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Minnesota Unique Well Number <br />1 471736 <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 10/25/1992 <br />Update Date 03/03/2017 <br />Received Date 12/20/1990 <br />Well Name Township Range Dir Section Subsection <br />32 25 W 10 CAABBD <br />Elevation 884 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Well Depth Depth Completed Date Well Completed <br />170 ft. 170 ft. 11/08/1990 <br />Drill Method Non -specified Rotary Drill Fluid <br />Use domestic Status Sealed <br />Address <br />Well 16851 GARNET ST NW RAMSEY MN <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint <br />Drive Shoe? Yes ❑ No ❑ Above/Below <br />Stratigraphy Information <br />Geological Material From <br />SAND 0 <br />CLAY 10 <br />GRAVEL 30 <br />CLAY AND GRAVEL 50 <br />CLAY 110 <br />SHALE AND 120 <br />To (ft.) <br />10 <br />30 <br />50 <br />110 <br />120 <br />170 <br />Color <br />Hardness <br />Casing Diameter Weight <br />4 in. To 135 ft. lbs./ft. <br />Open Hole From 135 ft. To 170 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />15 ft. land surface Measure 11/08/1990 <br />Pumping Level (below land surface) <br />ft. hrs. Pumping at 40 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 />well grouted, <br />Well Grouted? X Yes ❑ No ❑ Not Specified <br />Amount From To <br />type unknown ft. ft. <br />Nearest Known <br />feet <br />Well disinfected <br />Source of Contamination <br />Direction Type <br />upon completion? X Yes ❑ No <br />Pump <br />Manufacturer's <br />Model Number <br />Length of drop <br />❑ Not Installed Date Installed 11/19/1990 <br />name AERMOTOR <br />HP 0.5 Volt <br />pipe 63 ft Capacity 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 Tunnel City Group Aquifer Tunnel City <br />Last Strat Tunnel City Group Depth to Bedrock 120 ft <br />Located by Minnesota Geological Survey <br />Locate Method GPS SA Off (averaged) (15 meters) <br />System UTM - NAD83, Zone 15, Meters X 465348 Y 5013816 <br />Unique Number Verification Address verification Input Date 01/20/2010 <br />Remarks <br />SEALED 11-09-2006 BY 1431. <br />Angled Drill Hole <br />Well Contractor <br />Torgerson Well Co. 27056 TORGERSON, S <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />471736 <br />Printed on 07/13/2021 <br />HE-01205-15 <br />