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600 Greenleaf Dr S - Municipal Notice of Well Sealing Permit Application4/ 1 1 / L.0 1 L 1 . 1 / . JV riv' DATE: April 11, 2012 TO: Russ Matthys /John Eaton Fax #: (651) 675 -5694 RE: Well Permit il: 12- H294699 Well Type: Domestic Municipality: Eagan Environmental Specialist: Olsen MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION 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: Carlson Well Drilling Date Application Received: 04/11/2012 Anticipated Drilling Date: Time: Anticipated Grouting Date: Time: Property Owner: Well Owner: WELL LOCATION: PLS Coordinates: NE 1/4, SW 1/4, SW 1/4, SE 1/4, Sec 25 Town 27 Range 23 Street Address: 600 Greenleaf DR S PIN Number: 107120007005 WELL INFORMATION: Diameter: 4 Casing Depth: 175 Total Depth: 180 Static Water Level: Aquifer: COMMENTS: Walter Fletcher Walter Fletcher 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 7583 c+cmcd w 1 A Ccar.gt ■..(244.5 w MEW 4111Pr*,„„,