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Minnesota Unique Well Number <br /> Count Anoka MINNESOTA DEPARTMENT OF HEALTH <br /> y WELL AND BORING REPORT Entry Date 10/25/1992 <br /> 471736 Quad Nowthen Update Date 03/03/2017 <br /> Quad ID 136C Minnesota Statutes Chapter 1031 <br /> �Q Received Date 12/20/1990 <br /> Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br /> 32 25 W 10 CAABBD 170 ft. 170 ft. 11/08/1990 <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 Sealed <br /> Well 16851 GARNET ST NW RAMSEY MN Well Hydrofractured? Yes ❑ No ❑ From To <br /> Casing Type Single casing Joint <br /> Stratigraphy Information Drive Shoe? Yes ❑ No ❑ Above/Below <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight <br /> SAND 0 10 4 in.To 135 ft. lbs./ft. <br /> CLAY 10 30 <br /> GRAVEL 30 50 <br /> CLAY AND GRAVEL 50 110 <br /> CLAY 110 120 <br /> SHALE AND 120 170 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 9- <br /> p.m-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 Well Grouted? X❑ Yes ❑ No ❑ Not Specified <br /> Material Amount From To <br /> well grouted,type unknown ft. ft. <br /> Nearest Known Source of Contamination <br /> feet Direction Type <br /> Well disinfected upon completion? Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 11/19/1990 <br /> Manufacturer's name AERMOTOR <br /> Model Number HP 0.5 Volt <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 ❑ 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 /> Remarks Locate Method GPS SA Off(averaged)(15 meters) <br /> SEALED 11-09-2006 BY 1431. <br /> System UTM-NAD83,Zone 15,Meters X 465348 Y 5013 816 <br /> Unique Number Verification Address verification Input Date 01/20/2010 <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 471736 Printed on 07/13/2021 <br /> HE-01205-15 <br />