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tt, What Is the depth to groundwater? ee K b r <br />13. <br />Are there any water wells on this pnrcel or nd)ncent properties? YES [ I NO <br />TYPE OF VVlsl,t.S <br />llISTANCE TO TANI S(S) <br />Public Well <br />n• <br />Private Well <br />It. <br />on Wellring <br />Well <br />E <br />fl. <br />n <br />l4. Will the lank(s) pending closure be replaced with on aboveground or underground storage tank(s)? YES[ I NO[ I <br />l5. Indicate the responsible pnrty to be billed for additional PIIS-EIID stnR time expended beyond J hour minimum <br />permit pnyment per lnok. If the pnrty designated below Is different tlmn the permit applicant, e.g. property owner, <br />the party must acknowledge this responsibility for the billing by signature and dale below. <br />Nnme <br />WIN <br />Slgnnture <br />Page 6 <br />a v <br />llot <br />