HomeMy WebLinkAbout1983-07-23 Water Well RecordSTATE OF MIItESMA PffmUmm DEPAArImfW of HEALTH WATER WELL RECORD � mm "O'
1. I.DCATIDp DP 19 1 Minnsnntc 9.wes. 1dfA.A1-.C. U.
127503
Count, sae: --- rr.rtlm set m Daher Twnehlp .umber %am puler ,.----------
DSSSanes and Direction fTos Road Inte nactloas or ltreet Addras. slab Cltr o Ye � stlMam a.
caret !nnllon or call le asetlm geld rqth X. Sketch amp or wll 3odaUm. yELl .1 eoopleted Dime of Co.pletlm —
e 7-2243
E�L
SCable tml 40 Perene '❑ Drl ran -_ _ IDQ Due --
T 1011ollw, rod %n Air AC: Hand
. 5 ai. �� ♦t. 1[XIloterf - 6C] Jetted �0 Pwer AugeT
1 t r,� �Doerstlr 40Puh11c S."ly 7v Industry
=Q Irrf retl o.m So Air Conditioning °u c—rr1.1
2. rp11111TI011 Ia' --� COIAp ►DRIMTIdI ►IIDp TO If u ^ea �e 11 60
7. ^AS IRIt REIOIT: AOore Ulal
e IAM.
- --- 'M"sM4bI welded -Urfa" -ft.
IN no Blwk 16 Cats. ❑
-----_ - _ 4 In. to n. depth Yelobt---les.ir.
saw�3 -. -__In. tc- _- n. depth
-_-- --- ---In. tr-_ n. depta Drl se Sh_I Ifes- No
or open hole
---- _-- —-.---- —._ v,►r _ rrua rt. to ft.
- "I1.- kioe_1 ---- DL�
to
t� f TTIRGSI
49
Set betreen It. and � t.
n. ,nd
a.d II.
-- -it.L. ..,,mp shoot, If Isedisd
. l :i Ajl.. rYATID,r.—Ia C6 Ii' DATA. sit.
LOCAL CO
--
_- n. [belw ❑.bore Uate Ilsasu"d--7-2240
end surface
KWING ISM.
after_--- hrs. pumping_
11. WELL NiAD TWLET103 ----
IM Pftle s adaptor -r, basesent offaet 10 At least 12" eb-
12. Yell Rtouud! -------------•�----F_a~
Cu.
In last ceasnt :❑bentmlte 7�AmOmmL, --- i
_._ Depth: frm rt. to rt.
to -_rt•
ll. le.rest source of pns.lele eontrlostfon
--_-. _.rest dl net/m __---type
Ye11 dielnfaeted .yin -mlettm! Tee l00
Date Installed-_ _ --
0.4.t Installed
M-facturer'. last 121110111f __
M.d.l 9Wthef-- __---- --- -IIP 3 ':..u_ _
-- --'- Length of drop pipe -A�---- f7. ,arltr
Material nr Nvp pipe_-I*.���:--"-�---.----`----
type: I[Srbaers it,,.
In L... :carol.+e 1U list 1protat lnm _7
In Jet :Q Centel fugal _da
.-- 1A. VATPR YIS.f. MF,PA-O" tERfInCATI,DI
This ee11 see drl ll.d Under m lurm.Alrtlal asA this roport I. true to
._ iw her of tY snorted" and heltef.
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Authorlted Mpnsentatfre
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