HomeMy WebLinkAboutHarvestwood Ln. #8 - 6/26/20001 :1�11 01 0
.TION FOR PERMIT TO DRILL WELL
Name
Registered
Well Drille
TYPE OF WELL:
Domestic Potable (for household use)
_76omestic 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: k'Domestic $ 10.00 —Industrial/Commercial "0.00 N/C Agricultural
Date: - tv lI Applicant
PERMIT TO DRILL A WELL
The above application h een approved and permission is granted to drill a well for the
following use at 5; C �-
Domestic Potable (for household use)
mestic Auxiliary (for watering, pools, etc.)
—Industrial/Commercial Potable (for human consumption, including food processing)
—industrial/Commercial Auxiliary (for manuf 'ngg, etc.)
_Agricultural (for irrigation of land in the b mess ot�agriculture)
Date: G Approved by:
Fo the oard 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