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Minnesota Unique Well Number <br /> County Sherburne MINNESOTA DEPARTMENT OF HEALTH <br /> WELL AND BORING REPORT Entry Date 12/01/1990 <br /> 417070 Quad Lake Update Date 066/02/2014/2014 <br /> Quad ID 137A Minnesota Statutes Chapter 1031 <br /> Received Date <br /> Well Name Township Range Dir Section Subsection Well Depth Depth Completed Date Well Completed <br /> SCHULZE 33 26 W 3 AADACD 147 ft. 147 ft. 08/06/1985 <br /> Elevation 977 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Non-specified Rotary Drill Fluid <br /> Address Use domestic Status Active <br /> Contact 10743 181 AV NW ELK RIVER MN 55330 Well Hydrofractured? Yes ❑ No ❑ From To <br /> Well 22822 BALDWIN NW ELK RIVER MN 55330 Casing Type Single casing Joint <br /> Stratigraphy Information Drive Shoe? Yes ® No ❑ Above/Below 1 ft. <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight <br /> SAND&GRAVEL 0 15 BROWN MEDIUM 4 in.To 132 ft. lbs./ft. <br /> CLAY 15 30 GRAY MEDIUM <br /> CLAY&ROCKS 30 115 RED/BRN HARD <br /> CLAY 115 125 LT.BRN MEDIUM <br /> SAND 125 147 YELLOW SOFT <br /> Open Hole From ft. To ft. <br /> Screen? X❑ Type stainless Make JOHNSON <br /> Diameter Slot/Gauze Length Set <br /> 2 in. 12 5 ft. 132 ft. 147 ft. <br /> Static Water Level <br /> 80 ft. land surface Measure 08/07/1985 <br /> Pumping Level(below land surface) <br /> 80 ft. 2 hrs. Pumping at 25 9- <br /> p.m-Wellhead Completion <br /> Pitless adapter manufacturer WHITEWATER Model SU 5.5 <br /> ❑ Casing Protection ❑X 12 in.above grade <br /> ❑ At-grade(Environmental Wells and Borings ONLY) <br /> Grouting Information Well Grouted? X❑ Yes ❑ No ❑ Not Specified <br /> Material Amount From To <br /> neat cement 0 ft. 47 ft. <br /> bentonite 47 ft. 132 ft. <br /> Nearest Known Source of Contamination <br /> 150 feet Northwes Direction Septic tank/drain field Type <br /> Well disinfected upon completion? Yes ❑ No <br /> Pump ❑ Not Installed Date Installed 08/07/1985 <br /> Manufacturer's name AERMOTOR <br /> Model Number SD1275 HP 0.75 Volt 230 <br /> Length of drop pipe 100 ft Capacity 15 g-p- Typ Submersible <br /> Abandoned <br /> Does property have any not in use and not sealed well(s)? ❑ Yes ❑ No <br /> Variance <br /> Was a variance granted from the MDH for this well? ❑ Yes ❑ No <br /> Miscellaneous <br /> First Bedrock Aquifer Quat.buried <br /> Last Strat sand-yellow Depth to Bedrock ft <br /> Located by Minnesota Geological Survey <br /> Remarks Locate Method Digitized-scale 1:24,000 or larger(Digitizing Table) <br /> PIG FARM <br /> System UTM-Mad83,Zone 15,Meters X 456895 Y 5025682 <br /> Unique Number Verification Information from Inpute Date 04/12/1995 <br /> Angled Drill Hole <br /> Well Contractor <br /> Mc Alpine's Well Co. 27186 MCALPINE,G. <br /> Licensee Business Lie.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 417070 Printed on 08/16/2016 <br /> HE-01205-15 <br />