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MN Well Sealing Permit Application 2018-2025 free printable template

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Minneapolis Health Department Environmental Programs Division ELL 250 South 4th Street, Room 510 Minneapolis, MN 554151316 DEALING (612)6733000 Fax (612) 6732635 NOTIFICATION EnvironmentalHealthPermit
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How to fill out MN Well Sealing Permit Application

01
Obtain the MN Well Sealing Permit Application form from the Minnesota Department of Health website or local office.
02
Fill out Section 1 with the applicant's contact information, including name, address, phone number, and email.
03
In Section 2, provide details about the well to be sealed, including the well's physical address and its type (e.g., potable, irrigation).
04
Section 3 requires you to describe the reason for sealing the well (e.g., abandoned, malfunctioning).
05
Complete Section 4 by providing information about the contractor who will perform the sealing work, including their license number if applicable.
06
Review the application for completeness and accuracy, ensuring all required fields are filled.
07
Sign and date the application in Section 5 to certify that the information provided is true and complete.
08
Submit the completed application to the appropriate local health department along with any required fees.

Who needs MN Well Sealing Permit Application?

01
Individuals or entities that own a well that is abandoned, malfunctioning, or otherwise in need of sealing.
02
Landowners who are closing a well in compliance with Minnesota state regulations.
03
Contractors performing well sealing services on behalf of the well owner.

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Instructions and Help about mn well sealing form

All right today we're talking about an electrical sub-code permit application in order to fill out the application you need to have certain information known when you purchased the house you would have been given block and lot number so the block and lot number are used to identify your house within a series of within a series of maps that are maintained by your city or Township, so typically the block would be something like a twelve point zero six and a lot of number could be like 20 to the worksite location you would put your address, so we could put one two three let's say if here this is where the work is going to be performed the owner is you, and then you're going to have your telephone number this is where they can reach you because they need to call you and tell you that your permits ready your email address some townships don't email the address now this could be the same address contractor, so you're doing to work yourself, and you just put self real easy you don't need to fill in any other information none of this is applicable because you're doing to work yourself now let's assume we're doing some work within the residents let's take my music studio as an example so the music studio that I'm working on we have approximately twelve outlets they originally expect twelve lights but is it away everything was laid out worked better with ten lights, and we have five switches now we do not have to count existing switches there was a closet in that room and there's a switch in that room we do not need to count it because this is rehab work we're rehabbing those switches are going to say yeah five switches receptacles we're going to say twelve lighting fixtures we're going to say ten detectors yes we are going to add smoke detectors because the previous homeowner did not have wired smoke detectors the house was built 1972 the requirements then or that you only needed a smoke detector I don't even think you needed to smoke detector 10 but because it was built 1972 the requirement is that smoke detector be present for a CEO just certificate of occupancy, but the smoke detector needs to only be battery-powered, so I am wiring it up, or I did wire up detectors and the number of detectors I did one in the hallway and one in the studio just for safety purposes, and they are hardwired to a dedicated circuit, and now we have a sub panel that we added we have one sub panel it's a hundred amp, and we added technically this was added for another permit that I pull it, but I'm just doted on here just so do you see yeah it was the fixture is receptacles switches detectors cell panels now we need the estimate of the work us of the estimated work it's me doing it, so there's no labor involved, but there are parts and the switches and outlet outlets are cheap to get ten outlets or about a ×10, so we'll say $20 for the outlets just do some quick math here you know you do not need to fill in this area I don't to use this just for a scratch bed there were $20...

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People Also Ask about minnesota sealing application fill

Construction of a well greater than two inches in diameter (such as a three- or four-inch diameter wells that are typical for residential properties) must be performed only by licensed contractors. Homeowners constructing a well need to get a permit from both FDEP and their governing FWMD.
The permit ensures that wells are built by licensed water well contractors and conform to water well construction standards within the State of Florida.Well Construction Permitting Fees » Well Construction Permit$ 100Well Contractor License Application/Exam Fee (effective Sept. 26, 2012)$ 150
All wells must be constructed by a licensed water well contractor. The only exception to this law is for a water well two (2) inches or less in diameter constructed by an individual for his/ her own private use on his/her owned or leased property as specified in Section 373.326(2), Florida Statutes.
The permit fee for a well alteration is $214.00 for a single family residence and $220.00 for a non-single family residence. Bring with you a scaled drawing of your lot and have the location of the new well designated on that plot plan or complete and bring in the site plan page of the application (pdf).
Currently, a well construction permit is required for any well constructed/drilled within the boundaries of the SWFWMD, including shallow irrigation and domestic wells that are two inches or less in diameter. A nominal fee is required to process the well permit application.
A permit application is required to be submitted, with fees, to the Local Health District prior to the construction, alteration, or sealing of any private water system. Please contact the Local Health District in which the property is located to obtain information about the permitting process and the required fees.

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The MN Well Sealing Permit Application is a document that must be completed to obtain permission to properly seal abandoned or unused wells in Minnesota, ensuring groundwater protection and safety.
Any property owner or individual responsible for an abandoned or unused well is required to file the MN Well Sealing Permit Application before sealing the well.
To fill out the MN Well Sealing Permit Application, provide accurate details about the well location, owner information, reason for sealing, and other relevant data as outlined in the application form.
The purpose of the MN Well Sealing Permit Application is to ensure that wells are properly sealed to prevent contamination of groundwater and to protect public health.
The application must report information such as well type, depth, location, owner details, sealing methods to be used, and any additional relevant details regarding the well.
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