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Minnesota. Unique Well Number <br />711529 <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 01/11/2005 <br />Update Date 07/29/2008 <br />Received Date 08/13/2004 <br />Well Name Township Range Dir Section Subsection <br />MORAVETZ, 32 25 W 30 ADCAAC <br />Elevation 863 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />155 ft. 153 ft. 07/12/2004 <br />Drill Method Non -specified Rotary Drill Fluid Bentonite <br />Use domestic Status Active <br />Address <br />Well 14593 BOWERS DR NW RAMSEY MN 55303 <br />Well Hydrofractured? Yes ❑ No X From To <br />Casing Type <br />Drive Shoe? <br />Single casing Joint Glued <br />Stratigraphy Information <br />Geological Material <br />SAND & GRAVEL <br />CLAY & GRAVEL <br />SAND <br />CLAY & GRAVEL <br />SAND & SILT <br />SAND & CLAY <br />CLAY & GRAVEL <br />SAND <br />From <br />0 <br />32 <br />35 <br />48 <br />92 <br />102 <br />134 <br />140 <br />To (ft.) <br />32 <br />35 <br />48 <br />92 <br />102 <br />134 <br />140 <br />155 <br />Color <br />BROWN <br />BROWN <br />BROWN <br />BROWN <br />BROWN <br />BROWN <br />BROWN <br />BROWN <br />Hardness <br />SOFT <br />SOFT <br />SOFT <br />HARD <br />SOFT <br />SOFT <br />SOFT <br />SOFT <br />Yes ❑ No X Above/Below <br />Casing Diameter Weight Hole Diameter <br />4 in. To 142 ft. lbs./ft. 8.5 in. To 30 ft. <br />6.5 in. To 155 ft. <br />Open Hole From ft. To ft. <br />Screen? <br />X Type stainless Make JOHNSON <br />Diameter Slot/Gauze Length Set <br />2 in. 10 8 ft. 142 ft. 153 ft. <br />Static Water Level <br />30 ft. land surface Measure 07/12/2004 <br />Pumping Level (below land surface) <br />ft. 3 hrs. Pumping at 25 g.p.m. <br />Wellhead Completion <br />Pitless adapter <br />❑ Casing <br />❑ At -grade <br />manufacturer MONITOR Model SNAPPY <br />Protection X 12 in. above grade <br />(Environmental Wells and Borings ONLY) <br />Grouting Information <br />Material <br />high solids bentonite <br />cuttings <br />Well Grouted? X Yes ❑ No ❑ Not Specified <br />Amount From To <br />5 Sacks 0 ft. 30 ft. <br />30 ft. 142 ft. <br />Nearest Known <br />51 feet <br />Well disinfected <br />Source of Contamination <br />South Direction Other Type <br />upon completion? X Yes ❑ No <br />Pump <br />Manufacturer's <br />Model Number <br />Length of drop <br />❑ Not Installed Date Installed 07/19/2004 <br />name RED JACKET <br />75F211 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 <br />granted from the MDH for this well? ❑ Yes X 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 />y461251 Y 5009233 <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., Inc. 02730 BECKWORTH, D. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota We11 Index Report <br />711529 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />