HomeMy WebLinkAbout1990-06-27 Water Well RecordSTATE OF MINNESOTA DVAW MENT OF HEALTM
UXATW
y aline WATER WELL RE{�RO M2NN8SOTA UNIQUE WELL NO.
466459
r 1R Afnar . SFalaa„ Is" of - of He Waa, -%a"&
!Oa'INht► Nrr'
owtrhlp Ntanker
aryr Number
Serf on No
Fraction
WELL DEPTH tampMdt
a ton
NOWi7rc)nc,
ill
N
=o
..:
lrE.^ ;ENE'^
tune fJetI Addle.and City of Well Location or Distame (r)m Road Intene.00n
5 DRILLING METHOft
ri JJ Lf�l 1'ez rxi, :le Pr•Y lic1 Run.
O Cable loos ❑ Revere O Drrven 0 Dun
O Will— RIO O Air ❑ BoardO
m
.e ern rctton pal wnA "X '.Rtthch map d
location
1
N �l
i n Addunun Name .. f
ary ❑kltd ❑Power Aug"
• - r - t
- ! L - --'- -y
6 DRILLING FLUID
r
1j
Block Numb" ._
7 USE
T.
f�anwlk ❑Mnm onrr OHeal Pump
1
Id Number z
O Irrlpton ❑ PumK O Industry,
O Test Well ❑ Mumupal :al
i I
— —r• 1
❑ Air on Conditioning
I
.it
tt C ASING
Rbrk AhrradeHEIGHT Akove•&lov
d
HOLE DIAM.
2 PROPERTY OWNER'S NAME
Mailing .Addres^ it different than property addre^^
irtdicated aMise
Surfaee It
❑ Gbh O W'eldd
Drl.e Slim' Yes No—
•
❑Plastic O
!■�I �T
wa haws
_. _.. In to Z*___ 11 Wrillll .jlVlaall- The 'll
m In __ — It Wright __ Tha rfi
--- ---
m to ..__—It Wright _ Ihanft
Jn. 10_1.
_1n. to 1,
3 FORMATION LOG
COLOR
HARDNESS lH
FORMATION
FROM
TO
_in to #I
9 II:REEN (h
Irnnm It to. —236-- it
Make
Shaa a
Type
--- -- —
SIotGaute_—__..____--_--.— — lerylh
206
2369
"1 t%tween --- 11 and .—_ It F�iIT��I1N,14��5
_ 1SAL It / hel— O atom, Date Measured — — —
land surface
II 1'/ly'M�PlNG IF.V'EL i6eb. land wrlate�
it alter her pumping ___ 2.0 g p m.
It after __.__— her^ pumping gpm
IT,YEAD WELL COMPLETION
fltless adapter manultiourer �i r�tar Mrdt
O Hatefllrnt Jlael ja At least 12'- ahu.e,niund
Cl Mao. aasnlg P Kt—
is WLLLI:ROI'lED' O Yes O 4u 7
❑ Nea1 Cenrrlt O Beritunnt, NAUKA u 1
l;roun matmal __--__ frnm _ to Itcu. yda-
Ia NEAREST SOURCES OF I'1ri51RLF: CONTAMINATION
__feet-__—dlreclon type
Well dnwnfe,ted upon completion' ClAes O No
15 1'1Ti1P
__—__—_. O Neel nnstaffd
P
ManufKturr , name. JA[L•1vv_i
Model number — HP_.j_ Villa
all
��p e
length 4 drop pR it l apacnty g.plr,
Materal of drop pp,
-
7 Ype A Subrr—.W ❑ 1 S TUrtrft ❑ RKtP.CJiinng
❑JM ❑Lminlupl ❑
lb ABANDONED WEL S
1'nurd well to Popery' O Yes O No
I se a srtv.d
saw. a ssmdrd
Sealed ❑ Permanent ❑ Trm.orarY ❑ Not sealed
17 REMARKS. ELEVATION. SM'RCE OF DATA. rim
In WATER WELL CONTRALlok CERTIFICATION
This well was drilled under my lundwt.n and this report is trur to the hest of my
knowledge and helvl
Ixliv'S-1UUJtn_WE" fxilLria %
Lw 8"uni is Now --- L.— M.
27172(�/�
Add.
. a., �� =� pale OL2 90
F.P. maw"61271%
Dow
.�
Nome of Puler
S/yaalM
7r7g>�
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HE -0IIRS IJI Res. WN) 2 0 tlow