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Minnesota. Unique Well Number <br />County Anoka <br />114352 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH Entry Date 04/15/1991 <br />WELL AND BORING REPORT <br />Update Date 08/18/2014 <br />Minnesota Statutes Chapter 1031 <br />Received Date <br />Well Name Township Range <br />Dir Section Subsection <br />Well Depth Depth Completed Date Well Completed <br />PEARSON, 32 25 <br />W 19 DDCCBD <br />176 ft. 176 ft. 12/09/1975 <br />Elevation 877 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Drill Method Cable Tool Drill Fluid <br />Address <br />Use domestic Status Active <br />Well 8964 10 HY NW ANOKA MN 55303 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint Welded <br />Drive Shoe? Yes X❑ No ❑ Above/Below <br />Stratigraphy Information <br />Casing Diameter Weight <br />Geological Material From To (ft.) Color Hardness <br />SAND 0 <br />55 BROWN <br />4 in. To 134 ft. 10.7 lbs./ft. <br />SAND 55 <br />88 GRAY <br />GRAVEL 88 <br />95 BROWN <br />SANDSTONE 95 <br />136 YELLOW SOFT <br />SANDSTONE 136 <br />155 WHITE HARD <br />Open Hole From 134 ft. To 176 ft. <br />SANDSTONE & SHALE 155 <br />176 BLUE <br />Screen? ❑ Type Make <br />Static Water Level <br />40 ft. land surface Measure 09/ 12/ 1975 <br />Pumping Level (below land surface) <br />50 ft. 3 hrs. Pumping at 20 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer BAKER Model <br />❑ Casing Protection ❑X 12 in. above grade <br />❑ At -grade (Environmental Wells and Borings ONLY) <br />Grouting Information Well Grouted? ❑ Yes ❑ No ❑ Not Specified <br />Nearest Known Source of Contamination <br />feet Direction Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 12/10/1975 <br />Manufacturer's name RED JACKET <br />Model Number BVC 751 HP 0.75 Volt 230 <br />Length of drop pipe 63 ft Capacity 12 g•p• Typ Submersible <br />Abandoned <br />Does property have any not in use and not sealed well(s)? ❑ Yes ❑ 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 95 ft <br />Located by Minnesota Geological Survey <br />Locate Method Digitized - scale 1:24,000 or larger (Digitizing Table) <br />System UTM - NAD83 Zone 15 Meters X <br />y 461100 Y 5009915 <br />Remarks <br />SCREEN SET AT 95 FT. PRODUCED 3 GPM. <br />Unique Number Verification Input Date 01/01/1990 <br />Angled Drill Hole <br />Well Contractor <br />Renner E.H. & Sons 27015 <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />114352 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />