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HomeMy WebLinkAboutwell info DEC-18-201z 14:41 FROM:LEUTHNER WELL INC 9524432546 T0:2494616 P.1 WELL Op BpRING LpCAI IUN MINNESOTA OEPAqTMENT OF HEALTH MiNNESOTa uNipUEW�Cl, `°u"'v"°'"° "i—'� WELL AND BORING RECORD -. "ND°oR'"cNo. ,� ,. - ...., � Ml�neeotn Siasutea,Chepte�103! l 813 .9 6 1i,w:,i p rvnme IOwne�lp Nu. Hnnpo No 59ulia�No' .. on T: �... . . -_' � WtLUBOFiI �� DEPTH IcompletaC) � pATE WOHK MPLF Ep ...� ._ . ��� �, Lautuclo . � I:CXU� ...._� degreo9 .. , minulee � �RILLINa METHOD ?��y� TI�N coconOB _ .._ .. .. . � _ mInU109,� 90cdk1F . �L�CMI9 T091 I._�.I UrlYon l i Dug Flnueo NuryiD�r,Sl�e�N,mo. y.nnG Zlp CuJ . .. „ .. . -- ong u e ._, �oprooe o al Woll Lnc�lllon � or Flro NumDer I M'B�r �19ulary i �JqiWU _ ..: i..._ u �� � Snnwi ._ ......__ ---- , .:..-.- -.._ URIL GFLUICI ` Wf.;LI..HY�O�ROFRACruREp7 'V_. � �.. . L_Vae �,�No � .. �, on ol we i Cor'uW in, on A�. J�h"X', Skotcn me ul w�IlR�orin�locauon. r i0 proparly Ilnee, _ ��m_�... .1� To �i. � N I , �oF�ds.nuUainga,und mrocGnn uSe - - : , � . ` [;uamoeuc nnur��imn�y. _•:_ . F oounpronoiing.�...�- ' fi � ��-----+-----r-...,,�.. !, � .�..�-�-�-. �Nonoommunl�y pW0 �Lnv1���� 8ure tlola I I 6}duouy/Oam�+nrc.lo�. � � , , ; __�,., .-�•-••.._.,...� � �' �a: 6�,� '�1 omnuu y Ws (..�Irrt�wi�n �pHnlMlfll W '!, ' ' ._.� _,� . �..:Elev�i���ll �IJowfllorintl �. ' P q I ; � � � . , T .. __ , --�-..- � j .,-•�-- CASING MATCRIA� _ — -....... ' , ; , ; � snoa� ! I Yee :No �ao�,f..171AM ..., .... � _,,. I r vo ' ; � ; ��+a• �,.» -�Throodoa I elaetl ?--•-�••.._�.,.,,.--�-- 1 � � I.._J Sioo1 � �Pit�;lia ,.J..._ I I�r�_..�. ,._....'_ � R OA81N0"" Olameler Welpm ��rillr.,ntfone h•-r—iMua-�..� � In.to << .� „ineni .._ Ql .in. -_ .�.�.._ : --a--- �R YY�OWNFR'g NAM CUMV Y NnME"y ".:, �►- 10 II � _ in.lo . II _ Ibc,/h. � ._,.-:-.:,'•--, _" OP�N FIOL..._.._�_ In.lo , q In lo II. . --.',-IbeJll. .,�_.m.lo__IL ............._......... N Iy, e �q liu� clruee It Biani i�p oll Io�U p yG6 u�4igela0 above. tiCHEEN E �� " „ , ... .. _.� _.. � � �, _ M�No-- _._..... From ' ' _Il. To.,. II. � I � ' TYOo _.._.. � ,..: ._.._._..•---.-,�. Dy0n1..__.. � . ._.-T.�:,.: . „ , i $IOU08�[ lonp�h..... , ... _,.. ....._...� ..;.: . Sot Delween...�.,� II and _..._11. FIl"fINGS__. .. 