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JUN -23-94 THU 14:00 <br />i 06-23-1994 01!44PM FROM 5EMCO <br />12. Whatthe depth io groundwater? <br />the ¢art <br />t�`atne <br />MnL ng <br />I <br />Day Ph( <br />2 <br />the sauce or <br />,e any'water wvIls on this pared or adjacent properties'! <br />TO <br />TYPE OF WEIIS <br />DLsmm io TOWM <br />Public WeIl <br />fc <br />Privata7hu <br />$tai R <br />Irrigation Well <br />ft <br />Monitoring Well <br />R <br />Otber <br />ft <br />• <br />P.04 <br />5994399 P.04 <br />0 <br />TIES )d No I ) <br />tock(s) pending eluure be replaced with an abawgonnd or underSmold steraga tank(s)? TIES[ ) N0e <br />tht re-sponsible party to be billed ror.sdditional PAS -El) staff time expended beyond 3 hoar minimuCa <br />"aro ger tank. If the para designated below is dillerent shun the permit applie:tt 4 e -g, property owner, <br />must acknowledge this responsibility for the boing by stlaature and date below. <br />idr s .P 5oV 698' y r 1p&e ] I 9A 85'34(, <br />:Number ( rr! .r°) A3 - q: -b t <br />Data <br />06-23-1994 01:59PM P.04 <br />