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12. What is the depth to groundwater? _ AFWK. V5 2 El. ReUW `4ke, <br />13. <br />Are there any water wells on this parcel or adjacent properties? YES [] NO[ <br />TYPE OF WELLS <br />DISTANCE TO TANKS(S) I <br />Public Well <br />ft. <br />Private Well <br />ft. <br />Irrigation Well <br />ft. <br />Monitoring Well <br />ft. <br />Other <br />14. Will the tank(s) pending closure be replaced with an aboveground 9(r underground torage tank(s)? YES NO[ I <br />15. Indicate the responsible party to be billed for additional PHS-Estaff 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 />Name <br />Day Phone Number "'M V/® <br />ML-L- <br />awy 441a -7 <br />Sign Oure Title Dafe <br />EH 23 046 (Revised 9/11/96) Page 6 <br />