HomeMy WebLinkAboutWebb Pl. #14-26 - 4/20/1999:I
APPLICATION FOR PERMIT TO DRILL WELL
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TYPE OF WELL:
Zmestic Potable (for human consumption)
Doomestic Auxiliary (for landscape watering, pools, etc.)
—Industrial/Commercial Potable (for human consumption, including food processing)
_Industrial/ ommercial Auxiliary (for manufacturing, etc.)
_Agricu al (for irrigation of land in the business of agriculture)
Fee: _Domestic $ 10.00 Industrial/Commerci $ 19 . 0 N/C gn al
Date: I Applicant Signature (( U
PERMIT TO DRILL A WELL
The above application has been approved and permission is granted to drill a well for the
following use at
_Domestic Potable (for human consumption)
omestic Auxiliary (for landscape 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 o£ agriculture)
Date: ' �' Approved by:,
For -the Board of Health
Follow-up notes for after the well is drilled:
1. Electrical permit required, underground cable trench must be inspected
2. Upon installation of well, call Department of Public Works office at 261-7331 to be
added to well list
3. Display "Well Water" sign.