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..12. What is the depth to groundwater? <br /> 0 t:0,1 1/0 <br /> Describe the source of information: <br /> 13. Are there tiny water wells ou this parcel or ndjacent properties? YES [ j NO [!]� <br /> TYPE OF WE,US llLST'ANCC TO TANKS(S) <br /> Public Well n, <br /> Private Well n, <br /> Irrigation Well n, <br /> Monitoring Well ft. <br /> Other ft. <br /> 14. Will the tank(s) pending closure be replaced with a►►'aboveground or underground storage tauk(s)? YES[ ] NO[ ] r <br /> 15. Indicate lite responsible party to be billed for additional PIIS-EIII) staff tl►ne expended beyond 3 hour mh►lmum , <br /> permit payment per tank. If the party designated below Is different than tl►e permit applicant, e.g. property owner; <br /> the party must acknowledge this responsibility for the billing by signature and date below. <br /> r � <br /> Name <br /> Mailing Address -��ii 4L ( — <br /> Day Phone Number (2 <br /> 9 gnuture Date <br /> Page 6 <br />