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STATE OF MINNESOTA �PARTMENT OF HEALTN <br /> ABANDOMED WELL RECORD <br /> l, LOCATIOM OF �EILI MINNESOTA UNIQUE MELL N0. � <br /> -- (l��v� Dl�nk 1f not knovm) <br /> co��tY N�.» Hennepin <br /> Tornznip Nanr Townshtp Nunber Range NunDer Section No: fractton 1. MELL DEPTH (co�pleted) Dite sealed <br /> N E 4 � of 4 <br /> �TOriO . � 11� s� 23 w� 2� � � � ���� ft. � ��� � � t <br /> Numerical Street AdEress anG Ctty of Mell Loution or Dlstance fron Road 5. DRILLIN6 METH00 (if knorn) 3 <br /> c. -� <br /> Intersectton 1(3 Cable tool 1(]Rev�rs tien 1�Oug , � <br /> 2755 �thel Ave. Navarre, i'1n. zp Hoiiw, aoa spA,� ap e,�.e iip <br /> �0.otary 6�J�tted 90 Power Aug�r <br /> Snow exact toca[ton ot wll <br /> (in sactton grid rlth •S') Sk�tc� map of wil loutioe 6. OBSTNUCTIONS [� <br /> M Yell obstructe�Y�s � No�'`� � ��.�nJ� <br /> _ � _ _ _ ,_ _� 1� OOst►ucttons vW�Wf T�s �No If obstructlons cannot be <br /> . . _ � )t' `� \ rewoved. contact MDN <br /> N - � - • • -I- ' - E •4 \` J\ �`��2• /ons��llny. <br /> � ' � T J Y 7. SE <br /> , J^ _`I�e. '�,� <br /> - - - y,.; � �� � 1 �Uy Oorstte �MonitoHnq �FNac Loop <br /> ' ' • r r0 2[]irNgatloe 50 Publtt S� (ndustry <br /> -- -'- - • - j J 30 T�st Wll 5�MuMctpal 1L0 Ca�erclal <br /> �----1 SL--r 7[]Atr Londtttoetny 11[J <br /> 2. PKOPERTT OMNER'S NAME Matllnq Address 1f different than B..CASiN6(5) <br /> property �ddrus 1ndluted abon 1�Black �Thrytded 7C1 <br /> ���.� <br /> 2�6alv. 5[]Wlded <br /> Ken Larson 161U west 63rd Street �p,,,t,� �sc.��i.:: sc..i <br /> HARONE55 OF �_,�. �, 65 re. <br /> 3. FORMIITIOM lOG COLON FONMATION FROM TO <br /> ]f not known. tndtcate forwattan l09 1ro� n�w rtil or n�aror �wtl. 1n. to /t. <br /> IJrif t 0 69' 9• scae� <br /> g)s«..�w w.t� rro. 65 rs. u 69 re. <br /> c�� r�o��� <br /> p ov.� uot. �ro._ ts. w_ rs. <br /> 10. STATIC TER LEV <br /> �t�b�lor �aEovt � <br /> land sur ce Dat� lYuund � �� � <br /> 11�EA0 CONPLETION <br /> 1 Pitl�ss Adapttr �Found luried <br /> 20 Bas�wnt olfs�t � <br /> �W11 iit <br /> 16. REMARKS, ELEVATION, SOURCE Oi DATA - CASINGS REMOVED. GISINGS PERFOMTED. ETC. <br /> 12..FROUT I M6 1 Ni01UMT I ON <br /> �ClN�t C�ent �J B�ntontt� �q <br /> Grout 4" Wel1 Approx. 69' Ikkep ' ro�t „u�,,, rro.�,��0 0 ft. ��. Ya: <br /> 8 Bags Cement <br /> 10 Lbs. Bentonite — — <br /> 13. NEAREST SOURCES OF CONTAMINATiON <br /> 2 ML�T1, Labor s Ri��, and Cemet?t Grol?t �?!?'p _ re.e directton cype <br /> Yell dlsinf�cqd befon sulinqt �Y�s <br /> 14. VUIIP Re�ovM �Not Pres�nt• <br /> Type:�Suhrnibl� �l.S. TurEin� �Reciprocating <br /> - 2�J�t �C�ntNtuyal 60 <br /> 15. EYISTINC YELLS (P1��s� skeccA locattons of abanAon�d and <br /> uttv� wells in r�warks s 10� or on back.) <br /> Other unus�d w�ll(s) on propertyt �Ttf No <br /> Abandon�d: C1 P�nrn�nt �Ta�porary � t���led <br /> . 1). W1TER YELL CONTRALTORS CERTIFICATION <br /> TMs rNll ws s��l�d und�r ay �urisdtciton and thls report <br /> � is trut to tAe b�ft of my knowledge and beltef. <br /> DON STODOLA WELL DRILLING CO. , INC. <br /> Licens�� Busln�ss Naw Ltcens� No.2 7 1 7 2 <br /> ,w,n�, 15306 . 7 Minnetonka, NII�t. 345 <br /> � <br /> . s�ynea- ,-� ac. — — <br /> o.c. <br /> FFICIAL ABANDONED �ELI QECOIiO (!4y be us�d for Proptrty Trans/er) Na� of Drtll�r <br /> txpaer�vr: rzrs rzra v�o <br />