Laserfiche WebLink
h)-?UM P 9 <br /> 12. What Is the depth to groundwater <br /> Describe the source of laformadon: <br /> 13. Are there any water wells on U93 parcel or 4aceat properties? N IES*NO[) <br /> TTPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well D rL <br /> Private Well [t. <br /> Irrigation Well fL <br /> Monitoring Wen IL <br /> Other It <br /> 14 Will the to*s)pendhag closure be replaced with an aboveground or enderV0dnd storage tah4(s)?Tq I NO[1 <br /> 15. ludicate the responsible party to be billed for additional PHS•EHD staff ttme ezpeaded beyoad 3 hour minlmnm permit payment <br /> per tank If the party designated below Is different than the peradt appllunL e.g.property owner,the party most acknowledge <br /> this responalbllity for the billing by sigaaturs and date below. <br /> Nama 7"�FFe—kZok) �c �/cbc�i�pp7PzlCT <br /> Mainng Address 7a2r/ L(/+ /�vE 0lDAz1 Army ( ��3T6 <br /> Day?houeNumber( '209 <br /> Pas is✓c�5 <br /> spawn TWO Daft <br /> EH 23 046(Revised 10/19M) Page 6 <br />