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Minnesota Unique Well Number MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031507600 <br />County Hennepin Entry Date 11/24/1992 <br />Quad New Update Date 12/17/2015 <br />Quad ID 119C Received Date <br />Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br />DELTA 29 23 W 7 BCA 71 ft.71 ft.10/02/1989 <br />Elevation Elev. Method Drill Method Multiple methods used Drill Fluid Bentonite <br />Address Use monitor well Status Sealed <br />Well Hydrofractured?Yes <br />No <br />From To <br />2.5 ft. <br />Casing Type Single casing <br />No <br />X Above/BelowYesDrive Shoe? <br />Joint <br />Contact 1801 HWY. 8 #114 ST PAUL MN 55112 <br />Well 2701 KENZIE TE ST ANTHONY MN <br />Geological Material From To (ft.) Color Hardness <br />SANDY CLAY 0 5 BROWN <br />SANDY CLAY 5 10 GRAY <br />SANDY CLAY 10 21 BROWN <br />SAND GRAVEL 21 43 BROWN <br />LIMESTONE 43 71 LT. TAN <br />Stratigraphy Information <br />Casing Diameter Weight <br />6 46 in. To ft. lbs./ft. <br />Hole Diameter <br />12 46 in. To ft. <br />6 71 in. To ft. <br />Screen?MakeType <br />46Open Hole From ft. To ft. 71 <br />Static Water Level <br />Pumping Level (below land surface) <br />WELL SEALED 10-06-1989 BY 71536 <br />ORIGINAL USE MW - MONITOR WELL <br />Material FromAmount To <br />neat cement ft. 46 ft. <br />Wellhead Completion <br />Pump <br />Nearest Known Source of Contamination <br />Abandoned <br />Variance <br />Well Contractor <br />Minnesota Well Index Report 507600 <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 gradeX <br />X <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 />feet Direction Tanks Type <br />Well disinfected upon completion?Yes X <br />Not Installed Date Installed <br />Manufacturer's name <br />Model Number HP Volt <br />Length of drop pipe Capacity Typftg.p. <br />X 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 />Traut M.J. Well Co.71536 JEFF & DAN <br />Remarks <br />Miscellaneous <br />Last Strat <br />Aquifer <br />Depth to Bedrock <br />Located by <br />Locate Method <br />First Bedrock <br />System X Y <br />ft <br />UTM - Mad83, Zone 15, Meters <br />Unique Number Verification Inpute Date <br />Angled Drill Hole <br />95