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Within 200 feet? <br /> None observed <br /> 10. Is there evidence that fill dirt has been brought onto the site which originated from a <br /> r contaminated site or of an unknown origin? <br /> No <br /> i <br /> 11. Is there evidence of any pesticides, automotive or industrial batteries, paints, or other <br /> chemicals being stored or used at the property? <br /> None observed <br /> Within 500 feet? <br /> None observed <br /> 12. Are there any industrial drums or sacks of chemicals located on the subject property? <br /> None observed a <br /> ` Within 250 feet? <br /> None observed <br /> 13. Are there any open or damaged containers containing unidentified substances on the <br /> subject property? <br /> None observed <br /> t <br /> Within 250 feet? <br /> None observed <br /> t <br /> 14. Identify any surface waters on the subject property within 1000 feet. <br /> l None observed <br /> i <br /> t 15. Is there evidence that the subject property is serviced by a private well? <br /> Yes <br /> k <br /> Evidence of a private well within 1000 feet? <br /> Yes <br /> 16. Identify the potable water supply source: <br /> E Private well <br /> l 17. Identify sewage disposal system: <br /> Septic Tank <br /> E <br /> ;4 <br /> k <br />