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Minnesota. Unique Well Number <br />County Anoka <br />672386 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH Entry Date 12/30/2002 <br />WELL AND BORING REPORT <br />Update Date 07/29/2008 <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 />KLABOUGH, 32 25 <br />W 30 ACAADD <br />70 ft. 70 ft. 05/20/2002 <br />Elevation 849 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 14660 BOWERS DR NW <br />RAMSEY MN 55303 <br />Well Hydrofractured? Yes ❑ No ❑X From To <br />Casing Type Single casing Joint <br />Drive Shoe? Yes ❑ No ❑X Above/Below <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />SAND 0 <br />8 BROWN SOFT <br />4 in. To 65 ft. 1.9 lbs./ft. 6.5 in. To 70 ft. <br />GRAVEL, ROCKS 8 <br />52 BROWN SOFT <br />CLAY 52 <br />54 BROWN MEDIUM <br />GRAVEL, ROCKS 54 <br />70 BROWN SOFT <br />CLAY 70 <br />70 GRAY MEDIUM <br />Open Hole From ft. To ft. <br />Screen? X❑ Type stainless Make JOHNSON <br />Diameter Slot/Gauze Length Set <br />2 in. 12 5 ft. 65 ft. 70 ft. <br />Static Water Level <br />14 ft. land surface Measure 05/20/2002 <br />Pumping Level (below land surface) <br />65 ft. 2 hrs. Pumping at 30 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer MONITOR Model <br />❑ Casing Protection ❑X 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 />high solids bentonite 0.17 Cubic yards 0 ft. 30 ft. <br />cuttings 30 ft. 65 ft. <br />Nearest Known Source of Contamination <br />40 feet East Direction Septic tank/drain field Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 09/04/2002 <br />Manufacturer's name AERMOTOR <br />Model Number T12-75 HP 0.75 Volt 230 <br />Length of drop pipe 40 ft Capacity 15 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 0 No <br />Miscellaneous <br />First Bedrock Aquifer Quat. Water <br />Last Strat clay -gray Depth to Bedrock 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 461066 Y 5009376 <br />Remarks <br />SECTION MAP. <br />Unique Number Verification Address verification Input Date 07/03/2008 <br />Angled Drill Hole <br />Well Contractor <br />Mc Alpine Brothers 27636 MCALPINE, B. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />672386 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />