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Evidence of aP rivate well within 1000 feet? <br /> None observed. <br /> 16. Identify the potable water supply source: <br /> Well. <br /> 17. Identify sewage disposal system: <br /> Septic tank 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 /> 5 <br /> One storage tank identified in #11 of this checklist. This is assumed to <br /> be for pesticide use. <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 /> The structures on the property did not have any flooring drains. <br /> f 4 <br />