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Minnesota. Unique Well Number <br />County Anoka <br />409591 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 />MILLER, GARY 32 <br />25 W 30 AABBDD <br />213 ft. 213 ft. 05/21/1985 <br />Elevation 881 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 />C/W 14810 BOWERS DR NW RAMSEY MN 55303 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint <br />Drive Shoe? Yes X❑ No ❑ Above/Below <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />SAND <br />0 54 BROWN <br />4 in. To 168 ft. 10.7 lbs./ft. 6.2 in. To 168 ft. <br />CLAY <br />54 58 GRAY <br />4 in. To 213 ft. <br />CLAY & SANDSTONE <br />58 112 BROWN <br />GRAVEL <br />112 119 VARIED <br />SHALE & SANDSTONE <br />119 148 GRN/BRN <br />Open Hole From 168 ft. To 213 ft. <br />SANDSTONE & SHALE <br />148 213 <br />Screen? ❑ Type Make <br />Static Water Level <br />32 ft. land surface Measure 05/21/1985 <br />Pumping Level (below land surface) <br />38 ft. 3 hrs. Pumping at 60 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer SNAPPY Model PLASTIC <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 />Material Amount From To <br />bentonite 0 ft. 168 ft. <br />Nearest Known Source of Contamination <br />feet Direction Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 05/23/1985 <br />Manufacturer's name GRUNDFOS <br />Model Number SP4-8 HP 0.75 Volt 230 <br />Length of drop pipe 63 ft Capacity 20 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 119 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 461139 Y 5009785 <br />Unique Number Verification Information from Input Date 01/01/1990 <br />Angled Drill Hole <br />Well Contractor <br />Renner E.H. & Sons 02015 SUTTON, G. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />409591 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />