Laserfiche WebLink
13. What is the depth to groundwater? 2� <br /> Describe the source of information: <br /> 50-1 :10Pt4J w Gc <br /> 6 � t 4qS <br /> 13. Are there anv water wells.on this parcel or adjacent properties? YES i40 <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well ft. <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> Other ft- <br /> 14. Will the tanks) pending closure be replaced with an ahevegreand o under�oun storage tank(s)'. YES(4.01 I <br /> 15. Indicate the responsible party to be billed for additional PHS-EHD staff time expended beyond 3 hour minimum <br /> permit payment per tank. If the parry designated below is different than the permit applicant, e.g. property <br /> owner, the parry must acknowledge this responsibility for the billing by signature and date below. <br /> Name G2tJ l i� SZQP Mf�k�S (NC <br /> Mailing Address <br /> Day Phone dumber <br /> carr. nw�• <br /> nature Title Date <br /> E.=i 23 046 (Revised 9/11/96) Page 6 <br />