Laserfiche WebLink
c <br /> 12, Whitt Is the.depth to groundwater? <br /> Describe the source of Information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES (K] NO <br /> TYPE. OR WELDS DISTANCE. TO TANKS(S) <br /> Public Well n. <br /> Private Well 200 n• <br /> Irrigation Well ft. <br /> Monitoring Well ft• <br /> Other D• <br /> 14. Will the tanks) pending closure be replaced with an aboveground or underground storage lank(s)? YES( j NOkj <br /> IS. Indicate the responsible party to be billed for additional PNS-EIID staff time expended beyond 3 hour minimum <br /> permit payment per tank. if the party designated below Is different than the permit applicant, e.g. property <br /> owner, the party must acknowledge this responsibility for the billing by signature and date below. <br /> American Transfer Company <br /> Name <br /> Malting Address <br /> 2701 Highway 99 South <br /> , -- <br /> 209 466-0111 <br /> Day Phone Number <br /> Stgaa at c "'Title` Data <br /> Ell 23 046 (Revised 911 U96) Page 6 <br />