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Minnesota. Unique Well Number <br />431401 <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 />32 25 W 30 ACAADD <br />Elevation 852 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />127 ft. 127 ft. 01/13/1987 <br />Drill Method Non -specified Rotary Drill Fluid Bentonite <br />Use domestic Status Active <br />Address <br />Well 14650 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 />SANDY CLAY <br />SAND <br />CLAY <br />SHALE & SOME <br />SANDSTONE <br />From <br />0 <br />21 <br />52 <br />108 <br />120 <br />To (ft.) <br />21 <br />52 <br />108 <br />120 <br />127 <br />Color Hardness <br />BROWN MEDIUM <br />TAN SOFT <br />BROWN MEDIUM <br />BLU/TAN MEDIUM <br />TAN/WHT M.SOFT <br />Yes X No ❑ Above/Below 1 ft. <br />Casing Diameter Weight <br />4 in. To 123 ft. 11 lbs./ft. <br />Open Hole From ft. To ft. <br />Screen? <br />x Type stainless Make JOHNSON <br />Diameter Slot/Gauze Length Set <br />4 in. 15 4 ft. 123 ft. 127 ft. <br />Static Water Level <br />15 ft. land surface Measure 01/13/1987 <br />Pumping Level (below land surface) <br />25 ft. 4 hrs. Pumping at 30 g.p.m. <br />Wellhead Completion <br />Pitless adapter manufacturer WHITEWATER Model <br />❑ Casing Protection ❑ 12 in. above grade <br />❑ At -grade (Environmental Wells and Borings ONLY) <br />Grouting Information <br />Material <br />bentonite <br />cuttings <br />Well Grouted? X Yes ❑ No ❑ Not Specified <br />Amount From To <br />0 ft. 123 ft. <br />ft. ft. <br />Nearest Known <br />50 feet <br />Well disinfected <br />Source of Contamination <br />Northeas 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 01/22/1987 <br />name RED JACKET <br />50UI9BC HP 0.5 Volt 230 <br />pipe 40 ft Capacity 14 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 Tunnel City <br />Last Strat Tunnel City Group Depth to Bedrock 108 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 461035 Y 5009362 <br />Unique Number Verification Address verification Input Date 01/01/1990 <br />Remarks <br />Angled Drill Hole <br />Well Contractor <br />Ruppert & Son 27086 RUPPERT, G. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />431401 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />