3645 Sibley Memorial Hwy - Well Sealing Application7/ L L / L V 1 1 L. V 1. V 1 1 V 1
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RE: Well Permit #: 11- H298609
Well Contractor:
Date Application Received:
Anticipated Drilling Date:
Anticipated Grouting Date:
Property Owner:
Well Owner:
WELL LOCATION:
WELL INFORMATION:
Diameter:
Casing Depth:
Total Depth:
Static Water Level:
Aquifer:
COMMENTS:
Bohn Well Drilling
09/22/2011
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: September 22, 2011
TO: Tom Colbert/Wayne Schwanz (EM) Fax #: (651) 675 -5694
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.
Time:
Time:
Minnesota Valley Transportation
Minnesota Valley Transportation
PLS Coordinates: 1/4, NW 1/4, NE 1/4, SW 1/4, Sec 17 Town 027 Range 23
Street Address: 3645 Sibley Memorial HWY
PIN Number: 100170001050
3645 Sibley Memorial Hwy
.40,<X4-5 -
PIM 100170050010
3645 SIBLEY MEMORIAL HWY
EAGAN, MN 551220000
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