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Minnesota Unique Well Number <br /> Count Anoka MINNESOTA DEPARTMENT OF HEALTH <br /> y WELL AND BORING REPORT Entry Date 02/21/2007 <br /> 743426 Quad Nowthen Update Date 02/14/2014 <br /> Quad ID 136C Minnesota Statutes Chapter 1031 <br /> �Q Received Date 01/24/2007 <br /> Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br /> ARNT 32 25 W 10 BCDBDA 104 ft. 104 ft. 11/09/2006 <br /> Elevation 885 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Non-specified Rotary Drill Fluid Bentonite <br /> Address Use other(specify in remarks) Status Active <br /> Well 17050 NOWTHEN BL RAMSEY MN 55303 Well Hydrofractured? Yes ❑ No ❑X 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 18 BROWN SOFT 6 in.To 92 ft. 3.61 lbs./ft. 9 in.To 104 ft. <br /> CLAY 18 32 GRAY MEDIUM <br /> COLORED GRAVEL 32 58 MEDIUM <br /> SANDY CLAY 58 63 BROWN SOFT <br /> SAND/GRAVEL 63 104 GRAY SOFT <br /> Open Hole From ft. To ft. <br /> Screen? X❑ Type stainless Make JOHNSON <br /> Diameter Slot/Gauze Length Set <br /> 5 in. 10 15 ft. 92 ft. 104 ft. <br /> Static Water Level <br /> 23 ft. land surface Measure 11/09/2006 <br /> Pumping Level(below land surface) <br /> 104 ft. 2 hrs. Pumping at 120 g.p.m. <br /> Wellhead Completion <br /> Pitless adapter manufacturer Model <br /> ❑ Casing Protection ❑X 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 /> cuttings 30 ft. 92 ft. <br /> bentonite 3 Sacks ft. 30 ft. <br /> Nearest Known Source of Contamination <br /> 75 feet East Direction Body of water Type <br /> Well disinfected upon completion? Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 11/17/2006 <br /> Manufacturer's name AERMOTOR <br /> Model Number HP 3 Volt 230 <br /> Length of drop pipe 63 ft Capacity g.p. Typ Submersible <br /> Abandoned <br /> Does property have any not in use and not sealed well(s)? ❑ Yes No <br /> Variance <br /> Was a variance granted from the MDH for this well? ❑ Yes X❑ No <br /> Miscellaneous <br /> First Bedrock Aquifer Quat.buried <br /> Last Strat sand+larger-gray Depth to Bedrock ft <br /> Located by Minnesota Department of Health <br /> Remarks Locate Method GPS SA Off(averaged)(15 meters) <br /> WELL IS FOR A POND. <br /> System UTM-NAD83,Zone 15,Meters X 464989 Y 5013995 <br /> Unique Number Verification Input Date 11/09/2006 <br /> Angled Drill Hole <br /> Well Contractor <br /> Don Stodola Well Drilling 1691 MOORE,C. <br /> Licensee Business Lic.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 743426 Printed on 07/13/2021 <br /> HE-01205-15 <br />