HomeMy WebLinkAbout1971-09-14 Water Well RecordTHIS CARD MUST BE RETURNED '1'O THE VILLAGE OF SHORE:WOOD
WELL OWNER AND ADDRESS 1 61
WELL LOCATION 7 SECTIOI
4t-. ; r
LOT BLOCK
WELL RECORD
VILLAGE OF
POST OFFICE BOX 307
EXCELSIOR. MINN. 55331
DRILLER'S SIGNATURE DATE PERMIT NUMBER
41
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DRILLING CO NV ADDRESS TELEPHONE
SIZE OF WELL____ Y_____ INCHES
J A)
WELL DEPTH__— -FEET
CASING DEPTH__ FEET
%". ATER LEVEL C -- FEET
DRAW DOWN /� l EET AT
GPM
r�4 el
CAPACITY GALLONS PER/HR
CASED WITH
DEPTH OF IMPERVIOUS FORMATION_ __ FEET
WELDED JOINT (�
SCREEN & _FEET INCHES BY� 1 CH ES SCREWED JOINT O
MAKE AND TYPE OF MATERIAL: CEMENT GROUT O
REMARKS-.