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Home My WebLink Aboutwell info _ ,.<,, . .. .. . .. .. . . �. . _.... _ . . . .. .... ...:. . �-- ..� . . . ... ._. .e. ..... .. . .. ... ._ . . . . .. � ._ WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. ;,nuntyName WELL RECORD 5 613 9 6 �t":i'.*IE`_i,.L'; Minnesota Statufes Chapter 1031 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed n. �, �.�: C�'..�C: , i � f�:' v. ��. v, r _ _ _ Numerical Street Address and City of Well Lxation F or Fire Number DRILLING METHOD t ❑ Cable Tool ❑ Driven ❑ Dug ..��:� f.aE:'E:1� �'�1..13�1 `��i�c':7..t L{J}15..� Ia31LE„' ❑ Auger ❑ Rotary ❑ Jetted Show exact Iceation of well in section grid with"X". c�.:.w.. - Sketch map of well location. ❑ �=-'��' Showingpropertylines, ry �afid buildings. DRILLING FLUID i i ��:: �. �„r.. I � '� _r__y_ _1 _1_ _ i � i � i � ,USE ❑ Heating/Cooling ._+_ ___ �_ �_ p,l Domestic ❑ Monitoring W � i � E ❑ Irrigation ❑Public ❑ Industry/Commercial ' � ❑ Test Well O Dewatering � Remedial _1_ _1_ __ 1_ ❑ � ' � i I t' � �""'�� u� CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. t --;- �- -� -�' j � � ❑ Steel ❑ Threaded ❑ Welded � � I�:1 Plastic ❑ F-1 milr-� .... �------'--'-^..-... CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME �� t�r' � . : in.to �✓�:ft. Ibs./ft. �i_j f^ita ��ft, t'�'`..-:�t ��''t'f3:.� _,. C:�.t-f��.��;:�.% in.to ft. Ibs./fl. -�ip.a0�_h.� _. Mailing address if different than property address indicated above. in.to R. Ibs./ft. in.to_ft. �.. j°: J r7L� !�t� a -:'. '�i.-. r`�E� �� SCREEN_ .. tIr OPEN HOLE C I.. � �Al. ..�Ji i j:J.!-�j-1 j�?"� �tf�� J-.� � � , 4Make from ft.[o ft. . 7ype =.=+.'�.-..i-j11.E.'�'aS :3��.,'1 Diam. �+:; SIoVGauze E! ��j+��• Length � !. a Set between _ 1T,,�R.and '" �_1 rt-�S> tt. FITTINGS: STATIC V�AT�RtLEVEL GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO ft. C�-below ❑ above land surface Date measured {'-' -;�` MATERIAL - (.��-�,: � i �, i PUMPING LEVEL(below land surface) ` R. atter hrs.pumping g.p.m. � - WELL HEAD COMPLETION �L{t� ` i}t'� �l'i��-'` �1 Pitless adapter manufacturer �`�:�J_�£�Yt .�:+",ti?i_� Model ❑ Casing Protection �}12 in.above grade ��.j.:.:�X� . '�,,.� p '�r,,�.7 z "�� GROUTING INFORMATION Well grouted? E�Yes ❑ No ��1'f� . 1: ;,r -- .. ��_�7;' Grout Material ❑ Neat cement k�Bentonite from__�_to�_ft. ❑ yds.II bags from to ft. ❑ yds. ❑ bags from to ft. O yds. ❑ bags NEAREST KNOWN SOURCE OF CONTAMINATION .��J � feet � i t �� direction �f�� /� type Well disinfected upon completion? (�'Yes ❑ No PUMP j �... j ."._ � ❑ Not installed Date installed - � � Manufacturer's name � � � ` � � � � Modelnumber HP ��- Volts Length of drop pipe � ft. Capacity 1 g.p.m. Pressure Tank Capaciry � � � - � � Type: t7 Submersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet O ABANDONED WELLS Dces property have any not in use and not sealed well(s)? ❑ Yes Q`No WELL CONTRACTOR CERTIFICATION This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. � '� The information contained in this report is true to the best of my knowledge. � .�:. . ..--� �� ,� . .._ ��r��.�,.�, ti,u�_,x, r�E��T�i..;_�.