HomeMy WebLinkAboutOld Stable Dr. #47 - 7/8/1999APPLICATION FOR PERMIT TO DRILL WELL
Name
%,
Location
Registered
Well Driller
TYPE OF WELL:
2'omestic 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 _IndustriaUCommercial $ 100.00 N/C Agricultural
Date: vL� Applicant Signature: % �•-,
PERMIT TO DRILL A WELL
The above application has been approved and permission is granted to drill a well for the
following use at 4-1 ru> � _ �
Domestic Potable (for household use)
_
omestic 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 burin ss of agriculture)
Date: Approved b
Fo a Board of Health
NOTE: Electrical permit required; underground cable trencle must be inspected
Upon installation of well, call Department of Public Works office at
261-7331 to be added to well list