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Home My WebLink Aboutwell info • F LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. CoapfName," WELL RECORD 561334 -• Minnesota Statutes Chapter 1031 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed n. • 11 ,i Numerical Street Address and City of Well Location or Fire Number DRILLING METHOD ❑ Cable Tool ❑ Driven ❑ Dug -. - - t ❑ Auger ❑ Rotary 0 Jetted Show exact location of well in section grid with"X'. Sketch map of wellyofiation. ❑ Showing properflines, N 1 roads and b6il ings. DRILLING FLUID 1 t � i -• ,USE ❑ Domestic ❑ Monitoring ❑ Heating/Cooling W I 1 E to tl Irrigation ❑ Public ❑ Industry/Commercial ❑ Test Well ❑ Dewatering ❑ Remedial 1 - -- - - T e ❑ Y.^" k wel. so CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. --- - - ---r- I 0 0 Steel ❑ Threaded [7 Welded � 1 I mil, vy ❑ Plastic ❑ -- \ CASING DIAMETER WEIGHT I PROPERTY OWNER'S NAME in.to ft. '_ lbs./ft. in'to ft. xeri an Construction in.to ff. lbs./n. ;t. =ft. Mailing address if different than property address indicated above. -- _- _._ in.to _ft. _ lbs./ft. in to ft. fit. 4, box 385 SCREEN OPEN HOLE 77 }. Mn {{�� (� Make t.ii.f.Llibirt.On from ft.to ft. Eani, Type '.t,_-J. ,ess Steel Diam. 4 ---.. Slot/Gauze - 1;j4//L j Length Set between, .1 ft.and 1 ft. FITTINGS: 1 1 l . .` I STATIC WATER LEVEL GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO - ft. ❑below ❑ above land surface Date measured MATERIAL PUMPING LEVEL(below land surface) - 1' / ft. after i hrs.pumping -- ? --•._ g.p.m. WELL HEAD COMPLETION . _y-1 I. ,A.. Grey a - ' Q,Pitless adapter manufacturer E1:j-t3 to Latey- Model ❑ Casing Protection 0 12 in.above grade :.-;a ci-Gra el. Tani _ - - GROUTING INFORMATION Well grouted? :.0 Yes 0 No Grout Material 0 Neat cement U Bentonite from . 'to ft. ❑ yds. 0,bags from to ft. ❑ yds. ❑ bags from to ft. ❑ yds. ❑ bags NEAREST KNOWN SOURCE OF CONTAMINATIONIN� L. /� `S-0 feet /�✓ direction21G/ type Well disinfected upon completion? !J Yes 0 No PUMP f)-I )-9E; ❑ Not installed Date;installe_d Manufacturer's name `1'V(.-'a; __ Model number . L.`)L5 HP Volts G-,'' Length of drop pipe ? ii ft. Capacity g.p.m. Pressure Tank Capacity i ,, C-1(7'.H.':' Type: 0-Submersible 0 L.S.Turbine 0 Reciprocating 0 Jet 0 ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ 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 true to the best of my knowledge. . .h-1 vaa,.i, ardi..L114:4 (.1.)., LLD Use a second sheet,if needed r REMARKS,ELEVATION,SOURCE OF`1?AT4,(r. ly9v Licensee Business Name Lic.or Reg.No. Al V Authorized Represents $SignaEure Date Name of Driller Date LOCAL COPY 561334 HE-01205-04(Rev.5/92) r Twin City Water Clinic, Inc. 617 13th Ave So • Hopkins,Minnesota 55343 • (612)935-3556 06/03/1995 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS tab#: 26129 a* - Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 06/01/1995 from the following location: Yerigan Cons 825 Old Crystal Bay Rd Orono,MN UNIQUE#561334 + • Coliform Bacteria <1/100 ml Nitrates Nitrogen 1.16 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 client). ater Clinic, Inc. Bill a\= Brian . �' �' • Analyieal laboratory Consulting Engineer Water Analysis Reagents Boiler Water Chemicals Lab Codification 0 027-053-119 Minnesota Well and Boring u WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Sealing No. H 5 9 4 7 0 County Name WELL AND BORING SEALING RECORD Minnesota Unique No. --- .,7 Minnesota Statutes.Chapter 1031 or W-series No. {p, Hennepin (Leave blank 4 nor knowni ttt `�� Township Name Township No. Range No. Section No. Fraction(sm. i Ig.) Date Sealed Approximate Date Well or Boring Constructed Orono 117 23 09 21 rra` /V _c`P qy Numerical Street Address or Fire Number and City of Well or Boring Location t Depth Before Sealing /' 1 / 825 Old Crystal Bay Rd, Orono 55341 //Y ft. Original Depth I( / I ft Show exact location of well or boring Sketch map of well or boring Static Water Level Accurate in section grid with"X". location.showing property lines. roads,and buildings. ❑Approximate N r ingle Aquifer q ❑Multiaquifer ft ^ below above land surface i u ,- CASING TYPE W E XSteel ❑Plastic ❑Tile ❑Other i mile /G(a / //l / S Screen from to ft. Open Hole from to ft. H- I mile-OH OBSTRUCTION/DEBRIS/FILL %Obstruction ❑Debris ❑Fill PROPERTY OWNER'S NAME Yeri;an ConstructionJA , A 11 Pr//E 9 9/'01?2 Type of debris/obstruction ' J Mailing Address if different than property address indicated above. Obstruction/Debris/Fill removed? *Yes ❑No Rt 4, Box 385 PUMP Isanti, TIN 385 55040 444-5453 < 49. /-94(1r7 Removed ❑Not Present ❑ Other ti CASING GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO FORMATION Diameter Depth Set in oversize hole? Annular space initially grouted? If not known.indicate estimated formation log from nearby well or boring. // / /\ f y�_zi- 1./., in.from e") to ft. ❑Yes )(No ❑Yes ❑No ❑Unknown drift 0 11C in.from to ft. ❑Yes ❑No ❑Yes ❑No ❑Unknown in.from to ft. ❑Yes ❑No ❑Yes ❑No ❑Unknown • METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: *No Annular Space Exists ❑Annular space grouted with tremie pipe ❑Casing Perforation/Removal in.from to ft. ❑Perforated ❑Removed in.from to ft. ❑Perforated 0 Removed Type of perforator ❑Other GROUTING MATERIAL Grouting material / l'n/ , f.,rom 6 to f ft. yards 2 bags from to - ft. yards bags REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING from to ft. yards bags from to ft. yards bags UNSEALED WELLS AND BORINGS Other unsealed well or boring on property? ❑Yes ❑No LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725.The information contained in this report is true to the best of my knowledge. Don Stodola Well Drilling co., Inc. 27172 Contractor Business Name License or Registration No. 9-19-94 '--A'Lthonzed Representative Signature Date Jim Antonson LOCAL COPY H 59470 Name of Person Sealing Well or Boring HE-01434-01 i'WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. County Name WELL RECORD 548509 F1.Ennepin Minnesota Statutes Chapter 1031 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed Lrf�rk. 117 _ C:'9 130 12-9- .: '/. . Numerical Street Address and City of Well Location or Fire Number DRILLING METHOD 825 Glc:( Crystal. bay Road, Uronr,Mt 55391 ❑ Cable Tool ❑ Driven ❑ Dug ❑ Auger :❑ Rotary ❑ Jetted Show exact location of well in section grid with'X". Sketch map of well location. ❑ Showing property lines, N1 roads and buildings. DRILLING FLUID -_r__y_ _1-_1_ 4tot- ° �L t i x .USE ❑ Heating/Cooling Ci.Domestic ❑ Monitoring iii W ' I E "f ❑ Irrigation ❑ Public ❑ Industry/Commercial ' T '�'� ❑ Test Well ❑ Dewatering ❑ Remedial I ""^" KJ CASING Drive Shoe? ❑ Yes ❑ No HOLE DIAM. --I- - - ---i-- I 0 Steel ❑ Threaded ❑ Welded 1 [�}-Plastic ❑ 1--i no, CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME L?. 1 IC: SDR-21 / 7/8 30 n.to ft. lbs./ft. in.to ft. Yerigan Construction in.to ft. lbs./ft. 6 1iry'r1_i-c Mailing address if different than property address indicated above. in.to ft. lbs./ft. in.to ft. Rt. 4 Box 385 SCREEN OPEN HOLE Isanti, 14n. 550 4CJ Make �Lf1Ll:{II from ft.to ft. Type -St ainle s Steel Diam. 415 Slot/Gauze l+, Length 1 t..i Set between 126 ft.and 130 ft. FITTINGS: STATIC WATER LEVEL GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO ii')} U4 MATERIAL _ ft. below ❑ above land surface Date measured 1 G-�-�_ PUMPING LEVEL(below land surface) Sand & Clay c 1 1('C° ft. after hrs.pumping g.p.m. 4/ELL HEAD COMPLETION `Sand 1 t)l ' 1 tl� tit Pitless adapter manufacturer Whitewater Model ❑ Casing Protection 12 in.above grade GROUTING INFORMATION Well grouted? R Yes ❑ No Grout Material ❑ Neat cement X Bentonite from U to 30 ft. 2 0 yds. bags from to ft. 0 yds. 0 bags from to ft. ❑ yds. ❑ bags NEARE/ST KNOWN SOURCE OF CONTAMINATION 1 0C type jt../6.4- 7 f`i direction SePr" ,' Well disinfected upon completion? 'I Yes ❑ No PUMP .-' -ti.. ❑ Not installed Date installed 't Manufacturer's name 0 1 1. :1.. & r°,ri:1 f 31i i:i: Model number %:(FYj fi t I:4('1 HP I`.. Volts 1, -i) Length of drop pipe ft. Capacity '' g.p.m. Pressure Tank Capacity . _r:t't ::^l lcn Gal t'i ni Zect Type: L7 Submersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet 0 ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes X 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. Use a second sheet,if needed DON S°'L SI= 'S JF` DRILLING CD., INC. 27172 REMARKS,ELEVATION,SOURCE OF DATA,etc. Licensee Business Name �. Lic.or Reg.No. 1 L-9-9v . ' • A h zP ed Represents a gnature Date F.P. McMahon 12-9-94 Name of Driller Date MAS 1 1995 LOCAL COPY 5 4 85 0 9 HE-01205-04(Rev.5/92) ( - Twin City Water Clinic, Inc. 617 13th Ave So • Hopkins, Minnesota 55343 • (612)935-3556 12/13/1994 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS Lab#: 24698 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 12/09/1994 from the following location: Yerigan Construction 825 Old Crystal Bay Rd Orono,Mn Unique.* 548509 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 as specified by client). `,Twirrt iWater Clinic, Inc. Bill '� Brian' r Analyical lalwraum' Consulting Engineer Water Analysis Reagents Boiler Water Chemicals Lab Certification#027-053-119