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Minnesota. Unique Well Number <br />County Anoka <br />511952 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031 <br />Entry Date 04/15/1991 <br />Update Date 08/18/2014 <br />Received Date 01/18/1990 <br />Well Name Township Range <br />Dir Section Subsection <br />Well Depth Depth Completed Date Well Completed <br />32 25 <br />W 30 ADBBAD <br />170 ft. 170 ft. 11/07/1989 <br />Elevation 860 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Drill Method Non -specified Rotary Drill Fluid Bentonite <br />Address <br />Use domestic Status Active <br />Well 14691 BOWERS DR NW <br />RAMSEY MN 55303 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint Threaded <br />Drive Shoe? Yes X❑ No ❑ Above/Below 1 ft. <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />SAND 0 <br />42 BROWN SOFT <br />4 in. To 134 ft. 11 lbs./ft. 6.2 in. To 134 ft. <br />CLAY 42 <br />122 BROWN MEDIUM <br />4 in. To 170 ft. <br />SAND ROCK W/SHALE 122 <br />170 GRAY HARD <br />Open Hole From 134 ft. To 170 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />28 ft. land surface Measure 11/07/1989 <br />Pumping Level (below land surface) <br />40 ft. 3 hrs. Pumping at 35 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer WHITEWATER Model <br />❑ Casing Protection ❑ 12 in. above grade <br />❑ At -grade (Environmental Wells and Borings ONLY) <br />Grouting Information Well Grouted? X❑ Yes ❑ No ❑ Not Specified <br />Material Amount From To <br />cuttings ft. ft. <br />bentonite ft. 134 ft. <br />Nearest Known Source of Contamination <br />75 feet Southwes Direction Septic tank/drain field Type <br />Well disinfected upon completion? ❑ Yes ❑ No <br />Pump ❑ Not Installed Date Installed 11/08/1989 <br />Manufacturer's name GOULD S <br />Model Number HP 0.5 Volt 220 <br />Length of drop pipe 60 ft Capacity 12 g•p• Typ Submersible <br />Abandoned <br />Does property have any not in use and not sealed well(s)? ❑ Yes ❑X No <br />Variance <br />Was a variance granted from the MDH for this well? ❑ Yes ❑ No <br />Miscellaneous <br />First Bedrock Tunnel City Group Aquifer Tunnel City <br />Last Strat Tunnel City Group Depth to Bedrock 122 ft <br />Located by Minnesota Geological Survey <br />Locate Method Digitization (Screen) -Map (1:24,000) (15 meters or <br />System UTM - NAD83 Zone 15 Meters X <br />y 461173 Y 5009427 <br />Remarks <br />SECTION MAP. <br />Unique Number Verification Address verification Input Date 07/03/2008 <br />Angled Drill Hole <br />Well Contractor <br />Ruppert & Son 27086 RUPPERT, C. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />511952 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />