The URL can be used to link to this page

Home My WebLink Aboutwell info 4 WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring '„I a °'4�"7 �� County Name WELL AND BORING SEALING RECORD Mennlego a�Unique Well No. ~� +_ r or W-series No. ��enrr�iz� Minnesota Statutes,Chapter 103I ,�o��ab��k„�o�k�ow�, Township Name Township No. Range No. Section No. Fraction(sm.�Ig.) Date Sealed Date Well or Boring Construc[ed �cc�rx> 11R 3 35 ?�� d �.- ,f'C�, �-�p /t� GPS LOCATION-decimal degrees(to four decimal places) �� f ` Depth Before Sealing ___ ft. Original Depth.,.. ft. � � Latitude_ __.__ ___ Longitude ' � � �� Q IFER(S) STATIC WATER LEVEL Numerical Street Address or Fire Number and City of Well or Boring Location �'� ingle Aquifer i. J Multiaquifer /� , l easured Estimated Date Measured� !�� . rtle��aoc3 R� �rona 55391 W-E�,"BOR�"G �' �� .�_F>>`d'}� � �,�water-Supply Well j Monit.Well � : Show exact location of well or boring Sketch map of well or r�' ��Env.Bore Hole �� ' ' ' in section grid with"X° location,showing prope ty � --1 [ ]Other . . _ _.__ _. . ___ ft. �below �._above land surface � lines,roads,and buildi s. �� ' N � / CASINGTYPE(S) , � ��...�.�.�. . � ey�, / ` . .--- -` `-- � d -- ------. .__ - , , � j ,�; �, Steel , �Plastic '� �Tile �', �Other _.__ _ . '� "�'-- --�--- ---`- ---�-- � 0 � WELLHEADCOMPLETION �� + W � � � � E'(" � 1 ' ' ' ' I " � Outside: Well House i At Grade Inside: ' , ______ ______ __,__ ___,_ ,_Basement Offset 'h Miie � �itless AdaptenUnit __'Buried ❑Well Pit ------ ------ ---�-- ---:-- 1 - d ` ,, ,�Burie � I I S I I � �l Well Pit __ - ._.------- 3 1 Other �--1 Mile� �_�Other____ 4,_/ PROPERTY OWNER'S NAME/COMPANY NAME CASING�S) ' Di�n�ey,f �f Deptq � Set in oversize hole? Annular space initially grouted? Property owner's mailing address it different than well location address indicated above iE- s f� .— _ in.from_ to` �V ft. ,. ,Yes �lo j� �Yes [ �No [_'.Unknown �� ____in.from_ to ft. '�.__1 Yes `_No ,-.Yes '�,_�I No � ��Unknown ` , _ _ in.from_ _ to. __ ft. ❑Yes ❑No [�Yes [j No � '';Unknown � WELL OWNER'S NAME/COMPANY NAME SCREEWOPEN HOLE � � Well owner's mailing address if different than property owners address indicated above SCfeen from�_to._�� fl. Open Hole from_ _._ to_ ___fl. OBSTRUCTIONS �ods/Drop Pipe ��Check Vaive(s) _Debris �]Fill �/i N�o Obstruction . �_ Type of Obstructians(Describe) ��N�� t ..G� � / ��? GEOLOGICAL MATERIAL COLOR HARDNESS OR FROM TO Obstructions removed? ��es �, �.No Describe_ FORMATION PUMP If not known,indicate estimated formation log from nearby well or boring. �, t� /�1 �: / ) " � n. C�.� l�v` TYPe—.��L� (� U�'Y� • _ � , - 'a �emoved �Not Present ❑Other_ M�OD USEDTO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: �� o Annular Space Exists I Annular Space Grouted with Tremie Pipe ❑Casing Perforation/Removal ` ._,_______in.from to ____ _tt. ❑Perforated '._-',Removed .__ __in.from to _fL []Perforated [_)Removed Type of Perforator VARIANCE Was a variance granted from the MDH for this well? �._'.Yes `�No TN#_, _ �a GROUTING MATERIAL(S) (One bag of cement=94 Ibs.,one bag of bentonite=50 Ibs.) � g fV��`�'6/�-��b U/ �� , � Y Groutin Material__ _. m_ to ft._________ yards bags _ irom_ to ft. yards bags - ____,_ from____ to _ ft. yards bags e OTHER WEILS AND BORINGS - REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING Other unsealed.and unused well or boring on property? ',r.�Yes �No How many? __ LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725.The information contained in this report RECEIVEDis Vue to the best of my knowledge. . � t)an Stodola E�ell Drillini; Cc�,. inc. Ih�1 � d �i� � .b __ -_'_.__._.'_ 6 � � - � � .Licensee Busines�Name _.. ^ �,,� License or Registration No. ._..�-'� � 'Y' . % .' � CITY OF ORONO � �� ,-��y,�!� �` ��-- f �f� -' ��-� _ rt� ed epresentative Signatur�' Certilied Rep.No. Date , ..,. " LOCAL COPY H � ^ �- � � �� '�Y~J � � ° / -- -- -- - - - --- -.. w.°��L 9 9 __..----- — Name ol Person Sealin Well or Bonn HE-01434-14 IC#140-0423 �� Sn3a WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIOUE WELL NO. CountyName WELL AND BORING RECORD Hennepi n Minnesota Statutes Chapter f03/ 5 915 0 9 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed Orono 117 23 3b SW SW Sw i40 n b�25�g� �,. �,. �,. House Number,Street Name,Ciry,and Zip Code of Well Location or Fire Number DRILLING METHOD �0 M rtlewood Road ❑ Cab�erooi ❑ oriven ❑ oug ❑ Auger C�Rotary ❑ Jened Show exact location ot well in secUon grid with"X".� Sketch map ot well location. �; ___ .._____ _ � Showing propeRy lines, roads and bwldings. DRILLWG FLUID , " � water -,- -,- -r- -,- USE � ❑ Monitoring ❑ Heating/Cooling i i i i i � � i ❑ Community PWS ❑ Industry/Commercial i i � � j C�Irrigation ❑ Noncommunity PWS ❑ Remedial w e-r � ❑ Test Well — � � � i � ❑ Dewatering ❑ � i i r r �/zIM e CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. _, , i ,_ � ❑ Steel ❑ Threaded — ❑ Welded ,- -�- -, - -, []�Plastic ❑ �tMna� CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME �in.to�,�fl. Z00 Ibs.11f 3/ �in.to �I tt. Karen Proft in.to ft Ibs/ft �;�.,�n. Property owner's mailing address if diNerent than well location address indicated above. — .in.to ft. Ibs./ri. in.to__tt. SCREEN OPEN HOLE Make.?a'V C_z___� from ft.to (1. Type FVC Diam. _T SIoUGauze �Q Length 7� Set between �Z�fl.and �an .ft. FITTINGS:K, Paeker STATIC WATER LEVEL WELL OWNER'S NAME �J7 ft.� below ❑ above land surtace Date measwed �CJ �7 PUMPING LEVEL(below land surface) Well owner's mailing address if different than propeRy owner's adtlress indicated above. � R. afler � hrs.pumping 5��' g.p.m. WELL HEAD COMPLETION ]t7 Pitless adapter manufacturer Model ]Q Casing Protection 3�] 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted?�[] Yes ❑ No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Giout Material ❑ Neat cement ]p eernonite ❑ Concrete ❑ High So�ids Bemonite MATERIAL 1 from�L to�tt. 8 ❑ yds.Xl bags �Q''jJ $dj], black ��d• � 1 from to fl. ❑ yds. ❑ bags from to ft. ❑ yds. O bags (�`la bro�n �ed• 1 19 NEAREST KNOWN SOURCE OF CONTAMINATION X �35 feet _ � directionSe�t'.1C �� Well disinfected upon completion? ]�Q Yes ❑ No sandy clay blue med. 19 42 pUMP 7 ❑ Not mstalled Date install d 7�1�97 $711C� b gravel IAj.X IC1eC�• 42 S9 Manutacturer'sname St3-R�te ModelnumberS50M HP 1/2 vous 230 sandy C18y lU@ Bled. 59 120 Lengthofdroppipe 8� tt Capacity gpm. Pressure Tank Capacity___��_ Type: �Submersible ❑ LS.Turbine ❑ Reciprocatulg ❑ Jet ❑ _ sand S. c�ravel vhiLe 12p 1�1 ,� ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes l�No VARIANCE Was a variance granted from the MDH for this well? ❑ Yes l�No WELL CONTRACTOR CERTIFICATION Use a second sheet,il 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. RES Well Drillin� 27276 Licensee Business Name Lic.or Reg.No. .� ' �� ,^ / / ' _ ;�`� .':�: f,!' �'"�;��r_� __ `7 / �l Authorized Representative Signature Da e Robert E. Stadola, Jr. 7/1/97 Name ol Driller Dafe LOCAL COPY 5 915 0 9 „E-0,zo�5,�.�.,;�5> C � �a' MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. WELL RECORD 5 4 8 4 6 9 �, Minnesota Statutes Chapter 1031 �'i..lf?''s�i Township Name Township No. � Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed n. 118 23 36 ,. ,. ,. 146 8-9-94 � Numerical Street Address and City of Well Location or Fire Number DRILLING METHOD ❑ Cable Tool ❑ Driven ❑ Dug ❑ Auger p,}iotary ❑ Jetted Show exact location of well in section grid with"X". Sketch map of well location. ❑ �� Showing property lines, ry roads and buildings. DRILLING FLUID x I � ' � '_r'_y_ _1 _1_ n..�.�.�....t}e � � KiILVLil V i � � i � ,USE ❑ Heating/Cooling __+_ ___ �_ �_ ❑ Domestic ❑ Monitoring � ❑ Industry/Commercial W � � � � E �� Irriqation ❑ Public ❑ Remedial ' T C; Test Well ❑ Dewatering � _1_ _1_ _'_ _' I � I ; � F"m'. CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. --�- � � ' 1 � �- — —r- ❑ Steel ❑ Threaded ❑ Welded � ;/� a Plastic ❑ � � I mile—� (1 (,� .7[ �� . G✓Uv y CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME 1�� __(�__in.to_��,�__ft. Ibs./ft. ��_'� in.to fl. Ibs./ft. � '(i,JA 1 l.t �a-i.��-f��►V Mailing address if different than property address indicated above. in.to tt. Ibs./tt. in.to ft. SCREEN OPEN HOLE Make �'1'�[� �!!� j'] from ft.to fl. - Type_Ld'i-��_C�,`�r�fQ�Diam. ` SIOUGauze Length ).f Set between '�(�,�_ft.and_ 1/�ft. FITTINGS: STATIC WATER LEVEL GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO � ft.�below ❑ above land surface Date measured MATERIAL �+�� p� PUMPING LEVEL(below land surface) a721[Ri�C�y .S'�ft � CXJ ft. after hrs.pumping g.p.m. WELL HEAD COMPLETION Ci� $�ft £� 235 � Pitless adapter manufacWrer Model ❑ Casing Protection 12 in.above grade ..'733[AL SfOC 13� �"#� GROUTING INFORMATION Well grauted? ❑ Yes ❑ No Grout Material �Neat cement L1 Bentonite from____��to�__ft. �_ ❑ yds. � bags from to fl. ❑ yds. ❑ bags from to tt. ❑ yds. ❑ bags NEARE1ST KNOWN SOURCE OF CONTAMINATION 1��_feet �,�r�C� direction �EC.uL�� rype Well disinfected upon completion? �Yes ❑ No s PUMP ❑ Not installed Date installed ��(� Manufacturer's name � ,��+�j-�� Model number - HP�__ Volts �� Length of drop pipe ot ft. Capacity �� g.p.m. Pressure Tank Capacity A7/A � Type: C3x6ubmersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet ❑ ABANDONED WELLS Does property have any not in use and not sealed well(s)? �J Yes 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 irue to the best of my knowledge. - Use a second sheet,i/needed �� '4v,"t��l� �,�� 1i� (�„ � Ij�� 2T1'Hf c�ti__ J 1/L REMARKS,ELEVATION,SOURCE OF DATA,etc. Licensee Business Name Lic.or Reg.No. f � , � � __ - S E P .. �s'=��'`�.,-=�. --- .� ; ��- �-2r�L 2 � �� Authorized Representahve Signature Date P.P. Mct�� 8�-+�-9L► Name ol Driller Date � i �.oc�,�. co�Y 5 4 8 4 6 9 HE-01205-04(Rev.S/92) � �- . .. 2'zvin City �Nater Clinic, Inc. 61713th Ave So • Hopkins,Minnesota 55343 • (612)935-3556 08/11/1994 Stodola Well Drilling � 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS lab t: 23663 Our laboratory repons these analytical results, detennlned on a sample taken by YOU on 08/09/1994 from the foliowing toution: Kann Proh 60 MyrtlwMood Rd Orono.11An u�,q�� s�a�s9 co�iforn, Bacteria <1�10o m� Nit�ates Nivogen <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 as specified by cHent). �� \. Ci Water CHnic� Inc. ,,\ \ 6111 f � ��r �� w.o�n�x�,a soa.r w.e�c�.