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Minnesota Unique Well Number <br /> County Sherburne MINNESOTA DEPARTMENT OF HEALTH <br /> WELL AND BORING REPORT Entry Date 02/08/1989 <br /> 420729 Quad Lake Update Date 02/14/2014 <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 /> ELK RIVER 33 26 W 3 BACBDA 93 ft. 91 ft. 05/13/1983 <br /> Elevation 1038.5 Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Multiple methods used Drill Fluid <br /> Address Use piezometer Status Active <br /> C/W 22460 169 HY ELK RIVER MN 55330 Well Hydrofractured? Yes <br /> No From To <br /> Casing Type Single casing Joint <br /> Stratigraphy Information Drive Shoe? Yes ❑ No ❑X Above/Below 2 ft. <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight Hole Diameter <br /> SAND,FINE-MEDIUM 0 12 ORNBRN 0 in.To 81 ft. lbs./ft. 0 in.To 93 ft. <br /> SAND,FINE-COARSE 12 70 GRYBRN <br /> SAND,FINE 70 71 LT.BRN <br /> FINE SANDY SILT 71 75 GRN/BRN <br /> SAND FINE-COARSE 75 76 BROWN <br /> SAND,FINE 76 77 LT.BRN pen Hole From ft. To ft. <br /> SILT,FINE SANDY 77 79 GRN/BRN Screen? Type slotted pipe Make JOHNSON <br /> Diameter Slot/Gauze Length Set <br /> SILT,FINE SANDY 79 91 BROWN 2 in. 10 10 ft. 81 ft. 91 ft. <br /> SILT,CLAYEY 91 93 VARIED <br /> Static Water Level <br /> 83 ft. land surface Measure 05/15/1985 <br /> Pumping Level(below land surface) <br /> ft. hrs. Pumping at 9- <br /> p.m-Wellhead Completion <br /> Pitless adapter manufacturer Model <br /> ❑ Casing Protection ❑ 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 1 Cubic yards 0 ft. 77 ft. <br /> Nearest Known Source of Contamination <br /> feet Direction Type <br /> Well disinfected upon completion? ❑ Yes ❑ No <br /> Pump ® Not Installed Date Installed <br /> Manufacturer's name <br /> Model Number HP Volt <br /> Length of drop pipe ft Capacity g.p, Typ <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 silt+clay Depth to Bedrock ft <br /> Located by Minnesota Geological Survey <br /> Remarks Locate Method Digitization(Screen)-Map(1:24,000) <br /> FRACTION:BACAACA <br /> System UTM-Mad83,Zone 15,Meters X 455823 Y 5025725 <br /> Unique Number Verification Information from Inpute Date 04/12/1995 <br /> Angled Drill Hole <br /> Well Contractor <br /> Gme Consultants M0013 KWAAG,M. <br /> Licensee Business Lie.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 420729 Printed on 08/16/2016 <br /> HE-01205-15 <br />