Laserfiche WebLink
ENVIRONMENTAL SITE INSPECTION QUESTIONNAIRE <br /> AGRICULTURAL PROPERTIES <br /> Page 1 of 9 <br /> The purpose of this questionnaire is to provide a format for reporting of environmental <br /> observations of site conditions. The owner/tenant is expected to answer a❑ questions as <br /> completely as possible based personal knowledge of current and/or past site uses. <br /> I. GENERAL INFORMATION <br /> Project #: r <br /> Site Name: <br /> Address: V-740vV <br /> Person Completing Questionnaire: _DqJ k c L L4,,J 6T <br /> Title: ec- <br /> Telephone Number: � <br /> Date: 3/7 /01 <br /> SITE CONTACT <br /> NAME TITLE AFFILL1,TIO <br /> X- ► Fes' <br /> II. SITE DESCRIPTION/USEIHISTORY <br /> A. Description <br /> 1. Provide a description of the current site (ie. existing structures, geographic <br /> conditions, uses, etc.). <br /> FEtQtISD CoQAL A N d- � - Skta&.L. G' t-4n <br /> Z. When did you acquire (or first occupy the property) 4,092evx ?L-7 <br /> 3. Attach a Plot Plan describing key features, if available. <br /> F:1Bata%GROUNDZEIPHASEllowncrqueatdoe <br />