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1993-10-11 Water Well Sealing Record #H42960
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3241 Casco Circle - 20-117-23-43-0050
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1993-10-11 Water Well Sealing Record #H42960
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Last modified
3/6/2025 9:22:33 AM
Creation date
10/24/2024 3:34:30 PM
Metadata
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Template:
x Address Old
House Number
3241
Street Name
Casco
Street Type
Circle
Address
3241 Casco Circle
Permit Number
H42964
PIN
2011723430050
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WELL OR BORING LOCATION <br />County Name <br />Hasiepln <br />Toamship Name Triemshkp No Ra»^gr> No <br />Okono 117 23 <br />Minnesota Well and Bofing <br />MtNNf SOTA DEPARTMFNT OF HEALTH Seei ng No <br />WELL AND BORING SEALING RECORD un.qoe no <br />Minnosotd Sf^itutes Chdpter W3J ^ W-senes No <br />. l. • r j» •• I <br />H 42960 <br />S«v |K)r fjo <br />20 <br />f »-K !•«>'' ISM » <br />A3r005011 <br />NufT»enr at Sffe*»l ArKJf/»ss ai Fim* Numbof and City of W*»H o» lionivj Locatx.n <br />3241 Caaco Crl Ocooo <br />ShOKtu Oiacl location of or bonrx| <br />tfl MCtKin grid anlh X <br />SluMch map of larell or bormg <br />itK.ation sfiotMing property hr>os <br />roads and build»rvgs <br />~r t t T <br />1 1 1 9 <br />1 <br />1 <br />1 <br />1 <br />^ r • <br />1 <br />1 <br />AI1 <br />1 <br />» <br />1 <br />» <br />1 <br />• <br />♦ <br />t <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />9 <br />1 <br />I <br />r <br />1 <br />1 <br />I <br />1 <br />9 <br />1 <br />1 <br />1 <br />1 <br />A <br />V <br />• IfMll <br />i <br />x' <br />// <br />t <br />uuris/tfaneFt Bielte 471-0543 <br />Ma*ng Address *f different Ittan property address mdicafed above <br />2365 IHanroody Ave <br />Orono, ^K 55391 <br />GEOLOGICAL MATERIAL COLOR HARDNESS OF <br />FORMATION FROM TO <br />N not known irntcate eslimaled formation log from nearby welt or borvtg <br />drift 0 115 <br />— '>- u• t <br />' <br />itc <br />Date SeaUnJ <br />Or»pth BrHore Seaftr>g <br />fej^ngle Aquifer D MuHt.'iquifor <br />Appioiimale Date Welt <br />or Boiing ConstruLted <br />OngiTMt ^)epf^^MSJ---- <br />St.itir Water Level ^^^ccuiato <br />Cl Approiimafe <br />S5.1 ^r>elow above land surface <br />CASING TYPE <br />l^iilj^tenl Cl Plastic D Tile Q Other <br />Screert from UL 10 J M Often Hole from <br />OtSTRUCTK)NA>EBRrS/FILL <br />]|Xpbslruc1ion G Debus G FUI <br />Type of debris'obstruction Jajiu^k PjP'. < JfT. <br />ObstructionOebns Fill removed^ S^es Q No <br />PUMP <br />J|li64emoved O Not Present G Other - <br />CASING <br />O'lrneter <br />ir\ from <br />m from <br />Deplh <br />/ <br />Set m overst/e rtola'’Annular space vMiaiy groule<f’ <br />In yj / _ ?l >G□ Yes Gno □ Unknown <br />_ lo n □ v«Q No G Yes Q No G Unknown <br />lo n D vot G No D Yes G No G Unknown <br />METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINOS. ON CASINO AND BONE HOLE: <br />Annular Space Eirsts <br />G Annular space grouted with Irerme pipe <br />G Casng PerforatiorVRemoval <br />M* from it <br />in from <br />O Pa rtorMad O Bamovad <br />O Perforafed G na moead <br />Type of padoralor <br />G Other------------------ <br />QNOUT1NG MATERUt <br />Pifotitmo material ^/ from lo Ji ^ <br />from <br />REMARKS SOURCE OF DATA OIPPICULTIES IN SEALING <br />Qrouted 3* wOl 115* deep <br />5 baga oanent <br />61be bentonite <br />2B bi labor, rig & eenent grout pmp <br />ltX.Al COf>^42960 <br />from <br />frnUt -------- <br />yards _______bags <br />h ’S <br />from yards bags <br />b^cSEALEO WELLS AND BORINGS <br />Other ur>vealed well or bonr>g on propefiy'> Q Yes <br />LICENSED OR REGISTERED CONTRACTOR CERTIFICATION <br />T h»ft well or hiring was seaie «ccordarKa ivith Mir>ne»o a Mulas Chapia 4 72h t he ireormalion conlamad rt 9tf% rapoff is <br />»nje to the bert* I rny knowteoo' <br />Don %odola Hell Drlllli^ Co., Inc.27172 <br />( Name Lv^enae or He <br />lihU-93 <br />Jlai Antonaon <br />>r »» SeatfT.g \He*f j/ Biv.ng <br />ME eUJA Oi
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