Laserfiche WebLink
12. <br />13 <br />What is the depth to groundwater? <br />Describe the source of information: <br />Are there any water wells on this parcel or adjacent properties? <br />YES [ ] N 1( <br />14. Will the tank(s) pending closure be replaced v pith an aboveg ound or underground storage <br />tank(s)? YES[ j NO�K- <br />15. Indicate the responsible party to be billed for additional EHD staff time expended beyond 3 hour minimum <br />y <br />permit payment per tank. If the party designated below is different than ath aupterm t applicantdate below- p p <br />ert <br />owner, the party must acknowledge this responsibility for the billing by gn <br />Name <br />Mailing Address `rr <br />7E c9 - <br />Day Phone Number <br />Signature <br />Title Date <br />ER 23 046 (Revised 3115/02) rage 6 <br />