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Minnesota. Unique Well Number <br />133390 <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 <br />Well Name Township Range Dir Section Subsection <br />GANDRUD, 32 25 W 30 AABCBA <br />Elevation 875 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />190 ft. 190 ft. 03/17/1978 <br />Drill Method Non -specified Rotary Drill Fluid <br />Use domestic Status Active <br />Address <br />C/W 14820 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 From <br />GRAVEL 0 <br />CLAY & GRAVEL 69 <br />SHALE & SANDSTONE 138 <br />SHALE & SANDSTONE 154 <br />To (ft.) <br />69 <br />138 <br />154 <br />190 <br />Color <br />DARK <br />RED <br />VARIED <br />VARIED <br />Hardness <br />Yes ❑ No X Above/Below 1 ft. <br />Casing Diameter Weight Hole Diameter <br />4 in. To 162 ft. 10.7 lbs./ft. 4 in. To 190 ft. <br />Open Hole From 162 ft. To 190 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />39 ft. land surface Measure 03/17/1978 <br />Pumping Level (below land surface) <br />ft. 3 hrs. Pumping at 30 g.p.m. <br />Wellhead Completion <br />Pitless adapter <br />❑ Casing <br />❑ At -grade <br />manufacturer Model <br />Protection X 12 in. above grade <br />(Environmental Wells and Borings ONLY) <br />Grouting Information <br />Material <br />bentonite <br />Well Grouted? X Yes ❑ No ❑ Not Specified <br />Amount From To <br />ft. ft. <br />Nearest Known <br />feet <br />Well disinfected <br />Source of Contamination <br />Direction Type <br />upon completion? X Yes ❑ No <br />Pump <br />Manufacturer's <br />Model Number <br />Length of drop <br />❑ Not Installed Date Installed 03/17/1978 <br />name JACUZZI <br />7S4M12-S/2 HP 0.75 Volt 230 <br />pipe 72 ft Capacity 12 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 Tunnel City Group Aquifer Tunnel City <br />Last Strat Tunnel City Group Depth to Bedrock 138 ft <br />Located by Minnesota Geological Survey <br />Locate Method Digitized - scale 1:24,000 or larger (Digitizing Table) <br />System UTM - NAD83, Zone 15, Meters X 461103 Y 5009747 <br />Unique Number Verification Name on mailbox Input Date 01/01/1990 <br />Remarks <br />Angled Drill Hole <br />Well Contractor <br />Renner E.H. & Sons 27015 WOLTERS, P. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />133390 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />