HomeMy WebLinkAboutMillstone Ct. #14 - 7/6/1999APPLICATION FOR PERMIT TO DRILL WELL
Name
Location
Registered (�
Well Driller \G,Yx�nt, LGwvj oc Cc,
Address i-00weS+ S�' 141A
TYPE OF WELL:
Z�� usel —
�v ✓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: ✓Domesti 10.00
Date: �� 4;, Z -/ Cj Applicant
The above applii
following use at
$ 100.00 N/C Agricultural
PERMIT TO DRILL A WELL
and permission is granted to drill a well for the
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.)
_A u al (for irrigation of land in the bus in f agriculture)
Date: / (e c(l Approved by:
FS6he 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.