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STATE OF MINNESOTA DEPARTMENT OF HEALTH
ABANDONED WELL RECORD
1. LOCATIW ea vELI
County Mae, Scott
i www' ... T..v.hla N= teen's N—"r 5.<[in. -.1 .seed'.
Eagle Creel 115 22 i 34 IW N A 5t
N
Nuwerlcal Street Address and City of Weil LOeatIOA Or 01LtanCO Iron Rood
I. ..... tic. /S,747
Island View, Prior Lake, Mn.
snot once tocat,w of well
(in nCH On grid with •A') N T A{cn f rw 11 lat.if..
W
,t
-�- C - E
S � / fit
"� , �
PROPERTY OWNER'S NAME Me111nq wdrass 1f different than
DOldwelI Banker ,.,t, lot mdlc.ted.bov.
16677 Duluth Ave. S.E.
Prior Lake, Mn. 55372
3. ECWTInN LOS COLOR FORMATION FROM TO
If not known. Iwl cats forar.tian 109 frown new Dolt or nearby well.
MIN NES O TA
bla k it N0.
not WELL
I blink U N I Q UE not WELL
463 ft. 1 11 -8 -90
10 Cobh. tool IQ Reverse 70 Driven 100 Ong
20 Nollo. nod SCI Afr Bp Bored 1IC]
31F Rotary W] Jetted g0 rower A.,,
d. OBSTNCTIORS
urn bbnructed i vs. ❑ Re
Obstructions reno,ed ■ Yen ❑ Me If Obstructions cannot be
Maud, contact NUH
Tore .sal loo.
In Corstic Q Mal Carlo, 00 Meat LOOP
20 Irrigation So Public g0 Industry
30 Test Nell 40 N tetwl lDE3 CeWnelel
3E3AIr Caasitfwly 110_
in Black 4l Isr.aded 1[]_
EE3 Dole. s0 welded
30 Plastic 'E3 Stainless Steel
4 In. ld ft.
I n.
SLl ?y
9. SCREEN
screened wets free_ ft. ld ft.
ter Dote n)
�oP.n Rele fro. _ n. to _ «.
Coar_e y ravel
200
214
Clay
blue
214
217
0. STAIIC MTEA LEY[L
124 ft. o wl. 0.1ww
L Ion-F.C. ad Ion-F.C. Cold Measured
Fine s d
soft
217
225
Sand - rocky
hard
225
250
11 . NELLHEAO COMPLETION
is Pit]ass Adepts, Q Faced Bur1.d
20 Bssewent *met 'so
3p Don Pit
- ology taken -rom a well we drilled NOvembe
1963. 16047 Northwood Road, Prior Lake,
, NW OF NW OF NE, Section 3, township 114N,
Range 22W)
This house has municipal water. No well or
wells on this property.
Skip Reebie of Coldwell Banker - (612)447 -8S
Obstructions removed: submersible pump and
185 feet of drop pipe.
This is the corrected ABANDONED WELL RECORD
for 15647 Island View, Prior Lake, Mr., which
was sent to you earlier.
r
a-auss Ate t ls6v7 rlaLire/ w<e —
in Neat Cawent 20 Nasldnite
Ereut wete„sl Neat fro _w�t. ca. ya[ I la
cement
IS. NEST SPINES CWMIMTIM
"EST line Lye
Wll dlsinfastas Mf*m swnn,t E gas
14. PO d �
W a MeWvas [3 Net Fwwnt
IyM: 10 Submersible L.S. Turblwe '.Q Reciprocating
20 Jot Q Cwtrlfoga 4]
EAISTIN NR tyIdenIdentical LS (Blood. style Identical of abandoned and
active Wlt, 1. rtN wet,an ewe en back.)
Other uwLN well(-) and oradn" ? C3 Tod M w
Awndansdt ❑ Botswana C3 Teeowery C3 Col waled
This wen we Dowd Doer q SurlWittles Cod 049 revert
in tried ld took wet Of N, b lases w Relief.
Ha rt.mann Well Co. 40174
fFICIAL AWPPIEB HELL MCM ley by used far Pnwrey�TT,a�n�sfor)
ZNPO Y 8 l AQ}1 ® ✓1 / L /tZL'✓r't".Lww