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Minnesota Unique Well Number <br />County Anoka <br />444819 Quad Circle Pines :..i Quad [D 119B <br />MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031 <br />Entry Date 04/15/1991 <br />Update Date 02/14/2014 <br />Received Date <br />Well Name Township Range <br />Dir Section Subsection <br />Well Depth Depth Completed Date Well Completed <br />ROBINSON, 31 22 <br />W 7 ABABAC <br />200 ft. 200 ft. 07/12/1988 <br />Elevation 899 ft. Elev. Method 7.5 minute topographic map (+/- 5 feet) <br />Drill Method Non -specified Rotary Drill Fluid Bentonite <br />Address <br />Use domestic Status Active <br />C/W 310 MAIN ST LINO LAKES MN 55014 <br />Well Hydrofractured? Yes ❑ No ❑ From To <br />Casing Type Single casing Joint Threaded <br />Drive Shoe? Yes ® No ❑ Above/Below 1 ft. <br />Stratigraphy Information <br />Casing Diameter Weight Hole Diameter <br />Geological Material From To (ft.) Color Hardness <br />SAND 0 <br />31 <br />4 in. To 185 ft. 11 lbs./ft. 7 in. To 185 ft. <br />CLAY 31 <br />95 <br />4 in. To 200 ft. <br />CLAY & GRAVEL 95 <br />124 <br />SANDROCK 124 <br />200 <br />Open Hole From 185 ft. To 200 ft. <br />Screen? ❑ Type Make <br />Static Water Level <br />45 ft. land surface Measure 07/12/1988 <br />Pumping Level (below land surface) <br />70 ft. 3 hrs. Pumping at 30 9- <br />p.m-Wellhead Completion <br />Pitless adapter manufacturer SNAPPY Model <br />❑ Casing Protection ❑X 12 in. above grade <br />❑ At -grade (Environmental Wells and Borings ONLY) <br />Grouting Information Well Grouted? ❑ Yes No ❑ Not Specified <br />Nearest Known Source of Contamination <br />69 feet Northeas Direction Septic tank/drain field Type <br />Well disinfected upon completion? Yes ❑ No <br />Pump ❑ Not Installed Date Installed 07/14/1988 <br />Manufacturer's name MYERS <br />Model Number SEN52 HP 0_5 Volt 230 <br />Length of drop pipe 70 ft Capacity 15 g•p• Typ Submersible <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 Jordan Sandstone Aquifer Jordan <br />Last Strat Jordan Sandstone Depth to Bedrock 124 ft <br />Located by Minnesota Geological Survey <br />Locate Method Digitization (Screen) - Map (1:12,000) (>15 meters) <br />Remarks <br />System UTM - NAD83, Zone 15, Meters X 489879 Y 5004750 <br />Unique Number Verification Address verification Input Date 01/20/2010 <br />Angled Drill Hole <br />Well Contractor <br />Mccullough & Sons 82054 MCCULLOUGH, D <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Minnesota Well Index Report <br />444819 <br />Printed on 01/18/2022 <br />HE-01205-15 <br />