HomeMy WebLinkAbout1987-08-25 Water Well Record%TATEUF'MINNESOIA I)EPART-MENI Of HEALTH
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WATER WELL RECORD 'WIYNL:NITA I'NIQUE WELL NO. �� ? r
l/rasnou Sbtaks 156A 01 nX !w Wow 5000k .9 6
Srctm No. I Frn•IKwr� t WtIl DEPTHiompned) Dole of etion
`v as "Ow tt 104 rt. a"1�i7
Wrll Ia..1oe S UQH LING METHOD
10 C'sbh ttnl 40 Recerw 70 ;haven 100 Due
- %Wch map of vivil k.7troe 20 Hdlm rod SO Air to bond 110
efwmwY 613kited 90Pavervuetr
6 DRILLING Fl.l'ID
I�LltatwstK
30 Monrtm'd
fO Heat Pump
201rrWiwn
50PUMK
90nldustry
_
.O Test Well
tip Munkipal
100 Commercial
--��
70AnCoWniont�
110—._. —
N CASING
HOLE DIAII
OWNER'S NAME
J j /�� J .- ") /''.
�'f �'
` :
10 Mack
e0 Thre�Wal
HEIGHT Ahowi&bw
Surfare 11.
^�
2 / %
Qom• j ` ,
C ►- �7 : / " `
YO
SO Welded
Drrvr iIM, Yew_ No =
lb Fr
to to _ -- - it
Weep;kJ9__- Its.41
llltii, tt��Ji
FORMAT -ION LI Ni
1 COLOR
HARD. SS O
FROM
I TU
In t: It
Weyht IpK.41.
—m t._Jt.
clay 6 gravel
CU -_�
clay 6 gravel
r_ el-cand
Imlay
-
blM*
FORMATION
0
3
— ---- --
_ in to ___ -.-- ft Wrof _—_-- lb i
_In. to- It.
YM.K'R�N� V�Ir
open ho4
Iron le to h
yello�►
3
14
15
10
15
20
I.Y� _� -PVC — -�_ --- �• - --
Slnt,..ve • - - - - --
SAL TTINGS.
SM Izt+ee7fZ 11 ...a104 h
brtow
blue
10 STA)bWATER I�,YEL �1�_ s�
below Oabm'r Dun %I a u,,sJ
4nd surlare
blue
C Y 3
blue
20
$S35
11 ! 1'MPING LEYEL elarlma land +urlav)
11 .IIw - __, _.._._- hn. w pttlR -___ _ _. - - _. 91).
_ - _— 11 @her ___ hex pumpeM -.. -- - - a p n'
p
6S
12 HEAII WEU. COMPLF. PION
To Pill- ada)Kq manufacturer —..-
20 ba+mwnt r11.ef 7rU lent 12" obwe ground
1
n,
LOCAL COPY
40 Pta.tK rasing prammin_
t.i W ELL GRILAIM 7
-
Olen 0No
—
10 Neat 1'tmrnt 20 Beneunue 30 - -_-
on
_ Gamat"'M -- _. Insm - -. Io--- It. cu. yde.—_.
-- —
1 t %t AREST .WIRCE3 OP POSSIBLE CONTA7AINATH7S
-.---. duectwan ." .ype
Well disinfected upon amtpkt P.I10 Yr+ 0 No
--
15 01-MP
-
ible tnsul4d
Manulanurer'sname.._-- _
Model numhre
_-_.
_ _ .. _
_-
__
I r•ry{Ih •i Or•)p ppr ...._ , - __ _. ___-h Cawley .. _ _ -Spin
Malrrul d drip pipe---
____
Type N 4ubnwrub4 JUL S. TurMnr to RnvAut tm
d01rt v7(entnfugal ei7_
"--
-' •"
---
to, EXISTING WELLS ---
r7
t'nused weR m ploprttY' G Yn O No
Aherd•awd ❑ Pormar.�t O Temyrary U Nut xealed
tA. WATER WFLLCONTRACTORSCERPffICATl0.•.
i
rl rS
L L
Thu wilt wax drilled under my )un.dx•wn and this •rpxt n tru to the beat of n.y
I
i, kitKr and orIsd
i
Stave" bi&U Cc 22194.—
IAVW w
w-. 444u imy 12 u, Map" Plata♦[_ _ _ _._.....
Aenat�ted Re)K r.enea..
Mama at Did* - -- fate
1436256
7t>r ]ill
HE 01.162 Res. Id Its! ? ?a 30A