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WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO.
County Name WELL RECORD 5 3 6 2 7 5
ilennepin
! Minnesota Statutes Chapter 1031
Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed
ft
Orono 118 23 35 34,0012 'i. 205 7--.; s
Numerical Street Address and City of Well Location or Fire Number DRILLING METHOD CITY OF _.-.,,
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�`�,�,,,, �T
0 Cable Tool 0 Driven 0(vow D
1225 � Dr, , M 0 Auger X Rotary ^••
Show exact location of well in section grid with"X". Sketch map of well location. 1=1L=' —. F I't/Ac
Showing property lines, ..- '
N roads and buildings. DRILLING FLUID
111111111111
W ®�� -• USE g 0 HeatIndustry/Coling
ommercial Domestic 0 Monitoring ❑ Industry/Commercial
Irrigation ❑ Public DEC ❑ ial
���� T ` rt} 0 Test Well 0 Dewatering ❑2e� 1994
�IM�® II j CASING Steel Drive Thoe?headedf Yes ❑ No 0 Welded HOLE DIAM.
1 t,},,.,,,,„.,,,,,,$� ❑ Plastic ❑
I---i mil,
A it4' .. , CASING DIAMETER WEIGHT
PROPERTY OWNER'S NAME _ s_in.to 195 ft. lbs./ft. / neto 30ft.
Charles Cudd Ccs in.to ft. lbs./ft. i
6 y �fd.t0205ft.
Mailing address if different than prop rty a ress indicated above. in.to ft. lbs./ft. li'n..to .l ft.
1842 Wooddale Dr SCREEN OPEN HOLE
Woodbury, J i Make from_195 ft.to 205ft.
wrv�J".vaaa..}r MN 55125Type N/A Diam. •
Slot/Gauze Length
Set between ft.and ft. FITTINGS:
HARDNESS OF STATIC WATER LEVEL
GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO 75 ft.X below ❑ above land surface Date measured
PUMPING LEVEL(below land surface)
Clay Soft 0ft. after hrs.pumping g.p.m.
195 WELL HEAD COMPLETION
,hale & Sandstone 11 - 195 205 al Pitless adapter manufacturer Yd hit t r Model
N. LJUJ
0 Casing Protection k 12 in.above grade
GROUTING INFORMATION
Well grouted? X Yes 0 No
Grout Material ❑ Neat cement i Bentonite
from a to 30 ft. 0 yds.yy❑ bags
from to ft. 2 0 yds. Q bags
from to ft. 0 yds. ❑ bags
NEAREST KNOWN SOURCE OF CONTAMINATION ,
feet L,cl 7 direction 4'rJ iC type
Well disinfected upon completion? 0 Yes ❑ No
PUMP
❑ Not installed Date installed 8-3-94
Manufacturer's name Red Jacket
Model number I Bc HP ! Volts
Length of drop pipe
•}105 41a
Capacity 10 4 q30 g.p.m.
Pressure Tank Capacity � �
Typeie Submersible 0 L.S.TurbiP 01,2fpraopi* er
ABANDONED WELLS
Does property have any not in use and not sealed well(s)? 0 Yes iti No
WELL CONTRACTOR CERTIFICATION
4-1
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
REMARKS,ELEVATION,SOURCE OF DATA,etc. ' ' RI!Ikk rl m '�!- - *1 +: s•kir-;'
• (
i.r ,, __--- �`. , 8-17244
Authorized Representative Signature Date
F.P. McMinn 7-20-94
Name of Driller Date
LOCAL COPY 5 3 6 2 7 5 HE-01205-04(Rev.5/92)
'Twin City Water Clinic, Inc.
617 13th Ave So • Hopkins,Minnesota 55343 • (61 )935-3556
07/23/1994
Stodola Well Drilling
15306 Hwy 7
Minnetonka MN 55345
938-2111
REPORT OF WATER ANALYSIS
Lab Si: 23420
A
Our Laboratory reports these analytical results, determined on a sample taken
by YOU on 07/20/1994 from the following location:
Charles Cudd Company
1225 Orono Oaks Dr
Orono,Mn
Unique,# 536275
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).
ater Clinic, Inc.
Bill s le
Brian I 'r
An.yial laboratory
Coowtgits Brokaw
Water Analysis Reagents Boiler Water Clnmi.ak