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Yes <br />Evidence of a private well within 1,000 feet? <br />None observed <br />16. Identify the potable water supply source: <br />Well <br />17. Identify the sewage disposal system: <br />Septic system <br />18. Are there any pits, ponds, or lagoons located on the property in connection with waste <br />treatment or waste disposal? <br />No <br />19. Is there evidence that the subject property discharges waste water, other than storm <br />water, directly into a ditch or stream on or adjacent to the property? <br />No <br />` Any discharges within 200 feet? <br />None observed <br />20. Is there evidence of underground/aboveground storage tanks on the subject property? <br />— <br />There is one aboveground diesel tank used for the operation of the <br />agriculture well on the subject property. There is a propane tank for <br />domestic uses in the residence. <br />Within 200 feet? <br />None observed <br />21. Are there any vent pipes, fill pipes, or access ways indicating a fill pipe protruding from <br />the ground on the subject property? <br />No <br />Within 200 feet? <br />None observed <br />22. If there is a structure on the subject property, are there any flooring drains or walls <br />located within the structure which have been stained with a substance other than water <br />or are emitting foul odors? <br />— <br />4 <br />— <br />— <br />