HomeMy WebLinkAboutMayflower Dr. #3 - 7/11/1997APPLICATION FOR PERMIT TO DRILL WELL
Name
Address '� �\ck�'/ �ko we � C �w c
Location
Installer
Address
TYPE OF WELL:
_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 Industrial/Commercial $ 100.00 N/C Agricultural
Date: J UT \nco- Applicant
PERMIT TO DRILL A WELL
The above application has been approved and permission is granted to drill a well for the
following use at �_(MeA�,( Iq-4nk/r-/'� Nb-i`
_Domestic Potable (for househc':: use) —�-
✓bomestic 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)
Date: t P Approved by:
or the Board of Health
NOTE: Electrical permit required, underground cable trench must be inspected