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Minnesota Unique Well Number <br /> County Anoka MINNESOTA DEPARTMENT OF HEALTH <br /> WELL AND BORING REPORT Entry Date 09/30/2011 <br /> 272037 Quad Anoka Update Date 08/18/2014 <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 /> WIEHELE,DEB 32 25 W 20 BDCCAC 156 ft. 156 ft. 07/30/1974 <br /> Elevation 886 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Drill Fluid <br /> Address Use domestic Status Inactive <br /> C/W 15310 OKAPI ST NW RAMSEY MN 553037004 Well Hydrofractured? Yes ❑ No ❑ From To <br /> Casing Type Single casing Joint <br /> Stratigraphy Information Drive Shoe? Yes ❑ No ❑ Above/Below <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight Hole Diameter <br /> SAND 0 60 4 in.To 141 ft. lbs./ft. 4 in.To 156 ft. <br /> GRAVEL&CLAY 60 110 <br /> GRAVEL&CLAY 110 126 <br /> SANDROCK 126 156 <br /> Open Hole From 141 ft. To 156 ft. <br /> Screen? ❑ Type Make <br /> Static Water Level <br /> 41 ft. land surface Measure 09/30/2011 <br /> Pumping Level(below land surface) <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? ❑ 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 <br /> Manufacturer's name <br /> Model Number HP Volt <br /> Length of drop pipe ft Capacity g.p. Typ <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 Tunnel City Group Aquifer Tunnel City <br /> Last Strat Tunnel City Group Depth to Bedrock 110 ft <br /> Located by Minnesota Geological Survey <br /> Remarks Locate Method Digitization(Screen)-Map(1:12,000) <br /> GAMMA LOGGED 9-20-2011.LOGGED FOR ANOKA CO.ATLAS AND MDH. System UTM-Mad83,Zone 15,Meters X <br /> y 461922 Y 5010728 <br /> Unique Number Verification Information from InputeDate 09/30/2011 <br /> Angled Drill Hole <br /> Well Contractor <br /> Licensee Business Lie.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 272037 Printed on 02/03/2017 <br /> HE-01205-15 <br />