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Minnesota Unique Well Number <br />1 510517 <br />A County Anoka <br />Quad Nowthen <br />Quad ID 136C <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 01/12/1990 <br />Well Name Township Range Dir Section Subsection <br />BECKER, 32 25 W 9 ABBBDA <br />Elevation 910 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />170 ft. 170 ft. 01/04/1990 <br />Drill Method Cable Tool Drill Fluid <br />Use domestic Status Active <br />Address <br />C/W 17295 VARIOLITE ST NW ANOKA MN <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 <br />ROCKS <br />HARDPAN <br />SANDROCK <br />SANDROCK <br />SHALE <br />From <br />0 <br />40 <br />68 <br />71 <br />98 <br />119 <br />160 <br />To (ft.) <br />40 <br />68 <br />71 <br />98 <br />119 <br />160 <br />170 <br />Color <br />BROWN <br />BROWN <br />BROWN <br />BROWN <br />GREEN <br />GREEN <br />GREEN <br />Hardness <br />SOFT <br />MEDIUM <br />HARD <br />HARD <br />SOFT <br />HARD <br />HARD <br />Yes 1n No ❑ Above/Below 1 ft. <br />Casing Diameter Weight <br />4 in. To 120 ft. 11 lbs./ft. <br />Open Hole From 120 ft. To 170 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />25 ft. land surface Measure 01/04/1990 <br />Pumping Level (below land surface) <br />50 ft. 2 hrs. Pumping at 40 g.p.m. <br />Wellhead Completion <br />Pitless adapter <br />❑ Casing <br />❑ At -grade <br />manufacturer WHITEWATER Model <br />Protection X 12 in. above grade <br />(Environmental Wells and Borings ONLY) <br />Grouting Information <br />Well Grouted? ❑ Yes ❑ No 13 Not Specified <br />Nearest Known <br />75 feet <br />Well disinfected <br />Source of Contamination <br />East 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 01/11/1990 <br />name FLINT AND WALLING <br />HP 0.5 Volt 230 <br />pipe 42 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 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 98 ft <br />Located by Minnesota Geological Survey <br />Locate Method GPS SA Off (averaged) (15 meters) <br />System UTM - NAD83, Zone 15, Meters X 464005 Y 5014639 <br />Unique Number Verification Address verification Input Date 01/04/2010 <br />Remarks <br />Angled Drill Hole <br />Well Contractor <br />Torgerson, Art & Son 02203 PITTMAN, H <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />510517 <br />Printed on 07/13/2021 <br />HE-01205-15 <br />