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Minnesota Unique Well Number <br />MINNESOTA DEPARTMENT OF HEALTH <br />Anoka <br />County <br />Entry Date <br />10/22/1992 <br />WELL AND BORING REPORT <br />Anoka <br />Quad <br />Update Date09/21/2016 <br />454349 <br />Minnesota Statutes Chapter 1031 <br />120B <br />Quad ID <br />Received Date <br />Well NameTownshipRangeDirSectionSubsectionWell DepthDepth CompletedDate Well Completed <br />3225W30ACDD92 ft.92 ft.07/12/1989 <br />Drill Method <br />850 ft. <br />Elev. MethodNon-specified Rotary Drill Fluid <br />Elevation <br />LiDAR 1m DEM (MNDNR)Additive (+ Bentonite) <br />AddressUseStatusActive <br />domestic <br />Well Hydrofractured? <br />Well14590 BOWER DR NW RAMSEY 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 />SAND035BROWNSOFT <br />48711in. Toft.lbs./ft.6.2in. To92ft. <br />CLAY3575BROWNSOFT <br />SAND7592BROWNSOFT <br />Open Hole <br />Fromft.Toft. <br />TypestainlessMakeCOOK <br />Screen? <br />DiameterSlot/GauzeLengthSet <br />2in.157ft.87ft.92ft. <br />Static Water Level <br />30ft.land surfaceMeasure07/12/1989 <br />Pumping Level (below land surface) <br />ft.hrs.Pumping at20g.p.m. <br />Wellhead Completion <br />Pitless adapter manufacturer <br />Model <br />BAKERSNAPPY <br />Casing Protection12 in. above grade <br />At-grade (Environmental Wells and Borings ONLY) <br />Well Grouted? <br />Grouting InformationYesNoNot Specified <br />MaterialAmountFromTo <br />bentoniteft.ft. <br />Nearest Known Source of Contamination <br />Direction <br />50South <br />feetSeptic tank/drain fieldType <br />Well disinfected upon completion?YesNo <br />Pump <br />09/13/2016 <br />Not InstalledDate Installed <br />Manufacturer's name <br />GRUNDFOS <br />Model Number HP <br />0.5Volt230 <br />SQ05-160 <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 />Quat. buried <br />Last StratDepth to Bedrock <br />ft <br />sand-brown <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 />4611075009235 <br />NEW BAKER SNAPPY PITLESS 9-13-2016. <br />Unique Number VerificationInput Date <br />Info/GPS from data07/03/2008 <br />Angled Drill Hole <br />Well Contractor <br />Bill's Well Co.33087JAPP, P. <br />Licensee BusinessLic. or Reg. No.Name of Driller <br />454349 <br />Printed on 10/13/2020 <br />Minnesota Well Index Report <br />HE-01205-15 <br /> <br />