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HomeMy WebLinkAboutwell info �i a i t ur n i nntso i n �rac i�tn r oF FiEALTH ABANDONED MELL RECORD �. �ourcoM of wcu M�.,€:eian�NrQnoE kn,�r,�,)N0. `°""`y """ Henne in Tounsnl0 N�u� Tornsntp Nueb�r 0.enge Nunber Section No. Fractlon �. MELL DEVTN (copl�t�d) O�t� 5��1�E Wayzata 117 ;� 23 °� 17 NW �',sl� ��� rc. �l a� l �v r no s y Nu�rrfcal Strt�t Address �nd City ot M�11 Loc�tion or D1st�nc� fro� Ro�d 5. ILLING METH00 (if known) Interstttion Cabl� tool 1�lyr�n� 7[]Or1v�n lq]Dug 3315 Crystal �3ay Road Wayzata, N�V. 55391 �,�,,,,, q� �A1r epe�rya ��p Shor exact loc�tton of wll �Not�ry 60 JKUd �Powtr Aug�r (tn settlon grld rith •X') Sk�tth �yp of w�ll lotatl0n 6. OBSTRUCTIONS N n/ w„ cescn�caa�$( •: ❑ No _ � _ _ : ._ _. Obstructions n1(evid�T�s �No If obstructtons c�nnot De � nwr�d, contut IDN M - - - • - - -I- - - E ' �...�,�9. :_ : :_ : T '. E ' y,R' � ( ���a/ 1�Qy ��' �Dorstic �Mpnttoriny �FNat loop . : I 2[�IrMgatlon 5�Pubite � Industry ••:. . _ �.. _.�.. _. .. � 3p r.:c wii 6p w����p.t iap w�..rc�.i �----1 .iL---� •_�J� 7[]Atr Lond1t1oninq 11� 2. PRODERTY OMNER'S NAME i�n111nq Address 1f at!tereni Cha.^. S, S kG(,) ��l property addnss lndtuted aDov� �Bl�ck �wnn�� 7Q Ronald Burger SAME ��.,�, �,�,a, �fl�sttc 60 541n1�ss SU�1 HARONESS OF 3. FORMIITION LOG COLOR FORMATION fROM TO �°• � 2 8 ft. If not known, tndicate for�ytlon loq fro� ntr w�ll or n��rby w�ll. 1e. W ft. �Tlft 0 32� 9. SCREEN [�s�r..�w r.i� r,�o. 28 re. w32 re. (If knorn) ❑Op�n No1� Ieo�_ft. to_ ft. 10. STATIC YATER LEY[L � ft. b�lor �]sbovo C� 1•na �u Wu w.sund ✓ �c 11. YELINEAD COIilETION 10 P1tl�tf Adapq� �Found lurt�d 2�B�sNwnt otfs�t � �W11 P1t 16. REMARKS. ELEVATION. SOURCE OF DATA - CASIN6S REMOVEO, CASIN6S PERFOMTED, ETC. 12. 1GR�,O�UTIN6 INFORINTION y�N��t Cwnt �B�ntoniq � Graut 3" Well Approx. 32' Deep r� Grout yt�rt�l irow�to� ft, cu. yds 2 Bags Cement 4 Lbs. Bentonite — — 2 Men, Labor, Rig and Cement Grout PLunp 1�. NEAREST SWRCES Of CONTAMINATiON _ t��� dtrectlon typi IN11 dlsinfect�d b�fon s�a11nq7 �Y�f 14. PUlIV �Re�oved �Not Pns�nt >'� Typ�: 1[I Sub�rnlpl� ��.5. TuM1n� �R�clproc�ting �J�t �GntMfuqal 5� 15. EXISTING MELLS (pl��f� sk�tcb lxatlous of �bandon�d and aettv� �wlls tn r�rks s�e on or on D�ck.) Other unuf�d r�lt(s) On proptrtyT �Tts No ADandon�d: �V�ryMnt �Twporary � t aled 17. WTER V1ELL CONTRACTORS CEIt7IFiCATION TAis w�ll was s��led und�r wy jurisdictton �nd thls report is tru� to tM O�st ot �ay knarl�dq� and Dtlief. DON STODOLA WELL DRILLING CO. , INC. L1c�nst� 6uttn�ss Nur Ltcens• Na.,7172 L Addr�st1530 inneto a, . 45 Styn Wt� � — _ Mark Sr ol a o.t. 5-24-90 OFFiCIAI ABANOONED �ELL RECORD (May b� us�d for irop�rty Transt�r) Nair o1 Drtil�r IMPGRTAM!': Plld II�IT9 Dd6D