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<br />-~,'~~I.h~",:- ,",,'--: ".- -. <br /> <br />"",,. <br /> <br />. <br />Unique No. 00512748 MINNESOTA DEPARTMENT OF HEALTH Update Date 1999/02101 <br /> WELL AND BORING RECORD <br />County Name Anoka Minnesota Statutes Chapter 1031 Entry Date 1993/05/06 <br />Township Name Town.hlp Range Dlr Section Subsection Well Depth Depth Completed Date Well Completed <br /> 31 22 W 23 ABC 187 ft. 187 ft. 1993/01/22 <br />Well Name CENTERVILLE 2 Drilling Method . Cable Tool <br />Contact's Name Drilling Fluid I Well Hydrofractured? 0 Yes o No <br />1694 SORel ST Water From ft.. to ft. <br />CENTERVILLE MN 55038 <br /> Use Community Supply (municipal) <br /> CasIng DrIve Shoe? ~Ves ON Hole DIameter <br /> o in. to 152 ft. <br />GEOLOGICAL MATERIAL COLOR HARDNESS FROM TO Casing Diameter Welght(lbslft) o in. to 167 ft. <br />TOP SOIL BLACK SOFT 0 6 20 In. to 67 ft. <br />SANDY CLA V GREV SOFT 8 18 14 In. to 101 ft. <br />S-CLA V /STONES GREV SOFT 18 60 <br />GRAVEL MIX MEDIUM 60 62 <br />SAND/GRAVEL MIX SOFT 62 75 Screen N I Open Hole From 83 ft. to 187 ft. <br />SAND BROW SOFT 75 63 Make Type <br />SHAKOPEE DOLOMITE PINKIT HARD 83 185 <br />JORDON SANDSTONE BROW SOFT 165 167 <br /> Static Water Level 8 ft. from land surface Date 1992/09/25 <br /> PUMPING LEVEL (below land sur'ace) <br /> 27 ft. after hrs. pumping 1230 g.p.m. <br /> Well Head Completion <br /> Pitless adapter mfr BAKER Model 8PS141 <br /> Casing Protection o 12 in. above grade <br /> o At-grade(Envlronmental Wells and Borings ONL V) <br /> Grouting In'ormatlon Well grouted? OVes 0 No <br /> Material From To (ft.) Amount(ydslbags) <br /> 0 101 20 S <br /> Nearest Known Source 0' ContamInation <br /> ft. direction type <br /> Well disinfected upon completion? o Yes o No <br /> Pump o Not Installed Date Installed y <br /> Mfr name GOULD <br /> Model 10RJMC HP 50 Volts 460 <br />REMARKS, ELEVATION, SOURCE OF DATA, etc. Drop Pipe Length 63 ft. Capacity E+03 g.p.m <br />SE CORNER SHAD & MAIN Type S <br /> Any not In use and not sealed well(s) on property? o Yes ONo <br /> Was a variance granted from the MDH for this Well? 0 Vas ONo <br />USGS Quad: Centerville Elevation: <br />AqUifer: Altld: Well CONTRACTOR CERTIFICATION Lie. Or Reg. No. ~ <br /> License Business Name Renner E h. Well <br /> Report COpy Name of Driller <br /> <br />HE-0120S-OO (Rev. 9196) <br /> <br />