The URL can be used to link to this page

Home My WebLink Aboutwell info � � ��WELL�L�CATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. yName WELL AND BORING RECORD .�.. H@j1j1@p�A Minnesota Statutes Chapter 1031 6 2 4 9 Q 9 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed Orono 117 23 08 ,. ,,. ,, 272' n 4-29-� House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD 3285 Northshore Drive Orono, Mn. 553g n CableTool ❑ Driven ❑ Dug ❑ Auger � Rotary ❑ Jetted Show exact location of well in section grid with"X". Sketch map of well location. ❑ Showing property lines, roads and buildings. DRILLING FLUID WELL HYDROFRACTURED? ❑YES ❑NO i � N i , Bentonf te FROM ft.to tt. _i_ _i_ _i_ _i_ USE ❑ Monitoring ❑ Heating/Cooling i i i i � Domestic ❑ Communit PWS _i_ _a_ _�_ _i_ ❑ Irrigation Y ❑ Industry/Commercial i i i i L�,E+ ❑ Noncommunity PWS ❑ Remedial w E {� ❑ Environ.Bore Hole i i i i � ❑ Dewatering ❑ i i r r ��ZM_1e x CASIN� Drive Shoe? Yes ❑ No HOLE DIAM. _i i _i_ _i_ I Steel �Threaded ❑ Welded r -�- � � 1 ❑ Plastic ❑ s �1 M'ile-� CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME 4 in.to 24T n I i Ibs./ft. 8 in.ro30 ft. Robert i�Taade � Associat s ;�.,o n. ,bs.,n �l��.�0�5�. Property owneYs mailing address if different than well location address indicated above. in.to n. ms.in. 3 �,�08 Z 2 SCREEN OPEN HOhE�' 2,9 6't L. Make N� from ft.to ft. �► va�:. Type Diam. 5240 Nolan Drive SIoVGauze Length Minnetonka, �. 55343��3 Setbetween ft.and ft. FITTINGS: STATIC WATER LEVEL WELL OWNER'S NAME _.__ 45 ft.�below ❑ above land surface Date measured '��29�9 PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. 1 ZO ft. after � hrs.pumping 60a i r g.p.m. WELLHEADCOMPLETION y,mite�rater �] Pitless adapter manufacturer YModel ❑ Casing Protection TJ 12 in.above grade ❑ At-grade(Ernironmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? C�Yes ❑ No HARDNESS OF Grout Material ❑ Neat c ment ❑ Bentonite ❑ Concrete �High Solids Bentonite GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO from � to 30 ft. ��ds.�7 bags C1ay Br01ib S 0' 1 ' from to n. ❑ Yds. o bags from to ft. ❑ yds. ❑ bags NEAR/5�g.�7 N SOURCE OF CONT�pMjINATION1� Y�t� Sdnl� BrOi�n �J' 18� 5 � �� feet !�/�'d� � f' direction°��type �.�.$Y Grey S 63� C�g,t Well disinfected upan completion? � Yes ❑ No PUMP �_�w hA . Se!!d Grey S 95' 10 �� Not installed ��ne " Manufacturer's name Cl�y 8oeks Grey H 100' 23 �Model number Ol fi12�8 HP Y� vons 230 � Length of drop pipe $� ft. Capacity �8 g.p.m. .S�1a2@ Sand�ta @ ��t ►r1 b�5� �4 �Type:�0 Submersible ❑ L.S.Turbine ❑ Feciprocating ❑ Jet ❑ ABANDONED WELLS Sand�tone Grey 1i'h te M �� ti�� Does property have any not in use and not sealed well(s)? ❑ Yes � No , _ VARIANCE Was a variance granted from the MDH for this well? ❑ Yes � No TN# WELL CONTRACTOR CERTIFICATION Use a second sheet if 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. DO�i 3T4DOLA XELL D�ILLING C4. , iNC. Licensee Business Name �c,o�Reg.No. � � ' 2-29-00 Authorized RepreseMahve Signature Date Chnek Moore 4-29-99 , Name of Dri/ler HE 01205-06(Rev.7/98) ;a LOCALCOPY 6�L�909 . ' � Jcuin �itc� UVater ��inic, J`nc. 617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 05/03/1999 Stodola Well Drilling 3841 North Main St. Bonifacius MN 55375 938-2111 REPORT OF WATER ANALYSIS Lab#: 36942 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 04/29/1999 from the following location: Robert Waade 3286 N. Shore Dr. Orono,Mn Unique Well#624909 Coliform Bacteria <1/100 ml Nitrates Nitrogen <1 . 0 mg/1 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 oti��er contami�ants. (Unless as specified by client). � c, Twi it � linic, Inc. � , Bill Va rs ale `� Analyical laboralory Co�tsul[i�Gngineer Water Malysie Reagents Aoiler Wa[er Chemicals Lab Cenitication#027-053-119 � WELL L�ATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIOUE WELL NO. '_ . CountyName WELL AND BORING RECORD 6 2 4 9 0 9 �. ' H@IIA@p�ll Minnesofa Statutes Chapter 103/ Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date WoAc Completed :_ - 0='OIIO 217 23 08 ,�. ,�. ,�. 272• n 4-29-� House Number,Street Name,City,and Zip Code of Wetl Location or Fre Number DRILLING METHOD 3286 Northahore Drive Orono, Mn. 5539 � CableTool C� Driven ❑ Dug ❑ Auger {9 Rotary ❑Jeried Show e�cacl bcation of welt in section grid with'X'. Sketch map of well lacation. ❑ Showing property lines, roads and bulidings. DRILLING FLUID WELL HYDROFRACTURED? ❑YES C NO i � N � , Bentonf te FROM ft.to ft. -i -�- -i- -� USE ❑ Monitoring O Heating�Cooling i i i i �7 Domestic �V _J_ _4_ _L ❑ Community PWS ❑ Industry/Commercial ❑ �RI �IWI � � � � F�, � ❑ Noncommunity PWS p Remedial w E �v O Environ.Bore Hole � i � i T � O Dewatering ❑ -r -�- -r- -r � � � � yz� CASIN� Drive Shoe? Yes ❑ No HOLE DIAM. _i_ _1_ _L_ _�_ I Steel �Threaded ❑Welded 1 � Plastic ❑ s f-_'"'''°—� CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME Robert Waade S.- Associat 84 �n.to 247 ft, l i �bs,m � 'i��30 n in.to ft. Ibs./ft. �in.t�pit. Property owners mailing address'rf different than well location address indicated above. in.to tt. IbsJft. 3 �ap Z 2 SCREEN OPENHO�E�7 27�f � ..�.�� Make �� from tt.to � ft. TYPe Diam. 5240 Nolan Drive SIoUGauze Length Mfnnetonka, MN. 55343-4123 set►�nNee� tt.and tt. FITTINGS: STATIC WATER LEVEL WELL OWNER'S NAME 45 ft.�below ❑above land suAace Date measured 4�29-9 PUMPING LEVEL(below land eurtace) Well owner's mailing address if di(terent than property owner's address indicated above. 1 ZO ft. after � hrs.pumping 60a i r g.p.m. �WELLHEADCOMPLETION �itevater ] Pitleas adapter manufacturer Model ❑ Casing Protection � 12 in.above grade O At-grade(Environmental Welis and Borings ON�Y) GROUTING INFORMATION Well grouted4 C�Yes � No HARDNESS OF Grout Material ❑ Neatca ment ❑ Bentonite ❑ Concrete �Hi h Solids BentonKe GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO n 9 from v to 3 0 ft, ��ds�] bags �!laY B�,'Ow�r ,,S 0� i � , hom to ft. ❑ yds. ❑ bags ��om to n. ❑ yds. ❑ bags S�ACl BI�OYI� S I 8� 6 �NEAR BT SOURCE OF CONAT/�/MINATION�',/l �� t G � reec f+��/�j,• airection rype Well disiMected upon completion? � Yes ❑ No Ciay Grep S 63� 95� PUMP 7��,�99 5and Grep S 95' 10 �� Nol instelled o��ue Manufadurers name Clap xocks (s�,'@II A 1�0� Z3 •Model number 01 6�268 HP�Volts 23� � Length of drop pipe tt. Capacity 1 8 g.p.m. Shale Sandeto e �it S 235• L4 �Type:-D Submersible ❑ L.S.Turbine ❑ Reciprocatfng ❑Jet ❑ ABANDONED WELLS �G Sandatone Grey Kh te M �� ^ Does property have any not in use and not sealed well(s)? ❑ Yes TJ No � VARIANCE Was a variance granted from the MDH for this well? O Yes � No TNM WEIL CONTRACTOR CERTIFICATION Use a second aheet,i/needed This weil was drilled under my supervision and in axordance wilh Minnesota Rules,Chapter 4725. REMARKS,ELEVATION,SOURCE OF DATA,BtC. The infortnation contained in this report is true to Me best ot my knowledge. ld STODOLA XELL DRILLING CO. . INC. Licensee Busineu Name ' or Reg.No. 2-29-00 Aufhorized Repre ve Signature Date Chnek Moore 4-29-99 6�4 9 0 9 N��,�"„�, o8`B LOCAL COPY HE-o,zos-oe cRe�.��ee� , Confiirmation Report — Memory Send Time : Oct-11-2001 02:46pm Tel line : +9522494616 Name : CITY OF ORONO Job num6er . 451 Date . Oct-11 02:41pm To . 6512150978 Document pases . 002 Start time . Oct-11 02:43pm End time . Oct-11 02:45pm Pages sent . 002 Status . OK Job number : 451 *** SEND SUCCESSFUL *�* o-��-�o C'i ty of Oy-o n o .�, �� Ka� z7so xETley Pc:r7cuvay P_��_ Bos 66 Crystol Bay, MN SS323 (952) 249-4600 Fmc_ (9.52) 249-46I6 FAX TRANSMISSIOIV C�VER SfIEET Date: /D—//- o TO� ��=y�� '� � ��/ .�,G�I.L � [ .T''ri�c: �_�� ,�2 /��-(�/ O �'�!� 2xe: � � fl�v �� _ �.�.�-� Sender: ' _�� ,� � YOU'51�3"OULD REG'EIT/E �� PAC3E(S), INCL UDINCr THIS COYER SHEET IF Y�ZJ DO NOT RE CEIYE ALL THL�'PAGES, - PLEASE C..4I L-�95�J 249-4600_