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M 1 N N E 5 0 T A Minneso[a Department of Health SEALING NOTICE VERIFICATION
' Well Managemcnt Section
P.O.Box 64975 This is to verify that this office received a notification on 10/3/2012 that a well
St.Paul.Minnesow ss�va-o��s (Minnesota Unique Well No. H000308445) is to be sealed by
DEPARTMENTorHEAtTN �����Z01-4GOOor I-800-383-9808 BERGERSON CASWELL, WC. at:
lell or Boring Location Address: 1105 FERNDALE ROAD W WAYZATA 55391
�cation: Township Name WAYZATA No. 117 Range 23 Seciion 02 NW SW SE RECEIVED
��r � 7 2012
his well must be sealed in accordance with the Minnesota Rules on Wells and Borings. CITY OF ORONO
IDH staff may be on site to inspect the well sealing.
CHIP TRUWIT
1105 FERNDALE ROAD WEST
WAYZATA, MN 55391
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M I N N E 5 0 1 p Minneso[a Department oFHeal[h CONSTRUCTION NOTICE VERIFICATION
' Well Management Section
p.o.BoX�a��; This is to verify that this office received a notification on 10/3/2012 that a well
St.Paul.Minnesota s>>va-oms (Minnesota Unique Well No. 0000790836) is to be constructed by
DfPARTMENTorHEAITH �651)201-4600or 1$00-383-9808 BERGERSON CASWELL, INC. at:
Nell or Boring Location Address: 1105 FERNDALE ROAD W WAYZATA 55391
_ocation: Township Name WAYZATA No. 117 Range 23 Section 02 NW SW SE
Nithdrawals exceeding 10,000 gal/day or 1 million gallyear require a MN DNR Appropriation Permit(651/259-5700).
�ny unused well must be sealed by a licensed well contractor. MDH staff may be on site for well inspection.
'lans must still be approved for community public water supply wells.
CHIP TRUW IT
1105 FERNDALE ROAD WEST
W AYZATA, M N 55391