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/D4-21-93 11:39AM PO <br /> 15 What Is the depth to groundwater? <br /> Peolk M iw YM MGM, so n`G us aeoroefwue SOFT <br /> Describe the source of tnMrmatbonr <br /> ,$r-.uni ObAWAdIffSLbbA <br /> 13. Are there my water wells on this pared or adjacent properties? YES � NO [ I <br /> TYPZ OB WM" DWrANC13 TO TANO(S) <br /> PublicvveR tW.K n <br /> Private Wal �. a150 ft. g.,.r+•.. <br /> Irrigation Weil it, VAS-r <br /> Monitatng Walt UAK It. <br /> 011ier UnIc R. <br /> 14. Will the tanks) pending elosum be reploted with on ahnreground or undtagreasnd storage tank(s)? YES[ j NOX <br /> U. Indicate the responsible parV to be billed for additional PBS-RHD staff time expended beyond 3 hour mlulmum <br /> permit payment per tank Ir the party designated below is ditterenl than the permlt applicant#egt property owner, <br /> the party must acimowledge this ropoualbility for the billing by slgeetura and date below. <br /> Name �Cvde Levy,- (Ln2KP ±t w+. IO <br /> Melling Address <br /> Day Phone Number t 3 <br /> Signature Date <br /> Page 6 <br />