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17, What Is the depth to groundwater? <br /> f, <br /> Describe the source of Inlormatiom <br /> 13, Are there any water wells on this parcel or adjacent properties? YES 1 I Na Y1 <br /> TYPR OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft+ <br /> Private Well <br /> Irrigation Well fL <br /> Monitoring Well ft. <br /> Other ft. <br /> 14. Will the tank(s) pending closure be replaced with an abovegrowd or underground storage tank(s)? YES[ I NQ{ 1 <br /> 15- Indicate the responsible party to be billed for additional. PDS-EDD staff time UPeneied beyond 3 hour minitttum <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 r 4= <br /> Mailing A dress ' s <br /> Day Phone Number <br /> r ._ f Z� 3 <br /> Slgnatu Date <br /> I <br /> Pale 6 <br />