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Home My WebLink Aboutwell info for 910 WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring H 33� WELL AND BORING SEALING RECORD Sealing No. 16 +Ii[ 5 County Name Minnesota Unique No. Hennepin Minnesota Statutes,Chapter 1031 or W-series No. (Leave blank if not known) Township Name Township No. Range No. Section No. Fraction(sm.-e Ig.) Date Sealed Date Well or Boring Constructed Orono 118 23 35 SM'NE SE% A-g • g _ Numerical Street Address or Fire Number and City of Well or Boring Location 910 Old Long Lake loo: Depth Before Sealing 11# ft. Original Depthill ft. Show exact location of well or boring Sketch map of well or boring AQUIFERS) STATIC WATER LEVEL in section grid with`X'. location, showing property Aquifer %Sin le A lines,roads,and buildings. g q 0 Multiaquifer N WELUBQ(i1NG )(Measured 0 Estimated ---1-----1----;------.--- tit Water Supply Well 0 Monit.Well Ij j totAl 0 Env.Bore Hole 0 Other ft. X below 0 above land surface 410 yy---r-----1----1-----n---` - E CASING TYPE(S) '4--"-1'_---1 1"- Steel ❑Plastic ❑Tile 0 Other I I I I r mde --------6-4-4:7-1-7,--- Diameter Depth Set in oversize hole? lll"� S /�, P C. Annualar space iniflalry grouted? st,-f mte—#f. 0 •.- tri..lir sA in.from_CI__ to 1 ft. 0 Yes 56,No 0 Yes 0 No A Unknown PROPERTY OWNERS NAME . , in.from to ft. 0 Yes 0 No 0 Yes 0 No ❑Unknown Bruce Dayton Property owner's mailing address if difte than well location address indicated above. in.from to ft. 0 Yes ❑No 0 Yes 0 No 0 Unknown 900 Old Long Lake Road SCREEWOPEN HOLE Screen from WI to { i 1 ft. Open Hole from to ft. Wayzata; .MN 55391 OBSTRUCTIONS WELL OWNER'S NAME /'IQI Rods/Drop Pipe 0 Check Valve(s) 0 Debris 0 FIll 0 No Obstruction Weil owner's mailing address if different than property owner's address indicated above. Type of Obstructions(Describe) LA10041e4 tot C lk Obstructions removed?)(Yes No Describe Pr.4t1tA tk4 411: CEraim caa..1 C)st+JC i PUMP �— Type GEOLOGICAL MATERIAL COLOR HARDNESS FROM TO 0 Removed X Not Present 0 Other FORMATION If not known,indicate estimated formation log from nearby was or boring. USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND'BORE HOLE: la No Annular Space Exits ❑ Annular space grouted with tremie pipe ❑ Casing Perforation/Removal in.from to ft. 0 Perforated 0 Removed in.from to ft. 0 Perforated 0 Removed Type of perforator 0 Other GROUTING MATERIAL(S) //�� r Grouting Material sif i:+ ce1�lff1 from. LJ to I/II ft. yards I YE. bags. from to ft. yards bags from to ft. yards bags from to ft. yards bags REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING OTHER WELLS AND BORINGS Other unsealed and unused well or boring on property? 0 Yes IQ 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 Is true to the best of my knowledge. RECEIVED Stevens Drilling & Env. Services, Inc. 16654 Contractor Business(flame License or Registration No. SEP 2 91998 '� ___.-_____ 7l4l98 • CITY OF ORONO Authorized Representative Signature D81e i4 c�sd- e-14-CIS LOCAL COPY H 136325 Name of Pew Seakng Wel or Boring HE-01434-03 Pm714 Minnesota Well and Boring H 59528 WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Sealing No. County NameWELL AND BORING SEALING RECORD Minnesota Unique No. I. Minnesota Statutes.Chapter 1031 or W-series No. nennep (Leave blank if not known) Township Name Township No. Range No. Section No. Fraction(Sm. •Igg..)r Date Sealed Approximate Date Well Orono 118 23 35 SW NE4 s6 1/12/95 orBorngConstructed Numerical Street Address or Fire Number and City of Well or Boring Location1_ 3 910 Old Long Lake Road, Depth Before Sealing ft. Original Depth 135ft. Show exact location of well or boring Sketch map of well or boring Static Water Level 0 Accurate in section grid with"X-. location.showing property lines, roads.and buildings. 0 Approximate N I 72 t Single Aquifer 0 Multiaquifer ft. . below above land surface �-�---L---t-- CASING TYPE W -- i E I *T -t r---t-- 1 Steel 0 Plastic 0 Tile 0 Other 1 :f mire Ill.,, - s - .... I . S Screen from to 135 ft. Open Hol r-. ft, 1.4.-1 mire--Koi OBSTRUCTION/DEBRIS/FILL {r E U PROPERTY OWNERS NAME 0 Obstruction 0 Debris 0 Fill Bruce Dayton ate_ Mailing Address if different than property address indicated above. Type of debris/obstruction Obstruction/Debris/Fill removed? 0 Yes ❑No '411111 1 71995 900 Did Long Lake Road PUMP j"''�'� Wayzata, MN 55391 r>r„ A ei .... ._ ❑Removed Not Present 0 Other • CASING 111111 GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO • FORMATION If not known,indicate estimated formation log from nearby well or boring. Diameter Depth Set in oversize hole? Annular space initially grouted? 4 in.from to 130 ft PYes 0 No ❑Yes 0 No l( Unknown in.from to ft. 0 Yes 0 No 0 Yes 0 No 0 Unknown in.from to ft. 0 Yes 0 No 0 Yes 0 No 0 Unknown - METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: , 1$No Annular Space Exists ❑Annular space grouted with tremie pipe ❑Casing Perforation/Removal in.from to ft. 0 Perforated 0 Removed in.from to ft. 0 Perforated 0 Removed • Type of perforator • ❑Other 'GROUTING MATERIAL . Grouting material Neat Cement. 0 to 135 ft. yards 6 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 y. Other unsealed well or boring on property? 0 Yes 0 No unknown 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. St ant Dr ling & Ear. $6684 Contra vans Nam License or Registration No. !III t , 1/13/95 Autho -• 1 resentative Signature Date LOCAL COPY H 59528Paul Swearengin Name of Person Sealing Well or Bonng HE•01434-01 Minnesota Well and Boring 59529 WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Sealing No. H County Name WELL AND BORING SEALING RECORD Minnesota Unique No. Hennepin. Minnesota Statutes.Chapter 1031 or W-series No. (Leave blank if not known) Township Name Township No. Range No. Section No. Fraction(sm. •Ig.) Date Sealed Approximate Date Well Orono 118 23 _ 35 SVNE"4SEr4 1/12/95 or Boring Constructed Numerical Street Address or Fire Number and City of Well or Boring LocationI j q 990 Old Long Lake Road Depth Before Sealing • 131 ft. Original Depth 131 ft Show exact location of well or boring Sketch map of well or boring Static Water Level 0 Accurate in section grid with"X". location,showing property lines, roads-and buildings. 0 Approximate N i I Y I Single Aquifer 0 Multiaquifer 76 h• I below above land surface ` -i---I-- CASING TYPE W i E I X Steel 0 Plastic 0 Tile 0 Other 1 I t 126 131 S Screen from to ft. Open Hole from to ft. N---r mile OBSTRUCTION/DEBRIS/FILL PROPERTY OWNER'S NAME • ❑Obstruction ❑Debris 0 Fill Bruce Dayton none Mailing Address if different than property address indicated above. Type of debris/obstruction Obstruction/Debris/Fill removed? 0 Yes 0 No 900 Old Long Lake Read PUMP Wayzata, MN 55391 0 Removed 0 Not Present 0 Other CASING GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO FORMATION If not known,indicate estimated formation log from nearby well or boring. Diameter Depth Set in oversize hole? Annular space initially grouted? 3 in.from 0 to 126 ft. 'it Yes ❑No ❑Yes ❑No ''A Unknown in.from to ft. ❑Yes 0 No 0 Yes 0 No 0 Unknown in.from to ft. 0 Yes 0 No 0 Yes 0 No 0 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. 0 Perforated 0 Removed in.from to ft. 0 Perforated 0 Removed Type of perforator ❑Other GROUTING MATERIAL g Grouting materfatNea Cement from to: 1 Z 6 ft. yards 3 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 0 No d n k ROWS 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. Stevens Dril . ! "`t Env. 66654 Contractor Business Na•- License or Registration No. - AO - 1/13/95 Authorized'_• =sentative SignatureDate LOCAL COPY H 595529Paul Swearangin Name of Person Sealing Well or Boring HE-01434-01