HomeMy WebLinkAbout2000-08-22 Water Well Boring RecordLOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO.
Name WELL AND BORING RECORD 649244
Minnesota Statutes Chapter F03I
vp m Township No Range No Seehon No Fraction WELL DEPTH (completed) Date Work Completed
Hw"-'Wtrr56M. Street Name. City, F471p Code of
2340 ftonSt, Orono
Show enact location of well in section oridlwith'%'
n
183
8-22-00
A ocatan
or Fire Number
DRILLING METHOD
55356
; Cable Tod ; Doren I Dug
1 Auger ry . I Jetted
0tch map of *all location
W
.J Showing property lines-�_
DRILLING FLUID
WELL IYDROFRACTURED? YES ]rl
roads and buildings
bentonite
FROM It to h
USE ----- Monitoring HeabngrCodrng
}( Dumestc
Community PWS IndublryrCanmerc•al
Irngation
Noncommundy PWS Remedial
W i i n i E T I 1 EnwBo
re ore Hole Dewaten
I1 n9
-r - _ _ i - _ CASING Drive Shoe? 'Yes HDLE DIAM.
J_ _ J _ _ L _ J_ •f f Steel Threaded Welded
i i 1 i
S r�
n r �--�
PROPERTY OWNER'S NAME
John/Lori Roberts
Property owner's mailing address it different than well location address indicateO above
same as above
WELL OWNER'S NAME
Wall owWS marling address d different than property owner's address indicated above
I GEOLOGICAL MATERIALS ' COLOR 1—MATERIAL r I FROM I TO
-_.-tmft_- -
Use a sr_ond shoatit needed
REMARKS. ELEVATION. SOURCE OF DATA. etc
*OPtaslrc
CASING DIAMETER WEIGHT
4 in to 175 f1 2.05 Oe.M in 1.
in to h MJh. m to 1#2'
in to h - _ ft IN _- in to
SCREEN OPEN HOLE
Make efobi4in from _ Ito M
Type Stainless steel- Dram .. ---- -
SlettGauie solo. I ---_LNG---�'-�-E----_. - --
Sat between ," It and tm. h FITTINGS: 2�' A
STATIC
WATER LEVEL
It D �,oebw - .' above larw sudace ate measured
PUMPING LEVEL (below land surface)
-U-0- it after 2 his pumping ..._ .._ gp.m.
WELL HEAD COMPLETIOVp i t eva t e r
�Pdless adapter manulactur r Model
Casing Protection yt2 in above grade
Al -grade IEnvironnental Wells and Sormys ONLY)
Well grouted' 'WYes No
Grout Material Neat cement Senlakle , Concrete $r%ph Solids Benionde
from -0. to - - -m- it _ __� El yds. bags
from 30 to -M- h. Mt41&CSj_ ftftC.. bills
from -- to --- -- It - --- ---. _. C1 1Ms' ^ bags
NEAREST KNOWN SOURCE OF CONTAMINATION
105 feel IF, wecti08aWe type
Well distrdected upon comWetion? _,ees No
PUMP /�/�
Not installed Date installed 8-24-M
Manulaclurers name Gowl4a
Model number HP 3/1 Vats 230
Length of drop pope 1 Oi h Capacity g p m
Type XSubrnefsdble L S Turbine ' Reciprocating Jet
ABANDONED WELLS
Does property have any not .n use and not sealed "Its) 7 Yes .11(No
VARIANCE
Was a vanance granted from the MDH lot this well? Yes WNo TN -
WELL CONTRACTOR CERTIFICATION
This well was drilled under my supervision and in accordance with Minnesota Rules. Chapter e72S
The inhxmahon contained m thn •epon is true to the best of my knowledge
Don Stodola Yell Drilling µ Co. Inc.
Licenser Huseiess mar
A'Aurn�on ed at, burr 10-6-r00
72
"sore 8-22-00 .i . -
LOCAL COPY 64924 4 „e-0,2054,,,,,,, 21e,
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