613 Greenleaf Dr S - Municipal Notice of Well Sealing Application6/30/2011 4:18:20 PM
7975
2 01/01
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL SEALING APPLICATION
DATE: June 30, 2011
TO: Tom Colbert/Wayne Schwanz (EM) Fax #: (651) 675-5694
RE: Well Permit#: 11-H296481 Well Type: Domestic
Municipality: Eagan Environmental Specialist: Olsen
The Water and Land Management Section of the Dakota County Environmental Management Department has received the
following permit application for the well described. If you require further review of the application or if you have any
questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7557. If there is
no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no
objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's
observance of and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor: Bohn Well Drilling
Date Application Received: 06/29/2011
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner:
Well Owner:
Frank Fabin
Frank Fabin
WELL LOCATION:
PLS Coordinates: 1/4, SW 1/4, SW 1/4, SE 1/4, Sec 25 Town 027 Range 23
Street Address: 613 Greenleaf DR S
PIN Number: 107120006003
WELL INFORMATION:
Diameter:
Casing Depth:
Total Depth:
Static Water Level:
Aquifer:
COMMENTS:
4390
613 Greenleaf Dr. S.
ink
11111 vir
--GREENLEAF-DR-Ft
OVERML-L—RD--
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FTI
4;
CUFF RD
r. ...0G6G152335
•11111
1162.7 4111
PID: 107120003060
613 GREENLEAF ER S
EAGAN, MN 551230000
I 1
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6/30/2011 4:18:20 PM
4390
7975
® 01/01
MUNICIPAL NOTICE OF WELL SEALING APPLICATION
DATE: June 30, 2011
TO: Tom Colbert/Wayne Schwanz (EM) Fax #: (651) 675 -5694
RE: Well Permit #: 11- H296481 Well Type: Domestic
Municipality: Eagan Environmental Specialist: Olsen
The Water and Land Management Section of the Dakota County Environmental Management Department has received the
following permit application for the well described. If you require further review of the application or if you have any
questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891 -7557. If there is
no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no
objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's
observance of and compliance with all applicable state, county, and municipal laws and codes.
Well Contractor: Bohn Well Drilling
Date Application Received: 06/29/2011
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner:
Well Owner:
WELL LOCATION:
PLS Coordinates: 1/4, SW 1/4, SW 1/4, SE 1/4, Sec 25 Town 027 Range 23
Street Address: 613 Greenleaf DR S
PIN Number: 107120006003
WELL INFORMATION:
Diameter:
Casing Depth:
Total Depth:
Static Water Level:
Aquifer:
COMMENTS:
Frank Fabin
Frank Fabin
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us