2858 Sibley Hills Dr- Municipal Notice of Well Sealing Application,i /1S' /1U12
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DATE: March 19, 2012
Property Owner:
Well Owner:
WELL LOCATION:
WELL INFORMATION:
Diameter: 4
Casing Depth: 138
Total Depth: 150
Static Water Level:
Aquifer:
COMMENTS:
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- -Schcvanz (EM) Fax #: (651) 675 -5694
're:. L`ti to
RE: Well Permit #: 12- H301940
Well Type: Domestic
Municipality: Eagan Environmental Specialist: Luehrs
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: E.H. Renner & Sons
Date Application Received: 03/16/2012
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Estate of Audrey Post
PLS Coordinates: 1/4, SE 1/4, NE 1/4, SW 1/4, Sec 04 Town 027 Range 23
Street Address: 2858 SIBLEY HILLS DR
PIN Number: 105850104000
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