�G "_ . IR��. : 1i2 Use a second sheef,ii needed � �� ! - REMARKS,ELEVATION,SOURCE OF DATA,etc. Licensee Business Na e Lic.or Reg.No. i -- � �� , _�r:: qN 1 1996 �-� •'�� Authoriz' epresentatiy� /gnatu�e �--"� Date .-; 1`.�'. �'O,=T�k,_r+��ri (` _C. Name ol Driller Date LOCAL COPY 5 613 9 6 HE-01205-04(Rev.5/92) � " �I'zvin City �Nater CCinic, Inc. 61713th Ave So • Hopkins, Minnesota 55343 • (612)935-3556 10/06/1995 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-21 1 1 REPORT OF WATER ANALYSIS Lab#: 27581 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 09/25/1995 from the following location: Peter Andrea 2965 Deer Run Trail Unique W�ell#561396 , Coliform Bacteria <1/100 ml Nitrates Nitrogen <1.0 mg/I The results of these tests indicate that this well is producing water that meets the standards for F.H.A., V.A., or conventional loans. This report is an analysis for coliform and nitrate only and does not include analysis of Lead and other contaminants. (Unless .�� specified by clierit). \ �� T�n� � Water Clinic, Inc. \ � �`�� Bill Va r e � �` J aa+�y;wi u�.w�r c�.mt�s� Wuer Amtyou Re+B�+ Boilm Water Chemical� Lab C�cation�027-033-119 t . - WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH ' MINNESOTA UNIQUE WELL NO. CountyName WELL AND BORING RECORD �� j = �iennepin Minnesota Statutes Chapter 1031 � " `,�O O � Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed n. Orono 117 23 0 � House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD Cl CableTool ❑ Driven �-1 Dug 2695 Deer I�tt1I1 Traii 8a8t Or0 O MN. ❑ n�9e� �7 Rotary �� ened Show exact location of well in section r "X". Sketch map ot well location. ❑ __ __ _ 5g356 Showing property lines, roads and buildings. DRILLING FW ID WELL HYDROFRACTURED? [-7 YES NO N i i i i �'.� FROM ft.to ft. _i _i_ _i_ _i_ USE ❑ Monitoring ❑ Heating/Cooling i i i � � omestic � ❑ Community PWS ❑ Indust /Commercial _i_ _�_ _i_ _i_ ❑ Irrigation ry i i i i ��r� �� ❑ Noncommunity PWS ❑ Remedial w E ��-R✓-��..F, �, _sy ❑ Emiron.Bore Hole ❑ Dewatering n � ,�:� i � i -r �'� � CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. '/zMee" _i i _i _ i_ . ^-y^� ❑ Steel G Threaded ❑ Welded � -�- � � 1:.. �.� . �7 Plastic ❑ �—i M�ie—� .. 4 �.,,....� CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME �__ in.to_��_tt. Ibs./ft. .� .r�� in.to_ . _ fL ___.__._._ ___.Ibs./ft �in.tq_c_.�ft. Property owner's mailing address if diflerent than well location addr s n cated above. ..._—___—in.to _ _ R. _ _Ibs./ft. __in.t 1��ft. 18340 Ninnetonka �1�d• SCREEN OPEN HOLE Make Jnhnsen from ft.to ft. WaY'l.�t"r�♦ �. 55391 7ype—_5��3#�$��S��e�—Diam. _ �-_�$�� SIoVGauze� L.ength� Set between ��_ ft.and��_ft. FITTINGS:7A� v e$de STATIC WATER LEVEL X�J[—j�$ ifB= WELL OWNER'S NAME �_Q______ ft.� below C above land surtace Date measured;��_�d� PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. � _'rfe __.__ft. after ,___ _1 _ _hrs.pumping___2_�___ q.p.m. WELL HEAD COMPLETION " t�Pitlessadaptermanufacturer��__ Model _.___________ ❑ Casing Protection_ � 12 in.above grade ❑ At-grade(Emironmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? f�Yes I I No HARDNESS OF Grout Material G Neat cement f� Bentonite ❑ Concrete � High Solids Bentonite GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO q ,y from 0 . to .70._ft. _�_ ___ ❑ yds. ipbags from��_ _to__�..5.