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1 I(%'AfIl1N U1 WILL STAT( Oa MINNISOTA OI PAR [MEN 101 HEALTH (f1.%Nr.SOTAV.Sit9'£ WELL NO. <br />Ln"nlr N.mr WATER WELL RECORD In, Wefe,S—pk <br />q,.-,-6 <br />r <br />C <br />}},nnitUfl $Mti/fl ,lA.1 111. 11, <br />I.fwnMrp Nam, <br />InrnM,p NumMr <br />N.n.c Numnee <br />Ye.um Nn. <br />1 rnlPm <br />7. PROPERTY ONNERS NAME <br />N E <br />K 4 <br />Charles Affias <br />or <br />S <br />of <br />W <br />A"'1104 DuldUr i'arL <br />OnIs Me and VotrlN,n ntmr Nr4J lnulutlPms sir Sorer AJJrns and Lltr o(W eu L -Own <br />Oraw, Mian. <br />Shaw e.,e1 NK.INfn nl.rll <br />M ent..VW with -x.-- S.rleh meat of .ell LK.Nun. <br />A, WELL DEPTH(completed) <br />DR.ol Compleli n <br />N _ <br />AJJrI..s Name <br />140 n <br />5-13-82 <br />S 1❑('*Ne NNJ 413R.,.— 70mb.n 1000"{ <br />1 1 <br />f <br />- _ <br />" <br />_ _ <br />xIiML Numher <br />i❑HNInw N,d SOAIr {J Bmrd 11❑ <br />- - <br />T <br />_71- {J m(, <br />A%ni•f! 60J,U.d v❑rower A.He <br />Lal NumDn <br />a US <br />E3% <br />• •�• . <br />lt <br />.mnlic e❑P.Mic SupptT 70 Indent[ <br />/--1 n{L� <br />7❑IrrkatLM s0m...lpm 60L•mmmru4l <br />!❑Te.l Well 6❑AN md,linnlnt �❑ ' <br />7. SORMATION LOG <br />COLON <br />IUNRAF ?IUNt <br />I114 <br />10l'r <br />7. LASING HEIGHT. Abo.tlBelow <br />HOLE OfAM <br />t�ulac! �TMUJ,J <br />70G.I.. S❑W',IJ,d 111"* n. <br />Fine Tu62ftc3 <br />sand <br />05 <br />130 <br />- <br />v <br />a_ <br />,❑ PIe1He 60 OeMe ShwT YnQj(�3. No- <br />.R. to 136 fl. Wtl{h,l0.s6 l,.m• <br />� j�� <br />4 .111 <br />In. to ft. Wright Ih4ft. <br />—111. 10—ft. <br />la. to h. W'el,ht Ibsp. <br />_�In. to—ft. <br />�L t <br />vater Saul <br />r�A <br />30 <br />f� <br />110 <br />a aCx Paten <br />M.(e ilR�r�L-!1!� hom holo R. <br />Trp• Rf-ginlammuton't a.. din <br />//�� <br />4 <br />- <br />- <br />SInHG.iet iM Len th <br />���� SITTINGS: <br />It W.,- 36 n...d 1 0 H. <br />, <br />n.,nd n. <br />n..nd It. <br />v. STAIIL' WATEN LEVEL - <br />30 O.A.W. ❑ah." Data Me....d <br />l.nd.utf.rt <br />10. PUMPINGLLVEL(b,lowl.ndamfKr) a�P�' <br />0 Il..h,r hn.pumpint 0 S.PA. <br />- <br />fl. Mler hn. pumpint <br />11. %LLL HLAUCUMPLLTION <br />IR ISsin.aJaDl.e 7❑BRemrnl oH.t 313 At Lem I2".Nn <br />tr.Je <br />I7. Weli Voided) <br />. ❑ No Cu. Yd). <br />1❑Nra1 C'emrnl a� 70Denlnnit, <br />Dapro: nom n.to n. <br />nom n. Ip fl. <br />I7. Ne.tnt soutcer of pnWble tanin.•RIb11 <br />gme <br />- <br />reel d1lie l6n IIP* <br />Well disinfected upon eomplOwn7 YrsFi N„❑ <br />le. PUMP <br />Dal, Instilled 5-1349 <br />_ <br />❑Siol imHll,d . <br />p ,, J <br />M ... f.ct."I's N... et4 n kct, <br />Model Number IIP_ Voll* <br />- <br />L, Path of drop pip* It. upachy •�—Lpa. <br />MsictiAordmppfp* <br />Type- QSuh.,lubl, J❑L.S.TMbint S❑NerlpnN.Nnt <br />70,'1 e❑C,nlnfupl 613 <br />16. WATER WLLLCONTRACTONSCERTIFICATION <br />Thh well was drilled under my idiltdinbn .ad this re Pon is tmt to <br />IS(K*r�Dellof ms Lnort<dp .nd Dellef. <br />Doll .iZ�=.A uifriUrnurei�nnt Nunr �� 4entr fYa <br />Ult•t md.httr. <br />IfntrJtJ <br />Addrt4 C />• HIM.J <br />y /rr i <br />IS. KI RANKS. ELLVAI ION. SUIJI(CL O/DATA. 111. <br />Aulhofifed R,puuntitht' <br />A1'Dole <br />Nome of DrWer <br />iiia 7/74 JOM <br />30M <br />LOCAL COPY <br />18 6 G? 7 <br />5343, <br />