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HomeMy WebLinkAboutwell info -�--SiA1E 11F MIMNESOiA DEPARTI�NT OF HEALTH ABANDONED MELL RECORD 1. LOGTION Of YELL• M�'+Et Dlank NfOnoE known)NO• c°""`'' ""' Henne in Townshtp Maw Township Nuabtr Rang� Nu�ber S�ctlon No. Frutto� 0. MEII DEPTN (caql�t�d) Dat� s�al�d N E ti k of y Orono. 118 S� 2.3 M� 36 �' �i' SE � I � ft. 1 ' .3 f —I oZ Nwnerlcal Strtet Addnss �nd City of M�11 Loeatton or Oist�nce fro� qad 5. RiL N6 l�THOD (if known) Interstctton ��bl� tool IQ Wrtrs� 7[]pHv�n 1�Duy 107 Chevy Chase Drive Wayzata, NII�i. 55391 �-� 2[]Mo11ov itod 50 Atr �Bor�d 11[] Show �xact loutton of rNl l � ��Li�Y 60 Jttt�d �Powr Auq�r (tn s�ctlon qrid rith 'X") St�tch Mp of w�il location N 6. OBSTRUCTtONS J�'Z Wil obstnutN s No - � . _ ._ _. p`N � 3 1y �structiouf r�d Yu ❑No If o�structlons cannot b� � . _ � �t` n�ov�d. tontact MDN M - - - � -- -�- � - E ��s.•i��9. , _ : ; T �'he� C'/,use 7�rr�e. �..�1 ' ', y.i. � ; f�,q Dow�sttc {�MoMtoNnq �N�at loop ' ' _ : I � 2Q Irrigatlon 50 Publte � Indnstry ..�. . ..�.. � S 1 �C..ulPl� �T�st U�ll �Nuniclpal 1fQ Co�rclal ►--1 .iL---+ 7(]Mr Wnditlonlaq 11Q . 2. PROPENTY OMNER'S NAIfE Mailiny Addnss if dlfferont than 8. SIN6(S) property �ddnss indic�ted abov� 1�'Blatk �Thruded 7(� Karen Geier SAME �p s,,�, sp w�aa 3p Pi,:t�c �sat�t.:: sc..i � MARONESS OF 3. fORlYITION LO6 COLOR FOR►NTION FROM TO � �A' � ��J ft. !f not known, indicett forwatton log fro� n�w w�ll o� n��My wil. in, to ft. �Tllt � �/�� 9� ❑Scn�n�d wll frro�_ft. to ft. (if knawn) tL(�f���cil���;'�c'`lt�' j<I'S ' ��1C�' �ov.e Nol. rro. ,t,�rc. w�rs. 10. S?ATIC MATER LEYE �l� ft. Wlor []�bove l�nd u c� OaU Il��sund I � 11. YELLHEAD COIpLETION 10 Pitl�ss Adapt�r �Found Buri�d 2Q Basarnt offs�t � �Wll Ptt 16. REMARKS, ELEVATION. SOURCE OF DATA - CASINGS RElqYED. CASIN65 PERFOMTED. E1C. 12.�6RQUTIN6 INFORMIITION jp`I Neac Ca�nt_ 20�ntoMte � Grout 3" Well Approx. Z10' Deep ('jrpyL qUI'�.i rro.�w v fc. tu. yds 14 Bags Cement 16 Lbs. Bentonite — — 2 Men, Labor, Rig and Cement Grout P�m�tp 1�. NEARE57 SWRCFS OF CWITANINATION �_ f��t dtr�ction LYP� Ikil disint�ct�d b�foh sN11ny1 �Y�s 1�• VUNi Raowd ❑Not Pnsent Typ�: 1�Subwersibl• �L.S. Turoine �Reciprouttng �,l�t �C�ntMfuysl 5� I5. E1(ISTING YEILS (Pleas� sketch locattons of �bandon�d and activ� w�tls 1n ruarks sec on o� on back.) Other unus�Q r�ll(s) on prop��tyT �Yes No Abandon�d: �°�P�rtinent �TNporary [] t s�al�d / 17. MATER MELL CONTNACTORS CEATIFICATI011 TAts wll ws seal�d und�r q �urisdlctton and thls nport 1s tru� to tM bttt of q knowl�dy� �nd D�it�f. DON STODOLA WELL DRI Lic�ns�� luftn�tf NaM Ltunt� No�717Z Addr�si 45 s�9�: ,� au -3- 2 ark G. Sto o a a�, - - FFICIAI ABANppNEO YELL ItECORO (14y b� usW for iroptrty Tr�nsf�r) Nawe of Dr111�� IJ�T11ITr llld IIIITQ ��