HomeMy WebLinkAbout1996-07-01 Water Well RecordWELL LOCATION MIMIElOTA DlPAR7MENT Of lIEAIM
MINNESOTA UNIOUE WELL NO.
C� Nom WELL AND BORING RECORD 580424
Hennepin Mrnlesora Sta t� ChWW 1031
Tomau" Name 1 1 b TowrWw No. Range No Section No. Fraction WELL DEPTH IcorrrPwtedl ^ Dats Work Comp*IW
?Plain.s 311.1. 147' i-1-96
Hans Marrber, Strssl Name. City, and Zip Cods of Well Location or Fits Number DRILLING METHOD
165 C ristcrtcri Ciu�cle Kiple IJlain MV. ';`.;a: ° Auger a R ° aoud°.d
Show exact location of well In section grid with •x•. Sketch map of well location .
- — --- - -
Showing property Imes. - - -- - - -- - --- -
roads and buildings DRILLING FLUID [�
I I 1 I
-r -�- -r- USE ;'. Monr" CI H"byrCodwq
I 1 1 1 'R "c :l Comm PWS
Community ❑ Industrycommercral
Dorries
cl
W E 1 Trngstion
;1 Non u murMy PWS 17 Remedial
I I I 1 11 O'rg
M�O_ _ n y w CASING Dms Shoe? O Yee No HOLE DIAM.
I' sb" C7 Threaded ---5 Welded
i I I I � PfetoC C]
S X
CASK DIAMETER 1 9 WEIGHT
PROPERTY OWNER'S NAME in. to _ n7 -ilk; A;. --.---_—.—- exsRt. _ in. to _ n.
Kei r 1 i w:.l rerr & Ps.sc c- rite_ n. to n. -- exsllt. —� 4 wl -Ioi
PMWty own* s mai q adarM a t%P* Golt man was localmn addna in - I - abdw— in. to n. sxs n. in. a e.
SCREEN
10N 40 Vik.IN Drive f11(i M. �,-.n from Rto n.
Wen Prairie, Min. Type St, inlc!.,, fAeu-i own. I �—
STATIC TIER LEVEL t
WELL OWNERS NAME ft.L sim ❑ w" lama surface Dwe nnued 7-1-9b
PUMPING LEVEL Ibeww I" wdsm)
Wee aimm a maleng address d de*rem man propel! omm s address Indicated above. _ n liner hn. pumping .Slf aix g.p."
WELL HEAD COMPLETION
jSPebas a -IF manto cturer W Ltcw.z tar Modal
O Cawq Prohmm A2 in. ab" grads
❑ Ae EmAlarwer Walt and BMW ONLY)
GROUTING IN :(~TION
Well graved? ICY" ❑ No
GEOLOGICAL MATERIALS COLOR M� RISS OF FROM TO Grout M&WW ❑ Neat tern' 10(Beraalgs O Contrast ❑ �' SoYds Beteaw
hom a -il' n _ ❑ ydL A Image
from to __ n. O yds. ❑ begs
Top s dl/Caly Grey g il' 1 1 tmm to n. ❑ yds. ❑ begs
NEAREST KNOWN SOURCE OF CONTAMINATION
Saul Clay BrcJti.t : 1 I t ' 1 < <, — 1e"
WON dynlawled Upon canplrlon7 [iV" ❑ No
Gravel J'- m H 1.<" 1 �. ' 9-96
❑ Na InstseW "'I"�we�p
L;ou1cL:
Saw Med. Grcy S 13 ' 1'�'� sn'n"1 � HP vow
Langilh of drop Poe 84 18 ".In.
Pr"axs Tank Cao.city �r
Type [1`bllbmrslel. n L.S. TuIII Cl Recoroea" ❑ del ❑
ABANDONED WELLS
Doss waprty haw any not in uss and not sealed m*$)? ❑ Yes info
VARIANCE
Was a varlrlta grrsed ksm t MOH for coin ease? ❑ Yes O 7W
WELL CONTRACTOR %RTIFICATION
IA,,,, I ar*r. A needed Thin %M Maio dMW under my suprftwn art in accaroarros wfm Merlesdh Ruin. ChWW 4M.
The inilimi Wen oaMrrrd in ells raped is ft* Id cos be" of my wroaeaege.
REMARKS, ELEVATION, SOURCE OF DATA, oft. (xkj S'ilCOLA M L MULLI11G LY-,. , 1NC. 1717E
UCRO s amok*" Has* lie. or Rag. nw.
7-1-96
Auero Wd Rep sommill arp*Nim Do*
Qm x MCfore 7-1-96
verbs a oow Nasss
L0cAL c0P Y 5 8 0 4 2 4 NHUl1ir(Bar.""