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Minnesota Unique Well Number <br />County Anoka <br />Quad Anoka <br />Quad ID 120B <br />272037 <br />MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031 <br />Entry Date 09/30/2011 <br />Update Date 08/18/2014 <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 />Remarks <br />GAMMA LOGGED 9-20-2011. LOGGED FOR ANOKA CO. ATLAS AND MDH. <br />Minnesota Well Index Report <br />Open Hole <br />Screen? <br />From 141 ft. To 156 ft. <br />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 ❑ <br />Miscellaneous <br />First Bedrock <br />Last Strat <br />Located by <br />Locate Method <br />System <br />Tunnel City Group <br />Tunnel City Group <br />Minnesota Geological Survey <br />Digitization (Screen) - Map (1:12,000) <br />UTM - Mad83, Zone 15, Meters X 461922 Y 5010728 <br />Unique Number Verification <br />Angled Drill Hole <br />Well Contractor <br />Licensee Business <br />272037 <br />No <br />Aquifer Tunnel City <br />Depth to Bedrock 110 ft <br />Information from lnpute Date 09/30/2011 <br />Lic. or Reg. No. Name of Driller <br />Printed on 02/03/2017 <br />HE-01205-15 <br />