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Minnesota. Unique Well Number <br />County Anoka <br />454349 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH Entry Date 10/22/1992 <br />WELL AND BORING REPORT <br />Update Date 09/21/2016 <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 />32 25 <br />W 30 ACDD <br />92 ft. 92 ft. 07/12/1989 <br />Elevation 850 ft. Elev. Method L1DAR <br />lm DEM (MNDNR) <br />Drill Method Non -specified Rotary Drill Fluid Additive (+ Bentonite) <br />Address <br />Use domestic Status Active <br />Well 14590 BOWER DR NW RAMSEY 55303 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint Threaded <br />Drive Shoe? Yes ❑ No ❑X Above/Below 1 ft. <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />SAND 0 <br />35 BROWN SOFT <br />4 in. To 87 ft. 11 lbs./ft. 6.2 in. To 92 ft. <br />CLAY 35 <br />75 BROWN SOFT <br />SAND 75 <br />92 BROWN SOFT <br />Open Hole From ft. To ft. <br />Screen? X❑ Type stainless Make COOK <br />Diameter Slot/Gauze Length Set <br />2 in. 15 7 ft. 87 ft. 92 ft. <br />Static Water Level <br />30 ft. land surface Measure 07/12/1989 <br />Pumping Level (below land surface) <br />ft. hrs. Pumping at 20 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer BAKER Model SNAPPY <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 ft. 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 09/13/2016 <br />Manufacturer's name GRUNDFOS <br />Model Number S 05-160 HP 0.5 Volt 230 <br />Length of drop pipe 60 ft Capacity 12 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 sand -brown 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 461107 Y 5009235 <br />Remarks <br />SECTION MAP. <br />NEW BAKER SNAPPY PITLESS 9-13-2016. <br />Unique Number Verification Info/GPS from data Input Date 07/03/2008 <br />Angled Drill Hole <br />Well Contractor <br />Bill's Well Co. 33087 JAPP, P. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />454349 <br />Printed on 1on3i2o2o <br />HE-01205-15 <br />