Attachment_3a_-Winona_Well__1_Disclosure_Certificated_-_2007_WDC_440038.pdf

This is a Minnesota Department of Health Well Disclosure Certificate, a state-level property disclosure form required for real estate transactions involving properties with wells.

The certificate documents a property transaction for land located at Forgotten Lane, Minnesota City, MN 55959 in Winona County. The buyer is Mathy Construction Company, located at 920 10th Ave. North, P.O. Box 189, Onalaska, WI 54650. The seller, Edwin L. Maus, certified the property information on September 20, 2007. The property contains one disclosed well (Well #1), located in the NE¼ of the SW¼ of Section 2, Township 107, Range 8. The well status is marked as "not in use," and no licensed well contractor sealing record was identified. The certificate includes a location map showing the well's position on the property relative to fixed reference points and includes flowage and driveway easements. Per Minnesota Department of Health requirements, the property buyer must ensure the well is either returned to use, sealed by a licensed well contractor, or obtain an annual maintenance permit for $150. A Water Well Maintenance Permit was subsequently issued by the delegated Winona County program on August 10, 2010, as documented in the accompanying Communication Memorandum.