Laserfiche WebLink
12. What is the depth to groundwater? 55 <br />Describe the source of information: <br />IFt o Ca Coe% tv''y I C.- <br />13. Are there any water wells on this parcel or adjacent properties? <br />14. <br />Eli <br />TYPE OF WELLS <br />DISTANCE TO TANKS(S) <br />Public Well <br />ft. <br />Private Well <br />ft. <br />Irrigation Well <br />ft. <br />Monitoring Well <br />ft. <br />Other <br />ft. <br />YES [ ] NO [ <br />Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES [ NO [ <br />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 />Name <br />Mailing Address <br />Day Phone Number 3-. / <br />Signature <br />Page 6 <br />Date <br />