Laserfiche WebLink
SSSCR Site Reconnaissance Checklist <br /> NOA Project Number: E040112A <br /> ` Page 4 <br /> 13. a.Are there any open or damaged containers containing unidentified substances observed on the subject <br /> property? <br /> Yes O No El <br /> d <br /> b.Within 250 feet? <br /> Yes Q No None observed <br /> N14. Identify any surface waters within 1,000 feet.of the subject property <br /> None <br /> L <br /> 16. a. Identify the potable water supply source: <br /> R M <br /> N11 <br /> b. Is there observed evidence of a private well within 1,000 feet? <br /> Yes® No Surrounding rural residences most likely have private wells <br /> 17. Identify the sewage disposal system: <br /> M a <br /> a <br /> 18. Are there any pits,ponds,or lagoons located on the property in connection with waste treatment or waste <br /> disposal? <br /> Yes M No El <br /> rr 19. a.Is there evidence that the subject property discharges waste water,other than storm water,directly into a <br /> ditch or stream on or adjacent to the property? <br /> Yes No GZI <br /> L <br /> b.Any discharges observed within 200 feet? <br /> LYes No ® None observed <br /> V <br /> '044tl <br /> Ir. <br />