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Minnesota Unique Well Number <br /> County Anoka MINNESOTA DEPARTMENT OF HEALTH <br /> WELL AND BORING REPORT Entry Date 04/15/1991 <br /> 227345 Quad Anoka Update Date 02/14/2014 <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 /> PEARSON, 32 25 W 30 AAABCA 75 ft. 75 ft. 12/13/1972 <br /> Elevation 883 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Drill Fluid <br /> Address Use domestic Status Active <br /> C/W 8846 10 HY NW RAMSEY MN 55303 Well Hydrofractured? Yes <br /> No From To <br /> Casing Type Single casing Joint Threaded <br /> Stratigraphy Information Drive Shoe? Yes ❑ No ❑ Above/Below 0 ft. <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight <br /> SAND 0 10 BROWN 4 in.To 71 ft. lbs./ft. <br /> GRAVEL&SAND 10 15 YELLOW <br /> CLAY&GRAVEL 15 60 BROWN <br /> GRAVEL 60 75 BROWN <br /> Open Hole From ft. To ft. <br /> Screen? X❑ Type stainless Make JOHNSON <br /> Diameter Slot/Gauze Length Set <br /> 4 in. 20 4 ft. ft. ft. <br /> Static Water Level <br /> 30 ft. land surface Measure 12/13/1972 <br /> Pumping Level(below land surface) <br /> 40 ft. hrs. Pumping at 17 g.p.m. <br /> Wellhead Completion <br /> Pitless adapter manufacturer BAKER Model <br /> ❑ Casing Protection ❑ 12 in.above grade <br /> ❑ At-grade(Environmental Wells and Borings ONLY) <br /> Grouting Information Well Grouted? ❑ Yes ❑ No ® Not Specified <br /> Nearest Known Source of Contamination <br /> feet Direction Type <br /> Well disinfected upon completion? ❑ Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 12/00/1972 <br /> Manufacturer's name AERMOTOR <br /> Model Number HP 0.75 Volt <br /> Length of drop pipe 50 ft Capacity 12 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)-brown Depth to Bedrock ft <br /> Located by Minnesota Geological Survey <br /> Remarks Locate Method Digitized-scale 1:24,000 or larger(Digitizing Table) <br /> WELL LOCATION:SOUTH SIDE OF HIGHWAY 10&EAST OF PUMA <br /> System HIM-Mad83,Zone 15,Meters X 461304 Y 5009799 <br /> Unique Number Verification Address verification Inpute Date 01/01/1990 <br /> Angled Drill Hole <br /> Well Contractor <br /> Renner E.H.&Sons 27015 LEDBETTER,B. <br /> Licensee Business Lie.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 227345 Printed on 02/03/2017 <br /> HE-01205-15 <br />