Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
well info
STATE � M I NNESOTA DEPARTI�NT OF HfJILTH QGD. a//���a- __� ABANDONED MELL RECORD (/ 1. LOCATION Of MEII M(1�aEt blankNfWE k�EL�L1'N�. co��ty N.�. Hennepin Township Mur TownsAtp NueWr Rangt Nu�Wr S�ction No. Frattlon 1. MEII DEPTX (to�pl�t�d) Dat� se�l�d �'OI10 117 or 23 °� 17 �y S�' o�4 3`b ft. 'Z � I S w � 7 q� Nuwrical Str�et Addnss �nd Ctty of M�11 lot�tton or Distaact tro� Road 5. RIL IN6 METH00 (tf knwa�) Inters�ttton Cabl� tool 3359 Crystal Bay Road Wayzata, Mn. 55391 '0�Y•�:. �p o�,�.� �op a,9 zp Ho�ia. aoa sp��� ep sor.a �ip Show txact lattlon of r�il � 3[]�tary 6��tt�d �Pow�r Auq�r (in s�ctton gHd r1tA 'I(') St�ttb �p of rwll loution 6. OBSTRUCTIONS M w�il obstrvet�A� es ❑ No _ � . _ . ._ _. Obstructtons n�or�d�T�s []No If obstructtons cannot b� w _ : :_ : , _ e , B�, a. �..� s� 9 ' nwov�d, tontact MDM ' ' -�- E ton s���in . .. _ : : � t � � �..�t " y„�, tip�, 1 Do�estlt �MoettoHng �Hut loop i ���� _ I y 2[]Irrly�Non 50 Publtc � lndustry ' S ' 1 3p r.:e wii ��w��o+P.i iap co.�.rc�,t r--1 .iL.---� 7[]Air Condlttoriny li(� 2. PROPERTY OYNER'S NANE Ma111ng Addnss if dlffaront than 8. CASIN6(S) proptrty �ddr�ss indlcat�d •Cov� 10 Bluk I�Thnad�d 7(] Greg Long SANIE �c•'". �wia.a 3[]Pl�atie 6�]Stalnless St�ei FfARONE55 OF � 3. FORMIITION LOG COLON FORINTION FROM TO tn• � 34 ft. If not known, indicate fornatton loq fro� nw w�ll or nearDy w�ll, in, to ft. Drift 0 38' 9. sc�� �S�r..�.� .»�, f�.34 ft. � 38 ft. (If known) ❑Op�n Nol� f►o�_ft. W_ tt. � 10. STATIC YATER LEYE �� ft�b�lor []�bove lane :u ae• Dau w�suna a I'I q 11. YELLHEAO COMP�ETION 1�Pltltss Adapt�r �Found Burt�d 2❑8i3MNni Offf�t I� �iMll P1t 16. REMARKS, ELEYATION. SOURCE OF OATA - CASIN6S REMOVED. C115IN6S PERFORATED, ETC. �� 12. G�TING INFORlNTIOM , q�at G�ent 2�BentoMt� � Grout 2�� Well Approx. 38' deep Grout �at�ri�t fro�,�,.to� ft. cu. yds 1 Bag Cement 2 Men, labor, rig and Cement Grout P�mip — — .3. MEAREST SOUkCES Of LOMTAM1NATi0M __ fNt dtncttOn tYW Ileil d1slM�ct�d b�fore s�alingt ❑Y�s 14. vUMY �pwp��d Not P»s�nt Typ�: 1�SubNrsibl� �L,S. Turbi�e �R�ciprocatinq �J�t �C�nt�lfuyal 60 15. EXISTIN6 MELLS (Pl�as� sk�tcA loc�ttons of abandon�d �nd �ct1w w�llt in rwarks s�c on or on E�ck.) OtMr �mw 11(f) on prop��tyT �Y�� No AWndon�d:�P�rs�n�nt �TMpora�y � t ��l�d 17. MATER YELL CONTMCTORS CERTIFIGlTION TAts �wll w• s�al�d unNr oy ,�urisdlctlon and thts report e C p � � _ is trw to tM btst of my knowl�dq� and b�lt�f. f L DpN STODOLA WELL DRILLING CO. , INC. 11an:�� Suttn�ss Naiw ltuns� No�7172 � AOdrtsf Minneta a, Mn. 45 Slqned � � -� r . Dat� _ _ ' au — — 2 FFICIAL ABANpONED YELL 0.ECOItO (May b� ut�d for 7roptrty Tnn�f�r) Na�t o1 Or111�r rrrazrarr� rrr.r rrre v�o