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14. Identify any surface.waters on the subject property or within 1000 feet. <br /> F; Bear Creek runs half the len h of the eastern edge of the Propeqy. <br /> F—l' <br /> 15. Is there evidence that the subject property is serviced by a private well? <br /> X Yes No <br /> E 1 ­Z000� ✓�j fc�'f'+ !amu c_L� <br /> Evidence of a private v4ell within 1000 feet? Yes X None Observed <br /> P!' <br /> 16. Identify the potable water supply source: Unknown <br /> 17. Identify sewage disposal system: Unknown <br /> g P osal Y <br /> 18. Are there any pits, ponds, or lagoons located on the property in connection with waste <br /> treatment or waste disposal? <br /> Yes X No <br /> FJJ 19. Is there evidence that the subject property discharges waste water, other than storm water, <br /> directly into a ditch or stream on or,adjacent to the property? <br /> Yes X No <br /> F-i Any discharges within 200 feet? Yes X None Observed <br /> 20. Is there evidence of underground/above ground storage tanks on the subject property? <br /> Yes X No <br /> E <br /> Within 200 feet? Yes X None Observed <br /> 21. Are there any vent pipes, fill pipes, or access ways indicating a fill pipe protruding from the <br /> Fil <br /> ground on the subject property? <br /> Yes X No <br /> Fit Within 200 feet? Yes X None Observed <br /> F 22. If there is a structure on the subject property, are there any flooring drains or walls located <br /> within the structure which have been stained with a substance other than water or are emitting <br /> foul odors? <br /> P Yes X No Structures <br />