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Minnesota. Unique Well Number <br />County Anoka <br />417963 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 <br />Range Dir Section Subsection <br />Well Depth Depth Completed Date Well Completed <br />32 <br />25 W 30 ADBBBC <br />170 ft. 170 ft. 01/13/1986 <br />Elevation 850 ft. Elev. Method <br />7.5 minute topographic map (+/- 5 feet) <br />Drill Method Non -specified Rotary Drill Fluid <br />Address <br />Use domestic Status Active <br />Well 14670 BOWERS DR NW ANOKA 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 />TOP SOIL <br />0 6 BLK/BRN SOFT <br />4 in. To 124 ft. 12 lbs./ft. 6 in. To 124 ft. <br />SAND & GRAVEL <br />6 40 BROWN MEDIUM <br />4 in. To 170 ft. <br />SILTY SAND <br />40 58 BROWN SOFT <br />CLAY & ROCK <br />58 96 BROWN HARD <br />SHALE & SANDROCK <br />96 122 GRN/WHT MEDIUM <br />Open Hole From 124 ft. To 170 ft. <br />SHALE & SANDROCK <br />122 147 GRN/RED HARD <br />Screen? ❑ Type Make <br />SANDROCK 147 170 WHITE HARD <br />Static Water Level <br />10 ft. land surface Measure 01/13/1986 <br />Pumping Level (below land surface) <br />10 ft. 2 hrs. Pumping at 40 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer WHITEWATER Model SU6.5 <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 />bentonite 0 ft. 124 ft. <br />Nearest Known Source of Contamination <br />75 feet East Direction Septic tank/drain field Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 01/15/1986 <br />Manufacturer's name AERMOTOR <br />Model Number SD1250 HP 0.5 Volt 230 <br />Length of drop pipe 40 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 St.Lawrence-Tunnel City Aquifer Tunnel City <br />Last Strat Tunnel City Group Depth to Bedrock 96 ft <br />Located by Minnesota Geological Survey <br />Locate Method Digitized - scale 1:24,000 or larger (Digitizing Table) <br />Remarks <br />System UTM - NAD83, Zone 15, Meters X 461067 Y 5009429 <br />Unique Number Verification Information from Input Date 01/01/1990 <br />Angled Drill Hole <br />Well Contractor <br />Mc Alpine's Well Co. 27186 MCALPINE, T. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />417963 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />