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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 Date02/14/2014 <br />227345 <br />Minnesota Statutes Chapter 1031 <br />120B <br />Quad ID <br />Received Date <br />Well NameTownshipRangeDirSectionSubsectionWell DepthDepth CompletedDate Well Completed <br />PEARSON,3225W30AAABCA75 ft.75 ft.12/13/1972 <br />7.5 minute topographic map (+/- 5 feet) <br />Drill Method <br />883 ft. <br />Elev. Method Drill Fluid <br />Elevation <br />AddressUseStatusActive <br />domestic <br />Well Hydrofractured? <br />C/W8846 10 HY NW RAMSEY MN 55303 <br />Yes <br />From <br />No <br />To <br />Casing TypeSingle casingJoint <br />Threaded <br />No <br />Drive Shoe?Yes0 ft. <br />Stratigraphy InformationAbove/Below <br />Geological MaterialFromTo (ft.)ColorHardness <br />Casing DiameterWeight <br />SAND010BROWN <br />4in. To71ft.lbs./ft. <br />GRAVEL & SAND1015YELLOW <br />CLAY & GRAVEL1560BROWN <br />GRAVEL6075BROWN <br />Open Hole <br />Fromft.Toft. <br />TypestainlessMakeJOHNSON <br />Screen? <br />DiameterSlot/GauzeLengthSet <br />4in.204ft.ft.ft. <br />Static Water Level <br />30ft.land surfaceMeasure12/13/1972 <br />Pumping Level (below land surface) <br />40ft.hrs.Pumping at17g.p.m. <br />Wellhead Completion <br />Pitless adapter manufacturer <br />Model <br />BAKER <br />Casing Protection12 in. above grade <br />At-grade (Environmental Wells and Borings ONLY) <br />Well Grouted? <br />Grouting InformationYesNoNot Specified <br />Nearest Known Source of Contamination <br />Direction <br />feetType <br />Well disinfected upon completion?YesNo <br />Pump <br />Not InstalledDate Installed12/00/1972 <br />Manufacturer's name <br />AERMOTOR <br />HP <br />Model Number <br />0.75Volt <br />Length of drop pipeCapacity <br />ftg.p.Typ <br />5012Submersible <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 />Quat. buried <br />Last StratDepth to Bedrock <br />ft <br />gravel (+larger)-brown <br />Located by <br />Minnesota Geological Survey <br />Remarks <br />Locate Method <br />Digitized - scale 1:24,000 or larger (Digitizing Table) <br />WELL LOCATION: SOUTH SIDE OF HIGHWAY 10 & EAST OF PUMA <br />UTM - NAD83, Zone 15, Meters <br />SystemXY <br />4613045009799 <br />Unique Number VerificationInput Date <br />Address verification01/01/1990 <br />Angled Drill Hole <br />Well Contractor <br />Renner E.H. & Sons27015LEDBETTER, B. <br />Licensee BusinessLic. or Reg. No.Name of Driller <br />227345 <br />Printed on 10/13/2020 <br />Minnesota Well Index Report <br />HE-01205-15 <br /> <br />