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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 />104707 <br />Minnesota Statutes Chapter 1031 <br />120B <br />Quad ID <br />Received Date <br />Well NameTownshipRangeDirSectionSubsectionWell DepthDepth CompletedDate Well Completed <br />MENTH, TOM &3225W29CCBBBC225 ft.225 ft.03/03/1975 <br />7.5 minute topographic map (+/- 5 feet) <br />Drill Method <br />863 ft. <br />Elev. MethodNon-specified Rotary Drill Fluid <br />Elevation <br />AddressUseStatusActive <br />domestic <br />Well Hydrofractured? <br />Well14370 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 />CLAY07BROWNMEDIUM <br />419411in. Toft.lbs./ft.4225in. Toft. <br />CLAY79LT. GRYMEDIUM <br />SAND & GRAVEL953BROWNSOFT <br />FINE SAND5368BROWNSOFT <br />SANDY CLAY6879RED/BRNMEDIUM <br />Open Hole <br />Fromft.To225ft. <br />194 <br />CLAY & GRAVEL79126BROWNHARD <br />TypeMake <br />Screen? <br />CLAY & GRAVEL126132BROWNMEDIUM <br />CLAY132136BROWNMEDIUM <br />CLAY & GRAVEL136160BROWNMEDIUM <br />HARDPAN & SHALE160190GRAYHARD <br />Static Water Level <br />SANDROCK190225WHT/GRYM.HARD <br />26ft.land surfaceMeasure03/03/1975 <br />Pumping Level (below land surface) <br />45ft.hrs.Pumping at30g.p.m. <br />Wellhead Completion <br />Pitless adapter manufacturer <br />Model <br />Casing Protection12 in. above grade <br />At-grade (Environmental Wells and Borings ONLY) <br />Well Grouted? <br />Grouting InformationYesNoNot Specified <br />MaterialAmountFromTo <br />bentonite0ft.194ft. <br />Nearest Known Source of Contamination <br />Direction <br />50South <br />feetSeptic tank/drain fieldType <br />Well disinfected upon completion?YesNo <br />Pump <br />Not InstalledDate Installed04/16/1975 <br />Manufacturer's name <br />FLINT & WALLING <br />HP <br />Model Number <br />0Volt <br />5BA8 <br />Length of drop pipeCapacity <br />ftg.p.Typ <br />5110Submersible <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 Group160 <br />Located by <br />Minnesota Geological Survey <br />Remarks <br />Locate Method <br />Digitization (Screen) - Map (1:24,000) (15 meters or <br />SOUTH 0.5 SECT. <br />UTM - NAD83, Zone 15, Meters <br />SystemXY <br />4615705008682 <br />Unique Number VerificationInput Date <br />Other, note in06/02/2000 <br />Angled Drill Hole <br />Well Contractor <br />Ruppert & Son27086CLARK, F. <br />Licensee BusinessLic. or Reg. No.Name of Driller <br />104707 <br />Printed on 10/13/2020 <br />Minnesota Well Index Report <br />HE-01205-15 <br /> <br />