Laserfiche WebLink
12. What Is the depth to groundwater? <br /> Describe the source of Information <br /> 13. Are there any water wells on this parcel or adjacent properties? To 11 NOH <br /> I <br /> TTPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well it. <br /> Private Well It. <br /> Irrigation WeN R <br /> Monitoring Well it. <br /> Other It. <br /> 14. Will the tank(s)pending closure be replaced with an aboveground or underground storage tank(s)?TESI 1 NOj 1 <br /> 15. indicate the responsible party to be billed for additional PHS•EHD staff time expended beyond 3 hour minimum permit payment <br /> per tank. If the party designated below Is different than the permit applicant,e.g.property owner,the party must acknowledge <br /> this responsibility for the billing by signature and date below. <br /> Name d�FAALI <br /> Malling Address 14 / Erb� / �C/ N10s� �"+� <br /> Day Phone Number( Z0 q ) �b <br /> SI ature Title Dat <br /> EH 23 046 (Revised 10/19/98) Page 6 <br />