HomeMy WebLinkAboutAngelina Ln. #49 - 3/27/1998MANSFIELD BOARD OF HEALTH
APPLICATION FOR PERMIT TO DRILL WELL
Name
Address
Location
Registered //ii
Well Driller G eofi e 2Ohe � �o,�
M
MU_ •_ .L___
_Domestic 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 Industri
Date: S-2 -7`Applicant
The above appli
following use at
PERMIT TO DRILL A
approved and permission is granted to drill a well for the
Domestic Potable (for household use)
ZDomestic 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 bg5inq§s of agriculture)
Date: � Approved by:
o he 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.