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HomeMy WebLinkAboutWell info �iA1C Uf' 1711111CJU1A iCY.AKil'�A1 UI" fiCAL1tl . ABANmNED ViEL� RE�ORD 1. LOCATIOM OF Y[LL M(,.iEi piint NiQnoE ME�LL��N0. � County Muf Henne in Tornship Na�r Tornship Nu�ber Rany� Nu�Der S�ctton No. fraction 1. MELL DEPTM (capl�t�d) Oat� s��ltd N E � Y of � • Orono 117 s' 23 yr 10 SE SE NW g3 ft' �01 � � � l c( (,) Nwertul Stn�t bdnas md Ctty of M�11 Loutlon or Dtst�nu fra� Road 5. LL1NG IIETH00 (1f knorn) InNn�ctton ��" 1�C�p1� tool IQ Mwn� 7(]Or1wn IG[j Duq �` � �� �. 1165 Brawn Road SoLth, rono, Minr . �Xo11oi � `�Mr ep eone i�p ,,SAov �xact loutlon of wll „ �Rotary 6�J�ttW �Pwwr Auq�r � �1n s�ctton�yrtd v1tA�"I•) _ StKtA Mp of w�ll loutto� 6. OBSTIIUCTlONS N wi l obst►vcted�1f : ❑ No . _ ► . _ . ._ _. � Oestructlo�s n�e7d��s �No If obstrvcttons can�ot be � . - � . p ruov�d. contut !ON M - - - ' • � - � Defon s�allny. -I- - E : ; T ��i..►, t �. �SE ',- ti.w. � � � t�oo..sc�c ��on�urtn� ep N..c t.00p � ' i • p � ..�. . ._... _.,.. ..... I �L � 20 Irrlyatio� 50 Publit �Industry ' S ' 1 Op� o �T�st WI1 �Munictp�l 1�Co�ercial �--1 .:L---+ � 'e w ✓e T[]Atr Go�dittoatnq 11(] 2. iitOiERTY OYNER'S dAl� Maillny Addnss�if dlft�nnt th�n 9. C/ISINC(S) property �ddnss indlt�Ud �bov� 10 81atk �ThnadW 7Q / Dennis Fisher 520 West Ferndale Roaci �wi�. sp wiaa Wayzata, Minn, 55391 3p vi�,c�c �]sa�.i.s. su.� HARDNESS OF ����p ��ft. 3. FORIN7IOM lOG COIOR FORMATIOM FII011 TO It not knovn. lndtcate fo�ation 1og iro�n�w wll or n�arby w�ll. in. to ft. 9. S[REEN �StrwnW r�11 fro��ft. to�ft. (It known) ❑Op�n Hol� fro�_ ft. to_ ft. 10. STATjf�1�(1TER LEYE ��' ft�b�low [��bove 1�M t� Dat� q��fund �'1 � O 11. MELlNEAO COIILETION 1�iltl�ss Ad�yt�r � �iowW 9uHW 2Q Baswnt offs�t !� �W11 Pit 16. REMAIIKS, ELEYATION, SOURCE Of DATA - CASIN65 RElqYEO, CASIN6S PERFORATED, ETC. 12. AOUTINC lNFOIUMTION Grout 2" Well Approx. 83' Deefi:. �N••� �� ���+u =� 2 $aC�S CE'IT1EIlt. Grout yt�H�i fro��_�to� ft. tu, yds 4# Bentonite 2 Men, Labor, Rig, & Cemert Grout Pump. 13. NEAREST SOURGES Of CONTAMINATI011 __ fNL d/ntLlon Cyp� � Wil dlslnf�tt�d p�fon sN11ngT []'f�s 1�. PUIr RMorW �Not /ns�nt TYW: 1�SuEwnlAlt �]L.S. Tur01n� �R�ciproc�tiny �J�t �CtntHfuq�l 6(] I5. EXISTIMC MELLS (►l��s� sWtch loutto�n of abandoned �nd �ctivt�wlis In rwrks s�c on or o� Oaek.) OtMr unus�d r�il(s) on prop�rtyt �Y�t No ADandomd: �P�rrnent �TNporary [] t ��l�d 17. MATER MEII CONTRACTORS CERTIFICATiON Th1s w�ll qs s�al�d undtr �y �urisdlctton and thls r�po�t is tru� W tA� hest of oy knwl�dq� and h�titf. DGN STOCOLA WEI�L. DR ILLING CO. INC. 2 172 Llcens� eystn�ff Nun Littns� No. �aar.:: 1 Hi Mn 345 S1gn � � � o.c. 12-19-90 Mark Stodola aa 12-19-90 FFICIAL ABAlIOONED YEIL RECOItD (!4y b� us�d for Groperty Tr�nsf�r) Naw� 01 Dr111�r I�fPUQT11I1's llZd Ni1� D�D