HomeMy WebLinkAboutPark St. #46 - 5/5/2000APPLICATION FOR PERMT TO DRILL WELL
Location a'�:
Registered
Well Driller James Kapolis #239
Address 1200 West Street Mansfield, Mass. 02048
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: i Domestic S 10.00 _Industrial/Commercial. S 100.00 NIC Agricultural
Date:., Applicant
The above application
following use at
and permission is granted to drill a well for the
Do otable (for household use)
=omestic Auxiliary (for watering, pools, etc.)
_Industriai/Commerciai Potable (for human consumption, including food processing)
_Industrial/Commercial Auxiliary (for manufacturin etc.)
_Agricultural (for irrigation of land in the busiri o agriculture)
Date: ' �� Approved by:
Foal a 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