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Minnesota. Unique Well Number <br />162802 <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 02/14/2014 <br />Received Date <br />Well Name Township Range Dir Section Subsection <br />KUSS, GENE 32 25 W 30 AACCCA <br />Elevation 855 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />130 ft. 130 ft. 08/03/1979 <br />Drill Method Non -specified Rotary Drill Fluid <br />Use domestic Status Active <br />Address <br />C/W 14710 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 />SAND <br />CLAY & ROCK <br />CLAY <br />FINE SAND <br />COARSE SAND <br />From <br />0 <br />15 <br />70 <br />105 <br />120 <br />To (ft.) <br />15 <br />70 <br />105 <br />120 <br />130 <br />Color <br />BROWN <br />BROWN <br />GRAY <br />RED <br />YELLOW <br />Hardness <br />SOFT <br />MEDIUM <br />HARD <br />SOFT <br />MEDIUM <br />Yes X No ❑ Above/Below 1 ft. <br />Casing Diameter Weight Hole Diameter <br />4 in. To 125 ft. 12 lbs./ft. 6 in. To 125 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. 5 ft. 125 ft. 130 ft. <br />Static Water Level <br />20 ft. land surface Measure 08/03/1979 <br />Pumping Level (below land surface) <br />20 ft. 3 hrs. Pumping at 20 g.p.m. <br />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 <br />Material <br />bentonite <br />Well Grouted? X Yes ❑ No ❑ Not Specified <br />Amount From To <br />0 ft. 125 ft. <br />Nearest Known <br />50 feet <br />Well disinfected <br />Source of Contamination <br />Direction Septic tank/drain field Type <br />upon completion? X Yes ❑ No <br />Pump <br />Manufacturer's <br />Model Number <br />Length of drop <br />❑ Not Installed Date Installed 08/06/1979 <br />name AERMOTOR <br />SD 1250 HP 0.5 Volt 230 <br />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 sand -yellow Depth to Bedrock 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 461097 Y 5009517 <br />Unique Number Verification Address verification Input Date 01/01/1990 <br />Remarks <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 />162802 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />