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4105 Blackhawk Rd - Welll Sealing Permit8/2/2011 2 :44:09 PM 7034 ® 01 /01 DATE: August 2, 2011 Property Owner: Well Owner: WELL LOCATION: WELL INFORMATION: Diameter: Casing Depth: Total Depth: Static Water Level: Aquifer: COMMENTS: t COUNTY 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 � U � i-L MUNICIPAL NOTICE OF WELL ,pERMIT APPLICATION TO: Tom Colbert/Wayne Schwanz (EM) Fax #: (651) 675 -5694 RE: Well Permit #: 11- H294934 Well Type: Domestic Municipality: Eagan Environmental Specialist: Rutten 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: Hartmann Well Company Date Application Received: 07/29/2011 Anticipated Drilling Date: Time: Anticipated Grouting Date: Time: Richard Hanson Richard Hanson PLS Coordinates: 1/4, NE 1/4, SW 1/4, SE 1/4, Sec 20 Town 027 Range 23 Street Address: 4105 Blackhawk RD PIN Number: 100200003077 7744 LOGISMap Output Page (4I6S G7ucialaA.A L� Page 1 of 1 r - soup, pour €rear Ate crcrnod •na'hA- ceUSS -C gftto LOGS GA' 20D5 0 33.11\ http:// gis. logis. org/ LOGIS_ArcIMS /ims ?ServiceName =ea LOGISMap_OVSDE&ClientVersion=4.0&F... 08/02/2011