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Minnesota. Unique Well Number <br />503721 <br />County Anoka <br />Quad Anoka <br />Quad ID 120B <br />MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031 <br />Entry Date 04/15/1991 <br />Update Date 08/18/2014 <br />Received Date 10/12/1989 <br />Well Name Township Range Dir Section Subsection <br />OLSON, 32 25 W 30 AABABA <br />Elevation 882 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />221 ft. 221 ft. 08/05/1989 <br />Drill Method Non -specified Rotary Drill Fluid Bentonite <br />Use domestic Status Active <br />Address <br />Well 14840 BOWERS DR NW RAMSEY MN 55303 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type <br />Drive Shoe? <br />Single casing Joint Threaded <br />Stratigraphy Information <br />Geological Material <br />DIRT <br />SAND & GRAVEL <br />CLAY <br />GRAVEL <br />CLAY <br />GRAVEL <br />CLAY <br />SHALE & SANDROCK <br />From <br />0 <br />5 <br />37 <br />62 <br />73 <br />98 <br />103 <br />118 <br />To (ft.) <br />5 <br />37 <br />62 <br />73 <br />98 <br />103 <br />118 <br />221 <br />Color <br />BLACK <br />GRAY <br />GRAY <br />GRAY <br />VARIED <br />Hardness <br />SOFT <br />SOFT <br />MEDIUM <br />HARD <br />MEDIUM <br />HARD <br />MEDIUM <br />HARD <br />Yes X No ❑ Above/Below 1 ft. <br />Casing Diameter Weight Hole Diameter <br />4 in. To 156 ft. 11 lbs./ft. 6.2 in. To 156 ft. <br />4 in. To 221 ft. <br />Open Hole From 156 ft. To 221 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />35 ft. land surface Measure 08/05/1989 <br />Pumping Level (below land surface) <br />100 ft. 2.5 hrs. Pumping at 40 g.p.m. <br />Wellhead Completion <br />Pitless adapter <br />❑ Casing <br />❑ At -grade <br />manufacturer MONITOR Model 8PL41UC1 <br />Protection X 12 in. above grade <br />(Environmental Wells and Borings ONLY) <br />Grouting Information <br />Material <br />cuttings <br />bentonite <br />Well Grouted? X Yes ❑ No ❑ Not Specified <br />Amount From To <br />ft. ft. <br />ft. ft. <br />Nearest Known <br />63 feet <br />Well disinfected <br />Source of Contamination <br />South Direction Sewer Type <br />upon completion? X Yes ❑ No <br />Pump <br />Manufacturer's <br />Model Number <br />Length of drop <br />❑ Not Installed Date Installed 09/10/1989 <br />name LOWARA <br />11AM07412 HP 0.75 Volt 230 <br />pipe 60 ft Capacity 15 g.p. Typ Submersible <br />Abandoned <br />Does property <br />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 St.Lawrence- <br />Last Strat St.Lawrence-Tunnel City Depth to Bedrock 118 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 />y461225 Y 5009846 <br />Unique Number Verification Address verification Input Date 07/03/2008 <br />Remarks <br />SECTION MAP. <br />Angled Drill Hole <br />Well Contractor <br />Mork Well Co. 02133 AESHLIMAN, S. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota We11 Index Report <br />503721 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />