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Minnesota. Unique Well Number <br />656433 <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 11/07/2001 <br />Update Date 08/18/2014 <br />Received Date 07/18/2001 <br />Well Name Township Range Dir Section Subsection <br />NASH, STEVE & 32 25 W 30 DBCDBD <br />Elevation 865 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />175 ft. 175 ft. 01/28/2001 <br />Drill Method Non -specified Rotary Drill Fluid Bentonite <br />Use domestic Status Active <br />Address <br />C/W 14500 BOWERS DR RAMSEY MN 55303 <br />Well Hydrofractured? Yes ❑ No X From To <br />Casing Type <br />Drive Shoe? <br />Single casing Joint Threaded <br />Stratigraphy Information <br />Geological Material <br />SAND/CLAY <br />SAND <br />ROCKS/GRAVEL <br />CLAY/GRAVEL <br />SHALE <br />SANDSTONE <br />From <br />0 <br />30 <br />50 <br />80 <br />137 <br />150 <br />To (ft.) <br />30 <br />50 <br />80 <br />137 <br />150 <br />175 <br />Color Hardness <br />BROWN <br />BROWN <br />BROWN HARD <br />BROWN <br />GREEN MEDIUM <br />WHT/BRN M.HARD <br />Yes X No ❑ Above/Below <br />Casing Diameter Weight Hole Diameter <br />4 in. To 147 ft. 11 lbs./ft. 8 in. To 136 ft. <br />4 in. To 175 ft. <br />Open Hole From 136 ft. To 175 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />25 ft. land surface Measure 01/28/2001 <br />Pumping Level (below land surface) <br />175 ft. 1 hrs. Pumping at 50 g.p.m. <br />Wellhead Completion <br />Pitless adapter <br />❑ Casing <br />❑ At -grade <br />manufacturer SNAPPY Model 1INCH <br />Protection X 12 in. above grade <br />(Environmental Wells and Borings ONLY) <br />Grouting Information <br />Material <br />high solids bentonite <br />Well Grouted? X Yes ❑ No ❑ Not Specified <br />Amount From To <br />3 Sacks 0 ft. 40 ft. <br />Nearest Known <br />52 feet <br />Well disinfected <br />Source of Contamination <br />Southwes 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 02/07/2001 <br />name MYERS <br />2 WIRE HP 0.75 Volt 230 <br />pipe 60 ft Capacity 12 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 Tunnel City Group Aquifer Tunnel City <br />Last Strat Tunnel City Group Depth to Bedrock 137 ft <br />Located by Minnesota Department of Health <br />Locate Method GPS SA Off (averaged) (15 meters) <br />System UTM - NAD83, Zone 15, Meters X 461280 Y 5009048 <br />Unique Number Verification Input Date 01/30/2001 <br />Remarks <br />Angled Drill Hole <br />Well Contractor <br />Barott B. Well Co. 02566 BAROTT, B. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota We11 Index Report <br />656433 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />