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Minnesota. Unique Well Number <br />County Anoka <br />155281 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 />LUKE, TERRY 32 25 <br />W 29 CCCDDD <br />248 ft. 248 ft. 10/24/1978 <br />Elevation 866 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Drill Method Non -specified Rotary Drill Fluid <br />Address <br />Use domestic Status Active <br />Well 14200 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 ❑ No ❑ Above/Below <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />SAND 0 <br />80 <br />4 in. To 186 ft. lbs./ft. 4 in. To 248 ft. <br />GRAVEL 80 <br />130 <br />CLAY 130 <br />150 <br />SANDROCK 150 <br />186 <br />ROCK 186 <br />248 <br />Open Hole From 186 ft. To 248 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />30 ft. land surface Measure 10/24/1978 <br />Pumping Level (below land surface) <br />40 ft. 3 hrs. Pumping at 30 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer 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 />Nearest Known Source of Contamination <br />feet Direction Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 10/27/1978 <br />Manufacturer's name AERMOTOR <br />Model Number HP 0.5 Volt <br />Length of drop pipe 54 ft Capacity 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 150 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 461846 Y 5008333 <br />Remarks <br />BOWERS MISS. ACRES BLK 1 LOT 8. SOUTH 0.5 SECT. <br />Unique Number Verification Address verification Input Date 06/02/2000 <br />Angled Drill Hole <br />Well Contractor <br />Torgerson Well Co. 27056 OTTEN, D. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />155281 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />