HomeMy WebLinkAboutwell info ���,,yy
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�� � CITY of ORONO
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_ �� 'l�'' � . Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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��� �" i"� �� On the North Shore of Lake Minnetonka
August 2 , 1990
Dick Ragatz
1945 Concordia St.
Wayzata, MN 55391
Dear Mr. Ragatz :
The City of Orono has received a copy of an Abandoned Well Record
for your property at 1945 Concordia Street, verifying that the
well has been permanently sealed. This record will be kept on
file at the City offices and at the Minnesota Health Department
for future reference. �
Protection of our individual and community water supplies is
imperative as Orono and surrounding areas continue to develop.
Thank you for your efforts in helping to preserve the quality of
our ground water.
Sincerely,
.
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,1�,^��-s''�� `��-
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Michael P. Gaffror�� �
Assistant Planning & Zoning Administrator
MPG/lsv
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7�8 • PUBLIC WORKS-473-7359
ASSFSSING FAX-473-0510
. _ __ _ . _ _ .
� STATE OF i7INNESOTA DEPARTPIENT OF NEALTN �
ABANDONED HELL RECORD
1. IOCATIOk OF YEL�. � MINNESOTA UNIQUE WELL NQ. ��
Ccunty !Iame / ' (leave bTank 1f not known)
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Townshlp Nane Toxn ip Xum� Range Number Section No. Fraction 4, NELL DEPTH (�eted) �ate sealed
E +a kof ` y
i
��-v`'^-'� // � s' � �d � �+� ft. ,� �,2 J . �l U
kumerlcal St+tet Ad:ir�ss and Ctt� �� ' ' 'ocatton or tst ce from i.uad 5. DRILLING METHOD (if knorm)
inter ctton / � � _ q
�y��}'� -;;y%t�r��2� � 1�'J 4able tool 4�Reverse 7Q Oriven 1C�Dug
O i1 .,,��,�. Cj / r� 2[]Hollow Rod 5[�Air Q[]8ored I1(]
. vU v � [�'C.,
Shor xatt locatton of ,.t)1
3�Rotary 6�Jetttd 9�J Posaa� Augsr
(rn ectton grid with 'X') teh map of well loeation u. OBSTRUCTIONS
, Mell obstructed�Yes � No
_ � _ _ : ._ _a Obstructions rempved�Yes [�No If obstructions cannot be
' removed, contact MDH
I }/ - ; - - ; - � -�- ; - E before seallnq.
� T �. �sE
_1
y�, I�Domestic 4�4onitoring �Heat loap
__ _; _ ' : I 2[] Irrigation 5�Pu411c 9[� Industry
1 3�Test Mell 6�Nuntcipal 1C[�Comcarctal
�---t .riL— 7[]Air Condttlontng 170
2. PRGP'c3TY OdNER'S t81t:E Ma111ng AEdress tf difierent than 8. CASING(S)
� � property addresz 1ndlcated above 1�Black 4�Threaded 7(�
� ��/7�r�� 2�Galv. 5(]St6'Ided
3=]Plastic �Stainless Steei
H.ihUIlESS OF
3. FORlVITTON L06 COLOR FOZMATION FROM TO 3 ��. to / �l�I ft.
If not known, indtcate formation log fro�x new well o� nearby well, in. to ft.
9. SCREEN �--�1
�Screened we11 from �5'�. to%�t.
(I' known)
' �Opcn Hole fron i ft. to� ft.
10. STA7IC YAiF�R LEYEI
J ° ft. (�]betor ❑above
land surface �ate Measured 7 -a-f' F"�
11. WELIHEAD COMPLETION
1�Pitl:ss Adapter �Found Buried
20 Basem^nt offset �
301:e11 Pit
16. REMARKS, EL::'iAfIOtl, SOURCE Of OATA - CASINGS REMOVED, CASINGS PERFOP.A'(ED, ETC.
12. GROUTING 1NFORNpTIOM
1�Neat Cement 2�Bentonite �
� Grout material 6 from��o D ft. cu. yds
I —
I 13. NEAREST SOURCES OF CONTAqIlUTION r
� � feet 4� direetion �- '�'�-- tY9�
Well dlsinfected before seaiing? �Yes
_ �-- �"��� 14. PUMP �Removed �Not Prcsent
� Type: 1[�Submerslble �l..S. Turbine �Reciprocating
(\ �.
� �"'� Jet Centrifu al
�����,� � � 9 sa
I5. EXISTING AELLS (Pleass sketch locations of abandoned and
active we11s in rcmarks sectton or on back.}
Other unused wetl(s) on property7 �Yes �Mo
Abandon._d: fJ Permanent �Temporary [�Not seated
A�� 1 ��� 17. NATER WELL CONTRA�TORS CERTIFfCATI0t1
'• This well was sealed under my Jurisdiction and this report
._ is true to the best of my knowledge and belief,
����--�G _ � 717_�L/�__�
Licensee Business Name // � Ltcense No I
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� _ _ ;
Addre55
� Signed Date � ,;,j. �� jr'�/
Date -+p�f�L
FFICIAI ASANOONED �tEIL kECOR� (May be used for Properry Transfer) �Na of Driller
ZXPCRTAIPT: PISB H7� DEBD