HomeMy WebLinkAboutCarriage House Ln. #8 - 8/13/1997CVO 1�1 1 ___ . M.
APPLICATION FOR PERMIT TO DRILL WELL
Name �� t -T I 46-( P w A-t—
Address � CA kP, 1 A it e7 H D U S E
Location S" 0
Installer 6 H G F' I Libj P-! LC-/ N G
WE✓SzrIiNSZEG-
TYPE OF WELL:
omestic Potable (for household use)
Domestic Auxiliary (for watering, pools, etc.)
_Industrial/Commercial Potable (for human consumption, including food processing)
_::::Industrial/Commercial Auxiliary (for manufacturing, etc.)
_Agricultural (for irrigation of land in the business of agriculture)
Fee: _Domestic $ 10.00 Industrial/Commercial $100.00 N/C Agricultural
Date: g 13 i Applicant
PERMIT TO DRILL A WELL
The above application has been appproved and permission is granted to drill a well for the
following use at R- (�%i•2 eAA G i H"1.9, LQ h-v-_
Domestic Potable (for household use)
Domestic Auxiliary (for watering, pools, etc.)
_Industrial/Coahniercial Potable (for human consumption, including food processing)
:—Agricultural
Auxiliary (for manufacturing, etc.)
_Agricultural (for irrigation of land in the business of agriculture)
Date :�13- Approved by:
For the Board of Health
NOTE. Electrical permit required; underground cable trench must be inspected