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Minnesota Unique Well Number <br /> Count Anoka MINNESOTA DEPARTMENT OF HEALTH <br /> y WELL AND BORING REPORT Entry Date 04/15/1991 <br /> 510517 Quad Nowthen Update Date 08/18/2014 <br /> Quad ID 136C Minnesota Statutes Chapter 1031 <br /> �Q Received Date 01/12/1990 <br /> Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br /> BECKER, 32 25 W 9 ABBBDA 170 ft. 170 ft. 01/04/1990 <br /> Elevation 910 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Cable Tool Drill Fluid <br /> Address Use domestic Status Active <br /> C/W 17295 VARIOLITE ST NW ANOKA MN Well Hydrofractured? Yes ❑ No ❑ From To <br /> Casing Type Single casing Joint Threaded <br /> Stratigraphy Information Drive Shoe? Yes © No ❑ Above/Below <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight <br /> SAND 0 40 BROWN SOFT 4 in.To 120 ft. 11 lbs./ft. <br /> CLAY 40 68 BROWN MEDIUM <br /> ROCKS 68 71 BROWN HARD <br /> HARDPAN 71 98 BROWN HARD <br /> SANDROCK 98 119 GREEN SOFT <br /> SANDROCK 119 160 GREEN HARD Open Hole From 120 ft. To 170 ft. <br /> SHALE 160 170 GREEN HARD 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 9- <br /> p.m-Wellhead Completion <br /> Pitless adapter manufacturer WHITEWATER Model <br /> ❑ Casing Protection ❑X 12 in.above grade <br /> ❑ At-grade(Environmental Wells and Borings ONLY) <br /> Grouting Information Well Grouted? ❑ Yes ❑ No ® Not Specified <br /> Nearest Known Source of Contamination <br /> 75 feet East Direction Septic tank/drain field Type <br /> Well disinfected upon completion? Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 01/11/1990 <br /> Manufacturer's name FLINT AND WALLING <br /> Model Number HP 0.5 Volt 230 <br /> Length of drop pipe 42 ft Capacity 12 g•p• Typ Submersible <br /> Abandoned <br /> Does property 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 /> Remarks 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 /> 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 510517 Printed on 07/13/2021 <br /> HE-01205-15 <br />