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12. What Is the depth to groundwater? _ ----- — — - <br /> Describe the source of Infarmatlan: <br /> 13. Are there any water wells an this parcel or adjacent propertlesT YES l I NO I I <br /> ME 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 aboveground or underground storage tanh(s)T YEA. Nnl I <br /> 15. Indicate the responsible party to be billed for additional P85-EIID staff time expended beyond 3 hour minimum permit payment <br /> per tank. It the party designated below Is different than the permit applicant.e.g. property owner.the party must arknowled8" <br /> this responsibility for the bl Wng by signsturs and date below. <br /> Name 1A V-- —K ,p t l T V A4nooD --- - ---- -- <br /> Malling Address q I F A--r/ /G' H Q�T� W / STo` <br /> Day Phone Number( <br /> M attire Title Da <br /> EH 23 046 (Revised 10/19/98) Page 6 <br />