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Minnesota Unique Well Number <br />MINNESOTA DEPARTMENT OF HEALTH <br />Anoka <br />County <br />Entry Date <br />04/15/1991 <br />WELL AND BORING REPORT <br />Anoka <br />Quad <br />Update Date08/18/2014 <br />511952 <br />Minnesota Statutes Chapter 1031 <br />120B <br />Quad ID <br />Received Date01/18/1990 <br />Well NameTownshipRangeDirSectionSubsectionWell DepthDepth CompletedDate Well Completed <br />3225W30ADBBAD170 ft.170 ft.11/07/1989 <br />7.5 minute topographic map (+/- 5 feet) <br />Drill Method <br />860 ft. <br />Elev. MethodNon-specified Rotary Drill Fluid <br />Elevation <br />Bentonite <br />AddressUseStatusActive <br />domestic <br />Well Hydrofractured? <br />Well14691 BOWERS DR NW RAMSEY MN 55303 <br />Yes <br />From <br />No <br />To <br />Casing TypeSingle casingJoint <br />Threaded <br />No <br />Drive Shoe?Yes1 ft. <br />Stratigraphy InformationAbove/Below <br />Geological MaterialFromTo (ft.)ColorHardness <br />Casing DiameterWeightHole Diameter <br />SAND042BROWNSOFT <br />413411in. Toft.lbs./ft.6.2134in. Toft. <br />CLAY42122BROWNMEDIUM <br />4170in. Toft. <br />SAND ROCK W/SHALE122170GRAYHARD <br />Open Hole <br />Fromft.To170ft. <br />134 <br />TypeMake <br />Screen? <br />Static Water Level <br />28ft.land surfaceMeasure11/07/1989 <br />Pumping Level (below land surface) <br />40ft.3hrs.Pumping at35g.p.m. <br />Wellhead Completion <br />Pitless adapter manufacturer <br />Model <br />WHITEWATER <br />Casing Protection12 in. above grade <br />At-grade (Environmental Wells and Borings ONLY) <br />Well Grouted? <br />Grouting InformationYesNoNot Specified <br />MaterialAmountFromTo <br />cuttingsft.ft. <br />bentoniteft.134ft. <br />Nearest Known Source of Contamination <br />Direction <br />75Southwes <br />feetSeptic tank/drain fieldType <br />Well disinfected upon completion?YesNo <br />Pump <br />Not InstalledDate Installed11/08/1989 <br />Manufacturer's name <br />GOULDS <br />HP <br />Model Number <br />0.5Volt220 <br />Length of drop pipeCapacity <br />ftg.p.Typ <br />6012Submersible <br />Abandoned <br />Does property have any not in use and not sealed well(s)? <br />YesNo <br />Variance <br />Was a variance granted from the MDH for this well?Yes <br />No <br />Miscellaneous <br />First Bedrock <br />Aquifer <br />Tunnel City GroupTunnel City <br />Last StratDepth to Bedrock <br />ft <br />Tunnel City Group122 <br />Located by <br />Minnesota Geological Survey <br />Remarks <br />Locate Method <br />Digitization (Screen) - Map (1:24,000) (15 meters or <br />SECTION MAP. <br />UTM - NAD83, Zone 15, Meters <br />SystemXY <br />4611735009427 <br />Unique Number VerificationInput Date <br />Address verification07/03/2008 <br />Angled Drill Hole <br />Well Contractor <br />Ruppert & Son27086RUPPERT, C. <br />Licensee BusinessLic. or Reg. No.Name of Driller <br />511952 <br />Printed on 10/13/2020 <br />Minnesota Well Index Report <br />HE-01205-15 <br /> <br />