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Minnesota. Unique Well Number <br />490097 <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 06/16/1992 <br />Update Date 08/18/2014 <br />Received Date 11/26/1991 <br />Well Name Township Range Dir Section Subsection <br />DEHEN, JOHN 32 25 W 30 AACBAD <br />Elevation 866 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />250 ft. 250 ft. 11/11/1991 <br />Drill Method Non -specified Rotary Drill Fluid Bentonite <br />Use domestic Status Active <br />Address <br />Well 14806 BOWERS DR NW RAMSEY MN 55303 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint Threaded <br />Drive Shoe? Yes ❑ No ❑ Above/Below 1 ft. <br />Stratigraphy Information <br />Geological Material <br />SAND & GRAVEL <br />SANDY CLAY & ROCKS <br />CLAY & GRAVEL FIRM <br />ST. LAWRENCE S.S. <br />FRANCONIA S.S. <br />FRANCONIA S.S. <br />From <br />0 <br />34 <br />81 <br />121 <br />171 <br />190 <br />To (ft.) <br />34 <br />81 <br />121 <br />171 <br />190 <br />250 <br />Color <br />BROWN <br />BROWN <br />RED <br />GREEN <br />RED <br />GRN/RED <br />Hardness <br />SOFT <br />HARD <br />SOFT <br />Casing Diameter Weight Hole Diameter <br />4 in. To 201 ft. 10.7 lbs./ft. 8.7 in. To 201 ft. <br />4 in. To 250 ft. <br />Open Hole From 201 ft. To 250 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />22 ft. land surface Measure 11/16/1991 <br />Pumping Level (below land surface) <br />32 ft. 3 hrs. Pumping at 40 g.p.m. <br />Wellhead Completion <br />Pitless adapter <br />❑ Casing <br />❑ At -grade <br />manufacturer BAKER Model STANDARD <br />Protection X 12 in. above grade <br />(Environmental Wells and Borings ONLY) <br />Grouting Information <br />Material <br />neat cement <br />bentonite <br />Well Grouted? X Yes ❑ No ❑ Not Specified <br />Amount From To <br />100 ft. 201 ft. <br />ft. ft. <br />Nearest Known <br />160 feet <br />Well disinfected <br />Source of Contamination <br />Northwes 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 11/16/1991 <br />name GRUNDFOS <br />16S07-8 HP 0.75 Volt 230 <br />pipe 42 ft Capacity 16 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 121 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 />y461154 Y 5009617 <br />Unique Number Verification Address verification Input Date 07/03/2008 <br />Remarks <br />SECTION MAP. <br />Angled Drill Hole <br />Well Contractor <br />Renner E.H. Well 71015 SCHAFER, R. <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota We11 Index Report <br />490097 <br />Printed on 10/13/2020 <br />HE-01205-15 <br />