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12. What is the depth to <br />1 _ r^. <br />13. Are there any water wells on this parcel or adjacent properties? YES NO [ ] <br />oN-SITS <br />NONE oN t�DJRCeVT <br />P/cc.Fa1271e-5. <br />14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES NO [ ] <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 party designated below is different than the permit applicant, e.g. property owner, <br />the party must acknowledge this responsibility for the billing by signature and date below. <br />Day Phone <br />Page 6 <br />70) <br />oN-SITS <br />NONE oN t�DJRCeVT <br />P/cc.Fa1271e-5. <br />14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES NO [ ] <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 party designated below is different than the permit applicant, e.g. property owner, <br />the party must acknowledge this responsibility for the billing by signature and date below. <br />Day Phone <br />Page 6 <br />