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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 /> 408603 Quad Nowthen Update Date 08/18/2014 <br /> Quad ID 136C Minnesota Statutes Chapter 1031 <br /> �Q Received Date <br /> Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br /> 32 25 W 10 ABCCCC 196 ft. 196 ft. 11/20/1984 <br /> Elevation 884 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Non-specified Rotary Drill Fluid <br /> Address Use domestic Status Active <br /> Well 17105 NOWTHEN BL NW RAMSEY MN 55303 Well Hydrofractured? Yes ❑ No ❑ From To <br /> Casing Type Single casing Joint Threaded <br /> Stratigraphy Information Drive Shoe? Yes © No ❑ Above/Below 1 ft. <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight Hole Diameter <br /> SAND 0 17 BROWN SOFT 4 in.To 156 ft. 12 lbs./ft. 4 in.To 196 ft. <br /> CLAY 17 60 BLUE SOFT <br /> SAND 60 65 BROWN SOFT <br /> CLAY&ROCK 65 80 RED HARD <br /> CLAY 80 105 ORANGE HARD <br /> SHALE&SANDROCK 105 140 YELLOW HARD Open Hole From 156 ft. To 196 ft. <br /> SHALE 140 175 GREEN HARD Screen? ❑ Type Make <br /> SANDROCK 175 196 WHITE HARD <br /> Static Water Level <br /> 15 ft. land surface Measure 11/20/1984 <br /> Pumping Level(below land surface) <br /> 15 ft. 2 hrs. Pumping at 50 9- <br /> p.m-Wellhead Completion <br /> Pitless adapter manufacturer WHITEWATER Model SU6.5 <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 /> bentonite 0 ft. 156 ft. <br /> Nearest Known Source of Contamination <br /> 50 feet Northeas Direction Septic tank/drain field Type <br /> Well disinfected upon completion? Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 11/21/1984 <br /> Manufacturer's name AERMOTOR <br /> Model Number SD 1275 HP 0.75 Volt 230 <br /> Length of drop pipe 40 ft Capacity 15 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 ❑ No <br /> Miscellaneous <br /> First Bedrock Tunnel City Group Aquifer Tunnel City- <br /> Last Strat Wonewoc Sandstone Depth to Bedrock 105 ft <br /> Located by Minnesota Geological Survey <br /> Remarks Locate Method Digitized-scale 1:24,000 or larger(Digitizing Table) <br /> System UTM-NAD83,Zone 15,Meters X 465537 Y 5014267 <br /> Unique Number Verification Address verification Input Date 01/01/1990 <br /> Angled Drill Hole <br /> Well Contractor <br /> Mc Alpine's Well Co. 27186 MCALPINE,G. <br /> Licensee Business Lic.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 408603 Printed on 07/13/2021 <br /> HE-01205-15 <br />