HomeMy WebLinkAboutWell info 51 A I t UF I�1 NNESD TA I�RAIt Tl'!�N T OF HEAL�H
ABANDOI�D MELL RECORD
uTION Of wEll � M(I��Ei el�nt NiQnot knam)N0. ��� ��
�
nty Na�e Henne in � �
msMp M�w� TownsAtp Nu�b�r Rangt Nu�Der S�ctlon No. Fraction �. YELL OEPTN (co�pl�t�d) Oat� st�l�d
N E 4 ti of 4 ///
rono 117 sr 23 Mr 2� SE SE NW 3 p�� ft. ���' � ���
rNt�l Strpt Addnss �nd C1ty af Y�11 Loutlo D1tt�nc� fro� Road 5. Il !N6 METH00 (1f kno►e)
Intersectton 1�Cab1• tool �p�wrs� 7(�DNven 1��1� 5 �'��
65 Carman Road Orono, Mn. � �D���«�� SCI�+r ep e�na ��p
i� exact locatton oi r�ll
aQ aoa�y 6Q�.cue eQ vowr �uy��
(tn s�ctlo� grtd rlth •X•) Sk�tch qp of w�ll laatlo� 6. OBSTRUCTIONS
N iNll oestruet�Q�Y s No
_ ► . : ._ _. Obstructio�i n�owd Y�s ❑No If obttructlons canrat b�
. . • � • ��LI� ruoved. conUct NOM
, , ' .I- - E d s�:..�,�9.
- • - - • �,,
: � : ; T C�rm � �� �. 5E
4 " �no..:etc Q noeturtny ep H.ac �oop
; y.i. 1
..._ . ._:.. _.; . ..:._ I .
2Q IrN9attoa �Publit � [ndustry
�'�„t�►I �T�st Wit 6p��c��.� iap co�..c�.i
r 1 SL�—r 7(�Mr Co�dltioeing 11��,�.��_
'ROVERTY OMNER'S NAIE Ma111nq Address if dtfferont thsn 8. SIN6(S)
proptrty �ddnst indtuted �bov� �81�ck �Thrndtd 7[]
irnet Realt ��
_nda Ber an 1501 West 80th Street �O���• eO wia.a
� Bloomi ton Mn. 55431 �►�+•t+� 6[1 sa��i.:: su.�
MAliONESS OF �,�. �, 316 ,t.
FORM11ifON LOG COION FON1NilON FBOM TO
If not known. indlc�u Iar�tlon loq fro� nN�wll or n��rEy well. tn. to ft.
'ift 0 320' 9'�s�..�w r.ii r,�. 316rc. c, 320 rc.
� (I f known)
❑OpM Nol� fro�_ft. to_ ft.
10. STATIC TER LEYE
tt. btiw �Dow q
lanA�a �D�c� N�uund 1 1
11. NELLMEAD COIitETION
1�P1tl�ss Adapt�r �found luriW
2�]BasMent olfs�t 50
�Meil P1t
REMARKS. ELEVATION, SOURCE OF DATA - USINGS RE1qYED. GSINCS PERFORATEC, ETC.
12. �TIN6 lNFONIMTIOIf
IN�t C�nt 2�B�aLOMq �
Jrout 4" Well Approx. 320' Deep 6rout �at��,�� r►n.k�ko� ft. cu. yda
28 Bags Cement
30 Lbs. Bentonite — —
2 Mer, Lab�r, Rig and Cement Graui. rump 1�. "ua�sfNou�ces o� ca►ru,e�n�e�,� crv.
� wn ats��r.ee.a e.ror. :.,i��yt p r.s
I�. VUIi Ra�orW �Not Pnunt
Typ�:�Su0�n/pt� �]L.S. TurAin� �R�ciprocating
20,l�t �C�ntHfuq�l 6[]
IS. EXISTING YELLS (Yl��s� sk�teA lx�ttorn af apandon�d and
�ct1r� r�lt• in rwrks t 1on r on back.)
OtA�r unused MI1(�) oe prop�rty7 �Y�f No
AGndon�d: �i�rs�ntnt �Taporary � t �l�d
17. WTER WELL CONTRACTORS CERTIFIGTION
TAts well ws sul�d und�r ry �urisdlctlon and tMs report
is trw to tM O�tt of ry knorl�dy� anA D�Ittf.
N STODOLA WEL.L DRILLING CO. , INC.
L1c�nsee Buftinss Nue L1c�ns� No�71�2
Addnss 45
s�9�• ac. 9-21-90
Mark �trvjnl a o�u
iFICiAI ABAlIpONEO WELL RECORD (!4y b� us�d for irop�rty Tr�nsh�) N� of ON lltr
INPCYti'dU2's dl7d MZTH D�D
�
�� CITY of OR�NO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Officea
•
• � • • On the North Shore of Lake Minnetonka
November 5, 1990
i
Burnet Realty
Attn: Linda Bergman
1501 West 80th Street
Bloomington, MN 55431
Uear Ms . IIergman:
The City of Orono has received a copy of an Abandoned Well
Record for your property at 3265 Carman Road, verifying that the
well has been permanently sealed. This record will be kept on
f3.le at the City offices and at the Minnesota Health Department
f o.r f uture ref erence.
Protection of our individual and community water supplies is
imperative as Orono ancl surrounding areas continue to develop.
Ttiank you for your efforts in helping to preserve the quality of
our ground water.
Sincerely,
_ 7 � �.
�i�'`�� �'�1 /
���
Michael P. G fr�on,
Asst Planning & Zoning Administrator
MPG/tln
RUILDING&ZONING-473-7357 • ADMINISTRATION&H7NANCE-473-7358 • PUBLIC WORKS-473-7359
ASSI�SSING FAX-473-05 l0