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i -E4-1913 12:0'Pt1 PENDJLR ENT. 1 c�-Tl 2.5 -A40 P. J' <br /> EST. 75 TO 125 FEET <br /> I:. What u the depth to groundwater? <br /> Describe the smarce of lafortnatioa: LINES OF EQUAL DEPTH <br /> 13. Arc there any water wells on this parcel or adjacent properties? YES I t KCl ( I <br /> NONE KNOWN <br /> TYPE OF WELLS DWrANM TO TA16CS(S) <br /> Pablit Weil ft <br /> Private Well h <br /> irrigation Weil ft <br /> Monitoring Well ff. <br /> Other tt. <br /> 14. WIII the mak(a) peadidg doture be replaced with an abovegtrouod or uaderlstound storage tsak(s)? YESI J KOK <br /> M Indicate the responsible putt' to be billed tot additional PHS-EHD stat{time expended beyond 3 hoar minimum <br /> permit payment per tank. IT the party designated below In dlfUrent titan the permit applicant, et', property <br /> owner, the party most acknowledge this responsibility for the biding by signature and date below. <br /> Name LA''FINCH NO. I PARTNERSHIP , ATTN• MR FLOYD SM'THSQU, OrFgATl06C5 fiSANC1P�_ <br /> Mailing Address P.O. DCX 1507, GRASS YAL4EY. CA ,I FUR^itA 95945 <br /> Day Phone Number / 530 ) 478 6464 <br /> lSignatur ']ytta Date <br /> ER 23 046 lRevised 9111/96) pate 6 <br />