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Minnesota. Unique Well Number <br />County Anoka <br />541778 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH Entry Date 08/05/1997 <br />WELL AND BORING REPORT <br />Update Date 02/14/2014 <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 30 AABACD <br />66 ft. 66 ft. 08/24/1994 <br />Elevation 883 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 8846 10 SH W RAMSEY <br />MN 55303 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint Threaded <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 />23 BROWN SOFT <br />4 in. To 63 ft. 10.7 lbs./ft. 8.7 in. To 30 ft. <br />CLAY & ROCKS 23 <br />43 BROWN SOFT <br />6.2 in. To 66 ft. <br />SAND 43 <br />66 GRAY SOFT <br />CLAY FIRM 66 <br />66 GRAY <br />Open Hole From ft. To ft. <br />Screen? X❑ Type stainless Make JOHNSON 304 <br />Diameter Slot/Gauze Length Set <br />4.5 in. 18 4 ft. 62 ft. 66 ft. <br />Static Water Level <br />28 ft. land surface Measure 08/24/1994 <br />Pumping Level (below land surface) <br />48 ft. 3 hrs. Pumping at 40 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer BAKER Model SNAPPY <br />X❑ 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 />bentonite 0.8 Cubic yards ft. 60 ft. <br />Nearest Known Source of Contamination <br />50 feet South Direction Septic tank/drain field Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 01/10/1994 <br />Manufacturer's name RED JACKET <br />Model Number 1 OOCNS 1- HP 1 Volt .230 <br />Length of drop pipe 42 ft Capacity 18 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 Aquifer Quat. buried <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 />Remarks <br />System UTM - NAD83, Zone 15, Meters X 461347 Y 5009793 <br />Unique Number Verification Address verification Input Date 07/03/2008 <br />Angled Drill Hole <br />Well Contractor <br />Renner E.H. Well 71015 SCHAFFER, R. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />541778 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />