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U. Whnt Is the depth to groundwater? <br /> 40-45' <br /> Describe the source or Infvrmatton: The City of Lodi ground water map <br /> 13. Are there any water wells on this parcel or adjacent properties? YES [ ) NO [ <br /> TYPE OF WEUS DISTANCE TO TANKS(S) l <br /> i <br /> Public Well n. <br /> Private Well It. <br /> Irrigation Well ft. <br /> Monitoring Well R. <br /> Other rt. <br /> 14. Will the tanks) pending closure be replaced with an aboveground or ondergr`onnd storage tank(s)? MI ) NO[ ) <br /> 15. Indicate the responsible party to be billed for addilloonl ]PIIS-EIID stn'ff thneil expended beyond 3 hour minimum <br /> permit pnyment per Intik. If(lie party designated below Is different tlinn lhei�permit applicant, e.g. property owner, <br /> the party must acknowledge this responsibility for the billing by signature aria date below. <br /> Name <br /> Mailing Address <br /> Day Phone Number <br /> 3 <br /> r�A-/ <br /> Il <br /> Signature Date <br /> III <br /> ;I <br /> Page 6 <br /> jk rI <br />