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Minnesota Unique Well Number MINNESOTA DEPARTMENT OF HEALTH <br />WELL AND BORING REPORT <br />Minnesota Statutes Chapter 1031200803 <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 />ST. ANTHONY 4 29 23 W 6 BDAADB 541 ft.541 ft.11/11/1959 <br />Elevation 1013 Elev. Method 7.5 minute topographic map (+/- 5 feet)Drill Method Cable Tool Drill Fluid <br />Address Use community supply(municipal)Status Active <br />Well Hydrofractured?Yes <br />No <br />From To <br />2 ft. <br />Casing Type Step down <br />No <br />Above/BelowYesDrive Shoe? <br />Joint <br />Contact ST ANTHONY MN 55418 <br />Well ST ANTHONY MN 55418 <br />Geological Material From To (ft.)Color Hardness <br />SAND, GRAVEL &0 33 <br />SAND & GRAVEL 33 46 <br />BOULDERS, GRAVEL &46 53 <br />BOULDERS, SOME 53 59 <br />SAND & LARGE 59 70 <br />SAND 70 105 <br />SAND W/SOME SHALE 105 110 <br />SANDY SHALE 110 142 <br />PLATTEVILLE 142 160 <br />ST. PETER 160 331 <br />ONEOTA-SHAKOPEE 331 450 <br />JORDAN SANDSTONE 450 541 <br />Stratigraphy Information <br />Casing Diameter Weight <br />16 465in. To ft.lbs./ft. <br />24 145in. To ft.lbs./ft. <br />Hole Diameter <br />23 395in. To ft. <br />Screen?MakeType <br />465Open Hole From ft.To ft.541 <br />Static Water Level <br />Pumping Level (below land surface) <br />PRESSURE GROUTED BETWEEN 16" LINER & 24"ROCK HOLE. <br />Material FromAmount To <br />Well grouted, type unknown ft.ft. <br />Wellhead Completion <br />Pump <br />Nearest Known Source of Contamination <br />Abandoned <br />Variance <br />Well Contractor <br />Minnesota Well Index Report 200803 HE-01205-15 <br />Printed on 06/24/2016 <br />Pitless adapter manufacturer Model <br />At-grade (Environmental Wells and Borings ONLY) <br />Casing Protection 12 in. above grade <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 />ft.216 MeasureLand surface 11/11/1959 <br />ft.260 hrs.Pumping at 1020 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 />0 <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 />Renner Max Well Co.27246 <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 />Jordan Sandstone <br />Minnesota Department of Health <br />Jordan <br />142 <br />GPS SA Off (averaged) <br />System X Y482842 4986435 <br />ft <br />UTM - Mad83, Zone 15, Meters <br />Unique Number Verification Inpute Date 05/29/2003 <br />Angled Drill Hole