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1073 Beatrice St - notice of well sealing Ordiuaom Na. 114: WELL AND WATER SUPPLY MANAGEMENT WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Johnson and Sons, Inc. ISSUED_TO #27580 ADDRESS: 3637 16th Ave. REVIEWED BY BW Minneapolis, MN 55407 has submitted a permit application, has paid the sum of one hundred and five($105) dollars to the County of Dakota as required by ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well(s) described herein: An abandoned well with a casing diameter of 4 inches, depth of 135 feet and completed in in the drift will be permanently -sealed.. The well shall be cleaned of equipment and debris, disinfected, neat cement. pressure grouted and terminated at least two feet-below grade. The well is located in the municipality of Eagan as follows: Well Location: Property Owner and Well Owner and Address (if different) Address (if different) 1073 Beatrice St Ray Buntjer Eagan, MN 55121 NOW, THEREFORE, Johnson and Sons,Inc. is hereby permitted and authorized to permanently seal the well described and located above for the period March 1992 to March 1993 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this 27th day of March, 1992. ATTEST ENVIRONMENTAL S ISOR 0