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I « K A t Ot t <br />"iHennopin <br />Grono <br />f I nwn^Mp <br />pi7-B % <br />ST*r> (> MMHAJI WITA PfrAflMlLiitroi HIALTH <br />WATER WELL RECOnO <br />tiirrnru^m Stmtutrt l)A4 tH ttM <br />M{s \fSor* tA/fftf wrt.L AO <br />/or l*Arrr54-»pir 164553 <br />HuiwAW <br />23-wj. <br />Srrivia Ho <br />se tSM '‘•e <br />« N<**J iMUrMClMMM Mf ^r««t AJJfrU toil I ily of »«M Uxalw* <br />4^6$* Arbor St. C?rytal Bay <br />«tiMi uf octi (M wtHM gna wah ••*.-Utuh m«p of mwU IfHatiwn. <br />-I ml#- <br />»OMMATIOM LfJU <br />Top Soil <br />OrftTol <br />Clay <br />Clay <br />G^'ral <br />Sandy Clay <br />Oraval & Roeka <br />Sand <br />Yellow <br />Blue <br />Dirty <br />Rad <br />Brown <br />Vte 0 itftmd thtet. tf mtrJtJ <br />IS. HIMAHKS. t.LkVAflON.SUUKf'KOf OiTA.ttC. <br />LOCAL COPY <br />12 <br />68 <br />IIS 125 <br />i. MtOPiflIY CHAM'S HAJIItSnik D. Snlth <br />-4205 Ai^or St. /20^ <br />Cryatal Bay <br />4- *tLL DlfTH (eoni D»i« of ConptotKM <br />9/25/79 <br />iQfaWa i«i( 4!ZJRe»frt» ^OlVneo <br />lD»l.4I.n» r<ot sCDao <br />iC AQjnt.d ♦CDr»i%M» Aut«f <br />loGoot <br />i»a___ <br />TUJ |l»*nr«l«c <br />2O IrrtfJtiiHi <br />jC3f#At W.H <br />AOPofiJH SapplF <br />sHMunicipat <br />AOAttClMdilkMtin <br />yO lodvttry <br />tGcmnmvKUi <br />40 <br />tSaiKH <br />iGcat*. <br />jQ Plasitc <br />^ Threaded <br />sOwcldad <br />HEIGHT I Above/Mow <br />l»SHC oG* I - OrWSboat --------- f ’I -k___M___ <br />_ In. lo . <br />_ to. lo . <br />PrWa Sbo# t <br />.ft. Wt«|hl <br />_fl. Wtiflil , <br />!' btlkLtN' <br />HOLE DiAM <br />JohmoQ <br />Slni/Cautc <br />Set twiwmi 151_n. <br />fl.and <br />ft. and <br />SITTINGS. <br />Lead Paoloar <br />Und luf faco ,9/25/79 <br />10. ruMPlNG LEVEL (belowland uirfece)100 <br />t "ft .n.r fit. pumping <br />ft. after hrt. fHimiHRe KDjn. <br />II. WLILHLAUCUMPLEIIU.Y <br />adapter iPBaumrni offtel jPai kau I2”ak<b«« <br />grade <br />12. taellftouUd? <br />DVe* XpNo Cu.Vdi.« <br />|Dn«/I Cetnenl sODeolnntte jQ <br />. ft. lo <br />_ ft. to , <br />-ft. <br />«ft. <br />. Nuinl lourcn^r potlegal <br />S4«ll diilnfrcted upon comptelicMi*YnlX. NoG <br />ManufaclufelS Name <br />□ Notlmiallfd <br />Dfgdtar-------^ <br />---My3*‘50*S2---- <br />UnrbofilliipClIM ___________ II. cpKIIr _ <br />Mitnlal of drop pipe ^ W <br />49/4/79^ <br /><••230- <br />TFpti idCuMirttlMr <br />iDlel <br />S^wbloejGl. <br />ADcrntiifufal <br />sOMeelptocating <br />bP ________ <br />164533 <br />lb. WATER WI LL CONTRACTOR'S CERTIFICATION <br />TTib well wai dillltd undcf mp iuiitdkllon and Ikit report It true to <br />the belt of n>F ktio>,*1cd|f and belitf. <br />Stevena Vfell Drilling Co. 2719k <br />Uetiutt Butinm Stmt Uctnt* So. <br />624.0 Highway 12 Maple Plai n <br />■. > / IT"'' <br />Auihorlifd RtpreMnlatire <br />John Drorak T <br />Name of Driller <br />5/74 30M <br />7/76 30M <br />7/78 30M