Well sealing permit 2026

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The document is a permit application for sealing wells issued by the Minneapolis Health Department's Environmental Health Division. It outlines the necessary information required for the application, including well location details, construction profiles, and contractor information. The document emphasizes the importance of obtaining a permit before sealing a well to comply with Minnesota statutes and local ordinances, and it includes payment instructions and potential penalties for non-compliance.

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Click ‘Get Form’ to open the well sealing permit in the editor.
Begin by filling out the 'Legal Description of Well Location' section. Provide details such as Township, Range, and Quarters.
Attach a site map showing the well location(s) and identify property lines, buildings, and other structures.
In the 'Use / Type of Well' section, check the appropriate box for your well type (e.g., Residential, Irrigation).
Complete the 'Well Condition' section by answering questions regarding obstruction and casing. If applicable, submit a sealing plan.
Fill in the 'Well Owner' and 'Property Owner' information accurately, including contact details.
Review all entries for accuracy before signing as a licensed contractor at the bottom of the form.

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