Well Record - Laserfiche WebLink

Home Browse Search

MINNESOTA UNIQUE WELL WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEATH AND BORING NO. • County Name WELL AND BORING CONSTRUCTION RECORD Ifennepin Minnesota Statutes,Chapter 1031 826669 Township Name Township No. Range No. 'Section No. Fraction(sm.—.Ig.) WELL/BORING DEPTH(completed) DATE WORK COMPLETED Orono 117 23 04 SE 07 151 1t. 11-27-17 GPS LOCATION—decimal degrees(to four decimal places). DRILLING METHOD Latitude s°''' Longitude ❑Cable Tool [Driven ❑Dual Rotary ❑Auger Rotary ❑Rotasonic House Number,Street Name City,and ZIP Code of Well Location r' ❑paler_, - lane* Omo 553% DRILLING FLUID r WELL HYDROFRACTURED? ❑Yes RrNo Show exact location of well/boring in section grid with"X" Sketch map of well/bor' ovation. bentonite From ft.To ft. Sh arty lines, N roads,build nd direction. USE DomesticMonitorin Au D g ❑Heating/Cooling -t ID Noncommunity PWS ❑Environ.Bore Hole ❑Industry/Commercial ❑Community PWS ❑Irrigation ❑Remedial ❑Elevator Li Dewatering w F E T CASINGDrive Shoe? ❑Yes )No HOLE DIAM. MATERIAL I Threaded ❑Welded , 'h Miie ❑Steel ❑ Plastic ❑ - CASING s err fff -- Diameter * Weight Specifications �(� CI7 ( 1 nue 'rF in.To L ft. lbs/ft. in.To ++�'ft. 2017_8 .. PROPERTY OWNER'S NAME/COMPANY in.To ft. Ibs./tt. in.To""'ft. Bill Schocert8 in.To ft. lbs./ft. in.To ft.Property owner's mailing address if different than well location address indicated above. SCREEN OPEN HOLE Make From ft. To ft. same Type stainless steel Da -'1"--- ' Slot/Gauze .010 Vert* 4* Set between 143 ft.and 151 ft. FITTINGS RECEIVED �c `'�+�q STATIC WATER LEVEL " Or Below ❑Above land surface EI V G LJ Measured from} of *IIS' ate measured 'Try hole ❑Yes!�; No WELL OWNERS NAME/COMPANY NAME A D 040 ) n y� PUMPING LEVEL(below land surface 1"Ifil\ L 30�d 140 ft.after hrs.pumping g.p.m. t' WelUboring owner's mailing address if different than pro rtrtrtlll"'owner's a ress indicated above. WELLHEAD COMPLETION whi,, or Pitless/adapter manufacturer Model CITY OF ORONO D Casing protection X12 in.above grade ❑At-grade ❑Well House ❑Hand Pump GROUT INFORMATION(specify bentonite,cement-sand,neat-cement,concrete,cuttings,or other) Material bentonite., To50 ft. 3 ❑Yda, Bags Material cutting From 50 To 143 ft. ❑Yds. ❑Bags Material From To ft. GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO ❑Yds. ❑Bags MATERIAL Driven casing seal From To Bags One bag=94 lbs.cement or 50 lbs.bentonite �p .,,,, j NEAREST KNOWN SOURCE OF CON N�N clay/wand/ '� ii 0 30 Well is 170 feet direction from 't type Well disinfected upon completion? N'Yes E No c !gravel grayindium30 52 PUMP i�� grays �rf..1r Er Not installed Date instal/44647l7 clay 52 9l Manufacturer's name Sehmeez 'radiumrecklish Model Number j HP 1 Volts sandy clay brown97 lin Length of drop pipe 105 It Capacity g.p.m. brown medium 130 44 Type Submersible Submersible ❑L.S.Turbine D Reciprocating ❑Jet ❑ ' wand ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑Yes No VARIANCE Was a variance granted from the MDH for this well? ❑Yes,No TN# WELL CONTRACTOR CERTIFICATION This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. The information contained in this report is true to the best of my knowledge. Use a second sheet,if needed. REMARKS,ELEVATION,SOURCE OF DATA,etc. .- Don Sta olell Q Co. * + 1691 , Drilling Licensee Business ame• y Lic.or Reg.No. 1-17-1$ C r Representat Vii Signature Certified Rep.No. Date LOCAL COPY 826669 Name of Driller Rob Stud©la ID#52603 HE-01205-16(Rev.5/16)