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Minnesota Unique Well Number <br /> County Anoka MINNESOTA DEPARTMENT OF HEALTH Entry Date 04/15/1991 <br /> 133303 Quad Anoka WELL AND BORING REPORT <br /> Update Date 03/10/2014 <br /> Quad ID 120B Minnesota Statutes Chapter 1031 <br /> Received Date <br /> Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br /> CITY HALL& 32 25 W 23 DABCDC 174 ft. 174 ft. 05/24/1977 <br /> Elevation 880 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Non-specified Rotary Drill Fluid <br /> Address Use public supply/non-comm.-non-transient Status Active <br /> C/W 15153 NOWTHEN BL NW RAMSEY MN 55303 Well Hydrofractured? Yes ❑ No ❑ From To <br /> Casing Type Single casing Joint Threaded <br /> Stratigraphy Information Drive Shoe? Yes ® No ❑ Above/Below 2 ft. <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight <br /> SAND&GRAVEL 0 58 BROWN 6 in.To 168 ft. 18.9 lbs./ft. <br /> GRAVEL&CLAY 58 70 RED <br /> CLAY&GRAVEL 70 140 GRAY <br /> GRAVEL&SOME CLAY 140 145 GRAY <br /> CLAY 145 165 GRAY <br /> GRAVEL 165 174 DARK Open Hole From ft. To ft. <br /> Screen? Type stainless Make JOHNSON <br /> Diameter Slot/Gauze Length Set <br /> 4 in. 25 8 ft. 166 ft. 174 ft. <br /> Static Water Level <br /> 29 ft. land surface Measure 05/24/1977 <br /> Pumping Level(below land surface) <br /> ft. 10 hrs. Pumping at 100 9-P-111- <br /> Wellhead Completion <br /> Pitless adapter manufacturer Model <br /> ❑ Casing Protection ❑ 12 in.above grade <br /> ❑ At-grade(Environmental Wells and Borings ONLY) <br /> Grouting Information Well Grouted? X❑ Yes ❑ No ❑ Not Specified <br /> Material Amount From To <br /> bentonite ft. ft. <br /> Nearest Known Source of Contamination <br /> feet Direction Type <br /> Well disinfected upon completion? Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 09/07/1977 <br /> Manufacturer's name RED JACKET <br /> Model Number 51,136 HP 5 Volt 208 <br /> Length of drop pipe 63 ft Capacity 65 9-p- TYP Submersible <br /> Abandoned <br /> Does property have any not in use and not sealed well(s)? ❑ Yes ❑ No <br /> Variance <br /> Was a variance granted from the MDH for this well? ❑ Yes ❑ No <br /> Miscellaneous <br /> First Bedrock Aquifer Quat.buried <br /> Last Strat gravel(+larger) Depth to Bedrock ft <br /> Located by Minnesota Department of Health <br /> Remarks Locate Method GPS SA On(averaged) <br /> M.G.S.NO.1352. <br /> System UTM-Mad83,Zone 15,Meters X 467579 Y 5010416 <br /> Unique Number Verification Address verification hipme Date 01/01/1990 <br /> Angled Drill Hole <br /> Well Contractor <br /> Renner E.H.&Sons 02015 DAVE/RAY <br /> Licensee Business Lie.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 133303 Printed on 08/15/2016 <br /> HE-01205-15 <br />