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Minnesota. Unique Well Number <br />104707 <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 />MENTH, TOM & 32 25 W 29 CCBBBC <br />Elevation 863 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />225 ft. 225 ft. 03/03/1975 <br />Drill Method Non -specified Rotary Drill Fluid <br />Use domestic Status Active <br />Address <br />Well 14370 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 />CLAY <br />CLAY <br />SAND & GRAVEL <br />FINE SAND <br />SANDY CLAY <br />CLAY & GRAVEL <br />CLAY & GRAVEL <br />CLAY <br />CLAY & GRAVEL <br />HARDPAN & SHALE <br />SANDROCK <br />From <br />0 <br />7 <br />9 <br />53 <br />68 <br />79 <br />126 <br />132 <br />136 <br />160 <br />190 <br />To (ft.) <br />7 <br />9 <br />53 <br />68 <br />79 <br />126 <br />132 <br />136 <br />160 <br />190 <br />225 <br />Color Hardness <br />BROWN MEDIUM <br />LT. GRY MEDIUM <br />BROWN SOFT <br />BROWN SOFT <br />RED/BRN MEDIUM <br />BROWN HARD <br />BROWN MEDIUM <br />BROWN MEDIUM <br />BROWN MEDIUM <br />GRAY HARD <br />WHT/GRY M.HARD <br />Yes X No ❑ Above/Below 1 ft. <br />Casing Diameter Weight Hole Diameter <br />4 in. To 194 ft. 11 lbs./ft. 4 in. To 225 ft. <br />Open Hole From 194 ft. To 225 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />26 ft. land surface Measure 03/03/1975 <br />Pumping Level (below land surface) <br />45 ft. hrs. Pumping at 30 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. 194 ft. <br />Nearest Known <br />50 feet <br />Well disinfected <br />Source of Contamination <br />South 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 04/16/1975 <br />name FLINT & WALLING <br />5BA8 HP 0 Volt <br />pipe 51 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 Tunnel City <br />Last Strat Tunnel City Group Depth to Bedrock 160 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 <br />y461570 Y 5008682 <br />Unique Number Verification Other, note in Input Date 06/02/2000 <br />Remarks <br />SOUTH 0.5 SECT. <br />Angled Drill Hole <br />Well Contractor <br />Ruppert & Son 27086 CLARK, F. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota We11 Index Report <br />104707 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />