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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 Hennepinnnepin Minnesota Statutes Chapter 1031 8 0 5 9 4 Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed ft. Oronc 1 1 3 2..3 -4,-, 18() ' 4-4-97 House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD ❑ Cable Tool ❑ Driven ❑ Dug 20 Orono Orchard Rd. N. Oronc, MN. ❑ Auger (:}';Rotary ❑ Jetted Show exact location of well in section grid with X. j 53 9 1 Sketch map of well location. 0 Showing property lines, roads and buildings. DRILLING FLUID N q water USE ❑ Monitoring 9 ❑ Heating/Cooling i t%Domestic ❑ CommunityPWS ❑ Irrigation ❑ Industry/Commercial ❑ Noncommunity PWS ❑ Remedial w E C� 0 Test Well 1 1' Q ❑ Dewatering ❑ r- Y2,'", z x t(/4 L. (` CASING Drive Shoe? 7 Yes ❑ No HOLE DIAM. L I ..---� *Steel *Threaded ❑ Welded 1 " ❑ Plastic 0 s I1MIle--I c) CASING DIAMETER 1 6 9 WEIG1T1 f Ji.• PROPERTY OWNER'S NAME in.to ft. lbs./ft. in.to ft. Jim Murphy __in.to ft. lbs./ft. in.to ft. Property owners mailing address if different than well location address indicated above. in.to ft. lbs./ft. in.to ft. 3U Orono Orchard Rd. SCREEN OPEN HOL Orono, Mn. 55391 Make N/AA from I6`J ft.to I8t ft. Type _Diam. Slot/Gauze Length Set between ft.and ft. FITTINGS: ___ _ STATIC W TER LEVEL x 4-4-9; WELL OWNER'S NAME ft. Q below ❑ above land surface Date measured PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. 165 ft. after 6 hrs.pumping "(• g.p.m. WELL HEAD COMPLETION Wtlltewater a Pitless adapter manufacturer Model ❑ Casing Protection Ek 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? p Yes 0 No HARDNESS OF Grout Material ❑ Neat cement 0 Bentonite 0 Concrete ❑ High Solids Bentonite GEOLOGICAL MATERIALS COLOR MATERIAL FROM TOi from 6 to .`.l' 0 yds. ❑hags from to ft. 0 yds. 0 bags - B1ac(>' ,.. i ` �, r from to ft. ❑ yds. ❑ bags NEARS NOWN SOURCE OF CONT (NATION 410 r.• Clay Y e 1l O ' 'i,i.- 1 feet _. �S F" direction type Well disinfected upon completion? QLYes 0 No S"e 1 `r ie Clay Grey ,if: PUMP ❑ Not installed Date installed 4- 10-9—i Sand WHIt.e ' S Manufacturer's nam�9 r,bnr, ,0r 1� w5 n S `'t` l> Model number C"� V`� '�' " HP Volts Length of drop pipe 84 ' s:; g.p.m. Clay-Gravel Grey S ;.t .i,)% ` 1 ` Pressure TankCapaciry 1 —911 1 Type: C'Submersible D L.S.Turbine ❑ Reciprocating 0 Jet 0 Sand-Gravel Tan 1 ' 1 ''4'ABANDONEDWELLS Does property have any not in use and not sealed well(s)? ❑ Yes LI 140 Sandstone-Shale White 14-11 1 .vi). ' 1f;.-VARIANCE Was a variance granted from the MDH for this well? ❑ Yes L'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 reportLis true to the best of my knowledge.f, Aq DON STODOLA WELL DRILLING CO. , INC. Licensee Bus ame -Lic.or Reg.No. 27 1 7 -' ." .=f J u a f Authorized Representative Signature Date Fred Leiby 4-4-97 Name of Driller Date f,Or A.! COPY HE-01205-05(Rev.1/95) I r • Jwüz city Water Clinic, inc. 617 13th Ave SO • Hopkins, Minnesota 55343 • (612) 935 -3556 04/12/1997 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 938-2111 REPORT OF WATER ANALYSIS Lab#: 32348 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 04/07/1997 from the following location: Jim Murphy 20 Orono Orchard Rd. Orono,Mn Coliform eria <1/100 ml Nitrates Ni en <1.0 mgA The results of these ests indicate that this well is producing water that meets the standards for F.H.A., V.A., or conV'entional 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). 4 _ .. , �:.r.�;«c.'M i'J,kY'i,A4 -1..,. a mdlgs.+nw .e+ar..«ww.r. .... \ Aater Clinic, Inc. Bi • Analyioal laboratory Consulting&Onset Water Analysis Rawls Botnar Water C6.mio.1. Lab Certification!027-053-119 MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring H 119970 WELL OR BORING LOCATION Sealin 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.-)i.lg.) Date Sealed Date Well or Boring Constructed Oram 118 ' ''.. /5' JoA-. -: 57 Numerical Street Address or Fire Number and Cityitof Wellllor Boring Location y^: / 1 2U Orono C`ecn a ci RC1.N.t rr Ci nC� Mn ,Depth Before Sealing_ (° ft. Original Depth �-�^' ft. Show exact location of well or boring 5 C-,3,1 Sketch map of well or boring AQUIFER(S) STATIC WATER LEVEL in section grid with"X". location, showing property Ag Single Aquifer p Multiaquifer lines,roads,and bu4 ngs. y� N WELL/BORING )(Measured ❑ Estimated r---r--- \ \;\ . % ater Supply Well ❑Monit.Well �\ ❑ Env.Bore Hole ❑Other 1 / ft. elow ❑ above land surface yyr--- ----n nCASINGTYPE(S) r -- -1 nSSteel ❑ Plastic ❑Tile ❑ Other I umile iCASING Diameter Depth Set in oversize hole? Annualar space initially grouted? 11 r pt, r mile h in.from U to 76. ft. ❑ Yes No ❑ Yes ❑ No ❑ Unknown PROPERTY OWNER'S NAME in.from to ft. ❑ Yes ❑No ❑ Yes ❑ No ❑ Unknown Jim Murphy 1 Property owner's mailing address if different than well location address indicated above. in.from to ft. ❑ Yes ❑No ❑ Yes ❑No ❑ Unknown IF.. 30 Orono Orches r4s�N HOLE Oronc�,�iN53�31 —y r , /1 Screen from /�r' to P1 Q ft. Open Hole from to ft. 476-4a84 OBSTRUCTION/DEBRIS/FILL WELL OWNER'S NAME %Obstruction ❑ Debris ❑ Fill ❑ No Obstruction Well owner's mailing address if different than property owner's address indicated above. Type of Obstruction/Debris/Fill -.•L N/t//' /J,,../42G- ¢ JF/ Obstruction/Debris/Fill removed? ,XYes 0 No PUMP Type .J/ l PUfi/y)f3 GEOLOGICAL MATERIAL COLOR HARDNESS OF FROM TO Removed ❑ Not Present ❑ Other FORMATION If not known,indicate estimated formation log from nearby well or boring. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: o -` t 1 .X"No Annular Space Exits ❑ Annular space grouted with tremie pipe r ❑ Casing Perforation/Removal in.from to ft. ❑ Perforated ❑ Removed in.from to ft. ❑ Perforated ❑ Removed Type of perforator ❑ Other GROUTING MATERIAL(S) / Grouting Material 1Cf4117-C 1r7,44(re f'..9to G ft. yards �/ bags from to ft. yards bags from to ft. yards bags from to_ ft. yards bags REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING UNSEALED WELLS AND BORINGS ,,��// Other unsealed well or boring on property? ❑ Yes )) (No LICENSED OR REGISTERED CONTRACTOR CERTIFICATION I 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. 2717'z Contractor Business Name /../,--," , License or Registration No. •,,,tut rizer Representative Signature Date ./t .4Iv'tiA4-1,,ti LOCAL COPY H 119970 Name of Person Sealing Well or Boring HE-01434-02 10/95R