIN 02603 HP 1.5 Vdk i til Length of drop pipe . 1 9-p In Pressure Tank Capacity Type xl Submersible r' L.S. Turbine ❑ Recomcating ❑ Jet ❑ ABANDONED WELLS Does property have any not in use and not sealed welds)' : Yes : KNO WELL CONTRACTOR CERTIFICATION This well was dnlled under my supervision aro in accordance with Minnesota Rules. Chapter 4725 The information contained in this report is true to the best of my knowledge DON :l fUD01A WELL Mn Li% LO. E 1N.. 2-117;' Lmnsse Bwklgs Name Lx: or t. No. Arifhonred Representetmr gnefurs 011111111, Fred LieLhy 1-13-95 Name of Dnaer Date 548551 HE -0120504 (Rev. S192) ! MINNESOTA UNIQUE WELL NO. WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH WELL RECORD County Name t1elul�'L�ln 5 4 8 5 51 Minnesota Statutes Chapter 1031 Township Name Township No Range No Sedan No Frettan WELL DEPTH (completetl) Date Work Completed Urcrx: 11 ; .._ r14 19� n Numerical Street Address and City of Well Lormim or Fire Number DRILLING METHOD 28,111 Wintry: ide W. Ca-'.;I:li, %len. Cable Tool El Dug Ona : AugerR ❑ Show exact location of well,n ion grid wilh'X' Sketch map of well location Stowing Property lines. roads a° buildings DRILLING FLUID r X w� r .USE - Ll HeaUngrCoohrg t t I� Domestic : Monitoring - ❑ Industry Commercial ty i i E Irngahon I Public ❑ Remedial -,- -1- - - -- T 1 ' Test Well Dewatering ❑ - - I CASING Drive Show i Yes C; No HOLE OIAM. r i. ', Steel Threaded f-: Welded 1 rkplastic Li _-- .-- 1` CASING RIAMETER �O WEIGHT PROPERTY OWNER'S NAME M. to n. -441-21 win. 7 7/ lbtiy E idea C�xry kvly __� _ - ---- _ in. to n. -6-1y(4-196 Aaawkq eddresa a drnerent than property address indicated above in. to —_ _ n. bath. _ In. to _ h. 410' _: BerkshirC, Luc- SCREEN gi&th OPEN HOLE Pl Jl]u1a Ml. ✓J446 Make �d from Jam- Type qt-Ain1ASA .gtPAP1 DWn. SWGauze 1U/ 1U L-10 -- Set between _.._ 186 h. and s 5 n. FrMNG8: 11w --- STATIC WATER LEVEL 'GEOLOGICAL MATERIALS I COLOR HAMA EESS RIALOF FROM TO - - _ n .X below CJ above land surface Dete rnea-wed 1-13-9 ChAy Blc-ck S Clay Yellcm S Clay Grey S &uxi-gavel I rian I51W Use a second sheet, if needed REMAF :S. ELEVATION. SOURCE OF DATA, etc LOCAL COPY PUMPING LEVEL (below lend surface) AW n. an- 1 his. pumping - 3� _ i P.m. WELL HEAD COMPLETION ': WnWss adapter manufacturer _ t- j--VAn-t jinkr_ Model Casing Protection. - _-_-_ `�e2m above grade 1 b HL r GROUTING INFORMATION Well grouted? x Yes No Griot Material i Neat cement rentonile from _L i-- to---2L'ft. — 2 ❑ yds. X bags from. -- _ lo— n. _ _.._._—. U yds. ❑ bags from to It. ❑ yds. ❑ begs NEARES KNOWN SOURCE OF CONTAMINATION ----feel S.O/MIf rL _ diectbn �7z- /- p %At: rype Well disinfected upon completion? XJ Yes ❑ No PUMP f.. �i C /� IJ Nol inh stalled Date installed 2-15-75 Manufacturers name AQ, ,,or --_ Model number FIN 02603 HP 1.5 Vdk i til Length of drop pipe . 1 9-p In Pressure Tank Capacity Type xl Submersible r' L.S. Turbine ❑ Recomcating ❑ Jet ❑ ABANDONED WELLS Does property have any not in use and not sealed welds)' : Yes : KNO WELL CONTRACTOR CERTIFICATION This well was dnlled under my supervision aro in accordance with Minnesota Rules. Chapter 4725 The information contained in this report is true to the best of my knowledge DON :l fUD01A WELL Mn Li% LO. E 1N.. 2-117;' Lmnsse Bwklgs Name Lx: or t. No. Arifhonred Representetmr gnefurs 011111111, Fred LieLhy 1-13-95 Name of Dnaer Date 548551 HE -0120504 (Rev. S192) !