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ABANDONED 1rEL1.. RECORD
1. LOCATION OF YELL M��;iE. blank NfW t knorn)NO•
County Naat Henne in
Township Na� Tornship Nwb�r Range Nu�b�r S�etio� No. Fractlon �. YEIL DEPTN (tapl�t+d) Dat� s��l�d
N E k 4 ot ti
Orono 117 Sr 23 yr 17 N� 6i) � � ft. �� � S 1�oZ
_7/" �
Nunerlul Stn�t Addrtss and City of Y�11 loc�Llon or 0lstanc� frow Ro�d 5. IlL N6 IffTHOD (if known)
Int�n�ctlon �abl• tool �Rer�rst 7[]Or/vtn lq]Duy
r�
25 Livi ston Avenue Orono MN 55391 �H010M aaa 5Q Atr ap e�„a �,p
SAow exact loutton of�wll �Rot�ry 6�J�tted �Pawr Auger
(in sectton yrid rtth 'X•) SWtth qp of wil iot�tion
N 6. OBSTRUCTIONS
W11 obstevct�� s � No
_ t _ _ _ ._ _. �, Obstructlo�f �Yes []No If obstructions c�nnot be
� . i , 7'C
F ra�ov�d. conuct MDH
M - - � - -�- - - E � 4t.s� 9•
.
f s��11n
: : ; T �. �E,
'; y.R. 1D0 Dowestic �MonitoHny �N�at Loop
/ �
_; _ ' ; . I 20 Irri9ation 50 Public � Induttry
' S � 1 mf'� � 3�T�st Wil fi0 Munlelpal 1C0 Ca�erctal
�--1 .i L--r 1[]A1� Condltloniny 17[�
2. PROPERTY OMNER'S NAME N�iling Addnss if differont than 8. SIN6(S) ,,_/
prop�rty addnss tndtcated abov� 1�Black I��p ThnadW 70
3��\
2[�Galv. 5[]INld�d
ichael Bohlen SAME 3p vi.:c+� bp sa�n�... sc..� �
HARDNESS OF 3 ��, � 92 ft.
3. FORMATION L06 COLOR FORINTION FROM TO
If not known, indtc�te fore�tton ioy fro� nw wil o� n�arby wil. in. Lo ft.
Drift p 96 9. scx��
�Scn�n�d w1) fro��ft. W� ft.
(If known)
❑Op�n Hot� fro�_ft. W_ ft.
10. STATI�Ii11ER LEYEt
� ft. b�low �a0ow
i•na : c• aa was�..a 1 S 91
11. MELIHEAD COMP�ETION
1�Pltiess Adapqr �Foued Bur1W
2�B�sNaent off;�t �
�Wtll Pft
16. REMARKS, ELEVATION, SOURCE OF OATA - GSIN65 REIqYEO. CASIN6S PERFOMTEO. ETC. »
12.�TIN6 INFORIMTI011
N�at Cwnt �]]8�ntonit� �
Grout.3" Wel l Approx. 96' Deep. 6rout ntaH�l rro.gjzco O ,t. ��. ya:
4 Bags Cement
6 lbs. Bentonite — —
2 Men, Labor, Rig and Cement Grout Pump. 13. MEAREST SOURCES OF CONTAMINATION
__ f��t dtnctlon tYD�
Ilell dtsinf�ct�d b�ton sulingt �Y�s
1�. DUlIV �RNoved Not Pnsent
Type: 1[�Su0�rn1b1• �L.S. Turbine �Reciprocatiny
r
2[�J�t �]GntNfuyal 5�
l 15. EXISTING MELLS (Pl��s� sketcA loutlons of abandon�d and
� actiw wlls 1n ruarks s�c oa or on buk.)
Oth�r unus il(s) on prop�rtyT �Y�s No
Abandoned: Ptrs�ntnt �Twporary � ot ealed
U. VIATER YELL CONTRACT00.5 CERTIFICATION
� , Th1s wit was seal�d uader�y �uMsdlction and thi� report
����4 C � [ _-<:.14, 1s tro� to th� b�st of ny knovl�dqe �nd Wi t�t.
N STODOLA WELL DRILLING C0. INC.
L1c�ns�� 9usin�ss Mur 2 7 1�2 Licens� No.
�aary�: 15306 inn nka Nll�1 55 S
s,9�•a i o,c. 4 15 92
Mark Stodola au 4 15 2
FFICIAI ABANpONED YEII ItECOflO (!4y b� us�d for Prop��ty Tr�ntf�r) Nawe of Ori11��
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