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Minnesota. Unique Well Number <br />County Anoka <br />490097 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031 <br />Entry Date 06/16/1992 <br />Update Date 08/18/2014 <br />Received Date 11/26/1991 <br />Well Name Township <br />Range Dir Section Subsection <br />Well Depth Depth Completed Date Well Completed <br />DEHEN, JOHN 32 <br />25 W 30 AACBAD <br />250 ft. 250 ft. 11/11/1991 <br />Elevation 866 ft. Elev. Method <br />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 14806 BOWERS DR NW RAMSEY MN 55303 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint Threaded <br />Drive Shoe? Yes ❑ No ❑ Above/Below 1 ft. <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />SAND & GRAVEL <br />0 34 BROWN SOFT <br />4 in. To 201 ft. 10.7 lbs./ft. 8.7 in. To 201 ft. <br />SANDY CLAY & ROCKS <br />34 81 BROWN HARD <br />4 in. To 250 ft. <br />CLAY & GRAVEL FIRM <br />81 121 RED <br />ST. LAWRENCE S.S. <br />121 171 GREEN <br />FRANCONIA S.S. <br />171 190 RED SOFT <br />Open Hole From 201 ft. To 250 ft. <br />FRANCONIA S.S. <br />190 250 GRN/RED <br />Screen? ❑ Type Make <br />Static Water Level <br />22 ft. land surface Measure 11 / 16/ 1991 <br />Pumping Level (below land surface) <br />32 ft. 3 hrs. Pumping at 40 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer BAKER Model STANDARD <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 />neat cement 100 ft. 201 ft. <br />bentonite ft. ft. <br />Nearest Known Source of Contamination <br />160 feet Northwes Direction Septic tank/drain field Type <br />Well disinfected upon completion? ❑ Yes ❑ No <br />Pump ❑ Not Installed Date Installed 11/16/1991 <br />Manufacturer's name GRUNDFOS <br />Model Number 16507-8 HP 0.75 Volt 230 <br />Length of drop pipe 42 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 ❑ No <br />Miscellaneous <br />First Bedrock St.Lawrence-Tunnel City Aquifer Tunnel City <br />Last Strat Tunnel City Group Depth to Bedrock 121 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 461154 Y 5009617 <br />Remarks <br />SECTION MAP. <br />Unique Number Verification Address verification Input Date 07/03/2008 <br />Angled Drill Hole <br />Well Contractor <br />Renner E.H. Well 71015 SCHAFER, R. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />490097 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />