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Home My WebLink Aboutwell info STATE OF MINNESOTA DEPARTMENT OF HEAI.TH �,_,�,� 11 � ABANDONED Mf1L RECORD t. LOCATION Of MELL MINNESOTA UNIQUE MELL N0. (l��vt elanY 1f not knOwa) co��r N•�• Henne in TornsA/0 M+�r TownsnlD Nu�C�r R�ng� Nwber S�ctlon No. Fractfon 1. MELL OEVTH (Capl�t�d) Oat� i�11�d N E 4 4 of y �;J�', �OT10 ll7 5� 23 yr �7 �' � � l � � ft. � �,\y�� j �� l Numerlcal Str�et Addrass �nd C1ty of W�11 �ocation or Otstanc• fro� Ro�d 5. 0(tILLING METH00 (tf known) [nttrstctton ��Gbl� tool �Wr�n� 7[]Drir�n 1�Dug 4650 Tonkaview Lane Orono, NRV. 55364 (Mound) �p�wn� Nod 5(]A1r ap e��.a »p Snor exact locatlon of w�ll ��ry 6�J�tt�d �Powr Aug�r (in s�ttton grid rtth •lI') Sk�tt� Mp of rNll lot�tton 6. OBSTRULTIONS M �� wt t ooscn�eaa�r : p Mo _ � _ _ ,_ _, OOttruettons ruov�d�r�s �Mo If obstructlons cannot be , • - i � �� r�wr�d. conuct I�i1 W - - - -' • -I- ` - E �nrl I/E' tan sullog. ; ` T "'Qy .j� � �. SE - 4�. .� 1�Do�rstic �lbnitoriny �IN�t 600v _' ..0 : _.... _.,.. ... _ I S��P�� 2Q[rrlyatton 5�Publle � lndustry j 30 T�st iNll �MuNc1p�1 lt�Co�retai r--1 SL--� 1[]A1r Coedlttontnq 11[� 2. PROVERTY OMNER'S NJIME Matling Addnss if dlffer�nt than 8. ��CA...S...��IN6(S) Jerome Dolezal & Droptrty �ddnss lndtut�d aEov� �Black �TAnad�d 7[] wt.. �wta.a Jean Rostad SAME �Pt�stic �su��i.:. sc..i HARONESS OF ��. � 1 34 ft. 3. FORMIlTION �06 COIOR FOiUNTION FROM TO If not knovn, indic�te forw�tton loq fro� nw wll or n��►Oy r�il. te, to ft. 9. SCREEN � �Senened rli fro��ft. to�,� ft. (If knorn) �Op�n Ibl� tra�_ft. to_ ft. • 10. STATIC YATER I,EYE 1 :2� rc�e.io�. p,eo�. `t l�na u c� Dat� Ih�su�� 11. YELLHEAO COIiLETIO� �0 v�t��ss �ow Q Foune wriw 2Q e�sMrnt ottut 5�] �1i�i1 Ytt 16. IiEMARKS, ELEVAiION, SOURCE OF OATA - CASINGS REIqYED. CASIN65 PERFOMTED, E7C. 12�GRQ�TIN6 INFORINTION 16C1 Nut Cwnt 20 NntaHt� � Grout 3" Wel1 Approx. 138' Deep c�c ..u��.t t.o.(S$w� rc. tu. yds 6 Bags Cement - 8 Lbs. Bentonite — — 2 Men, Lab�r, Rig and ��tnent Grout R..^ng »• NEAqESfefOURCES OF CONTIUIi�ryrcoMon cy� Nell dtsintected b�fon s�alingt [�7�s 14. PUMP �Ra�owd �Not Pns�nt Typ�: 1�SuEw�niblt �L.S. Turbin� �R�ciprocatinq 2[]J�t �Ctntrifugal EQ 15. E7fI5TING MELLS (Pleas� sk�tcn locatlons ot �bandon�d �nd �Cttw w�lif in rwrks fec on or on E�Ck,) Oth�r unus�d �wil(t) on prop��tyT []t�� MO ADandoned: �P�r�n�nt �Tn�porary �Not al�d 17. WITER MEII CONTRACTORS CERTIFICATION TAis �+etl w3 s�aled und�r�y �urtsdiction and tAfs rsport is tru� to th� b�ft of sy knowltdq� and Witlf, DON STODOLA WELL DRILLING CO. , INC. Ltc�e:�� Sutin�s• NaM lic�nse No.2 7 1 7 2 ,• �aary:.l 45 s,y�.e=�1— o,u 5 . Mark Stod� at. FFICIAL AiAN00NE0 YELL RECOitO (!4y b� us�d for iroD�rty Tr�nsl�r) N�� of Dr111�� I�CRTIII�Ss lIL6 MZTH D66D .