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12. What is the depth to groundwater? Ljt1 known <br /> Describe the source of Information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES [I NON (Ljnkno„ ) <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well fL <br /> Private Well 1L <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> Other rL <br /> 14. Will the tauk{s)pending closure be replaced with an aboveground or underground storage tank(s)?YES[I NWj <br /> 15. Indicate the responsible party to be baled for additional POS-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 Oesia�[00r Inc . attn 6-�ianin] <br /> Ma111ngAddress 13CiD WA10--> 5ui+e 420 <br /> Day Phone Number( <br /> l vGL � Aacnt ForTDSGp IZ �Ilo�C18 <br /> SI Tl a Date' <br /> EH 23 046 (Revised 10/19/98) Page 6 <br />