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12. What is the depth to groundwater? <br /> APPROX. IS FEET <br /> Describe the source of information: <br /> ON SITE WELL <br /> 13. Are there any water wells on this parcel or adjacent properties? YES NO [ ] <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private 'A'ca APPROX. 60 ft. <br /> Irrigation Well ft. <br /> Monitoring Well t?. <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 PIIS-EHD 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 PIEDMONT LUMBER & MILL CO., INC. ATTENTION: MR. EDWARD P. SMITH, CFO <br /> Mailing Address 395 TAYLOR ROAD, SUITE 225, PLEASANT HILL, CALIFORNIA 94523 <br /> Day Phone Number ( 510 ) 674 8770 <br /> Sign ure / Gl�t/9✓U dG/�/c6� Date <br /> Page EIGHT <br />