HomeMy WebLinkAboutBonney Ln. #13 - 8/8/1991Name
Address
Location
TOWN OF MANSFIELD, MASSACHUSETTS
50 West Street, Mansfield, MA 02048
APPLICATION FOR PERMIT TO DRILL WELL
-il i A,,,i S 2'0 c a 4 %G/L /tlA
%!fF/iis �/CG A/ C!�/�o c� S I �G�y G%v
Installer
4'—C
0 /FZ (2�'
Address
(:-!-/ t[
yr 7` 667/30%ZG /LPff
TYPE OF WELL:
_ Domestic Potable —Industrial/Commercial Potable
//Domestic Auxiliary _Industrial/Commercial Auxiliary
_Agricultural / _Local Water Supply
Intended use: k-)I--)
Fee: Date:
PERMIT TO INSTALL WELL
The above application has been approved and permission is granted
to install a (k2P'l,(,4 U/ ✓'t well for the purpose
of C'gtm12,(oc, LAw kA at LMi t1�Lrjt. b ),t'f m
(
Date:
Approved b _
he Board of Health
NOTE: Electrical permit required; underground cable trench must be inspected
E
9
e�
L-
S
r
r
i
S
A
9
•c
O
O
o
m
oo
m m
0 0
0 D
m
o
o m
o
z
El
O
C
m
w
m o
El
Cc
$A
O
v
d
3
F O
y
_❑
3
U�'
_r
J
3
1m
N
Dr
E...
o
0 0 0 o
m
= D
m
F 3 3 3
o
a
a D
m
3
>
o
o 0 0
N
f-'
0
�D
0
a
7
o
'�
nfm
asn a�UfO
I
o
° °z
a
r0
o
O
to
GG
m
m
0
w
0
o
D
a,
o
o m
o
C_
lil
3
M
3
a
n
r
c n
>-
s
Z
C
o
rr"
ly
rc
a
m
m❑
`m
O
.�
p=
y
_
T
o_
D3
El
D
m
-
pm
N
_
-�
v
F-1
❑
-
rT I
'.�
_
~
._.
_0
0
Imo•
�
O
❑
'o
m
<'
1�
o
r,
aii
w
J'
f/1 m
<
m
a r❑
.Kf
r
11
O
3 3 3
o
a
m D
v
. m
_
o
7.
3
j
= 1 JI m
..
fl
A_
i
Y o
Z
1
.<n.
o
D
m
v o'
0
110
.
3
..
m
Z•
'c
m
(7
p
"�
fua
am any{O
FY