4235 Blackhawk Rd - Municipal Notice of Well Sealing Application2/3/2012 4:12:52 PM
7975 ® 01/01
DATE: February 3, 2012
RE: Well Permit #: 12- H299455
Property Owner:
Well Owner:
WELL LOCATION:
WELL INFORMATION:
Diameter:
Casing Depth:
Total Depth:
Static Water Level:
Aquifer:
COMMENTS:
4
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
TO: Tom Colbert/Wayne Schwanz (EM) Fax #: (651) 675 -5694
Well Contractor: Hartmann Well Company
Date Application Received: 02/03/2012
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Carol Ashworth
Carol Ashworth
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.
PLS Coordinates: 1/4, NW 1/4, NW 1/4, NE 1/4, Sec 29 Town 027 Range 23
Street Address: 4235 BLACKHAWK RD
PIN Number: 100290001010
9003
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