HomeMy WebLinkAbout1992-03-10 Abandoned Well RecordSTATE OF NINNESOTA DEPARTHM OF HEALTH
ABANDONED WELL RECORD
1. LOCATION OF WILL
County Now Monnonin
TowafMp Rase Towth p NMaoer Rang Number SoctlM ft. Fraction
N [ 41 of is
Orono rf °r r S NE
/ E
Numerical Strut Address and City of Well Location or Olstaws free Need
Ietortatlen
1937 Fagerness Point Road Wayzata, MN. 55391
Sho■ exact location of wall
(In soctlon grid ■Ith 'I') Sketch eep of "all location
N 0
WN 0
W
I
1E Rnrt.1
ad.
1
o-- l w le
2. FROKRTT OWRER'S NAIL Nel11ne Address If different then
property address Indicated above
Richard Roberts SAME
NUDIISS OF
3. FORMATION LOG COLON FORNATION FROM TO
If not keeUn, Indluw forest.. -.q from raw roll or nearby ■all.
Drift I I 1 0 61'
REINRIS. ELEVATION. SOURCE Of aTA - CASINGS 11E310.0. CASIOU KRFORATED. ETC.
Grout 2" Well Approx. 61' Deep
2 Bags Cement
4 Lbs. Bentonite
Men, Labor, Rig and CaTent Crout Pu1Tlp
:FICIAL AGAMOOKO YELL ACCORD (Nay be used fed Property Transfer)
r�. .war. -- ......
MINNESOTA UNIQUE WELL NO.
(lee" blank If not knew)
•. IRLLKPT{M (completed) amid tooled
(C I ft. 3I 10 I 1 q I
S. 04LLL146 NRNOO (1f ►new)
Cable tool 40 Reverse 70 ONpes lao 0"
ID Mallow Rod Sfl Air EQ veered Ito
30 Newry IQ Jetted 110 power A■pr
G. MTRIICTIONS
Melt obstrwetod� ', Ne
Optrectlap ►tea Tel Q fed If obstroctlMt cahoot be
removed. concoct N1N1
before t°a11M.
7.
(kowsstlt Q IM/torl°O 10 Meet loop
4--] Irrigation 10hbl lc 0 Issuttry
30 Test Welt lO IkelNpal IIO C on rcIaI
C Air Ceaaltlealq 110
IT -IN
10 Nlbtk
�kThreeaad 70
�Okfislp.
10 IUldad
30 Plastic
Q Stateless Steel
a
IN. w _ 57 ft.
IN. is n.
scan
aSeroaona wall FveN 57 n. to 61 n.
(I/ kaaxel
❑ ope Nets
from _ n. to — n.
below Q abwa j o
we Oaks Ibwred
11. WELLIIAN COPLETla
0 Pltless Adepter Q 10ued [Myles
20 so e t offset In
Wen Plt
12. VWTIM INIOMtTION
7F Wet CA ont 10 watontte 30
Erb■t •terlot Iree �ta ft. cu. yea_
13. IIAKST SOURCES OF CWTMINtTIW
feet Hrettlen tyM
Mall HtlefectM bet" eeellog? Q This
ld. PUMP M kMvod Q %t MaMt
Typo: I[) Subarslbh 30 L.S. TurNee 10 Roclprocatlep
iiJet 40 Costri"I 10
16. EIISTIRR MILLS (YINee swUll locations of abndoe°a add
eettve wilt le red see Ion N M book.)
Other Meuse( ■Ifll(e) M p C3 Tom F Q Tek ® M
AbendennM: Fereeeeet Q Tomporaryr 0 t Ion
17. YATER WILL CON/MCTONS CERTIFICATION
This wall we owled ■ever op Jurisdiction and this ro ert
Is true to the beat
of dry kee■lodp W belief.
DON SWDOLA WELL DRILLING OD., INC.
LIcMaM W1eess Use LlcMN Ne. 271 ,
Adorest ,
_
92
. ,,.. ,. — gets
doe of Ib11lop
345