�t. ��.tus►$�r' yds. ❑ bags Cl� Ye110Y S • 1 ' f�om - �o h ❑ vas. o bags NEARE T KNOWN SOURCE OF CONTAMINATION Cla Gra S 1 � f - �� feet SDu�h _direction S �t;c� _type Well disinfected upon completion? �l Yes ❑ No Gravel & Cia Gra g . 1 •PUMP ❑ Not installed Date installed ��_�rOo Gravel � CZa �r0 � �Manufacturer'sname __ _ ___ ___ __ _____ Model number _ _ HP �.�._ Volts 7�n SaAd � �Length of drop pipe 1�� ft. Capacity __ __ ___g.p.m. Type: �($ubmersible ❑ l.S.Turbine ❑ Reciprocating ❑ Jet ❑ ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes �'i No VARIANCE Was a variance granted from the MDH for this well? ❑ Yes � No TNk WELL CONTRACTOR CERTIFICATION Use a second sheet,i/needed This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. REMARKS,ELEVATION,SOURCE OF DATA,etC. The information contained in this report is true to the best of my knowledge. D4N STODOL�i iiF.LL DHILLING CO• •-� i�. � L�ensee B iness Name , , Lic.or Reg.No. ��q g �,." I L 11-29-OU - ----—__-- ---- � ufhorize ep senta iv ign ure' Date Duane Mathe�►s 9-1-00 Name ol Drdler� Date LOCAL COPY 6 � 5 0 0 3 HE-01205-07(Rev.2/99) _FROM ; FAX N0. : Dec. 28 2000 10:04AM P1 �LU i�V �U�y 1Nu�"�v' � � � , I v�Cr. 617 13th Ave So • Hopkins, Minnesata 55343 � (612) 935 - 3556 r 2/2s�z000 Stodola W¢I!Drrlling 3841 North Main St. Bonifacius MN 55375 938-211 1 REPORT OF WATER ANA�,XSLS Lab #: 743 Our�aboratory reports rhese anulytica/results, defermined on a sample taken by CLfENT on 12/26/2000 from fh¢fol/owing locaiion� Steiner Koppleman 2695 Deer Run Trail E Orono,Mn Unique Well#655003 Coliform Sdcreria <1/100 m! Nftrates Nicrog¢n <1.0 mg/I The results o�'these rests indicate ihar rhis well is producrng water that meets the siandards for�.H.A., V.A., or convenilona!loans. ThJs r¢nort is an analysis `vr , colifvrm and nitrate only and does not lnclude analysis of Lead and other contaminants. (Unless ds sppcifJed by dfeni). ,,\ 'n Ci[y ter�linlc, lnc. Bi1 rsdal¢ La�b Ccrti�paon li 037-053-I19 R .�, ,. .. ,�, �A.,� . ,.� �._ . . .,� .a. .-_ . � __. m �..�� .:,� ,..,,�. �,�,.. _: �;� . . WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. CountyName WELL AND BORING RECORD 6 5 5 0 5 3 Minnesota Statutes Chapter 1031 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed fl. �,. �,. 163 1-17-01 House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD ❑ Cable Tool ❑ Driven ❑ Dug ❑ Auger �Ftotary ❑ Jetted Show exact location of well in section grid with"X'. Sketch map of well location. ❑ _ Showing property lines, - f i .. ,,,,,�oads and buildings. DRIL�ING FLUID WELL HYDROFFACTURED? �;YES �NO i i N � � �-��""� super ��l�x FROM__ ft.to ft. - -� -�- -i- -�- USE ❑ Monitoring ❑ Heating/Cooling i i i i ❑ Domestic ❑ Communi PWS -� �- �- � � ��'~.._-"� Irrigation ry ❑ Industry/Commercial � f] Noncommunity PWS ❑ Remedial w i ' I E T � M ��_� Emiron.Bore Hole ❑ Dewatering ❑ ___ _ ! � —, � r '/plMlle � � �'� CASING Drive Shoe7 �Yes ❑ No HOLE DIAM. _i i _L_ _i_ � a��,�'Steel �Threaded — ❑ Welded— �- -�- � � Cl Plastic ❑ S V1 F1 �i Mile—� ^�'•----•�� '.�'rr � � � CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME __�__in.to I 5 3 ft. Ibs./ft. ��p�� Albrecht Irti�;ation Desi�n _---��.to-- h. �bs�h. �__,�.�o�� Property owner's mailing address if different than well location address indicated above. --._ _in.to fl. __._____Ibs./ft. __in.to ft. 1408 W C t y Rd C SCREEN OPEN HOLE Rosevilie, I�IN 55113 Make Jo_n D from n.to n. Type sta-inles�s �-tee� —Diam. __ .. SIoUGauze____�11'1 Length 1� __ Set between �_._ _ ft.and��R. FITTINGS: r c OI STATIC WATER LEVEL l�� F. Jl d WELL OWNER'S NAME ft.�'below ❑ above land surface Date measured ..._. ,.. PUMPING LEVEL(below land surface) Well owner's mailing address if-diNeier+t Ehan property owner's address indicated above. . 1 S O n. aner 3 hrs.pumping 7 S g.p.m. , WELL HEAD COMPLETION �� , ,. C7 Pitlessadaptermanufacturer ____,__ Model ____,__________ C7 Casing Protection__,_ ___ _ ❑ 12 in.above grade . . ❑ At-grade(Environmental Welis and Borings ONLY) � '� ' � ` ` �. GROUTING INFORMATION Well grouted? �Yes I� No � HARDNESS OF Grout Material C 1 Nea[cement ❑ Bentonite ❑ Concrete .G�High Solids Bentonite '�� GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO from_.�_ _ to_ 3�. _ft. � ❑ yds.,�bags fror�_Q__---toL��_. _ft. LIS� Y��.� bags t� �0�1 b1a�A c.��f t � 2 from__._____ro. ft. ❑ yds. ❑ bags NEAREST KNOWN SOURCE OF CONTAMINATION CZ�I @�.lOW 90ft 2 '�Q �� eet _ (�t(„L�S l direction ��1V� type Well disinfected upon completion7 �'Yes ❑ No " C I8 tA SOf C ZO PUMP � ❑ Not instalied Date installe��G 7�Lf 1 C18 / ravel I'8 SOft nnanufacturersname _B��L�1_$_�7— _— Motlelnumber__ 6T5�7J _ _ . HP_.� _. Volts �j,II__ - �8�d ?rs Length of drop pipe�_3� _ ft. Capacity _ ._.._. _g.p.m. ep:. Type: '� Submersible ❑ LS.Turbine ❑ Reciprocating ❑ Jet ❑ _ f C�$ CSY�1 rH S Q qBANDONEDWELLS Does property have any not in use and not sealed well(s)? ❑ Yes �No `�an VARIANCE Was a variance granted from the MDH for this well? ❑ Yes �lo TN# WELL CONTRACTOR CERTIFICATION Use a second sheet,il needed This weli was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. The information contained in this report is true to the best of my knowledge. REMARKS,ELEVATION,SOURCE OF DATA,etc. � ��iadQ.l��tel��ri ��.-�� 72 Licensee Busines ame c.or Reg.No. �._� � �`�� . /. 3-9-01 �nzed Repre hve S�gna we Date Duane Mathe�rs -- �-�7—e� 6 5 5 0 5 3 Name ol Driller Date LOCAL CQPY HE-01205-07(Rev.2/99) � �w i�r�v C i,t 1�Va�"�' C ' ' , I�. y 617 13th Ave So � Hopkins, Minnesota 55343 � (612) 935 - 3556 01/19/2001 Stodola Well Drilling 3841 North Main St. Bonifacius MN 55375 938-21 1 1 REPORT OF WATER ANALYSIS Lab #: 50 Our Laboratory reports these analytica! results, determined on a sample taken by CLIENT on Ol/17/2001 from the folfowing location: Albrecht irr. Design 2965 Deer Run Trail Orono,Mn Unique Well #655053 Coliform Bacteria <1/100 ml Nitrates Nitrogen <1.0 mg/1 The results of these rests indicare that this well is producing water that meers the standards for F.H..4., V.A., or conv�niional Inans. This repovr i� an anal,vsis for coliform and nitrate only and does not include analysis of Lead and other conraminants. (Unless as specified by client). � Ciry.Water Clinic, Inc. . �\\ 8►ll �,qle Lab Certific�ilion#027-053-I 19