HomeMy WebLinkAboutDeer Path Lane #36 - 6/23/1997MANSFIELD BOARD OF HEALTH
APPLICATION FOR PERMIT TO DRILL WELL
Location
Installer
Address
fwd—j we] all MWE
_Domestic Potable (for household use)
.,2Domestic Auxiliary (for watering, pools, etc.)
IndustriallCommercial Potable (for human consumption, including food processing)
_IndustriallCommercial Auxiliary (for manufacturing, etc.)
_Agricultural (for irrigation of land in the business of agriculture)
Fee: Domestic $ 10.00 Industrial/Commercial $ 100.00
Date:uG-�- i C Applicant
The above applii
following use at
PERMIT TO DRILL A WELL
N/C Agricultural
been approved and permission is granted to drill a well for the
_Domestic Pr' ble (for household use)
,Domestic Auxiliary (for watering, pools, etc.)
IndustriallCommercial Potable (for human consumption, including food processing)
_IndustriallCommercial Auxiliary (for manufacturing, etc.)
Agricultural (for irrigation of land in the business of agriculture)
Date�015�Approved by:
Fo t Board of Health
NOTE: Electrical permit required; underground cable trench must be inspected