1405 Vince Tr - Vertical Heat Exchanger RecordDakota
Township Name Towexhip No. Range No. ' Section No. Fraction
Ea an 2711 23W 4 SE IA SE y SE y
Howe Number, Street Name, City. and ZIP Code of Vortical Beat Exchanger Location Hole Diameter
51/4 ie.. to 335
1405 Vince Trail, Eagan 55121
Show meet location averted heat exchanger in section grid with" X." Sketch ow of
insmiletivn. $how
Ihyes, reeds.
Brown
Tan
H
buil
Minnesota Department of Health Copy
CC - 30
VERTICAL HEAT EXCHANGER RECORD
E.H Renner & Sons.
t Convector Business Nano
Ed Renner
Nento of Driller
Depth (completed)
335
a.
in. to (t.
Number of Bore Holes
3
Pipe Material
Xr High Density Polyethylene
❑ Other
Type of Joint
0 Butt Fusion
Er Socket Fusion
❑ other
Date Wark Comptctcd
9/21/10
Pipe Ohnmtcr
_ inches
Capacity (Tone)
1431
t License No.
Roger E. Re>ner 467 10/19[10
T CcnificdRepresentativc Signature f Certification No. fi Date
10 0
T
Date
Air Mechanical
Name of Hoar Pomp installer (HVAC Contractor). if different (Options )
origalvctl heat exchan$er MDH.doc 7/17/20098
Vertical Heat Exchanger Location
County Neato
Geological
Materials
5
PROPERTY OWNER'S NAM
Thorson Homes
Property& owner's mailing address if different than voted beet exchanger loaatios indicated above.
Brian Thorson
4466 Wedgewood Drive
Eagan, MN 55123
(763) 746 -3795
ill dirt
Sand /Gravel
Clay
C),av /Rocks
Sandy Clay
_ San4/Rock
Sandstone
Color
Black_
Brown
Brown
Remark, Elevation Source of Data, ere.
Minnesota Department of Health
Well Management Section
625 North Robert Street, P.O. Box 64975
St. Paul, Ivlinnesota 55164 -0975
651/201 -4600 or 800/383 -9808
Deaf and hard-of-hearing: Tr( 651/201 -5797
Hardness of
Formation
Elevation: 920' MSCS Quad: C103
Gas line suns through loop field
To
0 8
8 28
28 52
336
E H RENNER &
SIN
Typo of Grout Used (Indicate Product Nome)
0 Cement Sand from to R
❑ Neat Cement from to R.
,KT Bentonite from 0 to 335 L}.
O Thermally Enhanced Bentonite from to ft.
In Other from to #t
Type of Coolant Used (Indicate Product Name)
❑ Water
S PropytencGlycol Cryo _Tek 35284
❑ Other
Premiere Teat ofIn tolled Piping
Tait Pressure 0be.)
rev M 52 89 , Teat Duration * nutaa) 60 mina .
Grey M 89 104 Contractor's Certification
This vertical heat exchangcrwas constructed under my jurisdiction and
S -M 104 335 this report is true to the best of my knowledge and belief.
Inc .
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