HomeMy WebLinkAboutColonial Dr. #55 - 7/15/1999APPLICATION FOR PERMIT TO DRILL WELL
Name
Address ate' ') L
Location '5b K'- r? r 7—
Registered
Well Driller
TYPE OF WELL:
°mestic 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: L-Domestic $ 10.00
Date: ) �� —1 Applicant
PERMIT TO DRILL A WELL
The above application has bed 4pproved and permission is granted to drill a well for the
following use at
Domestic Potable (for household use)
:—�omestic Auxiliary (for watering, pools, etc.)
—Industrial/Commercial Potable (for human consumption, including food processing)
_Industrial/Commercial Auxiliary (for manufacturing, etc.)
—Agri c Itural (for irrigation of land in the business of agriculture)
Date: 1 / rt l` Approved by:
For a Board of Health
NOTE: Electrical permit required, underground cable trench must be inspected
Upon installation of well, call Department of Public Works office at
261-7331 to be added to well list.