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Minnesota Unique Well Number <br /> County Sherburne MINNESOTA DEPARTMENT OF HEALTH <br /> WELL AND BORING REPORT Entry Date 05/21/2001 <br /> 650145 Quad Lake Update Date 08/12/2011 <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 /> WASTE 33 26 W 4 DAABDB 251 ft. 251 ft. 08/18/2000 <br /> Elevation 971 ft. Elev.Method 7.5 minute topographic map(+/-5 feet) Drill Method Non-specified Rotary Drill Fluid Bentonite <br /> Address Use irrigation Status Active <br /> Contact 22460 HWY 169 NW ELK RIVER MN 55330 Weu Hydrofractured? Yes ❑ No ❑X From To <br /> Well RR ELK RIVER MN 55330 Casing Type Single casing Joint Welded <br /> Stratigraphy Information Drive Shoe? Yes ® No ❑ Above/Below <br /> Geological Material From To(ft.) Color Hardness Casing Diameter Weight Hole Diameter <br /> ROCKS&GRAVEL 0 13 12 in.To 183 ft. 18.9 lbs./ft. 13 in.To 180 ft. <br /> SAND&SILT 13 65 8 in.To 251 ft. <br /> GRAVEL&BOULDERS 65 78 <br /> SAND 78 112 <br /> CLAY 112 131 <br /> LIMESTONE 131 155 pen Hole From 183 ft. To 251 ft. <br /> SHALE 155 183 Screen? ❑ Type Make <br /> SHALE 183 204 <br /> SANDSTONE 204 251 <br /> Static Water Level <br /> 20 ft. land surface Measure 07/13/2000 <br /> Pumping Level(below land surface) <br /> 21 ft. 1 hrs. Pumping at 20 9- <br /> p.m-Wellhead Completion <br /> Pitless adapter manufacturer Model <br /> X❑ 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 0 ft. 183 ft. <br /> Nearest Known Source of Contamination <br /> 100 feet North Direction Septic tank/drain field 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 ❑X No <br /> Variance <br /> Was a variance granted from the MDH for this well? ❑ Yes X❑ No <br /> Miscellaneous <br /> First Bedrock Eau Claire Formation Aquifer Eau Claire-Mt. <br /> Last Strat Mt.Simon Sandstone Depth to Bedrock 131 ft <br /> Located by Minnesota Geological Survey <br /> Remarks Locate Method GPS SA Off(averaged) <br /> System UTM-Mad83,Zone 15,Meters X 455145 Y 5025148 <br /> Unique Number Verification Tag on well Inpute Date 02/02/2011 <br /> Angled Drill Hole <br /> Well Contractor <br /> Boart Longyear Drilling 49588 BENNING,W. <br /> Licensee Business Lie.or Reg.No. Name of Driller <br /> Minnesota Well Index Report 650145 Printed on 08/16/2016 <br /> HE-01205-15 <br />