HomeMy WebLinkAbout1968-09-12 Water Well RecordWELL OWNER AND ADDRESS
WELL LOCATION SECTION
*ios':T ^oM.
DRILLER S SIGNATURE
DRILLING COMRANV
LOT BLOCK
DATE
WELL RECORD
VILLAGE OF ORONO
CRYSTAL BAY. MINN.
PERMIT number
ADDRESS TELEPHONE
SIZE OF WELL_______^ INCHES WATPR 1 PVPI 7 ^ mmmr
WELL DEPTH / ^ ST »»FT DRAW DOWN ^ FEET AT O AMNI
j CASING DEPTH- /CAPACITY fiALLONG / ^ 0 MPB/UM
DEPTH OF IMPERVIOUS FORMATION / O rPPT
j •CREEN ---------^-----FEET ^ INCHES/BY 2. INCHES
] MAKE AND TYPE MATERIAL: fj . ^
REMARKS.-------------------------------------------------------------------------------------------------------------------------------------------------
CASED WITH
WELDED JOINT □
SCREWED JOINT
(OVER)
KINO OF FORMATION COLOR
STARTED
DEPTH 11TNICRNKSS
OF
FORMATION
tUu-O Vo'^^o•
V p '/oo'^0'77^- ^/o&US"JS'JZi X, .i^r'/O'
•
EXTERIOR SPACE AROUND CASING SEALED WITH: Q CEMENT GROUT Q PUDDLED CLAY Q OTHER
DISINFECTANT USED ______________________________________________________________________________________
HOURS LEFT IN WELL
(OVER)