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Minnesota. Unique Well Number <br />County Anoka <br />656104 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031 <br />Entry Date 08/01/2001 <br />Update Date 07/29/2008 <br />Received Date 03/30/2001 <br />Well Name Township Range <br />Dir Section Subsection <br />Well Depth Depth Completed Date Well Completed <br />HOWIE, JEFF & 32 25 <br />W 30 ACDAAA <br />73 ft. 73 ft. 03/01/2001 <br />Elevation 853 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 14630 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 />57 BROWN SOFT <br />4 in. To 68 ft. 1.9 lbs./ft. 6.5 in. To 73 ft. <br />CLAY & GRAVEL 57 <br />67 BROWN MEDIUM <br />GRAVEL 67 <br />73 BROWN SOFT <br />CLAY & GRAVEL 73 <br />73 BROWN 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. 68 ft. 73 ft. <br />Static Water Level <br />25 ft. land surface Measure 03/01/2001 <br />Pumping Level (below land surface) <br />68 ft. 2 hrs. Pumping at 20 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer MONITOR Model BULLDOG <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. 68 ft. <br />Nearest Known Source of Contamination <br />35 feet West Direction Septic tank/drain field Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 03/02/2001 <br />Manufacturer's name AERMOTOR <br />Model Number T12-50 HP 0.5 Volt 230 <br />Length of drop pipe 50 ft Capacity 10 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. buried <br />Last Strat pebbly sand/silt/clay- 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 5009275 <br />Remarks <br />MISSISSIPPI ACRES LOT 15. <br />SECTION MAP. <br />Unique Number Verification Input Date <br />q Address verification p 07/03/2008 <br />Angled Drill Hole <br />Well Contractor <br />McAlpine Bros., Inc. 27270 GOODIN, G. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />656104 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />