Laserfiche WebLink
12. What 1s the depth to groundwater? �1!� <br /> Describe the urce offo ati <br /> Llit�S E Nei ui ry M�e>r16t tk.R S t'! �ti6'3 <br /> 13. Are there any water wells on this parcel or adjacent properties? YES [] NO)= <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well ft. <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> Other ft. <br /> 14. Will the tank(s)pending closure be replaced with an aboveground or underground storage tank(s)?YES[]NO[] <br /> 15 Indicate the responsible party to be baled for additional PHS-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 —z- <br /> Mailing Address `7 <br /> Day Phone Number <br /> Slgna a Dat <br /> EH 23 046 (Revised 10/19/98) Page 6 <br />