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Minnesota Unique Well Number <br /> County Anoka MINNESOTA DEPARTMENT OF HEALTH <br /> WELL AND BORING REPORT Entry Date 08/05/1997 <br /> 541778 Quad Anoka Update Date 02/14/2014 <br /> Quad 1D 120B Minnesota Statutes Chapter 1031 <br /> Received Date <br /> Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br /> PEARSON, 32 25 W 30 AABACD 66 ft. 66 ft. 08/24/1994 <br /> Elevation 883 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Non-specified Rotary Drill Fluid Bentonite <br /> Address Use domestic Status Active <br /> Well 8846 10 SH W RAMSEY MN 55303 Well Hydrofractured? Yes ❑ No ❑ From To <br /> Casing Type Single casing Joint Threaded <br /> Stratigraphy Information Drive Shoe? Yes ❑ No ❑X Above/Below <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight Hole Diameter <br /> SAND 0 23 BROWN SOFT 4 in.To 63 ft. 10.7 lbs./ft. 8.7 in.To 30 ft. <br /> CLAY&ROCKS 23 43 BROWN SOFT 6.2 in.To 66 ft. <br /> SAND 43 66 GRAY SOFT <br /> CLAY FIRM 66 66 GRAY <br /> Open Hole From ft. To ft. <br /> Screen? X❑ Type stainless Make JOHNSON 304 <br /> Diameter Slot/Gauze Length Set <br /> 4.5 in. 18 4 ft. 62 ft. 66 ft. <br /> Static Water Level <br /> 28 ft. land surface Measure 08/24/1994 <br /> Pumping Level(below land surface) <br /> 48 ft. 3 hrs. Pumping at 40 g.p.m. <br /> Wellhead Completion <br /> Pitless adapter manufacturer BAKER Model SNAPPY <br /> X❑ Casing Protection ❑X 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 0.8 Cubic yards ft. 60 ft. <br /> Nearest Known Source of Contamination <br /> 50 feet South Direction Septic tank/drain field Type <br /> Well disinfected upon completion? Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 01/10/1994 <br /> Manufacturer's name RED JACKET <br /> Model Number 100CNSI- HP 1 Volt 230 <br /> Length of drop pipe 42 ft Capacity 18 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 clay-gray Depth to Bedrock $ <br /> Located by Minnesota Geological Survey <br /> Remarks Locate Method Digitization(Screen)-Map(1:24,000) <br /> System UTM-Mad83,Zone 15,Meters X 461347 Y 5009793 <br /> Unique Number Verification Address verification lnputeDate 07/03/2008 <br /> Angled Drill Hole <br /> Well Contractor <br /> Renner E.H.Well 71015 SCHAFFER,R. <br /> Licensee Business Lie.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 541778 Printed on 02/03/2017 <br /> HE-01205-15 <br />