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Minnesota Unique Well Number <br />MINNESOTA DEPARTMENT OF HEALTH <br />Anoka <br />County <br />Entry Date <br />04/29/2002 <br />WELL AND BORING REPORT <br />Anoka <br />Quad <br />Update Date08/18/2014 <br />634427 <br />Minnesota Statutes Chapter 1031 <br />120B <br />Quad ID <br />Received Date <br />Well NameTownshipRangeDirSectionSubsectionWell DepthDepth CompletedDate Well Completed <br />BOYUM,3225W30DCABDB120 ft.120 ft.11/19/2001 <br />7.5 minute topographic map (+/- 5 feet) <br />Drill Method <br />862 ft. <br />Elev. MethodNon-specified Rotary Drill Fluid <br />Elevation <br />Bentonite <br />AddressUseStatusActive <br />domestic <br />Well Hydrofractured? <br />C/W14470 BOWERS DR ANOKA MN 55303 <br />Yes <br />From <br />No <br />To <br />Casing TypeSingle casingJoint <br />Welded <br />No <br />Drive Shoe?Yes <br />Stratigraphy InformationAbove/Below <br />Geological MaterialFromTo (ft.)ColorHardness <br />Casing DiameterWeightHole Diameter <br />SAND030BROWNMEDIUM <br />4110in. Toft.lbs./ft.8.7in. To30ft. <br />CLAY & STONE3080BROWNMEDIUM <br />6.5120in. Toft. <br />STONE & CLAY80100BROWNHARD <br />CLAY & ROCKS100110BROWNHARD <br />RUBBLE110120WHT/BLKHARD <br />Open Hole <br />Fromft.Toft. <br />SANDSTONE120120 <br />Typeslotted pipeMakeCERTAIN <br />Screen? <br />DiameterSlot/GauzeLengthSet <br />4in.12ft.110ft.120ft. <br />Static Water Level <br />25ft.land surfaceMeasure11/19/2001 <br />Pumping Level (below land surface) <br />ft.4hrs.Pumping at20g.p.m. <br />Wellhead Completion <br />Pitless adapter manufacturer <br />Model <br />SNAPPY <br />Casing Protection12 in. above grade <br />At-grade (Environmental Wells and Borings ONLY) <br />Well Grouted? <br />Grouting InformationYesNoNot Specified <br />MaterialAmountFromTo <br />well grouted, type unknown4Sacks0ft.30ft. <br />Nearest Known Source of Contamination <br />Direction <br />feetType <br />Well disinfected upon completion?YesNo <br />Pump <br />Not InstalledDate Installed <br />Manufacturer's name <br />STA RITE <br />HP <br />Model Number <br />0.5Volt220 <br />1/2 <br />Length of drop pipeCapacity <br />ftg.p.Typ <br />80Submersible <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 CityQuat. buried <br />Last StratDepth to Bedrock <br />ft <br />St.Lawrence-Tunnel City120 <br />Located by <br />Minnesota Department of Health <br />Remarks <br />Locate Method <br />GPS SA Off (averaged) (15 meters) <br />UTM - NAD83, Zone 15, Meters <br />SystemXY <br />4613325008940 <br />Unique Number VerificationInput Date <br />09/12/2001 <br />Angled Drill Hole <br />Well Contractor <br />Rum River Drilling27659PRAUGHT, N. <br />Licensee BusinessLic. or Reg. No.Name of Driller <br />634427 <br />Printed on 10/13/2020 <br />Minnesota Well Index Report <br />HE-01205-15 <br /> <br />