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Minnesota Unique Well Number <br /> Count Anoka MINNESOTA DEPARTMENT OF HEALTH <br /> y WELL AND BORING REPORT Entry Date 03/04/1993 <br /> 521655 Quad Nowthen Update Date 02/14/2014 <br /> Quad ID 136C Minnesota Statutes Chapter 1031 <br /> �Q Received Date 01/23/1993 <br /> Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br /> 32 25 W 9 ABDBDB 75 ft. 75 ft. 12/18/1992 <br /> Elevation 898 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Non-specified Rotary Drill Fluid Bentonite <br /> Address Use domestic Status Active <br /> C/W 17151 VARIOLITE ST NW RAMSEY MN Well Hydrofractured? Yes ❑ No ❑ From To <br /> Casing Type Single casing Joint <br /> Stratigraphy Information Drive Shoe? Yes ❑ No ❑X Above/Below <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight Hole Diameter <br /> SAND 0 35 4 in.To 66 ft. lbs./ft. 8.5 in.To 35 ft. <br /> CLAY 35 45 6.5 in.To 75 ft. <br /> GRAVEL 45 60 <br /> WATER SAND 60 75 <br /> Open Hole From ft. To ft. <br /> Screen? X❑ Type stainless Make JOHNSON <br /> Diameter Slot/Gauze Length Set <br /> 2 in. 12 8 ft. 66 ft. 75 ft. <br /> Static Water Level <br /> 15 ft. land surface Measure 12/18/1992 <br /> Pumping Level(below land surface) <br /> ft. hrs. Pumping at 35 9- <br /> p.m-Wellhead Completion <br /> Pitless adapter manufacturer WHITEWATER Model <br /> ❑ Casing Protection ❑ 12 in.above grade <br /> ❑ At-grade(Environmental Wells and Borings ONLY) <br /> Grouting Information Well Grouted? X❑ Yes ❑ No ❑ Not Specified <br /> Material Amount From To <br /> neat cement ft. 35 ft. <br /> Nearest Known Source of Contamination <br /> 30 feet West Direction Septic tank/drain field Type <br /> Well disinfected upon completion? Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 01/04/1993 <br /> Manufacturer's name FLINT AND WALLING <br /> Model Number HP 0.5 Volt <br /> Length of drop pipe 40 ft Capacity g,p, Typ <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 Aquifer Quat.buried <br /> Last Strat sand Depth to Bedrock 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 464184 Y 5014413 <br /> Unique Number Verification Address verification Input Date 01/04/2010 <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 521655 Printed on 07/13/2021 <br /> HE-01205-15 <br />