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Minnesota. Unique Well Number <br />County Anoka <br />768697 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031 <br />Entry Date 10/09/2009 <br />Update Date 08/18/2014 <br />Received Date 09/08/2009 <br />Well Name Township Range <br />Dir Section Subsection <br />Well Depth Depth Completed Date Well Completed <br />OLSON, BRYAN 32 25 <br />W 30 DAAABC <br />185 ft. 185 ft. 07/10/2009 <br />Elevation 867 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 />C/W 14513 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 X❑ No ❑ Above/Below <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />BLACK DIRT 0 <br />6 BLACK SOFT <br />4 in. To 145 ft. 10.7 lbs./ft. 9 in. To 30 ft. <br />SANDY CLAY 6 <br />38 BROWN SOFT <br />7 in. To 143 ft. <br />ROCKS/CLAY/GRAVEL 38 <br />128 GRAY MEDIUM <br />4 in. To 185 ft. <br />CLAY/GRAVEL 128 <br />130 GRAY MEDIUM <br />GRAVEL/SHALE 130 <br />138 BRN/GRY MEDIUM <br />Open Hole From 143 ft. To 185 ft. <br />SANDSTONE/SHALE 138 <br />185 TAN/GRY HARD <br />Screen? ❑ Type Make <br />Static Water Level <br />21 ft. top of casing Measure 07/14/2009 <br />Pumping Level (below land surface) <br />ft. 5 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 5 Sacks 0 ft.50 ft. <br />Nearest Known Source of Contamination <br />50 feet North Direction Septic tank/drain field Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 07/16/2009 <br />Manufacturer's name GRUNDFOS <br />Model Number 16S 10-10 HP I Volt 23 <br />Length of drop pipe 63 ft Capacity 16 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 X❑ No <br />Miscellaneous <br />First Bedrock St.Lawrence-Tunnel City Aquifer St.Lawrence- <br />Last Strat St.Lawrence-Tunnel City Depth to Bedrock 130 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 461390 Y 5009037 <br />Remarks <br />REPLACEMENT WELL. <br />NAMES OF DRILLER: LUCAS PRAUGHT AND ED RENNER <br />Unique Number Verification Address verification Input Date 01/04/2010 <br />Angled Drill Hole <br />Well Contractor <br />EH Renner and Sons, Inc. 1431 SEE REMARKS <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />768697 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />