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MINNESOTA DEPARTMENT OF HEALTH Update Date 2003/10/10 <br />Unique No. 00127221 WELL AND BORING RECORD <br />EMry Date 1988/04/17 <br />County Name Sherburne Minnesota Statutes Chapter 1031 <br />Well Depth Depth Completed Date Well Completed <br />Township Name Township Range Dir Section Subsection ft 1 ~ ft 1877/10/27 <br />~ ~ ~y 28 ADDDDA 190 <br />Well Name BAUFIELD, MARY Drilling Method Non-specified Rotary <br />Drilling Fluid Well Hydrofractured? ^ Yes ^ No <br />Contact's Name BAUFIELD, MARY ft <br />From ft. to <br />11948192ND NW AV <br />Use Domestic <br />Casing Drive Shce? ^ Yes ^ N Hole Diameter <br /> Casing Diameter WeigM(IbstR) <br />GEOLOGICAL MATERIAL COLOR HARDNESS FROM TO 4 in. to 185 ft <br />SAND BROW 0 50 <br />CLAY BLUE ~ 150 <br />WATER SAND BROW 150 190 <br /> Screen Y I Open Hole From ft. to ft• <br /> Make JOHNSON Type L <br /> piameter Slot Length Set Fitting <br /> 2 ft. to ft <br /> <br />Date 1977/10/27 <br />Static Water Level 70 ft. from Land surface <br /> PUMPING LEVEL (below land surface) <br /> 80 ft. after 3 hrs. pumping 30 9•P•m- <br /> Well Head Completion <br /> Pigess adapter mfr Model <br /> ^ 12 in. above grade <br /> Casing Protection <br /> ^ At-grade(Ernironmental Wells and Borings ONLY) <br /> <br />No <br />Grouting Infomration Wefl grouted? ©Y~ <br /> Material From To lft.l AmountlVds/ba4s1 <br /> Y <br />Nearest Known Source of Contamination ~ <br />ft, direction. <br />WeN disinfected upon completion? ©Yes ^ No <br />pub ^ Not Installed Date Installed Y <br />Mfr name AERMOTOR <br />Model Np 0.75 Volts <br />Drop Pipe Length 72 ft. Capacity 9•P•m <br />Type S <br />No <br />Any not in use and not sealed well(s) on Property'? ^ Yes <br />Was a variance granted from the MDH for this Well? ^ Yes ^ No <br />USGS Quad: Elk River Elevation: 965 <br />Well CONTRACTOR CERTIFICATION Lic. Or Reg. No. 27 <br />Aquifer: QBAA AR Id: <br />License Business Name <br />~~ r~~ <br />Report Copy Name of Driller <br />