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Home My WebLink Aboutwell info WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. County Name +�, WELL AND BORING RECORD 8 0 1 'Hennepin Minnesota Statutes Chapter 103/ Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed .Township 11? C910)1 h. 4-11-96 i, House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD 1J U N 3 •1 qc4, O Cable Tool 0 Driven. ❑ Dug phei"kieen 870 & 89"( Old (y.ys-. 1 Bay Rd. 0 Auger CLxBotary ❑ Jetted Show exact location of well in section grid with"X". Sketch map of well location. ❑ Sowing property lines, Or-coo, mi- •roads and buildings. DRILLING FLUID N , 'r\i'V Ben{: , I '4..r ti USE ❑ Monitoring ❑ Heating/Cooling ❑$omestic ❑ Community PWS ❑ Industry/Commercial A i y ❑ Irrigation ❑ Remedial Q y ❑ NoncommunityPWS w 1 e T w ❑ Test Well 0 Dewatering 0 r zMoe T �} CASING Drive Shoe? 0 Yes ❑ No HOLE DIAM.,.�� i ❑ Steel 0 Threaded ❑ Welded �1�}.. EN Plastic ❑ S I Mile CASING DIAMETER WEIGHT ,7�8 �a PROPERTY OWNER'S NAME J` in.to 93 ft. lbs./ft. 7 in.to ft. LakeCSOOC1EZtes in.to ft. lbs./ft. Property owner's mailing address if different than well location address indicated above. in.to ft. ___lbs./ft. in.to ft. 1212 E Wayzata Blvd. SCREEN OPEN HOLE Wayzata, Mn. 5,5391 Make �lClrit3 CII from ft.to ft. Type Stainless Stc,,e1 Diam. 7' Slot/Gauze 11_;/10 Length 6' Set between 9:: ft.and 1(.1 ft. FITTINGS: STATIC WATER LEVEL aa�� WELL OWNER'S NAME 38 ft. D elow 0 above land surface Date measured 4-'11-96 PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. ft. after hrs.pumping g.p.m. WELL HEAD COMPLETION N/A ❑ Pitless adapter manufacturer Model ❑ Casing Protection 0 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? 1 Yes ❑ No HARDNESS OF Grout Material ❑ Neat cement Bentonite 0 Concrete 0 High Solids Bentonite GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO do from 3 6 to ..fill ft. 3 0 yds. EXbags TopSoil Black1 f 1 v r from to ft. 0 yds. 0 bags from to ft. 0 yds. 0 bags NEARESS1�NOwjI SOURCE OF CONTAMINATION �� C Clay 1Yark Grey Ni 16 30I 7> feet -""->Uv/ /Y direction type Well disinfected upon completion? Des 0 No Gravel Black/Tan H 3i1 4c:' PUMP ❑ Not installed Date installed 4-16-96 Clay-mixed W/Gr:1VeZ Grey 410 6,L. Manufacturer's name Red Jacket Model number -er HP G Volts iZ-10 80 �� Len Length of drop 63' G� g.p.m. Sand-fine GreyN/A Pressure Tank Capacity Type: Submersible 0 L.S.Turbine O Reciprocating 0 Jet 0 Water Sand Colored 90 1 1( i ' ABANDONED WELLS X i Does property have any not in use and not sealed well(s)? ❑ Yes LI No VARIANCE Was a variance granted from the MDH for this well? El Yes 13)(7,10 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. DON STODOLA WELL DRILLING CO., INC. 2:7172 Licensee Business Name Lic.or Reg.No. -, 4-11--96 Authorized Representative Signature Date dark Stc&'la 4-11-96 Name of Driller Date !,.0001. COPY HE-01205-05(Rev.1/95) • .win City Water Clinic, 3nc. 617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 04/19/1996 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS Lab#: 29311 • Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 04/11/1996 from the following location: Lake Associates Old Crystal Bay Rd. Orono,Mn Unique Well#580411 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). • 1(Vater Clinic, Inc. \A Mulyicallaboratory Consulting Engineer Water Analysis Reagents Boiler Water Chemicals Lab Certification t 027-053-119 WELL L OC1kTION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. County Name Hennepin WELL AND BORING RECORD 573591 Minnesota Statutes Chapter 1031 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed Orono 117 23 09 104' 2-21-96 House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD 890 Old Crystal Bay Road Long Lake, Mn. 0 Cable Tool 0 Driven 0 Dug ❑ Auger S Rotary 0 Jetted Show exact location of well in section grid with"X". r.�e: Sketch map of well location. 0 �JJ 6 Showing property lines, roads and buildings. DRILLING FLUID N , Bentonite {N,_`L L USE 0 Monitoring ❑ Heating/Cooling 4 i, �f lDomestic ty 0 Industry/Commercial ❑ Irrigation ❑ Communi PWS w I E ❑ Test Well ❑ Noncommunity PWS ❑ Remedial ❑ Dewatering ❑ 1 T- r /ZMae CASING Drive Shoe? 0 Yes 0 No HOLE DIAM. L El Steel 0 Threaded 0 Welded [](Plastic ❑ IS �,Me� /� SiP _ �} (� CASING DIAMETER WEIGHT PROPERTY OWNER'S NAME 0 in.to 100 ft. lbs./ft. 7 718 30 Lake iat£s in.to ft. lbs./ft. 61/4 in.to_1_0t4 Property owners mailing address if different than well location address indicated above. in.to ft. lbs./ft. in.to ft. 1212 FastWclyZata Blvd. SCRETEEN OPEN HOLE MakedOhnSOn from ft.to ft. Wayzata, Mn. 55391 TypeV/lr Diam.ZR Slot/Gauze 10/10 Length 4' Set between 100 ft.and 104 ft. FITTINGS: 20x2.5 STATIC WATER LEVEL WELL OWNER'S NAME 40 ft. is below 0 above land surface Date measured 2-21-96 PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. ft. after hrs.pumping g.p.m. WELL HEAD COMPLETION M.t ter X Pitless adapter manufacturer Model ❑ Casing Protection X 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? ®Yes 0 No HARDNESS OF Grout Material 0 Neat ce ent 0 Bento 't 0 Concrete High Solids Bentonite GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO 1,� 9 from to ft. 77 0 yds. 0 bags from to ft. 0 yds. 0 bags Clay Gray soft 0 90 from to ft. ❑ yds. ❑ bags NEAR OWN SOURCE OF CONTAMINATION Water sand Tan media 90 104 feet 4Tia,t7TP direction SES/C-type Well disinfected upon completion? *Yes 0 No PUMP 3-26-96 ❑ Not installed Date instIlei d � Manufacturers name Model number 18LS1,`�— 4121► HP 1"L i Volts 230 Length of drop pipe 63' n Capacity 18 g,p.m. Pressure Tank Capacity #250 X-Troi Type: lXSubmersible 0 L.S.Turbine 0 Reciprocating 0 Jet El ABANDONED WELLS Does property have any not in use and not sealed well(s)? 0 Yes 4010 VARIANCE Was a variance granted from the MDH for this well? 0 Yes )ISS No 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. DON S?ODOLI WELL DRILLING OD., INC:. 27172 Licensee Business Name Lic.or Reg.No. Authorized Representative Signature Date Chuck More 5 � ` �� Name of Driller Date LOCAL COPY J� HE-01205-05(Rev.1/95) Jwin Water inc. City Clinic, 617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 03/01/1996 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 • REPORT OF WATER ANALYSIS Lab 8: 28866 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 02/22/1996 from the following location: Lake Associates 890 Old Crystal Bay Rd Orono,Mn Unique Well 573591 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). n\ 't -te Clinic, Inc. Bill : • AnalrcM Memory Croaking Engineer Water Analysis Reagent. Boiler water chemical. Lab certification 0 027-053-119