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Minnesota. Unique Well Number <br />County Anoka <br />146160 Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH Entry Date 04/15/1991 <br />WELL AND BORING REPORT <br />Update Date 02/14/2014 <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 29 CCBBBB <br />156 ft. 156 ft. 11/07/1977 <br />Elevation 863 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Drill Method Non -specified Rotary Drill Fluid <br />Address <br />Use domestic Status Active <br />Well 14390 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 1 ft. <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />SAND -GRAVEL 0 <br />50 BROWN SOFT <br />4 in. To 151 ft. 12 lbs./ft. 6 in. To 151 ft. <br />CLAY -ROCK 50 <br />140 BROWN HARD <br />COARSE GRAVEL 140 <br />156 BLACK MEDIUM <br />Open Hole From ft. To ft. <br />Screen? X❑ Type stainless Make JOHNSON <br />Diameter Slot/Gauze Length Set <br />2 in. 18 5 ft. 151 ft. 150 ft. <br />Static Water Level <br />20 ft. land surface Measure 11/03/1977 <br />Pumping Level (below land surface) <br />20 ft. 2 hrs. Pumping at 20 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer Model <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. 151 ft. <br />Nearest Known Source of Contamination <br />50 feet Direction Septic tank/drain field Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 11/04/1977 <br />Manufacturer's name AERMOTOR <br />Model Number SD1250 HP 0.5 Volt 230 <br />Length of drop pipe 42 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 Aquifer Quat. buried <br />Last Strat gravel (+larger) -black 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 461546 Y 5008707 <br />Remarks <br />SOUTH 0.5 SECT. <br />Unique Number Verification Address verification Input Date 06/02/2000 <br />Angled Drill Hole <br />Well Contractor <br />Mc Alpine's Well Co. 27186 MCALPINE, G. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />146160 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />