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HomeMy WebLinkAboutSouth Main St. #875 - 11/18/1999APPLICATION FOR PERMIT TO DRILL WELL Name 875 South Main St. Realty Trust Address 875 South Main St., Mansfield Ma 02048 Location 875 South Main St Mansfield Ma 02048 Registered Well Driller Wayne' s Well Drilling 228 Wareham St.. Middleboro.MA. 02346 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: x Domestic $ 10.00 __Industrial/Commercial $ 100.00 , N/C Agricultural Date: 1 1 / 16 / 9 9 Applicant PERMIT TO DRILL A WELL The above application has been approved and penms ion is granted to drill a well for the following use at 0� 7 5 SCLMA W A'L'A t--) _Domestic Potable (for household use) L .15omestic 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 g culture) _ Date: 1 Approved by: Forte and 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.