Laserfiche WebLink
12. What is the depth to groundwater? <br /> Describe the source of information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES NOV <br /> TYPE OF WELLSDISTANCE TO"TANKS(S) <br /> Public Well ft. <br /> Private Well fL <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> Other ft. <br /> 14. Will the tanks)pending closure be replaced with an aboveground or underground storage tank(s)?YES[ [ ` <br /> 15. Indicate the responsible party to be billed for additional PHS-EHD staff time expended beyond 3 hour minimum permit payment <br /> per tank. It the party designated below is different than the permit appllcant,e.g.property owner,the party must acknowledge <br /> this responslblllty for the billing by signature and date below. <br /> Name ! <br /> ' Mailing Address ' <br /> Day Phone Number( J <br /> Sllatu4 Title Date <br /> 1 <br /> EH 23 046 (Revised 08/13199) Page 6 <br />