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C) <br /> ENVIRONMENTAL SITE INSPECTION QUESTIONNAIRE <br /> Page $ of 9 <br /> J. Water and Wastewater <br /> 1. What is the source of water supply for the site? <br /> Public On-Site Well _X, Other Describe: <br /> 2. What is the water used for at the site? <br /> Irrigation Domestic <br /> Sanitary Facilities Other <br /> i <br /> 3. How many irrigation wells are located on-site? Please describe in terms of <br /> depth, age, proximity to septic system, chemical storage area, etc. <br /> F L L- is 20J ' - - rao^A 5,epA7e_. . mac_ yy�LL <br /> 4. Is irrigation drainage water collected on-site? <br /> Yes � No X If so, please describe. <br /> TA c r2 E ,1S A 5*/-#ra c�,_. fo o VA, A e P'ectC4��e�/ <br /> �'h A <br /> 7 - 64 AC h ceS' �PA��v ,�d� o�` FizQ,,.y 7 ll-r <br /> off-e / r¢�,.r� din it S� /V•�fv2.�G. �1 is <br /> 5. Are there any dry wells, leachfields, septic systems, or other wastewater <br /> disposal systems located on-site? <br /> Yes -,& No If so, please describe. <br /> S eo fl c- s�zz-11-r-n L AG L! Ar ss <br /> K. Waste Generation, Storage and Disposal <br /> 1. Please list all hazardous and non-hazardous waste streams generated on-site. <br /> WASTE DESCRIPTION QUANTITY HOW DISPOSED HOW OFTEN <br /> W-A <br /> gr0Und=kPhftC1k"4on <br />