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STATE OF MINNESOTA DEPARTMENT OF HEAI.TH �,_,�,� 11 � <br /> ABANDONED Mf1L RECORD <br /> t. LOCATION Of MELL MINNESOTA UNIQUE MELL N0. <br /> (l��vt elanY 1f not knOwa) <br /> co���r N•�• Henne in <br /> TornsA/0 M+�r TownsnlD Nu�C�r R�ng� Nwber S�ctlon No. Fractfon 1. MELL OEVTH (Capl�t�d) Oat� i�11�d <br /> N E 4 4 of y �;J�', <br /> �OT10 ll7 5� 23 yr �7 �' � � l � � ft. � �,\y�� �j �� <br /> l <br /> Numerlcal Str�et Addrass �nd C1ty of W�11 �ocation or Otstanc• fro� Ro�d 5. 0(tILLING METH00 (tf known) <br /> [nttrstctton ��Gbl� tool �Wr�n� 7[]Drir�n 1�Dug <br /> 4650 Tonkaview Lane Orono, NRV. 55364 (Mound) �p�wn� Nod 5(]A1r ap e��.a »p <br /> Snor exact locatlon of w�ll ����ry 6�J�tt�d �Powr Aug�r <br /> (in s�ttton grid rtth •lI') Sk�tt� Mp of rNll lot�tton 6. OBSTRULTIONS <br /> M �� wt t ooscn�eaa�r : p Mo <br /> _ � _ _ ,_ _, OOttruettons ruov�d�r�s �Mo If obstructlons cannot be <br /> , • - i � �� r�wr�d. conuct I�i1 <br /> W - - - -' • -I- ` - E �nrl I/E' tan sullog. <br /> ; ` T "'Qy .j� � �. SE <br /> - 4�. .� 1�Do�rstic �lbnitoriny �IN�t 600v <br /> _' <br /> ..0 : _.... _.,.. ... _ I S��P�� 2Q[rrlyatton 5�Publle � lndustry <br /> j 30 T�st iNll �MuNc1p�1 lt�Co�retai <br /> r--1 SL--� 1[]A1r Coedlttontnq 11[� <br /> 2. PROVERTY OMNER'S NJIME Matling Addnss if dlffer�nt than 8. ���CA...S...���IN6(S) <br /> Jerome Dolezal & Droptrty �ddnss lndtut�d aEov� �Black �TAnad�d 7[] <br /> wt.. �wta.a <br /> Jean Rostad SAME �Pt�stic �su��i.:. sc..i <br /> HARONESS OF ���. � 1 34 ft. <br /> 3. FORMIlTION �06 COIOR FOiUNTION FROM TO <br /> If not knovn, indic�te forw�tton loq fro� nw wll or n��►Oy r�il. te, to ft. <br /> 9. SCREEN <br /> � �Senened rli fro��ft. to�,� ft. <br /> (If knorn) <br /> �Op�n Ibl� tra�_ft. to_ ft. <br /> • 10. STATIC YATER I,EYE <br /> 1 :2� rc�e.io�. p,eo�. `t <br /> l�na u c� Dat� Ih�su�� <br /> 11. YELLHEAO COIiLETIO� <br /> �0 v�t��ss �ow Q Foune wriw <br /> 2Q e�sMrnt ottut 5�] <br /> �1i�i1 Ytt <br /> 16. IiEMARKS, ELEVAiION, SOURCE OF OATA - CASINGS REIqYED. CASIN65 PERFOMTED, E7C. <br /> 12�GRQ�TIN6 INFORINTION <br /> 16C1 Nut Cwnt 20 NntaHt� � <br /> Grout 3" Wel1 Approx. 138' Deep c�c ..u��.t t.o.(S$w� rc. tu. yds <br /> 6 Bags Cement - <br /> 8 Lbs. Bentonite — — <br /> 2 Men, Lab�r, Rig and ��tnent Grout R..^ng »• NEAqESfefOURCES OF CONTIUIi�ryrcoMon cy� <br /> Nell dtsintected b�fon s�alingt [�7�s <br /> 14. PUMP �Ra�owd �Not Pns�nt <br /> Typ�: 1�SuEw�niblt �L.S. Turbin� �R�ciprocatinq <br /> 2[]J�t �Ctntrifugal EQ <br /> 15. E7fI5TING MELLS (Pleas� sk�tcn locatlons ot �bandon�d �nd <br /> �Cttw w�lif in rwrks fec on or on E�Ck,) <br /> Oth�r unus�d �wil(t) on prop��tyT []t�� MO <br /> ADandoned: �P�r�n�nt �Tn�porary �Not al�d <br /> 17. WITER MEII CONTRACTORS CERTIFICATION <br /> TAis �+etl w3 s�aled und�r�y �urtsdiction and tAfs rsport <br /> is tru� to th� b�ft of sy knowltdq� and Witlf, <br /> DON STODOLA WELL DRILLING CO. , INC. <br /> Ltc�e:�� Sutin�s• NaM lic�nse No.2 7 1 7 2 <br /> ,• �aary:.l 45 <br /> s,y�.e=�1— o,u 5 . <br /> Mark Stod� at. <br /> FFICIAL AiAN00NE0 YELL RECOitO (!4y b� us�d for iroD�rty Tr�nsl�r) N�� of Dr111�� <br /> I�CRTIII�Ss lIL6 MZTH D66D . <br />