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STATE OF MINNESOTA DEPARTMENT OF HEAL Til <br />ABANDONED NaL RECORD <br />Township Name Township Numbar Range HumLtr Section No.fraction 4. WEll depth (completed)Date sealed <br />N E «i % of H <br />Orono 117N 23W r 10 Nl^ NE m 205 6-30-88 <br />I. tOCATIW Of mil I <br />c««.rHennepin <br />MINNESOTA UNIQUE NELL NO. <br />(Uav* blank If not known) <br />Hu9tHCD'Strttt of W#!l location or OUianc* from Road <br />Inttrstctfon <br />Mil 553231295 Arbor Street, Costal Bay, <br />anow taact locitlon^of <br />(tn stctlon qrld with •i“) <br />5. DRlLLthG HETHOD (If known) <br />□ Cable too) <0 Heverje ?□ Driven IcQ Dug <br />2Q Hollow Bod SQAIr gQ Bored llQ___ <br />O Rotary 6Q Jetted 9Q Po-er Auger <br />Sketch Rip of well location 6. OBSTRUCTIONS <br />Well obstructed □ Yei 0 No <br />Obstructions renovcd Q Tes □ Ho If obstructions cannot te <br />removed, contact HOH <br />before sealing. <br />r )SE <br />10 Oo<^*tlc <br /><□ Irrigation <br />JQ Test Well <br />aQ Monitoring BQ Heat loop <br />SQ Public 9Q Industry <br />«Q Municipal IcQ Corr>erclal <br />Conditioning llQ_ _ _ <br />2. PROPERTT OWNER'S NAME <br />Arlene Hoppe <br />Helling Address If different than <br />property address Indicated above <br />HARDNESS OF <br />2. FORMATION LOG COIOR FORMATION FROM <br />If not known, Indicate fonaatlon log from new well or nearby well. <br />0. CASINC(S) <br />lKl0^«k 40 Threaded O, <br />CICalv. 5Q Welded <br />3G Plastic 6Q Stainless Steel <br />_________3 In. to <br />_____________ In, to ___________ <br />Jt, <br />Topsoil <br />Clay <br />Clay <br />Clay <br />black <br />yellcAT <br />blue <br />1. 5CKEEN <br />E) Screened well fro« __ ft. to , <br />□ Opeh Hoi# fron_ _ ft. to ^ft. <br />(If known) <br />205 <br />10. STATIC WATER lEVEl <br />59 ________ft. 13 below □ above <br />land surface Date Measured 6**30~OO <br />U. WEllHEAO COMPIETION <br />iQ Pitless Adapter <br />?Q flaseRent offset <br />30 well Pit <br />Q Found Burled <br />o- - - - <br />16. REMARKS. CIEVATION. SOURCE OF DATA - CASINGS REMOVED. CASINGS PERFORATED. ETC. <br />Formation log taken from new well drilled <br />6/29/88 - Unique well # 442431 <br />U. CPOUTiNG INFOAMTtCN <br />1(3 Neat Cement 2Q Bentonite <br />Grout material irt. cu. yds « 3[ <br />OFFICIAL AIANOONEO WEll RECORD (May be used for Property Transfer) <br />IMPmVAMTt FILM Win DKED <br />13. NEAREST SOURCES OF CONTAMINATION <br />____ feet __________direction . type <br />Well disinfected before sealing? Q Yes <br />14. PUHP 0 fleooved Q Hot Present <br />lype: 10 Submersible ]Q L.S. Turbine Q Reciprocating <br />r(3 Jet flQ Centrifugal 6PI <br />15. EXISTING WEllS (Please sketch locations of abandoned and <br />active wells In rinarks section or on back.) <br />Other unused well(i) on property? [3 Yes (3 No <br />Abandoned; □ Per«anent Q Temporary (3 Not seated <br />i;. WATER WEll CONTRACTORS CERTIFICATION <br />This well was sealed under my Jurisdiction and this report <br />Is true to the best of my knowledge and belief. <br />,Mr.it 6240 llwy^l2. Maple Plain, MN 55 <br />Signed <br />^12, Map <br />1^0 J ^Date 8-4-88 <br />Joe Stevens 8-4-88 <br />Ni.. or Orllltr <br />359