3TATIG WAT�R l fV&L�._ ` - -- _ , - MaOYured�I�urn,.. .. . .. _..:....__. ..'... ...._ ..."�� —_ .. . ... .R r I f�slow� I Abava IonO aYANM) Dsl�+nwc�aurod Wf:LI.OWNER'S NAMUCOMIPANY NAMt .,. •, ,...�..__._—�- "_�.;:..�. - PUMPING LLVE�.(bolow IanG eunoca) w���. aW..,re:meiun�a��,ifd�tro�n► a rup�d awimr'e adCroee Indlca(oel abrn�o...�.. -�-��__..... ..h.a�ior hrs�Um i �ry,..� U � ,.....__ . ...-.-••-- P n9......_- WELLHEAD COMPLGTION �'� � � �p��� � Piupoa/bdifplar mmnulaclurer � , MoAel � _, �' i CoWnD Prolarnion._— ........... �•----- -- •- __._._, l I 12 tn. 'w��Miip �.j Ahgrndq(EPvIf0�01011101 WBII 80C BOAOA ONLY) ' CI•IOUTIN ' NFOHMA� � , .,.. UN . : , -•}._....- - II weu teu �' �Pa�,,f J No,..... Gro el/el�C�l,}I�fdefebnw ��pnlonlie�Cmicrald.nO�h ' .. � � �+�,...t.�'_� ,'..', From , „�,_,.To�_h. I ,,. .�`� �Yde. J i9ede GEO f�IGAI MATENIALS HAIIpNG$$pF COI,OR FROM TO From,__,�,Tp _�� i MATERIAL -- -- C,I;YU6. '�Bnpa �.: ,.�. _. _. From.._ To--°-_ q .. . __— �l vae. �;oage �._ __..._...,,:.. ,_._. ` � � _ NEARG^,T KNOWN SOURCE OF CONTAMINATION ' � � ' / � � - ' - ,_._�_�Ibtll � ......_._.___...— redlon ,��+�'�+�y,�r.JYDo . '. ' Woll dlFlnloniod uDon compiellm�7 i �Yye Lj Nu m (,� f. --..... . ' -... ._. , � PUMp -- --- ..;., '� � � J ollnelalled D �.�N elo InBIp11eU.......... " � ' � �' �� •-- __ .:. _ � ��- Menul�iurore mm�o� , C' Monoi NumUoi _ ...._ _ �_.._. .. . . ,�,� .,,.,._.�. � _.........,.. i ip� ��} � . . , ����-' � .... ... �� : � ' ,/ .. . oll _ 7�_- v a.. ,. � ... _ , �.nnp��nl AroD P�Do..._�. �Q q. C:� u�l � ,` 'Gr---._.. „ P Y- �• . . 9.p.�n. . � � : .i ': _ � . .. _ ' •.`.�_ ADAMDONED WEbLS �...I L.S.11u0lno j�R�iproc[illnp l .�Jel I ���.. .. { . . • __ _ Ooee propeny hwe un ral in use and nol aealeG well e)7 r]Yea ;Nc I „ '^��•• VARIANCE Wos o varianco_grontea hnm Ihe MDH Inr�171n wqq7 U lba J�f No TN� �,.... , - ..._.._ . . ..—,-Z._.,�.c.-;•.`�_r,: " WHLL CONTqACTOR CERTIPICATION � TAIB W011 Wee IIfIIIEh unOqr my sUDarv�el6��11G In BCCDidelic9 WIIII Mln,letu�Y Rldps,CII(g110r�72u uoo�omounq ahocr,��nesdea. Tho inlormation Cam9in a In ihie reparl le i�uo I�Iho bosl ol my knowledpe. REMAFK3,eLEVAnoN,SOUacG oF OA7A.eta � "�"�"""' ' ifY _y_ .... cene e Buelne e N m Lic. r pdp. � `�. � � ���� oe�r _. � 0 tn1 ���Rnp: p. m #� ., w i nrni rnov � '7 !l+I �1 �1/` �iU'!!s._ .n._ /.�, . . ?