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Minnesota Unique Well Number <br />MINNESOTA DEPARTMENT OF HEALTH <br />Anoka <br />County <br />Entry Date <br />11/25/2008 <br />WELL AND BORING REPORT <br />Anoka <br />Quad <br />Update Date08/18/2014 <br />256060 <br />Minnesota Statutes Chapter 1031 <br />120B <br />Quad ID <br />Received Date <br />Well NameTownshipRangeDirSectionSubsectionWell DepthDepth CompletedDate Well Completed <br />LAWRENCE, JIM3225W30ACBABA186 ft.186 ft.00/00/1972 <br />7.5 minute topographic map (+/- 5 feet) <br />Drill Method <br />863 ft. <br />Elev. Method Drill Fluid <br />Elevation <br />Bentonite <br />AddressUseStatusActive <br />unknown <br />Well Hydrofractured? <br />Well14720 BOWERS DR NW RAMSEY MN <br />Yes <br />From <br />No <br />To <br />Casing TypeJoint <br />No <br />Drive Shoe?Yes <br />Stratigraphy InformationAbove/Below <br />Geological MaterialFromTo (ft.)ColorHardness <br />Casing DiameterWeightHole Diameter <br />SAND050 <br />413010.7in. Toft.lbs./ft.6.2130in. Toft. <br />HARD PAN50112 <br />4186in. Toft. <br />CLAY & ROCKS112186 <br />Open Hole <br />Fromft.To186ft. <br />130 <br />TypeMake <br />Screen? <br />Static Water Level <br />40ft.land surfaceMeasure00/00/1972 <br />Pumping Level (below land surface) <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 />Nearest Known Source of Contamination <br />Direction <br />50West <br />feetSeptic tank/drain fieldType <br />Well disinfected upon completion?YesNo <br />Pump <br />Not InstalledDate Installed00/00/1972 <br />Manufacturer's name <br />AY MCDONALD <br />HP <br />Model Number <br />0.5Volt230 <br />Length of drop pipeCapacity <br />ftg.p.Typ <br />6310 <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 />St.Lawrence-Tunnel CitySt.Lawrence- <br />Last StratDepth to Bedrock <br />ft <br />St.Lawrence-Tunnel City112 <br />Located by <br />Minnesota Geological Survey <br />Remarks <br />Locate Method <br />GPS SA Off (averaged) (15 meters) <br />LOT 39 E. V. BUILDERS JOB # 68 <br />UTM - NAD83, Zone 15, Meters <br />SystemXY <br />4611505009540 <br />Unique Number VerificationInput Date <br />Address verification01/04/2010 <br />Angled Drill Hole <br />Well Contractor <br />Torgerson Well Co.27056 <br />Licensee BusinessLic. or Reg. No.Name of Driller <br />256060 <br />Printed on 10/13/2020 <br />Minnesota Well Index Report <br />HE-01205-15 <br /> <br />