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12. What is the depth to groundwater? 7'frrII <br /> Describe the source of information: <br /> 2= i mct4zf, <br /> 13. Are there any water wells on this parcel or adjacent properties? YES [yam N0 ( ] <br /> TYPE OF WEI IS DISTANCE TO TAN1�5(S) <br /> Public Well <br /> Private Well I n, <br /> Irrigation Well ft. <br /> Monitoring Well ft, <br /> Other ft. <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ ] NO[ ] <br /> 15. Indicate the responsible party to be billed for additional PHS•EIID staff time expended beyond 3 hour minimum <br /> permit payment per tank. If the party designated below is different than the permit applicant, e.g. property owner, <br /> the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name D�Vld bP�/l�ni�,.tt.��,,, �•,� <br /> Mailing Address �1}I}�p!) batt n S� I Ripai CP— "I53U(P <br /> Day Phone Number <br /> Signature Date <br /> Page 6 <br />