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Minnesota Unique Well Number MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031233267 <br />County Hennepin Entry Date 08/24/1991 <br />Quad New Update Date 04/04/2016 <br />Quad ID 119C Received Date <br />Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br />NATIONAL TEA 29 23 W 7 BCCCBD 320 ft.320 ft.06/00/1953 <br />Elevation 929 ft.Elev. Method 7.5 minute topographic map (+/- 5 feet)Drill Method Cable Tool Drill Fluid <br />Address Use commercial Status Active <br />Well Hydrofractured?Yes <br />No <br />From To <br />Casing Type Telescoping <br />No <br />Above/BelowYesDrive Shoe? <br />Joint <br />C/W 2401 LOWRY AV NE ST ANTHONY MN <br />Geological Material From To (ft.) Color Hardness <br />CLAY 0 40 <br />SAND & GRAVEL 40 67 <br />LIMEROCK 67 96 <br />SANDROCK 96 218 <br />SHALE 218 229 <br />SANDROCK 229 267 <br />SHAKOPEE 267 289 <br />SANDROCK 289 293 <br />SHAKOPEE & SNDS 293 298 <br />SHAKOPEE 298 316 <br />SANDROCK 316 320 <br />Stratigraphy Information <br />Casing Diameter Weight <br />8 68 in. To ft. lbs./ft. <br />6 302in. To ft. lbs./ft. <br />Screen?MakeType <br />302Open Hole From ft. To ft. 320 <br />Static Water Level <br />Pumping Level (below land surface) <br />BLDG. WAS DEMOLISHED A BANK STANDS IN ITS PLACE. <br />BOTTOM OF 6 INCH CASING IS AT 302 FT. WELL ABANDONED. <br />Wellhead Completion <br />Pump <br />Nearest Known Source of Contamination <br />Abandoned <br />Variance <br />Well Contractor <br />Minnesota Well Index Report 233267 <br />HE-01205-15 <br />Printed on 09/29/2016 <br />Pitless adapter manufacturer Model <br />At-grade (Environmental Wells and Borings ONLY) <br />Casing Protection 12 in. above grade <br />A.O. SMITH <br />Does property have any not in use and not sealed well(s)? <br />Grouting Information Well Grouted?Yes No Not Specified <br />No <br />ft. 125 Measureland surface 06/00/1953 <br />ft. 130 hrs. Pumping at 175 g.p.m. <br />feet Direction Type <br />Well disinfected upon completion?Yes <br />Not Installed Date Installed <br />Manufacturer's name <br />Model Number HP Volt <br />Length of drop pipe Capacity Typftg.p. <br />06/00/1953 <br />7.5 <br />80140 Turbine <br />Yes No <br />Was a variance granted from the MDH for this well?Yes No <br />Licensee Business Lic. or Reg. No. Name of Driller <br />Keys Well Co.62012 BRANDON, J. <br />Remarks <br />Platteville Formation <br />Miscellaneous <br />Last Strat <br />Aquifer <br />Depth to Bedrock <br />Located by <br />Locate Method <br />First Bedrock <br />Prairie Du Chien Group <br />Minnesota Geological Survey <br />Prairie Du Chien <br />67 <br />Digitization (Screen) - Map (1:24,000) <br />System X Y482184 4984493 <br />ft <br />UTM - Mad83, Zone 15, Meters <br />Unique Number Verification Inpute Date 06/02/2000Address verification <br />Angled Drill Hole <br />88