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Minnesota. Unique Well Number <br />242411 <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 12/10/1999 <br />Update Date 01/06/2017 <br />Received Date 12/09/1999 <br />Well Name Township Range Dir Section Subsection <br />WALDOWSKI, 32 25 W 30 AACDBA <br />Elevation 871 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />178 ft. 178 ft. 08/26/1969 <br />Drill Method Non -specified Rotary Drill Fluid Bentonite <br />Use domestic Status Active <br />Address <br />Well 14743 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 To (ft.) <br />SAND 0 50 <br />CLAY 50 72 <br />CLAY & ROCKS 72 106 <br />CLAY 106 121 <br />SAND 121 149 <br />FRANCONIA 149 178 <br />Color <br />Hardness <br />Yes X No ❑ Above/Below <br />Casing Diameter Weight Hole Diameter <br />4 in. To ft. 10.7 lbs./ft. 4 in. To 178 ft. <br />Open Hole From 0 ft. To 178 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />14 ft. land surface Measure 11/17/1999 <br />Pumping Level (below land surface) <br />40 ft. 3 hrs. Pumping at 10 g.p.m. <br />Wellhead Completion <br />Pitless adapter <br />❑ Casing <br />❑ At -grade <br />manufacturer Model WELL SEAL <br />Protection X 12 in. above grade <br />(Environmental Wells and Borings ONLY) <br />Grouting Information <br />Well Grouted? ❑ Yes ❑ No X Not Specified <br />Nearest Known <br />50 feet <br />Well disinfected <br />Source of Contamination <br />West Direction Septic tank/drain field Type <br />upon completion? ❑ Yes ❑ No <br />Pump <br />Manufacturer's <br />Model Number <br />Length of drop <br />❑ Not Installed Date Installed 11/17/1999 <br />name GRUNDFOS <br />10S05-9 HP 0.5 Volt 230 <br />pipe 52 ft Capacity 10 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 <br />Last Strat Tunnel City Group Depth to Bedrock 149 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 461217 Y 5009565 <br />Unique Number Verification Input Date <br />q Address verification p 07/03/2008 <br />Remarks <br />GEOLOGY TAKEN FROM NEIGHBOR'S WELL RECORD. <br />SECTION MAP. <br />WELL DRILLED BY WOODROW TORGERSON. <br />RECORD PREPARED BY RAYMOND T. RENNER. <br />Angled Drill Hole <br />Well Contractor <br />TORGERSON, W. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota We11 Index Report <br />242411 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />