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Well Permit Application (Non-Potable Only)

  1. Permit Fee: $50

  2. To The Board of Health, 71 Mt. Vernon St, Winchester MA 01890

  3. Application is hereby made for a permit to install a well for non-potable use on property listed below in accordance with the rules and regulations of the Board of Health. Well cannot be connected into the water supply of the home or business.

  4. Check whether permit is for:*

  5. Street, City, State, Zip Code

  6. Street/PO Box, City, State, Zip Code

  7. Sketch Required:

    Before a permit will be issued, you must sketch an outline of property showing thereon the proposed location of well. This must be submitted to healthdept@winchester.us or mailed to Health Dept, 71 Mt. Vernon St, Winchester MA 01890.

  8. Leaching Facility......................................100 ft

  9. Designated Reserve Area...........................100 ft

  10. Septic Tank...............................................50 ft

  11. Property Line............................................10 ft

  12. Payment Options:

    Payment must be made before a permit will be issued. To pay online click below, or a check payable to "Town of Winchester" can be mailed to: Winchester Health Dept., 71 Mt. Vernon St, Winchester, MA 01890

  13. Leave This Blank:

  14. This field is not part of the form submission.