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Surface/Subsurface Contamination Report Checklist <br /> NOA Project Number: E05058A <br /> Page 4 <br /> 13. a.Are there any open or damaged containers containing unidentified substances observed on the subject <br /> property? <br /> Yes 0 No ✓0 <br /> b.Within 250 feet? <br /> Yes M No rM <br /> 14. Identify any surface waters within 1,000 feet.of the subject property <br /> An agricultural tailwater pond in the northeast corner of the subject properly. <br /> 16. a. Identify the potable water supply source: <br /> Public Water System MOther No domestic water use. <br /> r7PrivateWell None <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes 0 No Q The properties&rectyto the south of the subjectproperty have private wells <br /> 17. Identify the sewage disposal system: <br /> Public Sewer System M Other <br /> On-site septic system 571 None <br /> 18. Are there any pits,ponds,or lagoons located on the property in connection with waste treatment or waste <br /> disposal? <br /> Yes Q No 0 <br /> 19. a.Is there evidence that the subject property discharges waste water,other than storm water,directly into a <br /> ditch or stream on or adjacent to the property? <br /> Yes 0 No FV Irrigation and storm water drains into agricultural tailwaterpond in the northeast corner of <br /> Me subjectprqpery <br /> b.Any discharges observed within 200 feet? <br /> Yes M No ✓0 <br />